Sign upLog in
Remote Healthcare Jobs
Iconma logo

Pega & Informatica Healthcare Developer – EDI / Claims

Iconma
  • Remote, VA
  • Remote
  • $47.14–$52.14 Per Hour
  • Instant Apply
8 days ago

Job Description

Our Client, an IT Services and Consultant company, is looking for a Pega & Informatica Healthcare Developer – EDI / Claims for their Remote location.
 
Responsibilities:

  • Design and develop healthcare applications using Pega Infinity/PRPC.
  • Configure and develop Case Types, Flows, Flow Actions, Data Pages, Data Transforms, Activities, Decision Rules, and SLAs.
  • Develop and support Informatica PowerCenter/IICS mappings, workflows, and ETL processes.
  • Integrate Pega applications with healthcare systems using REST/SOAP APIs, MQ, and Informatica services.
  • Work with healthcare claims data including Member, Provider, Benefits, Enrollment, Authorization, and Claims.
  • Analyze and implement business requirements related to Claims Processing, Prior Authorization, Appeals & Grievances, and Care Management.
  • Support healthcare EDI transactions including HIPAA X12 837, 835, 270/271, 276/277.
  • Develop data validation, exception handling, reconciliation, and audit frameworks.
  • Participate in Agile ceremonies, sprint planning, estimation, and code reviews.
  • Provide production support, troubleshooting, performance tuning, and defect resolution.
 
Requirements:
  • PEGA PRPC
  • Informatica
  • Healthcare EDI transactions
  • Years of experience: 8+ Years of Experience
 
Why Should You Apply?

Numbers & Facts

LocationRemote, VA (
Remote)
IndustryManagement Consulting Services
Salary$47.14–$52.14 Per Hour
Company Size2,000 to 2,499 employees
Year Founded2000
Websitehttps://www.iconma.com/

Benefits

401K, Employee Referral Program, Life Insurance

About Company

ICONMA is a global information consulting management firm providing Professional Staffing Services and Project-Based Solutions for organizations in a broad range of industries.

  • Corporate Headquarters in Troy, Michigan; 20+ locations worldwide.
  • Certified Woman-Owned Business Enterprise (WBE); certified by Women’s Business Enterprise National Council, National Women Business Owners Corporation (NWBOC); and California Public Utilities Commission (CPUC).
  • Founded in 2000
  • 2000+ Employees

The company was founded on the principle that success is derived from delivering high quality service and resources in the most responsive, flexible, and innovative way. ICONMA invests in people and resources with a single goal: To provide our customers with the highest quality service in the most responsive manner. Through its network of offices, ICONMA provides the resources to help clients maintain their competitive advantage.

Skills

  • Agile Programming Methodologiesunmatched
  • Application Programming Interface (API)unmatched
  • Business Analysisunmatched
  • Claims Processingunmatched
  • Code Reviewsunmatched
  • Data Qualityunmatched
  • Database Extract Transform and Load (ETL)unmatched
  • Electronic Data Interchange (EDI)unmatched
  • Error Handlingunmatched
  • HIPAA (Health Insurance Portability and Accountability Act)unmatched
  • Health Planunmatched
  • Healthcareunmatched
  • Healthcare Softwareunmatched
  • Identify Issuesunmatched
  • Informaticaunmatched
  • Information Technology Consultingunmatched
  • Messaging Middlewareunmatched
  • Performance Tuning/Optimizationunmatched
  • Production Supportunmatched
  • REST (Representational State Transfer)unmatched
  • Reconciliationunmatched
  • SOAP (Simple Object Access Protocol)unmatched
  • SOAP Notesunmatched
  • Service Level Agreement (SLA)unmatched
  • Software Designunmatched
  • Software Developmentunmatched
  • Sprint Planningunmatched

Be found by employers

5,500+ employers search our resume database daily. Add yours to get found by recruiters looking for candidates like you.

Level up your application

Professional resume templates

Browse dozens of recruiter approved resume templates, layouts and formats. Choose your favorite and make it your own in minutes.

Free resume templates

Resume Builder

Improve your existing resume or start from scratch and create a standout, ATS-friendly resume. Add job-specific content, download and apply.

Resume Builder