BUSINESS ANALYST L3

Wipro; Minneapolis (MN); On-site; USD 45,000 - 110,000; Full time

Benefits offered by this job

Medical and dental benefits options

Disability insurance

Paid time off

Job summary

Wipro Ltd. is seeking a Senior Facets / Java Developer to support Medicaid regulatory changes across Facets and related healthcare apps.

You will translate requirements into system configurations, APIs, and data-processing solutions, combining Facets claims and membership expertise with Java engineering and ETL talents. The role involves collaborating with regulatory, business, architecture, and QA teams to implement complex changes, maintain technical docs, and ensure quality across tests and

Qualifications

• Strong hands-on experience with TriZetto Facets.
• Strong Java/J2EE engineering and programming skills.
• Experience with IBM DataStage and Talend/TalendWorks or comparable ETL technologies.
• Strong understanding of Medicaid managed-care operations and state-specific regulatory requirements.
• Experience implementing regulatory changes within healthcare payer platforms.

Responsibilities

• Analyze Medicaid regulatory requirements and translate into technical changes across Facets and related apps.
• Design, develop, configure, and maintain solutions for enrollment, eligibility, benefits, claims, and pricing.
• Develop Java-based applications, APIs, interfaces, and batch programs for Facets.
• Develop or modify Mainframe programs and batch components for Medicaid processes.
• Build ETL/data integration solutions using DataStage and Talend/TalendWorks.
• Conduct code reviews, unit testing, and fix defects; support testing and production implementations.

Skills

TriZetto Facets

Java/J2EE

IBM DataStage

Talend/TalendWorks

Medicaid domain knowledge

SQL

APIs/interfaces

Tools

DataStage

Talend

Job description

Wipro Limited (NYSE: WIT, BSE: 507685, NSE: WIPRO) is a leading technology services and consulting company focused on building innovative solutions that address clients’ most complex digital transformation needs. Leveraging our holistic portfolio of capabilities in consulting, design, engineering, and operations, we help clients realize their boldest ambitions and build future-ready, sustainable businesses. With over 230,000 employees and business partners across 65 countries, we deliver on the promise of helping our customers, colleagues, and communities thrive in an ever-changing world. For additional information, visit us at www.wipro.com.

Job Description

Role Purpose

The purpose of this role is to perform initial business analysis and create basic process documents in line with defined guidelines to assist team members in understanding client requirements and supporting early-stage analysis and documentation activities.

Role: Senior Facets / Java Developer - Medicaid Regulatory Solutions

Job Description.

An experienced Facets / Mainframe / Java Developer or Engineer to support implementation of state-specific Medicaid regulatory changes across Facets and surrounding healthcare applications. The engineer will work with regulatory, business, architecture, and QA teams to translate Medicaid requirements into system configuration, application changes, integrations, and data-processing solutions. The ideal candidate combines strong Facets claims and membership knowledge with hands-on Java engineering, DataStage/Talend experience, Mainframe and Medicaid managed-care domain expertise.

Key Responsibilities

• Analyze regional/state Medicaid regulatory requirements and translate them into technical changes across Facets and surrounding applications.
• Design, develop, configure, and maintain solutions supporting:
  • Member enrollment and eligibility
  • Membership maintenance
  • Benefits and plan configuration
  • Claims intake and adjudication
  • Claims pricing and payment
  • Provider-related claim processing
  • Medicaid-specific edits and business rules
  • Medicare/Medicaid coordination where applicable
• Develop and enhance Java-based applications, APIs, interfaces, batch programs, and integration components supporting Facets.
• Develop or modify Mainframe programs and batch-processing components supporting Medicaid processes.
• Perform Facets configuration and development associated with regulatory and business-rule changes.
• Build and maintain ETL/data integration solutions using IBM DataStage and Talend/TalendWorks.
• Analyze upstream and downstream impacts of regulatory changes across Facets, data platforms, interfaces, and surrounding applications.
• Conduct code reviews, unit testing, defect resolution, root-cause analysis, and technical quality assessments.
• Support system integration testing, regression testing and production implementation.
• Troubleshoot complex claims, membership, eligibility, and regulatory processing issues.
• Develop reusable engineering approaches where regulatory requirements are common while accommodating state-specific variations.
• Maintain technical specifications, mappings, configuration documentation, traceability and implementation artifacts.

Required Experience

• Strong hands-on experience with TriZetto Facets.
• Strong Java/J2EE engineering and programming skills.
• Experience with IBM DataStage and Talend/TalendWorks or comparable enterprise ETL technologies.
• Strong understanding of Medicaid managed-care operations and state-specific regulatory requirements.
• Experience implementing regulatory or business-rule changes within healthcare payer platforms.
• Strong Facets experience in:
  • Membership
  • Eligibility
  • Benefits
  • Claims
  • Claims adjudication
  • Pricing/payment processing
• Good understanding of both Medicaid and Medicare health-plan processes.
• Experience with SQL, databases, batch processing, APIs/interfaces and data integration.
• Strong debugging, production support and root-cause-analysis skills.
• Ability to interpret business/regulatory requirements and convert them into detailed technical solutions.

Preferred

• Medicare-Medicaid / dual-eligible experience.
• Experience working with multiple state Medicaid programs.
• Experience supporting large health plans or Medicaid MCO environments.
• Healthcare EDI/X12 knowledge.
• Knowledge of automated CI/CD, code quality and test automation practices

Mandatory Skills: HC - Payor.Experience: 3-5 Years.The expected compensation for this role ranges from $45,000 to $110,000 .Final compensation will depend on various factors, including your geographical location, minimum wage obligations, skills, and relevant experience. Based on the position, the role is also eligible for Wipro's standard benefits including a full range of medical and dental benefits options, disability insurance, paid time off (inclusive of sick leave), other paid and unpaid leave options.Applicants are advised that employment in some roles may be conditioned on successful completion of a post-offer drug screening, subject to applicable state law.Wipro provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. Applications from veterans and people with disabilities are explicitly welcome.

Reinvent your world. We are building a modern Wipro. We are an end-to-end digital transformation partner with the boldest ambitions. To realize them, we need people inspired by reinvention. Of yourself, your career, and your skills. We want to see the constant evolution of our business and our industry. It has always been in our DNA - as the world around us changes, so do we. Join a business powered by purpose and a place that empowers you to design your own reinvention.

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, caste, creed, religion, gender, marital status, age, ethnic and national origin, gender identity, gender expression, sexual orientation, political orientation, disability status, protected veteran status, or any other characteristic protected by law.

Wipro is committed to creating an accessible, supportive, and inclusive workplace. Reasonable accommodation will be provided to all applicants including persons with disabilities, throughout the recruitment and selection process. Accommodations must be communicated in advance of the application, where possible, and will be reviewed on an individual basis. Wipro provides equal opportunities to all and values diversity.