Certified Pega Developer (Pega CSSA - Certified Senior System Architect)

Pacer Group; Norfolk (VA); On-site; USD 149,001,000 - 180,521,000; Full time

Benefits offered by this job

Medical | Dental | Vision | 401(k)

Job summary

Pacer Group is seeking an experienced Pega SSA Developer to support healthcare technology delivery, reporting to the Technical Delivery Manager, and solving complex workflow automation and claims adjudication challenges integrated with Facets.

You will design, develop, and configure Pega applications for healthcare claims processing, integrate with Facets, and ensure end-to-end claims lifecycle management with REST/SOAP APIs and data pages.

Qualifications

• Must have experience with Facets modules (Claims, Membership, Billing, Provider).
• Experience with EDI 835/837 and healthcare transactions.
• Knowledge of HIPAA, X12 transactions, and claims adjudication.

Responsibilities

• Design, develop, and configure Pega applications for healthcare claims processing and workflow automation integrated with Facets.
• Work on Facets modules to support end-to-end claims lifecycle management.
• Build and customize Pega case types, flows, decision rules, and UI rules for claims processing and exception handling.

Skills

Facets

EDI 835

EDI 837

REST APIs

SOAP APIs

Connectors

Data Pages

Job description

Pay Rate: $52.00/hr W2 | $63.00/hr C2C

No. of Opening: 8

Application Deadline: October 20, 2026

SKILLS REQUIRED

Primary (Must-Have):

• Facets | Claims, Membership, Billing, and Provider Modules
• EDI 835, 837 | Healthcare Claims & Transactions

Secondary (Good to Have):

• REST/SOAP APIs | Connectors and Data Pages
• Collaboration & Stakeholder Communication

POSITION OVERVIEW

We are seeking an experienced Pega SSA Developer to support the healthcare technology delivery department, reporting to the Technical Delivery Manager, to solve complex workflow automation and claims adjudication challenges integrated with Facets.

ROLES & RESPONSIBILITIES

• Design, develop, and configure Pega applications for healthcare claims processing, adjudication, and workflow automation integrated with Facets.
• Work on Facets modules including Claims, Membership, Billing, and Provider to support end-to-end claims lifecycle management.
• Build and customize Pega case types, flows, decision rules, and UI rules to automate claims exception handling and manual review processes.
• Integrate Pega with Facets and other core administration systems using REST/SOAP APIs, connectors, and data pages.
• Analyze and translate healthcare claims business requirements including HIPAA, EDI 837/835, and X12 transactions into Pega application design.

BENEFITS

• Medical | Dental | Vision | 401(k)

EEOC Compliance:

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment.

DISCLAIMER

AI Usage Policy: Pacer Group uses AI to assist in screening applications. Final hiring decisions are made by human recruiters based on qualifications and experience.