- Design, develop, and support integrations involving the TriZetto Facets platform.
- Configure and develop Facets batch processes, workflows, and interfaces.
- Build and maintain inbound and outbound data integrations between Facets and enterprise applications.
- Membership
- Provider Management
- Authorization/Referrals API & Middleware Development
- Develop REST and SOAP APIs for Facets-related integrations.
- Build middleware solutions using platforms such as:
- MuleSoft
- IBM ACE/IIB
- Other ESB/API Management platforms
- Implement real-time and batch data exchange solutions. Data Integration & ETL
- Develop and maintain ETL processes supporting Facets data exchanges.
- Work with large-scale healthcare data files including:
- EDI 834
- EDI 835
- EDI 837
- EDI 270/271
- EDI 276/277
- Create complex SQL queries, stored procedures, and performance tuning solutions. Healthcare Domain Support.
- Collaborate with business and operations teams to understand healthcare payer workflows.
- Support Medicaid, Medicare, Marketplace, and Commercial lines of business.
- Participate in production issue resolution and root cause analysis. Testing & Deployment.
- Support SIT, UAT, and production deployments.
- Develop unit test cases and integration test plans.
- Troubleshoot integration failures and coordinate defect resolution.
- Participate in release planning and deployment activities. Production Support.
- Monitor Facets interfaces and batch jobs.
- Investigate production issues and coordinate remediation efforts.
- Provide on-call support as needed.
- Identify process improvements and automation opportunities.
- Deliver projects within defined time and budget, and in line with high quality standards.
- Enable successful project delivery and customer satisfaction.
- Drive project and technology goals in compliance with organizational objectives.
Experience
Location
Educational Qualifications
- Engineering Degree – BE/ME/BTech/MTech/BSc/MSc.
Technical certification in multiple technologies is desirable.
Skills
- 5+ years of healthcare payer industry experience.
- 5+ years of hands‑on experience working with the TriZetto Facets platform.
5+ years of experience developing Facets integrations and interfaces.
Experience supporting large-scale healthcare transformation and modernization initiatives.
Strong experience with:- SQL Server / Oracle Database
- Stored Procedures
- Complex SQL Query Development
- REST APIs
- SOAP Web Services
- JSON / XML
- ETL Development
Experience with one or more integration platforms:
- Strong understanding of:
- Claims Processing
- Provider Management
- Healthcare Benefits
- Healthcare Payer Operations
Experience with HIPAA‑compliant healthcare transactions.
Must have skills
- SQL Development
- APIs (REST/SOA)
- EDI Transactions (834, 835, 837)
- Production Support Experience
- Strong analytical and troubleshooting skills.
- Excellent communication and stakeholder management abilities.
- Ability to work directly with business users and healthcare operations teams.
- Strong documentation and knowledge transfer skills.
- Ability to work independently and within cross-functional teams.
- Experience in Google Cloud Platform (GCP) using Spanner/BigQuery