Facets / Java Developer

SoftPath Technologies LLC; United States; Remote; USD 120,000 - 160,000; Full time

Job summary

SoftPath Technologies LLC in the United States seeks a Senior Facets / Java Developer to support Medicaid Regulatory Solutions across Facets and related healthcare apps. You will translate Medicaid requirements into configurations, integrations, and data-processing steps.

You will collaborate with regulatory, business, architecture, and QA teams, work with DataStage and Talend, and contribute to mainframe and API development within Medicaid MCO landscapes.

Qualifications

• Strong hands-on Facets experience and Medicaid domain knowledge.
• Proficient Java/J2EE development and integration skills.
• Experience with DataStage and Talend ETL tools in enterprise settings.
• Understanding of Medicaid managed-care operations and state requirements.

Responsibilities

• Analyze Medicaid regulatory requirements and translate to technical changes in Facets and related apps.
• Design and maintain solutions for enrollment, eligibility, benefits, claims, and pricing.
• Develop Java-based applications, interfaces, and batch processes for Facets support.
• Modify Mainframe programs and batch components for Medicaid workflows.
• Build ETL/data integration using DataStage and Talend; assess impacts across systems.
• Perform code reviews, testing, debugging, and quality assessments.
• Support system testing, regression, and production implementation.

Skills

TriZetto Facets

Java/J2EE

Mainframe

ETL concepts

Medicaid domain

SQL

Tools

DataStage

Talend/TalendWorks

Job description

Job Title: Senior Facets / Java Developer — Medicaid Regulatory Solutions

Fulltime role

Remote position

Role Summary

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.