Pega Developer — Healthcare Claims (Remote)
P2PSoftTek Inc
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Job summary
Pega Developer with healthcare experience is sought to design, develop, and configure Pega applications for healthcare claims processing. The role involves building flows, case types, and UI rules, and integrating with Facets. Collaboration with business analysts, architects, and QA teams is essential.
The candidate will translate HIPAA, EDI 837/835, and X12 requirements into effective Pega designs and ensure end-to-end delivery in healthcare claims processing workflows.
Qualifications
- Design, develop, and configure Pega applications for healthcare claims processing, adjudication, and workflow automation integrated with Facets.
- Build and customize Pega case types, flows, decision rules, and UI rules to automate claims exception handling and manual review processes.
- Analyse and translate healthcare claims business requirements (HIPAA, EDI 837/835, X12 transactions) into Pega application design.
Responsibilities
- Design, develop, and configure Pega applications for healthcare claims processing, adjudication, and workflow automation integrated with Facets.
- Build and customize Pega case types, flows, decision rules, and UI rules to automate claims exception handling and manual review processes.
- Analyse and translate healthcare claims business requirements (HIPAA, EDI 837/835, X12 transactions) into Pega application design.
Skills
Tools
Job description
Pega Developer with healthcare experience is sought to design, develop, and configure Pega applications for healthcare claims processing. The role involves building flows, case types, and UI rules, and integrating with Facets. Collaboration with business analysts, architects, and QA teams is essential.
The candidate will translate HIPAA, EDI 837/835, and X12 requirements into effective Pega designs and ensure end-to-end delivery in healthcare claims processing workflows.
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