Pega Developer with healthcare exp

P2PSoftTek Inc; Norfolk (VA); On-site; USD 110,000 - 150,000; Full time

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

Pega development

Healthcare domain

Cross-functional teamwork

Tools

Facets

Job description

Role: Pega Developer with healthcare experience
Location: Norfolk, VA (Remote)

Need healthcare domain exp

JD:

Pega Developer with experience in Designing, developing and configuring Pega applications for Healthcare Claims processing. Skilled in building flows in Pega, integrating with the application called Facets and analysing and translating business requirements.
Experienced in collaborating with business analysts, architects, and QA teams to deliver high quality applications.

1. Design, develop, and configure Pega applications for healthcare claims processing, adjudication, and workflow automation integrated with Facets.
2. Build and customize Pega case types, flows, decision rules, and UI rules to automate claims exception handling and manual review processes.
3. Analyse and translate healthcare claims business requirements (HIPAA, EDI 837/835, X12 transactions) into Pega application design.