Pega Healthcare Claims Developer

TechDigital Group; Elk Grove (CA); On-site; USD 120,000 - 160,000; Full time

Job summary

TechDigital Group in Elk Grove, CA, seeks a skilled enterprise healthcare applications developer to design and implement Pega-based solutions, optimize data flows, and deliver robust integrations with Oracle. You will work on large healthcare datasets including Members, Providers, Claims, Benefits, and Authorizations.

The role involves creating data models and database designs, building Pega Case Types, Flows, Decision Rules, and SLAs, and collaborating with agile teams across architecture,

Qualifications

• Experience designing and developing enterprise healthcare applications using Pega.
• Proficient with Oracle queries, packages, procedures, views, and materialized views.
• Experience with healthcare claim processing workflows and data.

Responsibilities

• Design and develop enterprise healthcare applications using Pega.
• Develop complex Oracle queries, packages, procedures, views, and materialized views.
• Optimize database performance and tune high-volume claims processing transactions.
• Work with large healthcare datasets involving Members, Providers, Claims, Benefits, and Authorizations.
• Develop and support real-time and batch integrations between Pega and Oracle systems.
• Create data models and database designs supporting healthcare workflows.
• Build and optimize Pega Case Types, Flows, Decision Rules, and SLAs.
• Troubleshoot production issues involving both application and database layers.
• Participate in architecture discussions and database design reviews.
• Support Agile development, testing, deployment, and release activities.

Skills

PEGA

Oracle

Healthcare claim processing experience

Job description

Required Skills:

1. PEGA
2. Oracle
3. Healthcare claim processing experience

Job Description:

• Design and develop enterprise healthcare applications using Pega.
• Develop complex Oracle queries, packages, procedures, views, and materialized views.
• Optimize database performance and tune high-volume claims processing transactions.
• Work with large healthcare datasets involving Members, Providers, Claims, Benefits, and Authorizations.
• Develop and support real-time and batch integrations between Pega and Oracle systems.
• Create data models and database designs supporting healthcare workflows.
• Build and optimize Pega Case Types, Flows, Decision Rules, and SLAs.
• Troubleshoot production issues involving both application and database layers.
• Participate in architecture discussions and database design reviews.
• Support Agile development, testing, deployment, and release activities.