Pega Healthcare Claims Developer

TechDigital Group; Kentucky; Hybrid; USD 90,000 - 120,000; Full time

Job summary

TechDigital Group is seeking a skilled professional to design and develop enterprise healthcare applications using Pega in a data-driven environment. The role focuses on building robust Pega Case Types, Flows, and Rules while integrating with Oracle-backed data stores.

You will optimize complex Oracle queries and support both real-time and batch integrations between Pega and Oracle systems, handling large healthcare datasets across Members, Providers, and Claims.

Qualifications

• Experience designing and developing enterprise healthcare applications using Pega.
• Develop and optimize Oracle queries, packages, procedures, and views.
• Experience with large healthcare datasets and claims processing workflows.

Responsibilities

• Design and develop enterprise healthcare applications using Pega.
• Develop and optimize 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:

• PEGA
• Oracle
• 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.