Pega LSA Developer

TechDigital Group; Minneapolis (MN); On-site; USD 100,000 - 150,000; Full time

Job summary

TechDigital Group is seeking a Pega Developer in Minneapolis to design, develop, and configure Pega applications for healthcare claims processing and adjudication. You will build flows, UI rules, and integrate with Facets to support end-to-end claims workflows.

You will collaborate with business analysts, architects, and QA to deliver high-quality solutions, integrating with REST/SOAP APIs and data pages, and translating HIPAA/Edi/X12 requirements into robust Pega designs.

Responsibilities

• Design, develop and configure Pega applications for healthcare claims processing, including adjudication and workflow automation with Facets.
• Collaborate with business analysts, architects and QA to deliver high-quality applications.
• Work on Facets modules (Claims, Membership, Billing, Provider) to support end-to-end claims lifecycle.
• Build and customize Pega case types, flows, rules to automate exception handling and manual reviews.
• Integrate Pega with Facets and other systems using REST/SOAP APIs, connectors and data pages.
• Analyze HIPAA, EDI 837/835 and X12 requirements and translate them into Pega design.

Job description

Job Description

• Pega Developer with experience in Designing, developing and configuring Pega applications for Healthcare Claims processing. Skilled in building flows in Pega, integrating with application called Facets and analyzing and translating the business requirements.
• Experienced in collaborating with business analysts, architects, and QA teams to deliver high quality applications.
• Design, develop, and configure Pega applications for healthcare claims processing, adjudication, and workflow automation integrated with Facets.
• Work on Facets modules (Claims, Membership, Billing, Provider) to support end-to-end claims lifecycle management including intake, adjudication, and payment processing.
• Build and customize Pega case types, flows, decision rules, and UI rules to automate claims exception handling and manual review processes.
• Integrate Pega with Facets and other core administration systems using REST/SOAP APIs, connectors, and data pages.
• Analyze and translate healthcare claims business requirements (HIPAA, EDI 837/835, X12 transactions) into Pega application design.