Pega Sr. Developer - Healthcare Claims & Facets

TechDigital Group; Minnesota; Hybrid; USD 99,000 - 121,000; Full time

Job summary

TechDigital Group is seeking a Senior Pega Developer to design, develop, and configure Pega applications for healthcare claims processing. You will build flows and integrate Facets while translating business requirements for compliant, efficient claims processing.

The role requires collaboration with business analysts, architects, and QA teams to deliver high-quality applications and robust automation solutions.

Qualifications

• Pega Sr. Developer with experience in designing, developing and configuring Pega applications for healthcare claims processing.
• Skilled in building flows in Pega, integrating with Facets and analysing and translating the business requirements.
• Experienced in collaborating with business analysts, architects, and QA teams to deliver high quality applications.

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.
• Analyze and translate healthcare claims business requirements (HIPAA, EDI 837/835, X12 transactions) into Pega application design

Skills

Pega development

Healthcare claims processing

Pega flows

Facets integration

Decision rules

UI rules

HIPAA

EDI 837/835

X12 transactions

Tools

Facets

Job description

Job Description:

Pega Sr. 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 analysing and translating the business requirements. Experienced in collaborating with business analysts, architects, and QA teams to deliver high quality applications.

Required Skills:

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. Analyze and translate healthcare claims business requirements (HIPAA, EDI 837/835, X12 transactions) into Pega application design