Pega SSA Developer - Healthcare Claims & Facets Expert

TechDigital Group; Oklahoma; Hybrid; USD 110,000 - 160,000; Full time

Job summary

TechDigital Group seeks a seasoned Pega Developer to design, develop, and configure Pega applications for healthcare claims processing, with tight integration to Facets. You will work on Claims, Membership, Billing, and Provider modules to support end-to-end lifecycle management.

The role requires translating HIPAA and X12 transactions into robust Pega designs, building flows and UI rules, and collaborating with BAs, architects, and QA teams to ensure high-quality solutions.

Qualifications

• 10+ years of Pega development experience for healthcare claims.
• Design, develop, and configure Pega apps with Facets integration.
• Ability to collaborate with business analysts, architects, and QA teams.

Responsibilities

• Design, develop, and configure Pega applications for healthcare claims processing with Facets.
• Work on Facets modules (Claims, Membership, Billing, Provider) for end-to-end lifecycle.
• Build Pega case types, flows, rules, and UI to automate claims handling.
• Integrate Pega with Facets and core systems via REST/SOAP APIs.
• Translate HIPAA, EDI 837/835 into Pega design.

Skills

Pega platform

Facets integration

REST/SOAP APIs

Healthcare claims

Business analysis

Cross-functional collaboration

Pega flows

Tools

Facets

Job description

TechDigital Group seeks a seasoned Pega Developer to design, develop, and configure Pega applications for healthcare claims processing, with tight integration to Facets. You will work on Claims, Membership, Billing, and Provider modules to support end-to-end lifecycle management.

The role requires translating HIPAA and X12 transactions into robust Pega designs, building flows and UI rules, and collaborating with BAs, architects, and QA teams to ensure high-quality solutions.