Senior Facets / Java Developer – Medicaid Regulatory Solutions

Talent Groups; United States; On-site; USD 120,000 - 180,000; Full time

Job summary

Talent Groups seeks an experienced Facets/Java Developer to implement state Medicaid regulatory changes across Facets and related healthcare applications. The role combines Java engineering with ETL work, data integration and mainframe experience to support complex Medicaid processes.

The ideal candidate will translate regulatory requirements into system configurations, interfaces, and data-processing solutions, collaborating with regulatory, business, architecture, and QA teams.

Qualifications

• Strong hands-on experience with TriZetto Facets.
• Strong Java/J2EE engineering and programming skills.
• Experience with IBM DataStage and Talend/TalendWorks or comparable enterprise ETL technologies.
• Strong understanding of Medicaid managed-care operations and state-specific regulatory requirements.
• Experience implementing regulatory or business-rule changes within healthcare payer platforms.

Responsibilities

• Analyze regional/state Medicaid regulatory requirements and translate them into technical changes across Facets and surrounding applications.
• Design, develop, configure, and maintain solutions supporting enrollment, eligibility, membership maintenance, claims, and provider-related processing.
• Develop and enhance Java-based applications, APIs, interfaces, and integration components.
• Build and maintain ETL/data integration solutions using IBM DataStage and Talend/TalendWorks.
• Perform configuration and development for regulatory and business-rule changes.

Skills

TriZetto Facets

Java/J2EE

ETL: DataStage

ETL: Talend/TalendWorks

Medicaid domain

Tools

IBM DataStage

Talend/TalendWorks

Job description

Role Summary

An experienced Facets / Java Developer or Engineer to support implementation of state-specific Medicaid regulatory changes across Facets and surrounding healthcare applications.
The engineer will work with regulatory, business, architecture, and QA teams to translate Medicaid requirements into system configuration, application changes, integrations, and data-processing solutions. The ideal candidate combines strong Facets claims and membership knowledge with hands‑on Java engineering, DataStage/Talend experience, Mainframe and Medicaid managed‑care domain expertise.

Key Responsibilities

• Analyze regional/state Medicaid regulatory requirements and translate them into technical changes across Facets and surrounding applications.
• Design, develop, configure, and maintain solutions supporting:
  • Member enrollment and eligibility
  • Membership maintenance
  • Benefits and plan configuration
  • Claims intake and adjudication
  • Claims pricing and payment
  • Provider‑related claim processing
  • Medicaid‑specific edits and business rules
  • Medicare/Medicaid coordination where applicable
• Develop and enhance Java‑based applications, APIs, interfaces, batch programs, and integration components supporting Facets.
• Develop or modify Mainframe programs and batch‑processing components supporting Medicaid processes.
• Perform Facets configuration and development associated with regulatory and business‑rule changes.
• Build and maintain ETL/data integration solutions using IBM DataStage and Talend/TalendWorks.
• Analyze upstream and downstream impacts of regulatory changes across Facets, data platforms, interfaces, and surrounding applications.
• Conduct code reviews, unit testing, defect resolution, root‑cause analysis, and technical quality assessments.
• Support system integration testing, regression testing and production implementation.
• Troubleshoot complex claims, membership, eligibility, and regulatory processing issues.
• Develop reusable engineering approaches where regulatory requirements are common while accommodating state‑specific variations.
• Maintain technical specifications, mappings, configuration documentation, traceability and implementation artifacts.

Required Experience

• Strong hands‑on experience with TriZetto Facets.
• Strong Java/J2EE engineering and programming skills.
• Experience with IBM DataStage and Talend/TalendWorks or comparable enterprise ETL technologies.
• Strong understanding of Medicaid managed‑care operations and state‑specific regulatory requirements.
• Experience implementing regulatory or business‑rule changes within healthcare payer platforms.