Senior Java Developer with Facets and Medicaid Regulatory & Payer Domain Experience

Programmers.io; United States; À distance; USD 150 000 - 190 000; Plein temps

Résumé du poste

Programmers.io is seeking a Senior Java Developer with deep hands‑on Java expertise, strong Facets experience, and solid integration know‑how. The role focuses on Medicaid regulatory and payer domain requirements, with exposure to TriZetto Facets, Mainframe and modern integration patterns.

Remote work is available for candidates in the USA. The ideal candidate has 10+ years of hands‑on Java/J2EE experience, strong healthcare payer knowledge, and a proven track record delivering complex

Qualifications

• Strong knowledge of Medicaid managed‑care operations and state requirements.
• Understand regulatory changes affecting enrolment, eligibility, coverage, claims, and pricing.
• Knowledge of Medicare and Medicare‑Medicaid processes.
• Experience delivering healthcare payer solutions using Facets, Mainframe, Java/J2EE, DataStage, Talend, APIs and integrations.
• Knowledge of Medicaid processes and health‑plan operations including enrollment, eligibility, benefits, claims adjudication, pricing, and payment.

Connaissances

Java

Facets

Integration

Medicaid knowledge

Medicare knowledge

Outils

TriZetto Facets

Mainframe

Java/J2EE

IBM DataStage

Talend

APIs

Databases

Batch processing

Description du poste

Title: Senior Java Developer with Facets and Medicaid Experience

Duration: Full time

Location: Remote, USA

Experience: 10+ years Mandatory

Primary Skills:

Deep hands‑on expertise in Java, plus strong Facets, and integration knowledge

Medicaid Regulatory & Payer Domain & Technology Expertise:

• Candidates should have strong knowledge of Medicaid managed‑care operations and experience working with state‑specific Medicaid requirements.
• They should understand how regulatory changes affect member enrolment/eligibility, coverage, claim processing, authorization, pricing/payment, data, and downstream health‑plan operations.
• They should also possess a good working understanding of Medicare and Medicare‑Medicaid processes.
• Candidates must have experience delivering healthcare payer solutions across a combination of TriZetto Facets, Mainframe, Java/J2EE, IBM DataStage, Talend/Talend Works, databases, batch processing, APIs and system integrations.
• Candidates should have strong knowledge of Medicaid managed‑care processes and state‑specific regulatory requirements, together with a good understanding of Medicare and Medicaid health‑plan operations, particularly member enrollment, eligibility, benefits, claims adjudication, pricing and payment.