Sr Facets Developer with Java (FTE/ Contract)

AppLab Systems, Inc; United States; Remote; USD 120,000 - 180,000; Full time

Job summary

AppLab Systems, Inc is seeking an experienced Facets/Java Developer to implement state Medicaid regulatory changes across Facets and related healthcare apps. The role combines Facets configuration with Java engineering, ETL, and mainframe work in a remote USA setting.

You will collaborate with regulatory, business, architecture, and QA teams to translate requirements into system changes, interfaces, and data processing solutions. Deep knowledge of Facets and Medicaid processes is essential.

Qualifications

• Hands-on experience with TriZetto Facets in payer environments.
• Strong Java/J2EE development and programming skills.
• Experience with IBM DataStage or Talend ETL tools.
• Knowledge of Medicaid managed-care operations and rules.
• Experience implementing regulatory changes in healthcare payers.
• Proficiency in SQL, data integration, and batch processing.

Responsibilities

• Analyze Medicaid regulatory requirements and translate them into technical changes across Facets and related apps.
• Design, develop, configure and maintain solutions for enrollment, eligibility, and benefits.
• Build Java-based applications, APIs, interfaces, and batch components for Facets.
• Develop or modify Mainframe programs and batch-processing components.
• Maintain ETL/data integration solutions using DataStage and Talend.
• Perform code reviews, testing, and production support activities.
• Troubleshoot complex claims, eligibility, and processing issues.
• Document mappings, configurations, and implementation artefacts.

Tools

Facets (TriZetto)

Java/J2EE

Mainframe

IBM DataStage

Talend/TalendWorks

Job description

Senior Facets / Java Developer – Medicaid Regulatory Solutions

Location: Remote (USA)

Type: Full Time/ Contract

Job Description

An experienced Facets / Mainframe / 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.
• Membership
• Claims
• Claims adjudication
• Good understanding of both Medicaid and Medicare health-plan processes.
• Experience with SQL, databases, batch processing, APIs/interfaces and data integration.
• Strong debugging, production support and root-cause-analysis skills.
• Ability to interpret business/regulatory requirements and convert them into detailed technical solutions.