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Java Developer Medicaid Regulatory Solutions

Remote · United States Full-time

Hi Our client is looking for a Java Developer – Medicaid Regulatory Solutions project in Remote below is the detailed requirement. Job positing Title: Java Developer – Medicaid Regulatory Solutions Location: Remote Required Skills : Facets,Java/J2EE Job description:

  • Bachelor’s degree in related field
  • Strong hands-on experience with 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.
  • Strong Facets experience in:
  • Membership
  • Eligibility
  • Benefits
  • Claims
  • Claims adjudication
  • Pricing/payment processing
  • 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.

Preferred

  • Medicare-Medicaid / dual-eligible experience.
  • Experience working with multiple state Medicaid programs.
  • Experience supporting large health plans or Medicaid MCO environments.
  • Healthcare EDI/X12 knowledge.
  • Knowledge of automated CI/CD, code quality and test automation practices

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