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[Remote] Facet Consultant

Remote · India Full-time

Note: The job is a remote job and is open to candidates in USA. Programmers.io is seeking a Facet Developer (Java) for a full-time, permanent, 100% remote role. The role focuses on healthcare payer solutions involving Facets, Java or mainframe systems, and integrations, with expertise in Medicaid managed-care operations and regulatory requirements.

Skills

  • Deep hands-on expertise in Mainframe or Java, plus strong Facets, and integration knowledge
  • 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 enrollment/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

Benefits

  • 100% remote role

Company Overview

  • IBM i is evolving. And so are we. It was founded in 2012, and is headquartered in Dallas, Texas, USA, with a workforce of 1001-5000 employees. Its website is https://programmers.io/.
  • Company H1B Sponsorship

  • Programmers.io has a track record of offering H1B sponsorships, with 2 in 2023. Please note that this does not guarantee sponsorship for this specific role.
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