Open role
[Remote] Java Developer (Facets & Medicaid)
Note: The job is a remote job and is open to candidates in USA. Lorven Technologies Inc. is recruiting for an unnamed client seeking a Java Developer focused on Facets and Medicaid. The role involves Java/J2EE development and work with healthcare payer platforms, Medicaid requirements, Facets functionality, and related data integration.
Skills
- Bachelor's degree or Master's Degree with experience in an industrial or academic setting working, or a related field
- Strong Java/J2EE engineering and programming skills
- Strong hands-on experience with TriZetto Facets
- 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
- 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
Benefits
- Remote work arrangement
Company Overview
Company H1B Sponsorship