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

Note: The job is a remote job and is open to candidates in USA. Programmers.io is seeking a Senior Java Developer with Facets and Medicaid regulatory and payer domain experience. The role focuses on healthcare payer solutions and Medicaid managed-care operations, including state-specific regulatory requirements and related enrollment, claims, and payment processes.

Skills

• 10+ years
• Deep hands-on expertise in Mainframe or Java, plus strong Facets, and integration knowledge
• Strong knowledge of Medicaid managed-care operations and experience working with state-specific Medicaid requirements
• Understand how regulatory changes affect member enrolment/eligibility, coverage, claim processing, authorization, pricing/payment, data, and downstream health-plan operations
• A good working understanding of Medicare and Medicare-Medicaid processes
• 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
• 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

• Remote work in the USA

Company Overview

Company H1B Sponsorship