Senior Java/Mainframe/Facets/Integration/EDI with Facets and Medicaid Regulatory and Payer Solutions Location : Remote

Title : Senior Java/Mainframe/Facets/Integration/EDI with Facets and Medicaid Regulatory and Payer Solutions -100% Remote Location : Remote Total -20 Opening Mandatory : Deep hands-on expertise in Mainframe or Java, plus strong Facets, and integration knowledge Domain expectations across all roles Medicaid Regulatory & Payer Domain & Technology Expertise: 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/TalendWorks, 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. Have a Great Day! Warm Regards, Mohit Mittal Lead Recruiter Contact Details: 609-629-2040 Email: [email protected] 4365 Route 1 South, Suite 105 Princeton, NJ 08540 www.applabsystems.com