Quick Overview
Seniority
Mid Senior
Work mode
Hybrid
Location
United States
Posted
19 hours ago
SOAPREST
Job Description
Pega Senior Developer Healthcare Claims Location: Remote (USA)
Experience: 7 12 Years Openings: 60+
Please Focus Only On
- Previous Elevance Health experience Highly Preferred, OR
- Strong Pega + Healthcare Claims experience
- Facets experience, especially Claims, Membership, Billing & Provider
Key Skills
- Pega PRPC / Pega Platform
- Pega Application Development
- Healthcare Claims Processing & Adjudication
- Facets Claims, Membership, Billing & Provider
- Pega Facets Integration
- Pega Case Types & Flows
- Workflow / BPM
- Pega Rules & Decisioning
- REST / SOAP APIs
- Connectors & Data Pages
- EDI 837 / EDI 835
- X12 Healthcare Transactions
- Claims Intake / Adjudication / Exception Handling
- Manual Review / Payment Processing
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