Quick Overview
Job Description
Key Responsibilities
· Develop and support TriZetto Facets integrations, interfaces, batch processes, and workflows.
· Build inbound/outbound integrations using REST/SOAP APIs, middleware, and ETL.
· Work with healthcare EDI transactions including 834, 835, 837, 270/271, and 276/277.
· Develop complex SQL queries, stored procedures, and database solutions.
· Support Facets modules including Membership, Claims, Benefits, Provider, Billing, and Authorization.
· Perform integration testing, SIT/UAT support, deployments, and production troubleshooting.
· Monitor interfaces and batch jobs; perform root cause analysis and issue resolution.
· Collaborate with business stakeholders, architects, BAs, Facets SMEs, and vendors.
· Support healthcare payer lines of business including Medicaid, Medicare, Marketplace, and Commercial.
Must Have Skills:
· 5+ years of hands-on TriZetto Facets experience
· 5+ years of Facets Integration Development
· 5+ years of Healthcare Payer domain experience
· Strong SQL / Oracle / SQL Server experience
· REST/SOAP APIs, JSON/XML
· Healthcare EDI transactions (834, 835, 837)
· ETL and healthcare data integration
· Production support and Root Cause Analysis
· Strong analytical, troubleshooting, communication, and stakeholder management skills
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