Quick Overview
Seniority
Mid Senior
Work mode
Remote
Location
United States
Posted
20 hours ago
SOAPETLAgileHIPAAREST
Job Description
Job Description: Pega Informatica Developer
Remote
Required Skills:
- PEGA PRPC
- Informatica
- Healthcare EDI transactions
Job Description:
- Design and develop healthcare applications using Pega Infinity/PRPC.
- Configure and develop Case Types, Flows, Flow Actions, Data Pages, Data Transforms, Activities, Decision Rules, and SLAs.
- Develop and support Informatica PowerCenter/IICS mappings, workflows, and ETL processes.
- Integrate Pega applications with healthcare systems using REST/SOAP APIs, MQ, and Informatica services.
- Work with healthcare claims data including Member, Provider, Benefits, Enrollment, Authorization, and Claims.
- Analyze and implement business requirements related to Claims Processing, Prior Authorization, Appeals & Grievances, and Care Management.
- Support healthcare EDI transactions including HIPAA X12 837, 835, 270/271, 276/277.
- Develop data validation, exception handling, reconciliation, and audit frameworks.
- Participate in Agile ceremonies, sprint planning, estimation, and code reviews.
- Provide production support, troubleshooting, performance tuning, and defect resolution.
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