Hi
Our client is looking for a Java Developer – Medicaid Regulatory Solutions project in Remote below is the detailed requirement.
Job positing Title: Java Developer – Medicaid Regulatory Solutions
Location: Remote
Required Skills : Facets,Java/J2EE
Job description:
• Bachelor’s degree in related field
• Strong hands-on experience with Facets.
• Strong Java/J2EE engineering and programming skills.
• Experience with IBM DataStage and Talend/TalendWorks or comparable enterprise ETL technologies.
• Strong understanding of Medicaid managed-care operations and state-specific regulatory requirements.
• Experience implementing regulatory or business-rule changes within healthcare payer platforms.
• Strong Facets experience in:
• Membership
• Eligibility
• Benefits
• Claims
• Claims adjudication
• Pricing/payment processing
• Good understanding of both Medicaid and Medicare health-plan processes.
• Experience with SQL, databases, batch processing, APIs/interfaces and data integration.
• Strong debugging, production support and root-cause-analysis skills.
• Ability to interpret business/regulatory requirements and convert them into detailed technical solutions.
Preferred
• Medicare-Medicaid / dual-eligible experience.
• Experience working with multiple state Medicaid programs.
• Experience supporting large health plans or Medicaid MCO environments.
• Healthcare EDI/X12 knowledge.
• Knowledge of automated CI/CD, code quality and test automation practices