.NET Developer - Healthcare Systems

JOB TITLE: Professional .NET Developer
JOB LOCATION: Remote
WAGE RANGE*: $42hr TO $43.00
JOB NUMBER: 26-01547

REQUIRED EXPERIENCE:
5+ years of progressive software development experience, preferably within Medicaid, healthcare, or pharmacy benefit systems

JOB DESCRIPTION

• Lead and participate in the full software development lifecycle (SDLC) for NCPDP F6 batch processing, including analysis, design, coding, testing, deployment, scheduling, monitoring, and production support.
• Collaborate with business analysts, system architects, quality assurance teams, and technical stakeholders to translate functional requirements into scalable technical solutions.
• Design, develop, and maintain batch programs and workflows that support accurate and efficient processing of pharmacy claims, files, extracts, interfaces, and downstream transactions compliant with NCPDP F6 requirements.
• Lead modifications to existing batch programs, jobs, scripts, and processing flows to accommodate updated NCPDP field definitions, segment structures, transaction rules, file layouts, and state-specific business requirements.
• Partner with EDI, Medicaid, and pharmacy domain experts to validate F6 transaction mappings, inbound and outbound file layouts, data transformations, batch dependencies, and integration points with backend systems.
• Develop and maintain detailed technical documentation, including solution designs, data mappings, interface specifications, code documentation, and system design artifacts.
• Provide technical guidance, conduct code reviews, and support less-experienced developers in applying development standards and project best practices.
• Lead technical support for unit testing, integration testing, user acceptance testing (UAT), defect resolution, batch scheduling, restart/recovery procedures, deployment, and production stabilization activities.

Required Skills & Qualifications

• Bachelor's degree in Computer Science, Information Systems, or related field (or equivalent work experience).
• 5+ years of progressive software development experience, preferably within Medicaid, healthcare, or pharmacy benefit systems.
• Strong hands-on knowledge of NCPDP standards, including D.0 and F6 transaction structures and processing requirements.
• Advanced proficiency in batch-oriented development technologies such as COBOL, JCL, Java, or equivalent tools used within the project environment, with experience developing, scheduling, monitoring, and troubleshooting batch processes.
• Demonstrated experience with EDI processing, pharmacy claims, and Medicaid Management Information Systems (MMIS).
• Strong experience with SQL, XML, data transformation tools, system interfaces, batch scheduling and job control, file-based processing, and troubleshooting complex data-processing issues.
• Excellent analytical, technical design, debugging, documentation, collaboration, and communication skills.

Preferred Qualifications

• Prior experience supporting Medicaid or pharmacy projects in a senior or lead development capacity.
• Knowledge of HIPAA, CMS, and state Medicaid compliance standards.
• Experience working within Agile or Waterfall development methodologies and leading technical deliverables through the SDLC.
• Experience with mainframe environments, enterprise batch scheduling tools, file transfer and restart/recovery processes, API-based integration frameworks, performance optimization, or modernization initiatives.

Equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities

* While an hourly range is posted for this position, an eventual hourly rate is determined by a comprehensive salary analysis which considers multiple factors including but not limited to: job-related knowledge, skills and qualifications, education and experience as compared to others in the organization doing substantially similar work, if applicable, and market and business considerations. Benefits offered include medical, dental and vision benefits; dependent care flexible spending account; 401(k) plan; voluntary life/short term disability/whole life/term life/accident and critical illness coverage; employee assistance program; sick leave in accordance with regulation. Benefits may be subject to generally applicable eligibility, waiting period, contribution, and other requirements and conditions. Benefits offered are in accordance with applicable federal, state, and local laws and subject to change at TCM's discretion.

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