Claims Platform Developer / Engineer

Remote β€’ Posted 2 days ago β€’ Updated 2 days ago
Contract W2
Contract Independent
No Travel Required
Remote
$50 - $60/hr
Fitment

Dice Job Match Scoreβ„’

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Job Details

Skills

  • Facets
  • Health Care
  • Regulatory Compliance
  • Electronic Data Interchange
  • Batch Processing

Summary

Key Responsibilities

  • Configure and customize claims platform modules (Benefits, Claims, Pricing, Provider)
  • Develop enhancements, business rules, and workflows
  • Build integrations with downstream/upstream systems
  • Support data migration and system upgrades
  • Troubleshoot claims adjudication defects and performance issues
  • Participate in SIT, UAT, and production deployments
  • Develop technical documentation and configuration guides
  • Ensure compliance with payer regulatory requirements

Required Qualifications

  • 5+ years of experience in healthcare payer claims systems
  • Strong hands-on experience in at least one:
    • Facets (C#, SQL)
    • QNXT
    • HealthEdge (HealthRules configuration)
    • Diamond
    • Xcelys
    • ika
  • SQL and database expertise
  • Experience with batch processing and claims testing
  • Strong understanding of EDI 837/835 transactions
Employers have access to artificial intelligence language tools (β€œAI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
  • Dice Id: 91017830
  • Position Id: 2524567
  • Posted 2 days ago
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