Pega LSA/SSA Developer

Remote • Posted 4 hours ago • Updated 4 hours ago
Contract W2
Contract Independent
12 Months
Remote
Depends on Experience
Fitment

Dice Job Match Score™

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Job Details

Skills

  • ASC X12
  • Billing
  • Collaboration
  • Electronic Data Interchange
  • Facets
  • HIPAA
  • Health Care
  • Lifecycle Management
  • Payment Processing
  • Pega
  • Quality Assurance
  • SOAP
  • Software Design
  • UI
  • Workflow
  • Pega LSA
  • Pega SSA

Summary

Pega LSA/SSA Developer

Remote

W2 Preferred

Pega Developer with experience in Designing, developing and configuring Pega applications for Healthcare Claims processing. Skilled in building flows in Pega, integrating with application called Facets and analyzing and translating the business requirements.
Experienced in collaborating with business analysts, architects, and QA teams to deliver high quality applications.
1. Design, develop, and configure Pega applications for healthcare claims processing, adjudication, and workflow automation integrated with Facets.
2. Work on Facets modules (Claims, Membership, Billing, Provider) to support end-to-end claims lifecycle management including intake, adjudication, and payment processing.
3. Build and customize Pega case types, flows, decision rules, and UI rules to automate claims exception handling and manual review processes.
4. Integrate Pega with Facets and other core administration systems using REST/SOAP APIs, connectors, and data pages.
5. Analyze and translate healthcare claims business requirements (HIPAA, EDI 837/835, X12 transactions) into Pega application design.
Pega
Facets (Claims, Membership,Billing,Provider)
EDI 835, 837
Good collaboration with business and other teams.

Employers have access to artificial intelligence language tools (“AI”) 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: 91126521
  • Position Id: 9080499
  • Posted 4 hours ago
Contact the job poster
RG

Rajendrapandian Gurusamy

Recruiter @ Concent Software Solution LLC
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