Pega PRPC Consultant Healthcare

Remote • Posted 2 hours ago • Updated 2 hours ago
Contract W2
Remote
Depends on Experience
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Fitment

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Job Details

Skills

  • Pega PRPC
  • Healthcare

Summary

Job Title: Pega PRPC Consultant Healthcare

Location: Remote
Duration: 12-Month Contract

Job Summary

  • We are seeking a skilled Pega PRPC Consultant with experience in the Healthcare domain to design, develop, and implement scalable BPM solutions. The ideal candidate will have hands-on expertise in Pega PRPC and a strong understanding of healthcare workflows such as claims processing, member management, and care management.

Key Responsibilities

  • Design and develop applications using Pega PRPC (Pega Platform).
  • Implement case management, workflows, and business rules using Pega frameworks.
  • Work on healthcare modules such as:
  • Claims processing
  • Member enrollment and servicing
  • Provider management
  • Care management / utilization management
  • Collaborate with business stakeholders to gather and translate requirements into technical solutions.
  • Integrate Pega applications with external systems (APIs, web services, EHR/EMR systems).
  • Ensure application performance, scalability, and security.
  • Participate in design reviews, code reviews, and testing activities.
  • Provide production support and resolve defects/issues.

Required Skills

  • Strong experience in Pega PRPC / Pega Platform development.
  • Hands-on with:
  • Case Management
  • Data modeling
  • UI (Sections, Harnesses)
  • Integrations (REST/SOAP)
  • Knowledge of Pega frameworks and best practices.
  • Experience in Healthcare domain (payer or provider side).
  • Familiarity with healthcare standards (e.g., HL7, HIPAA concepts is a plus).
  • Good understanding of Agile/Scrum methodology.

Preferred Qualifications

  • Pega certifications:
  • CSA (Certified System Architect)
  • CSSA (Certified Senior System Architect)
  • LSA (Lead System Architect) (preferred for senior roles)
  • Experience with healthcare products or platforms.
  • Exposure to cloud environments (AWS/Azure).
  • Strong problem-solving and communication skills.

Nice to Have

  • Experience with decisioning (Pega Decisioning / CDH).
  • Knowledge of microservices architecture.
  • Experience in DevOps tools (Jenkins, Git, etc.).

Key Competencies

  • Analytical thinking
  • Stakeholder communication
  • Attention to detail
  • Team collaboration
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: 10166369
  • Position Id: 8958742
  • Posted 2 hours ago

Company Info

About Orpine.com

Orpine, Inc. a Minority Business Enterprise (MBE) based in Alpharetta, Georgia, provides Consulting Services, Engineering Solutions and IT Solutions.Orpine, Inc excels in Blending Tomorrow's technology with today's business challenges . We strive and drive for growth as a Technology Company delivering business advantages comes from our presence at the top of technology evaluation. In a world where excellence in execution is the key to success, Orpine has an unmatched record of completing the projects on pre set schedules and budgets. Our well-defined process and strong emphasis on building up an evolving knowledge base enables the company to capture effectively the best practices of every project implemented.

Technology Expertise:
Our areas of expertise include Software Development, Automatic Meter Reading (AMR), VoIP and Wireless Broadband technology.

Technology Planning Expertise:
To help you determine the true impact of a project on an agency or city, we work with you to design and plan technology infrastructure projects including business modeling and application planning.

PC Process Knowledge:
We have a deep knowledge of how projects can be paid for from savings, revenue growth and cost avoidance. We have many years of experience in the performance contracting arena.Benefits to working with Orpine includeCost-Saving Solutions: Our experience in working with multiple technologies can help reduce agency operating costs.Revenue Enhancements: Many of our technology ideas can increase revenue for your municipality or agency.

New Applications:
There are a lot of new ideas for using these technologies that improve service to citizens or replace out-dated processes and make you more productive.

Save you time:
Our expertise at modeling technology project impact can help you make wise decisions faster.

Lighten Your Load:
We take the load off of your staff in a number of areas including project modeling, design, installation and project management.

Turnkey Project Help:
We are here to help you from start to finish. We can help you justify the project, find the technology solution and then implement the solution.

Right People for the Right Company:
Our experienced team helps our clients/employees in placing the right people in right positions with right organizations.

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