Dot Net Architect with Facets

Job Summary:

We are looking for a highly skilled .NET Architect/Tech Lead with strong hands-on experience in Facets to lead the design, development, and implementation of healthcare payer systems. The ideal candidate will have deep knowledge of healthcare domain, particularly claims processing, member enrollment, billing, and provider modules in Facets, coupled with strong technical architecture skills in the .NET ecosystem.

Key Responsibilities:

• Lead architecture, design, and development of enterprise applications using .NET (C#, ASP.NET, Web API, MVC, .NET Core).
• Collaborate with cross-functional teams to integrate Facets modules with custom .NET-based applications and services.
• Drive system modernization and digital transformation initiatives in healthcare payer systems.
• Ensure scalable and secure architecture aligned with enterprise standards.
• Review code and provide technical guidance to development teams.
• Create high-level and detailed design documents, data models, and deployment plans.
• Interface with business and product owners to translate requirements into technical solutions.
• Participate in performance tuning, code optimization, and continuous integration/delivery (CI/CD) processes.

Required Skills:

• 8+ years of experience in software development with at least 3+ years in a technical lead or architect role.
• Strong hands-on experience in .NET Core, C#, ASP.NET MVC, Web API, Entity Framework.
• Expertise in TriZetto Facets core modules such as Claims, Membership, Billing, Provider, and Authorization.
• Experience with Facets Extensions, Facets Workflow (WFL), and Batch jobs.
• Familiarity with SQL Server and strong knowledge of writing complex queries, stored procedures, and tuning.
• Understanding of EDI (837, 835, 834) transactions and HIPAA compliance.
• Experience working in Agile/Scrum environments.
• Strong analytical and communication skills.

Preferred Qualifications:

• Experience with Azure or AWS Cloud platforms.
• Exposure to BizTalk, RabbitMQ, or other integration platforms.
• Prior experience working with healthcare payers (Medicare/Medicaid).
• Familiarity with DevOps pipelines and tools like Azure DevOps, Jenkins, GitHub Actions.