Pega LSA

Remote • Posted 2 hours ago • Updated 2 hours ago
Contract W2
Contract Independent
Contract Corp To Corp
12 Months
No Travel Required
Remote
$65/hr
Fitment

Dice Job Match Score™

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Job Details

Skills

  • ASC X12
  • Pega
  • Health Care
  • SOAP

Summary

Pega LSA

Remote

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.
Required Skills:
         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: 90868495
  • Position Id: 9081035
  • Posted 2 hours ago
Contact the job poster
IV

Isaac Vibudla

Recruiter @ P2PSoftTek Inc
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