| Location |
Role: Senior Facets / Java Developer - Medicaid Regulatory Solutions
Salary: $50/hr
Remote
Role Summary
An experienced Facets / Mainframe / Java Developer or Engineer to support implementation of state-specific Medicaid regulatory changes across Facets and surrounding healthcare applications.
The engineer will work with regulatory, business, architecture, and QA teams to translate Medicaid requirements into system configuration, application changes, integrations, and data-processing solutions. The ideal candidate combines strong Facets claims and membership knowledge with hands-on Java engineering, DataStage/Talend experience, Mainframe and Medicaid managed-care domain expertise.
Key Responsibilities
Analyze regional/state Medicaid regulatory requirements and translate them into technical changes across Facets and surrounding applications.
Design, develop, configure, and maintain solutions supporting:
Member enrollment and eligibility
Membership maintenance
Benefits and plan configuration
Claims intake and adjudication
Claims pricing and payment
Provider-related claim processing
Medicaid-specific edits and business rules
Medicare/Medicaid coordination where applicable
Develop and enhance Java-based applications, APIs, interfaces, batch programs, and integration components supporting Facets.
Develop or modify Mainframe programs and batch-processing components supporting Medicaid processes.
Perform Facets configuration and development associated with regulatory and business-rule changes.
Build and maintain ETL/data integration solutions using IBM DataStage and Talend/TalendWorks.
Analyze upstream and downstream impacts of regulatory changes across Facets, data platforms, interfaces, and surrounding applications.
Conduct code reviews, unit testing, defect resolution, root-cause analysis, and technical quality assessments.
Support system integration testing, regression testing and production implementation.
Troubleshoot complex claims, membership, eligibility, and regulatory processing issues.
Develop reusable engineering approaches where regulatory requirements are common while accommodating state-specific variations.
Maintain technical specifications, mappings, configuration documentation, traceability and implementation artifacts.
Disclaimer: Diverse Lynx LLC is an Equal Opportunity Employer. All applicants and employees are evaluated without discrimination, based solely on their qualifications, ability, competence and performance. This email and its attachments may contain confidential or proprietary information and is intended only for the recipient(s). If you received this message in error, please disregard it and notify the sender. If you no longer wish to receive our communications, you may unsubscribe at any time.
Security Notice: Our official website is www.diverselynx.com We do not operate or authorize any other websites representing Diverse Lynx LLC.