Required Skills: 1. Design, develop, and configure Pega applications for healthcare claims processing, adjudication, and workflow automation integrated with Facets.
2. Build and customize Pega case types, flows, decision rules, and UI rules to automate claims exception handling and manual review processes.
3. Analyse and translate healthcare claims business requirements (HIPAA, EDI 837/835, X12 transactions) into Pega application design. Job Description: 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 analysing and translating the business requirements.
Experienced in collaborating with business analysts, architects, and QA teams to deliver high quality applications.
