Pega Senior Developer

Pega Senior Developer Healthcare Claims Location: Remote (USA)

Experience: 7 12 Years Openings: 60+

Please Focus Only On

• Previous Elevance Health experience Highly Preferred, OR
• Strong Pega + Healthcare Claims experience
• Facets experience, especially Claims, Membership, Billing & Provider

Key Skills

• Pega PRPC / Pega Platform
• Pega Application Development
• Healthcare Claims Processing & Adjudication
• Facets Claims, Membership, Billing & Provider
• Pega Facets Integration
• Pega Case Types & Flows
• Workflow / BPM
• Pega Rules & Decisioning
• REST / SOAP APIs
• Connectors & Data Pages
• EDI 837 / EDI 835
• X12 Healthcare Transactions
• Claims Intake / Adjudication / Exception Handling
• Manual Review / Payment Processing