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Tier-1 brand but niche Facets/claims expertise reduces applicant density.
Role requires deep healthcare claims and Facets domain knowledge, limiting cross-industry transferability.
Explicit 8+ years and 5+ managerial years plus specific Facets, EDI, C#/PLSQL skills impose strict filters.
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Lead design and development of solutions for EDI transactions, inbound/outbound file functionalities, UI (Angular), and back-end APIs (C#).
Manage small teams of developers and QA, collaborating on test case reviews, production support, and DevOps/CI/CD activities.
Ensure compliance with SLAs and develop standards and best practices related to Facets Delivery and client requirements.
Graduate degree or equivalent experience.
8+ years overall IT experience; 5+ years in Engineering Manager, Technical Manager, Solution Architect, or Product Owner roles.
Experience with PL/SQL, Oracle, PERL, Angular, C#; knowledge of SDLC methodologies and SQL querying.
Good understanding of Medicaid/Medicare business, US Healthcare Industry, Health plan set up, and Facets claims domain (including EDI transactions like 837, 835).
Experienced in leading engineering teams within healthcare software, specifically with TriZetto Facets application and claims processing domain.
Comfortable translating business requirements into technical designs across full stack (front-end UI to back-end APIs) in a DevOps environment.
Familiar with healthcare data standards (HIPAA X12 EDI), claims lifecycle, and Medicaid/Medicare healthcare operations.