Java Facets Developer – Medicaid Regulatory Solutions

Java Facets Developer – Medicaid Regulatory Solutions
Minneapolis, MN / Phoenix, AZ/Remote
Domain: Healthcare Payer / Medicaid Regulatory Transformation

Role Summary
We are seeking an experienced Facets / Mainframe / Java Developer or Engineer to support the implementation of state-specific Medicaid regulatory changes across Facets and surrounding healthcare applications.
The engineer will collaborate with regulatory, business, architecture, and QA teams to translate Medicaid requirements into system configurations, 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 expertise, and Medicaid managed-care domain knowledge.
*
Key Responsibilities*
Analyze regional and state-specific 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 regulatory changes.
*
Required Technical Skills*
Facets configuration and healthcare claims processing
Java / J2EE application development
Mainframe development and batch processing
IBM DataStage and/or Talend
APIs, interfaces, and system integrations
SQL and database technologies
Medicaid managed-care domain knowledge
Regulatory implementation and business-rule changes
Medicare/Medicaid coordination