Advisory Senior Consultant - Facets Developer Optum

12.0 - 17.0 years

40 - 45 Lacs

hyderabad

Work from Office

We are seeking a skilled and experienced Facets Developer to design, develop, customize, and maintain healthcare information systems using the TriZetto Facets platform. The ideal candidate will possess a solid understanding of healthcare domain knowledge, Facets modules, and robust technical skills to build and support robust solutions. Primary Responsibilities: Requirements Analysis & Design: Collaborate with business analysts and stakeholders to gather and analyze business requirements related to claims, Enrollment, billing, and provider data Translate business requirements into detailed technical designs and specifications for Facets configurations, customizations, and integrations Oversee and review development activities and assist in data mapping for up-stream and down-stream integrations. Development & Customization: Develop and deliver Facets System Integration (SI) code, Custom API code, and other custom solutions using programming languages (e.g., C#, .NET, SQL) Configure and customize Facets applications and modules (e.g., Claims, Membership, Provider, Billing) to meet client needs Write and optimize PL/SQL queries and stored procedures for data manipulation and system enhancements Develop integrations with other healthcare systems and external applications using web services, APIs (e.g., REST API, FXI), Batch and EDI transactions (e.g., 834, 835, 837) Testing & Quality Assurance: Perform thorough unit testing of developed code and configurations Support defect fixes and provide technical assistance during system integration testing (SIT) and user acceptance testing (UAT) Ensure solutions are devoid of significant security vulnerabilities Maintenance & Support: Troubleshoot technical issues related to Facets applications, claims processing, member management, and other system functionalities Provide production support, ensuring application availability, reliability, and stability, including on-call support as needed Implement system enhancements and resolve application defects Collaboration & Documentation: Work closely with cross-functional teams, including business analysts, testers, project managers, and other IT professionals Participate in project meetings to discuss progress, challenges, and solutions Create and maintain clear and comprehensive technical documentation, including design documents, test results, and support procedures Act as a technical expert/resource, providing direction and mentoring to junior team members Contribute towards best practices and introduce automation where applicable Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: 12+ years of experience in the healthcare domain, particularly with payer systems, HIPAA standards, and EDI (Electronic Data Interchange) transactions (e.g., ANSI X12, 834, 835, 837) 10+ years of experience as a Facets Developer, with a solid understanding of the TriZetto Facets application, its core modules (Claims, Membership, Provider, Billing) and Data mapping 10+ years of experience of working in Facets Migrations, Upgrades and regulatory programs Solid hands-on development experience with Facets custom interfaces, extensions, and REST API development Experience working in Agile environments and across the full Software Development Life Cycle (SDLC) UI/UX development experience with front end technologies like Angular, React, HTML, CSS Experience in Cloud platform like Azure, AWS, GCP Experience with version control systems (e.g. Git) Familiarity with web services and integration tools (e.g., Mule soft, REST APIs) Proficiency in SQL (MS SQL Server, Oracle PL/SQL) for complex query writing, stored procedures, and ETL process Proven solid programming skills in C# and .NET Framework (including ASP.NET, Web Forms, Web Services, and API development) Proven architect and design custom solutions around Facets platforms Proven in developing AI solutions using Co-Pilot etc. Proven excellent analytical, troubleshooting, and problem-solving skills Proven communication skills (written and verbal) to effectively interact with technical and non-technical stakeholders Proven ability to work independently with minimal supervision and as part of a global team Proven solid organizational skills and ability to prioritize tasks in a fast-paced environment Proven leadership and mentoring capabilities Jr level resources .

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