Pega Lead System Architect

5.0 - 10.0 years

0.5 - 3.0 Lacs P.A.

Hyderabad, Pune, Chennai

Posted:1 week ago| Platform: Naukri logo

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Skills Required

Smart claims engineUS HealthcarePega PRPCClaims Processing

Work Mode

Hybrid

Job Type

Full Time

Job Description

Job Title: Pega Senior System Architect (SSA) with SCE Experience Experience: 5 + yrs Key Responsibilities: Pega Application Development: Assist in the design and development of Pega applications for claims processing, ensuring alignment with business requirements and best practices. Configure and customize Pega applications using Pega BPM and case management capabilities, working under the guidance of senior architects. Smart Claims Engine (SCE) Integration: Support the integration of Pega applications with Smart Claims Engine (SCE) and other third-party healthcare systems. Participate in the design and implementation of workflows and decision rules within the claims management lifecycle. Technical Problem Solving: Troubleshoot issues within Pega applications and SCE integrations, identifying root causes and proposing effective solutions. Participate in debugging and resolving defects in the claims processing workflow. Collaboration with Teams: Collaborate with business analysts, developers, and testers to ensure the successful delivery of features related to SCE. Work closely with senior architects to design technical solutions that meet project requirements and ensure system scalability and reliability. Code Quality & Best Practices: Adhere to coding standards and best practices set by senior architects and the development team. Participate in code reviews and contribute to the development of reusable components and frameworks. Agile Development: Participate in Agile ceremonies, including sprint planning, daily stand-ups, and retrospectives, to ensure timely delivery of product features. Documentation: Assist in the creation and maintenance of technical documentation, including design specifications, user stories, and test cases. Document system changes, configurations, and enhancements to ensure transparency and ease of knowledge transfer. Qualifications: Experience: Minimum of 6 years of experience in Pega development, with a focus on case management and business process management (BPM). Experience with Smart Claims Engine (SCE) or similar healthcare claims management systems is highly preferred. Technical Skills: Hands-on experience with Pega 8.x or later, including configuration and customization of Pega applications. Knowledge of integrating Pega applications with third-party systems, including healthcare data exchange standards (e.g., HL7, FHIR). Experience with decision rules, user interface design, and business logic in Pega. Strong problem-solving skills and experience debugging Pega applications. Soft Skills: Ability to collaborate effectively with cross-functional teams and communicate complex technical issues to non-technical stakeholders. Strong analytical skills, attention to detail, and ability to adapt to changing requirements. Willingness to learn and grow within the Pega platform and healthcare domain. Healthcare Knowledge: Familiarity with healthcare claims processing, payer systems, and industry regulations (e.g., HIPAA) is a plus. Certifications: Pega Certified Senior System Architect (SSA) or equivalent certification is a plus Preferred Skills: Experience with Agile methodologies (e.g., Scrum, Kanban). Familiarity with Pega integration frameworks and tools (e.g., Pega REST API, SOAP services). Experience with SQL and relational databases (e.g., Oracle, MySQL).

Innova Solutions
Innova Solutions

IT Services and IT Consulting

Atlanta Georgia

10001 Employees

114 Jobs

    Key People

  • John Smith

    CEO
  • Jane Doe

    CTO

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