Facets Integration Developer

Responsibilities: -

• Design, develop, and support integrations involving the TriZetto Facets platform.
• Configure and develop Facets batch processes, workflows, and interfaces.
• Build and maintain inbound and outbound data integrations between Facets and enterprise applications.
• Support Facets modules including:
• o Membership
• o Claims o Benefits
• o Provider Management
• o Billing & Finance
• o Authorization/Referrals API & Middleware Development
• Develop REST and SOAP APIs for Facets-related integrations.
• Build middleware solutions using platforms such as:
• o MuleSoft
• o IBM ACE/IIB
• o Apigee
• o Azure Integration Services
• o Other ESB/API Management platforms
• Implement real-time and batch data exchange solutions. Data Integration & ETL
• Develop and maintain ETL processes supporting Facets data exchanges.
• Work with large-scale healthcare data files including:
• o EDI 834
• o EDI 835
• o EDI 837
• o EDI 270/271
• o EDI 276/277
• Create complex SQL queries, stored procedures, and performance tuning solutions. Healthcare Domain Support.
• Collaborate with business and operations teams to understand healthcare payer workflows.
• Support Medicaid, Medicare, Marketplace, and Commercial lines of business.
• Participate in production issue resolution and root cause analysis. Testing & Deployment.
• Support SIT, UAT, and production deployments.
• Develop unit test cases and integration test plans.
• Troubleshoot integration failures and coordinate defect resolution.
• Participate in release planning and deployment activities. Production Support.
• Monitor Facets interfaces and batch jobs.
• Investigate production issues and coordinate remediation efforts.
• Provide on-call support as needed.
• Identify process improvements and automation opportunities.
• Deliver projects within defined time and budget, and in line with high quality standards.
• Enable successful project delivery and customer satisfaction.
• Drive project and technology goals in compliance with organizational objectives.

Skills: -

Key skills

· 5+ years of healthcare payer industry experience.

· 5+ years of hands-on experience working with the TriZetto Facets platform.

· 5+ years of experience developing Facets integrations and interfaces.

· Experience supporting large-scale healthcare transformation and modernization initiatives.

· Strong experience with:

o TriZetto Facets o SQL Server / Oracle Database o Stored Procedures o Complex SQL Query Development o REST APIs o SOAP Web Services o JSON / XML o ETL Development

· Experience with one or more integration platforms:

o MuleSoft o IBM ACE/IIB o Apigee o Azure Integration Services o Informatica Healthcare Knowledge

· Strong understanding of:

o Claims Processing o Enrollment & Membership o Provider Management o Healthcare Benefits o Authorization & Utilization Management o Healthcare Payer Operations

· Experience with HIPAA-compliant healthcare transactions.

Must have skills: -

• TriZetto Facets
• Facets Integration Development
• Healthcare Payer Domain
• SQL Development
• APIs (REST/SOA)
• EDI Transactions (834, 835, 837)
• Production Support Experience
• Root Cause Analysis
• Healthcare Data Integration Soft Skills
• Strong analytical and troubleshooting skills.
• Excellent communication and stakeholder management abilities.
• Ability to work directly with business users and healthcare operations teams.
• Strong documentation and knowledge transfer skills.
• Ability to work independently and within cross-functional teams.
• Experience in Google Cloud Platform (GCP) using Spanner/BigQuery

Good to have skills: -

• Experience with Medicaid Managed Care Organizations.
• Experience with:
• o Jiva
• o GuidingCare
• o Evolent
• o Salesforce Healthcare Cloud
• o Mulesoft
• o Apigee
• o Azure Cloud
• Knowledge of FHIR and HL7 integrations.
• Experience working in Agile/Scrum environments.