Facets / Java Developer

Job Title: Senior Facets / Java Developer Medicaid Regulatory Solutions

Experience: 6+ Years

Employment Type: Recruit / Contract

Work Location: 100% Remote

Visa Eligibility: U.S. Citizens and Green Card holders Role Summary

We are seeking an experienced Senior Facets / Java Developer to support the implementation of state-specific Medicaid regulatory changes across TriZetto Facets and associated healthcare applications.

The ideal candidate will have strong hands-on expertise in Facets, Java/J2EE, Mainframe technologies, enterprise integrations, and Medicaid managed-care operations. The role involves translating regulatory and business requirements into system configuration, application enhancements, integrations, and data-processing solutions.

Key Responsibilities

• Analyze state-specific Medicaid regulatory requirements and translate them into technical changes across Facets and related applications.
• Design, develop, configure, and maintain solutions supporting member enrollment, eligibility, membership maintenance, benefits, and plan configuration.
• Develop and enhance claims intake, adjudication, pricing, payment processing, and provider-related claim functionality.
• Implement Medicaid-specific edits, business rules, and Medicare/Medicaid coordination requirements.
• Develop Java-based applications, APIs, interfaces, batch programs, and integration components supporting Facets.
• Develop or modify Mainframe programs and batch-processing components.
• Perform Facets configuration and development for regulatory and business-rule changes.
• Build and maintain ETL and data integration solutions using IBM DataStage and Talend/TalendWorks.
• Analyze upstream and downstream impacts across Facets, data platforms, interfaces, and surrounding applications.
• Perform code reviews, unit testing, defect resolution, and root-cause analysis.
• Support integration testing, regression testing, and production implementations.
• Troubleshoot complex claims, membership, eligibility, and regulatory processing issues.
• Maintain technical specifications, data mappings, configuration documentation, and implementation artifacts.

Required Qualifications

• Strong hands-on experience with TriZetto Facets.
• Strong Java/J2EE programming and application development skills.
• Experience with IBM DataStage and Talend/TalendWorks or comparable enterprise ETL technologies.
• Strong understanding of Medicaid managed-care operations and state-specific regulatory requirements.
• Experience implementing regulatory or business-rule changes within healthcare payer platforms.
• Strong Facets knowledge across membership, eligibility, benefits, claims adjudication, pricing, and payment processing.
• Understanding of Medicare and Medicaid health-plan processes.
• Experience with SQL, databases, batch processing, APIs, interfaces, and data integration.
• Strong debugging, production support, and root-cause analysis skills.
• Ability to translate business and regulatory requirements into detailed technical solutions.

Preferred Qualifications

• Medicare-Medicaid or dual-eligible program experience.
• Experience supporting multiple state Medicaid programs.
• Experience with large health plans or Medicaid Managed Care Organizations (MCOs).
• Healthcare EDI/X12 knowledge.
• Familiarity with CI/CD, code quality, and test automation practices.

Work Arrangement Fully remote position.

Candidate Requirements Candidates must have relevant healthcare payer experience, strong Facets expertise, and experience supporting Medicaid regulatory implementations.