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Facets Developer - Advisory Consultant @ Optum

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 Facets Developer - Advisory Consultant

Job Description

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
  • 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 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 interfaces 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: 
  • 7+ 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
  • 7+ years of experience of working in Facets Migrations, Upgrades and regulatory programs
  • 7+ 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)
  • 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 (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 developing AI solutions using Co-Pilot etc.
  • Proven excellent analytical, troubleshooting, and problem-solving skills
  • Proven solid 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

    • At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission.
    #NIC
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    Job Classification

    Industry: Retail
    Functional Area / Department: Consulting
    Role Category: Management Consulting
    Role: Sr. Consultant
    Employement Type: Full time

    Contact Details:

    Company: Optum
    Location(s): Hyderabad

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    Keyskills:   data mapping sql stored procedures c# .net css regulatory plsql react.js git ui gcp asp.net html etl oracle pl rest ux microsoft azure edi sql server angular electronic data interchange troubleshooting agile aws sdlc etl process

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    Optum

    About: OptumInsight India Pvt Ltd, a UnitedHealth group company is a leading health services and innovation company dedicated to help make the health system work better for everyone. With more than 115,000 people worldwide, Optum combines technology, data and expertise to improve the delivery, ...

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