CareSource is looking to solve software development and claims processing issues within their Facets core module and external systems or data sources.
Requirements
- Working technical knowledge of object-based programming languages, including C, VB.NET, ASP.NET, or Python
- Expertise in SQL development using Stored Procedure and complex queries
- Knowledge of EDI 837, 835 and 834
- Strong hands-on development experience with Core TriZetto Facet Framework and with Facets Schema
- Proven expertise in Claims Adjudication and Processing
- Expert in TriZetto Facets core modules such as Enrollment, Provider, Utilization Management
- Strong knowledge of integrated development environments, including SVN, Microsoft Visual Studio, Team Foundation Server
Responsibilities
- Design, develop, and implement custom code and enhancements within the Facets core module
- Apply expertise in SQL scripting and Real-time development skills to analyze data and develop solutions
- Build and support claims integrations between Facets and external systems or data sources.
- Troubleshoot and resolve the providers load, claims processing and billing issues, performing root cause analysis, and applying technical fixes
- Interpret complex business rules and translate them into effective, scalable Facets development solutions.
- Participate in testing and validation of custom code to ensure accurate claims adjudication and output.
- Support production environments, provide post-deployment monitoring, and address any performance or functionality concerns
Other
- Bachelor’s degree in computer science or software engineering or equivalent years of relevant work experience required
- Minimum of five (4) years of advanced OOP principles and design experience required
- Ability to work additional hours to meet project deadlines
- Ability to work both independently and in a team-oriented, collaborative environment
- Strong written and oral communication skills
