Application Developer II, Operations

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September 6

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CareSource

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Healthcare Insurance

CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.

1001 - 5000 employees

Founded 30+ years

⚕️ Healthcare Insurance

📋 Description

• Design, code, test and analyze software programs • 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 • Recommend, schedule, and perform software improvements and upgrades • Consistently write, translate, and code software programs and applications according to specifications • Perform technical code reviews of peers to ensure proper coding methodology is being adhered to • Perform any other job duties as requested

🎯 Requirements

• 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 • Experience developing and designing n-tier applications with multi-tier architectures is preferred • Facets Extension development or experience developing applications in the healthcare sector preferred • UML Modeling experience is preferred • 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 • Good understanding of Workflow configuration, Benefit and Pricing configuration • Strong knowledge of integrated development environments, including SVN, Microsoft Visual Studio, Team Foundation Server • Knowledge of applicable data privacy practices and laws • Strong understanding of software development life cycle, especially Agile, Test Driven Development, and Waterfall • Familiarity with TDD and Iterative software development methodologies • Flexible and adaptable in regard to learning and understanding new technologies • Strong written and oral communication skills • Strong interpersonal skills • Highly self-motivated and directed • Proven analytical and problem-solving abilities • Ability to effectively prioritize and execute tasks in a high-pressure environment • Ability to work both independently and in a team-oriented, collaborative environment • Ability to work additional hours to meet project deadlines • Certifications in technical tools and/or programming languages preferred (MCSD, Java, Onbase, Tibco, SAP, etc.) • Certification in Trizetto Facets product preferred

🏖️ Benefits

• In addition to base compensation, you may qualify for a bonus tied to company and individual performance. • Substantial and comprehensive total rewards package. • Highly invested in every employee’s total well-being.