Role OverviewWe are looking for an experienced Pega Developer with strong Healthcare/Payer domain experience and hands-on expertise in Pega PRPC / Pega Infinity. The ideal candidate should have experience supporting enterprise healthcare applications, particularly claims, eligibility, prior authorization, member/provider workflows, appeals, and healthcare integrations.Required Skills6+ years of hands-on Pega DevelopmentPega PRPC / Pega InfinityPega Case Management & BPM/Workflow DevelopmentCase Types, Flows, Activities & Data TransformsData Pages & Decision TablesBusiness Rules & UI DevelopmentHealthcare / Payer Domain Experience – MUSTClaims Processing / Claims AdjudicationEligibility & Prior AuthorizationMember & Provider ServicesAppeals / Grievances & Exception HandlingREST / SOAP APIsJSON / XML / Web ServicesSQL – Oracle / SQL ServerPega Troubleshooting & Performance TuningAgile / ScrumPreferred SkillsPega CSSA CertificationCSA / CLSA CertificationPega Healthcare Industry Foundation (HCIF)Pega Smart Claims EngineHealthcare-specific Pega FrameworksHIPAA / X12 EDI (837/835/270/271)HL7 / FHIRFacets IntegrationAWS / AzureCI/CD, Jenkins, Git & DevOpsJava / J2EEMUST-HAVEPega Development | 6+ Years | Healthcare/Payer | Claims | Eligibility | Prior Authorization | REST/SOAP | SQL | Agile Pega CSSA certification and healthcare claims experience are strongly preferred.Important Candidate Requirements$50/hr on C2CRemote positionOPT & CPT candidates will not be consideredValid I-94 is requiredProfiles without I-94 will not be acceptedStrong hands-on Pega development experience is requiredHealthcare/Payer experience is mandatory

Senior Pega Developer (Healthcare/Payer)

Emma

Responsibilities

Skills wanted:

Language(s) required:

Manoj Kumar

Manoj Kumar

www.eversoftit.com/

Admin access needed