American Unit, Inc

Pega Informatica Developer
Remote
Required Skills:
<ol>
<li>PEGA PRPC
</li>
<li>Informatica
</li>
<li>Healthcare EDI transactions
</li>
</ol>
Job Description:
<ul>
<li>Design and develop healthcare applications using Pega Infinity/PRPC.
</li>
<li>Configure and develop Case Types, Flows, Flow Actions, Data Pages, Data Transforms, Activities, Decision Rules, and SLAs.
</li>
<li>Develop and support Informatica PowerCenter/IICS mappings, workflows, and ETL processes.
</li>
<li>Integrate Pega applications with healthcare systems using REST/SOAP APIs, MQ, and Informatica services.
</li>
<li>Work with healthcare claims data including Member, Provider, Benefits, Enrollment, Authorization, and Claims.
</li>
<li>Analyze and implement business requirements related to Claims Processing, Prior Authorization, Appeals &amp; Grievances, and Care Management.
</li>
<li>Support healthcare EDI transactions including HIPAA X12 837, 835, 270/271, 276/277.
</li>
<li>Develop data validation, exception handling, reconciliation, and audit frameworks.
</li>
<li>Participate in Agile ceremonies, sprint planning, estimation, and code reviews.
</li>
<li>Provide production support, troubleshooting, performance tuning, and defect resolution.
</li>
</ul>

Pega Informatica Developer(PRPC)

Pega Informatica Developer(PRPC)

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