Facets Developer - Advisory Consultant @ Optum

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.
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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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