Operations Application Developer II

Job Summary:

The Operations Application Developer II designs, codes, tests and analyzes software programs.

Essential Functions:

• 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

Education and Experience:

• 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

Competencies, Knowledge and Skills:

• 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

Licensure and Certification:

• Certifications in technical tools and/or programming languages preferred (MCSD, Java, Onbase, Tibco, SAP, etc.)
• Certification in Trizetto Facets product preferred

Working Conditions:

• General office environment; may be required to sit or stand for extended periods of time

Compensation Range:

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Organization Level Competencies

• Create an Inclusive Environment

• Cultivate Partnerships

• Develop Self and Others

• Drive Execution

• Influence Others

• Pursue Personal Excellence

• Understand the Business