PEGA LSA Developer
Job Summary
Working remotely from the United States, the PEGA LSA Developer will design, develop, and configure PEGA applications for healthcare claims processing, collaborating with cross-functional teams to deliver integrated solutions that enhance workflow automation.
Key responsibilities
- Design and configure PEGA applications for healthcare claims processing and workflow automation integrated with Facets
- Build and customize PEGA case types, flows, and decision rules to automate claims exception handling
- Integrate PEGA with core administration systems using REST/SOAP APIs and analyze healthcare claims business requirements for application design
Required qualifications
- Hands-on experience with developing and configuring PEGA applications, including case types and flows
- Experience with Facets modules supporting healthcare claims processing
- Working knowledge of EDI 835 and 837 transactions within a HIPAA-compliant environment
- Experience integrating PEGA with core administration systems via APIs and data pages
- Proven ability to analyze and translate complex healthcare claims business requirements into technical designs
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