[Hiring] QA - Facets with Java/Mainframe @Applab Systems

Role Description

Mandatory: Deep hands-on expertise in Mainframe or Java, plus strong Facets, and integration knowledge.

• Candidates should have strong knowledge of Medicaid managed-care operations and experience working with state-specific Medicaid requirements.
• Understanding of how regulatory changes affect:
  • Member enrollment/eligibility
  • Coverage
  • Claim processing
  • Authorization
  • Pricing/payment
  • Data and downstream health-plan operations
• Good working understanding of Medicare and Medicare-Medicaid processes.
• Experience delivering healthcare payer solutions across a combination of:
  • TriZetto Facets
  • Mainframe
  • Java/J2EE
  • IBM DataStage
  • Talend/TalendWorks
  • Databases
  • Batch processing
  • APIs
  • System integrations
• Strong knowledge of Medicaid managed-care processes and state-specific regulatory requirements.
• Good understanding of Medicare and Medicaid health-plan operations, particularly:
  • Member enrollment
  • Eligibility
  • Benefits
  • Claims adjudication
  • Pricing and payment

Company Description

AppLab Systems, Inc: An E-Verified Company

• Email: [email protected]
• Phone: +1 609 629 2046 (USA)
• URL: https://applabsystems.com/
• Address: 4365 Route 1 South, Suite 105, Princeton, NJ -08540