facets developer

Facets Developer Job Description (G27)

Job Summary:

We are seeking a skilled and experienced Facets Developer to design, develop, customize, and maintain healthcare information systems using the TriZetto Facets platform. The ideal candidate will possess a strong understanding of healthcare domain knowledge, Facets modules, Facets Data Model and robust technical skills to build and support Facets platform implementations.

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.

Required Skills and Qualifications:

• 8+ experience as a Facets Developer, with a strong understanding of the TriZetto Facets application, its core modules (Claims, Membership, Provider, Billing) and Data mapping
• 8+ Experience of working in Facets Migrations, Upgrades and regulatory programs
• 8+ 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).
• Strong 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).
• Proficiency in SQL (MS SQL Server, Oracle PL/SQL) for complex query writing, stored procedures, and ETL process
• Strong programming skills in C# and .NET Framework (including ASP.NET, Web Forms, Web Services, and API development).
• UI/UX development experience with front end technologies like Angular, React, HTML, CSS
• Familiarity with web services and integration tools (e.g., Mule soft, REST APIs).
• Experience in Cloud platform like Azure, AWS, GCP.
• Experience with version control systems (Git).
• Developing AI solutions using Co-Pilot etc.
• Excellent analytical, troubleshooting, and problem-solving skills.
• Strong communication skills (written and verbal) to effectively interact with technical and non-technical stakeholders.
• Ability to work independently with minimal supervision and as part of a global team.

Nice to Have:

• Facets-specific certifications.
• Knowledge of other healthcare administration systems.