Advisory Senior Consultant - Facets Developer
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
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 solid understanding of healthcare domain knowledge, Facets modules, and robust technical skills to build and support robust solutions.
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
- Oversee and review development activities and assist in data mapping for up-stream and down-stream 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 PL/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 and EDI transactions (e.g., 834, 835, 837)
- Testing & Quality Assurance:
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- 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
- 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
- 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
Required Qualifications:
- 12+ 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)
- 10+ 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
- 10+ years of experience of working in Facets Migrations, Upgrades and regulatory programs
- 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 (e.g. 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 architect and design custom solutions around Facets platforms
- Proven in developing AI solutions using Co-Pilot etc.
- Proven excellent analytical, troubleshooting, and problem-solving skills
- Proven 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
- Proven solid organizational skills and ability to prioritize tasks in a fast-paced environment
- Proven leadership and mentoring capabilities Jr level resources
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves 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.
#NIC
Perks and Benefits
Health and Wellness
- HSA
- On-Site Gym
- HSA With Employer Contribution
- Health Insurance
- Dental Insurance
- Vision Insurance
- Life Insurance
- Short-Term Disability
- Long-Term Disability
- FSA
Parental Benefits
- Non-Birth Parent or Paternity Leave
- Birth Parent or Maternity Leave
Work Flexibility
- Remote Work Opportunities
Office Life and Perks
- Commuter Benefits Program
Vacation and Time Off
- Leave of Absence
- Personal/Sick Days
- Paid Holidays
- Paid Vacation
Financial and Retirement
- Relocation Assistance
- Performance Bonus
- Stock Purchase Program
- 401(K) With Company Matching
- 401(K)
Professional Development
- Promote From Within
- Shadowing Opportunities
- Access to Online Courses
- Tuition Reimbursement
Diversity and Inclusion
- Diversity, Equity, and Inclusion Program
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