Full Stack Factes

Role Summary

• 8+ years overall IT experience
• 5+ years as a Senior Applications Developer
• 3+ years of TriZetto Facets development (Claims & EDI domain)

Technical Skills

• Facets (Claims domain) design, development, and support
• C# / .NET development & testing (4+ years)
• SQL (stored procedures, complex queries – 4+ years)
• REST APIs & Microservices (2+ years)
• .NET Full Stack with Angular
• CI/CD pipelines
• Cloud & Modern Tech: Docker, Kubernetes, Kafka
• Agile/Scrum experience (2+ years)

Key Responsibilities

• Design, develop, and support core Facets applications within the Claims domain
• Create design documents and implement solutions aligned with architectural standards
• Participate in detail design reviews and provide constructive feedback
• Ensure solutions meet quality, security, scalability, and availability standards
• Drive endtoend delivery, managing crossteam dependencies
• Collaborate with product, platform, operations, and technology teams

Leadership & Ownership

• Act as technical SME, mentoring and guiding team members
• Demonstrate strong ownership in a global delivery environment
• Drive test cases and UAT with Product and SMEs
• Promote engineering best practices and automation

Production Support

• Lead critical production issue resolution within SLA
• Support application availability, reliability, and stability
• Conduct root cause analysis and define corrective action plans

PFB JD -

Primary Responsibilities:

• Lead the design, development, testing, deployment, and maintenance of enterprise applications using Trizetto Facets, SQL, Python, Java, or equivalent technologies
• Be able to design, develop solutions for inbound and outbound file functionalities using PL/SQL/Oracle/PERL/C#.NET
• Be able to work on EDI transactions such as 837 and 835.
• Be able to contribute to DevOps, CI/CD initiatives.
• Be able to design and develop UI solutions using Angular
• Develops innovative approaches on performance optimization & automation
• Drive architecture discussions and contribute to the design of scalable, secure, resilient, and maintainable applications
• Develop clean, reusable, and maintainable code while establishing coding standards and engineering best practices
• Design, optimize, and troubleshoot complex SQL queries, database objects, and data access layers to support business-critical applications
• Design and develop RESTful APIs, microservices, and integration solutions across enterprise platforms
• Contribute to cloud adoption initiatives and support the deployment, monitoring, scalability, and operational excellence of applications in cloud environments
• Design, implement, and enhance CI/CD pipelines using GitHub Actions, Azure DevOps or similar platforms
• Champion DevOps practices including source control management, automated testing, release management, infrastructure automation, and continuous delivery
• Evaluate and leverage AI/ML and Generative AI technologies to improve engineering productivity, business processes, and customer outcomes
• Ensure adherence to security, compliance, performance, and reliability standards throughout the software development lifecycle
• Communicate effectively with technical and non-technical stakeholders, providing regular updates on technical solutions, risks, and project status

Required Qualifications:

• 10+ years of healthcare domain experience.
• 10+ years of experience in software design, development, and delivery of enterprise applications
• Lead the design, development, testing, deployment, and maintenance of enterprise applications using Trizetto Facets, SQL, Python, Java, or equivalent technologies
• Good understanding about the structure and significance of key /HIPAA X12 EDI transactions like 837, 277CA, 835, etc.
• Solid hands-on experience with Trizetto Facets, SQL, Python, Java, or equivalent programming languages and frameworks
• Solid experience designing and implementing RESTful APIs, microservices, and distributed systems
• Experience with Docker, Kubernetes, container orchestration, and cloud-native application development.
• Hands-on experience implementing and managing CI/CD pipelines using GitHub Actions, Azure DevOps, Jenkins, or equivalent technologies
• Experience leading technical initiatives and influencing architectural and engineering decisions
• Solid understanding of Agile, Scrum, and modern SDLC methodologies
• Understand business requirements, application architecture, and enterprise systems to design and deliver scalable, high-quality solutions
• Solid proficiency with Git-based source control and modern software development practices

Preferred Qualifications:

• Proven exposure to AI/ML concepts, Generative AI, LLMs, intelligent automation, or AI-assisted software development
• Azure, AI, Cloud, DevOps, or Architecture-related certifications
• Experience integrating AI/ML solutions using frameworks such as TensorFlow, PyTorch, Scikit-learn, LangChain, Azure AI Studio, or similar platforms
• Familiarity with Infrastructure as Code (IaC) tools and DevOps automation practices

Domain Specific Requirements:

• Claims:
• Good understanding of Claims domain in Facets which includes Data Model, Core Claims processing batch jobs, Facets UI, Facets Workflow tool
• Hands on experience and knowledge of NetworX pricer, CMU products
• Good understanding of Claims pricing, errors, edits, adjustments & payments