Pega Developer

21 hours ago


Eagan, United States C4 Technical Services Full time
Sr. Pega Developer
Remote


Purpose:
  • Work with Product Teams to support new and on-going enhancements to the Clinical Operations Review Engine ("CORE") which is the prior authorization review application.
  • The Clinical Review Product Teams are working towards the following objectives:
    • No Touch PA: Claim Integration, Workflow Automation, Criteria Auto-population.
    • Enable a process to automate the detailing and effectuation of Prior Authorizations:
  • Define detailing rules, Integrate with RxCLAIM (Prime's legacy Claims Adjudication system, Integrate with RxRenu (Prime's RxCLAIM replacement) and a new PA data repository.
  • Medical Drug Review readiness. This is largely TBD as the most recent request.
  • Teams will define system needs and enhancements.
  • Support migration of remaining Commercial Prior Authorization review clients from CoverMyMeds (vendor) to Prime's internal CORE application
  • Support continuing enhancements for Medicare Part D requirements on CORE application in preparation for 2024 migration from internal legacy application onto
  • CORE application.
Position Overview:
The Software Engineer Senior is responsible for designing, developing, testing, deploying and
maintaining technology solutions.

Daily Responsibilities/Job Description:
  • Proactive and active daily engagement with Product team during sprint ceremonies and as needed outside of meetings.
  • Collaborate cross-functionally with team members to achieve innovative, business-results driven technology solutions.
  • Work with Product Owners and Analysts to vet and ensure Stories meet acceptance criteria and align with design solutions.
  • Ensure on-time story delivery within 2-week sprint cycles, included Unit Testing is complete prior to QA.
  • Partner with QA staff as they implement automated test scripts.
  • Interaction level with Management/Team Members:
  • Daily interactions with Product Team (Scrum Master, Product Owners, Analysts, Engineers, QA) • Monthly meetings with
Must Haves:
Certified System Architect in version 8.4 or higher.

Technology Requirements:
  • Pega development in a could environment (nice to have, not required)
  • Event Streaming
  • Exposure to Pega integration with APIs
  • Robotics (nice to have, not required)

#DICE
zquinn@c4techservices.com
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