Advisory Senior Consultant

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 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 Comply with the terms and conditions of the employment contract company policies and procedures and any and all directives such as but not limited to transfer and or re-assignment to different work locations change in teams and or work shifts policies in regards to flexibility of work benefits and or work environment alternative work arrangements and other decisions that may arise due to the changing business environment The Company may adopt vary or rescind these policies and directives in its absolute discretion and without any limitation implied or otherwise on its ability to do so 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