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C4 Technical Services

Pega Developer (8.4 Version) - Remote Job at C4 Technical Services in Eagan

C4 Technical Services, Eagan, MN, US


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 zquinnc4techservices.com