C4 Technical Services
Pega Developer (8.4 Version) - Remote
C4 Technical Services, Eagan, Minnesota, United States,
Sr. Pega DeveloperRemote
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 applicationSupport continuing enhancements for Medicare Part D requirements on CORE application in preparation for 2024 migration from internal legacy application ontoCORE application.Position Overview:The Software Engineer Senior is responsible for designing, developing, testing, deploying andmaintaining 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 withMust Haves:Certified System Architect in version 8.4 or higher.
Technology Requirements:
Pega development in a could environment (nice to have, not required)Event StreamingExposure to Pega integration with APIsRobotics (nice to have, not required)
#DICEzquinn@c4techservices.com
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 applicationSupport continuing enhancements for Medicare Part D requirements on CORE application in preparation for 2024 migration from internal legacy application ontoCORE application.Position Overview:The Software Engineer Senior is responsible for designing, developing, testing, deploying andmaintaining 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 withMust Haves:Certified System Architect in version 8.4 or higher.
Technology Requirements:
Pega development in a could environment (nice to have, not required)Event StreamingExposure to Pega integration with APIsRobotics (nice to have, not required)
#DICEzquinn@c4techservices.com