Careers / Enterprise Applications
Pega Healthcare Claims Developer – Facets / EDI 835/837
Pega Healthcare Claims Developer – Facets / EDI 835/837 / 3 Months Contract with possible extension
The role
We are looking for a Pega Healthcare Claims Developer – Facets / EDI 835/837
What you will do
- Pega Developer with experience in Designing, developing and configuring Pega applications for Healthcare Claims processing. Skilled in building flows in Pega, integrating with application called Facets and analyzing and translating the business requirements.
- Experienced in collaborating with business analysts, architects, and QA teams to deliver high quality applications.
- Design, develop, and configure Pega applications for healthcare claims processing, adjudication, and workflow automation integrated with Facets.
- Work on Facets modules (Claims, Membership, Billing, Provider) to support end-to-end claims lifecycle management including intake, adjudication, and payment processing.
- Build and customize Pega case types, flows, decision rules, and UI rules to automate claims exception handling and manual review processes.
- Integrate Pega with Facets and other core administration systems using REST/SOAP APIs, connectors, and data pages.
- Analyze and translate healthcare claims business requirements (HIPAA, EDI 837/835, X12 transactions) into Pega application design.
What we are looking for
- Pega Facets - Billing
- Pega Facets - Claims
- Pega Facets - Membership
- Pega Facets - Provider
- Java
- EDI
- Good collaboration with business and other teams
Apply for this role
Email your CV to careers@kianglobal.com with KG-2026-030 in the subject line. Tell us in a short paragraph what you have built or run that you are proud of – that is the part we read first.
The button opens your email client with the subject and a short template filled in. Attach your CV before sending. We reply to every application, including the ones we decline.