PEGA Architect - Healthcare

Location: Remote (Possibility to travel- Florham Park, NJ)

Key Requirement: Candidates must be authorized to work in the U.S. for any employer on a W-2 basis without requiring current or future visa sponsorship. Qualified candidates who meet these requirements are encouraged to apply.

Job Description:

Must Have:

• 1. 10-15 years' experience in PRPC development
• 2. Experience upgrading Pega from 8.X to PEGA Infinity 26
• 3. Certified Pega CSA or CSSA (2019 and before)
• 4. Experience in eligibility and enrolment systems (e.g., Medicaid, ACA marketplace, CHIP or government benefit programs)
• 5. Strong hands on in Pega Case management, File Listener, Job Scheduler, Activities, Data Transforms, Flows and UI (Section, harness, Skin) Rules
• 6. Implement workflows and case management features to support eligibility determination, enrolment and member management
• 7. Develop and configure PEGA PRPC applications using PEGA best practices. Well aware of Pega guardrails and coding standards and should be able to present the best quality code
• 8. Hands on experience with PEGA rules, data pages, activities, decisioning, cases types and UI development
• 9. Strong knowledge of BPM concepts, workflows and case lifecycle management
• 10. Translate business requirements into functional PEGA rules, flows and UI components
• 11. "Integrate PEGA with external systems via SOAP/REST APIs, connectors, Services, queues, MQ and databases. Would be focusing on integration between BenePath and other state owned systems like Mavro, Quadient, AZURE, Move It etc."
• 12. Perform unit testing and support system/integration testing cycles
• 13. Collaborate with Solution Architects and Senior Developers to ensure alignment with overall solution design
• 14. Troubleshoot and resolve defects, ensuring performance and scalability
• 15. Participation in Agile ceremonies to align delivery with project goals

Good To Have:

• 1. Knowledge of eligibility rules engines and enrollment business processes
• 2. Familiarity with cloud deployments (PEGA Cloud, AWS, Azure)
• 3. Prior experience in Government healthcare modernization projects