Professional Developer
Dasarath ReddyUnited StatesMIDPosted 12d ago
JavaC#COBOLEDI processingpharmacy claimsMedicaid/MMIS systemsSQLXMLdata transformationsystem integrationSDLCtestingdebuggingproduction supporttransaction mappingdata exchange
About the Role
We are looking for a Professional Developer to join our team for a State Medicaid Pharmacy NCPDP F6 Implementation project.
Key Responsibilities
• Implement NCPDP F6 standards for state Medicaid pharmacy systems
• Process pharmacy claims and manage EDI transactions
• Ensure compliance with Medicaid/MMIS systems and regulations
Requirements
• 5+ years of software development experience
• Strong hands-on experience with NCPDP D.0 and F6 standards
• Proficiency in Java, C#, or COBOL
• Experience with EDI processing, pharmacy claims, and Medicaid/MMIS systems
• Strong SQL, XML, data transformation, and system integration skills
• Experience with software development lifecycle (SDLC), testing, debugging, and production support
• Strong understanding of transaction mapping, data exchange, and pharmacy claim processing
Preferred Qualifications
• Experience with Gainwell Technologies Medicaid or pharmacy projects
• Knowledge of HIPAA, CMS, and state Medicaid regulations
• Experience with Agile/Waterfall, mainframe systems, and API integrations