Job Description
We are looking for an experienced FICO Rules Engine Developer with strong hands-on experience in FICO BRMS / Blaze Advisor and TriZetto Facets healthcare platform.
Key Responsibilities
- Design, develop, and maintain business rules using FICO BRMS / Blaze Advisor.
- Develop decision tables, decision trees, rule flows, and rule sets.
- Integrate FICO Rules Engine with TriZetto Facets.
- Support healthcare payer processes, including claims adjudication, member eligibility, benefits, provider management, and authorization.
- Troubleshoot rule execution and production issues.
- Work with SQL/PLSQL, REST/SOAP APIs, Java, XML, and JSON.
- Support rule testing, deployment, version management, and CI/CD.
Required Skills
- Strong FICO BRMS / Blaze Advisor experience.
- Hands-on TriZetto Facets experience.
- US Healthcare Payer domain knowledge.
- Claims adjudication, eligibility, benefits, and provider management.
- SQL / PL-SQL and API integration experience.
- Knowledge of HIPAA, EDI transactions (837, 835, 834, 270/271).
- Git, Jenkins, and Agile methodology.
Preferred: Experience with Medicare, Medicaid, and Commercial health insurance programs.
Rate:
Not specified
Location:
Remote
IR35 Status:
Outside
Remote Status:
Remote
Industry:
IT
Seniority Level:
Not Specified