Senior AS400 Developer (RPG/COBOL development - PBM RxClaim)- 100% Remote
Posted 3 days ago by 1756537492
Negotiable
Outside
Remote
USA
Summary: The role of Senior AS400 Developer focuses on leveraging expertise in Healthcare applications, specifically in PBM/RxClaim, RPG/COBOL development, and EDI file processing. The candidate will be responsible for claims adjudication, eligibility, and benefits management systems, ensuring compliance and performance in a regulated environment. This position is fully remote and requires collaboration with cross-functional teams to deliver high-quality solutions. Strong technical skills in AS400/iSeries applications are essential for success in this role.
Key Responsibilities:
- Design, develop, and enhance AS400/iSeries applications using RPG, RPGLE, COBOL/400, CLLE, and SQL/400.
- Support PBM (Pharmacy Benefit Management) systems, specifically RxClaim adjudication workflows.
- Process and integrate EDI transactions (834/837) for eligibility, enrollment, and claims processing.
- Work with business analysts and healthcare SMEs to gather requirements and translate them into technical specifications.
- Troubleshoot, debug, and resolve production issues related to claims adjudication and eligibility processing.
- Develop and maintain batch and interactive programs for healthcare applications.
- Ensure compliance with HIPAA, CMS, and other healthcare regulatory standards.
- Collaborate with cross-functional teams (QA, DevOps, Business Analysts) in Agile/Waterfall environments.
- Create and maintain technical documentation, test plans, and release notes.
Key Skills:
- Strong experience with IBM iSeries / AS400 platform.
- Proficiency in RPG (RPGLE, RPG IV, Free Form RPG), COBOL/400, CLLE, SQL/400, DB2.
- Hands-on experience with PBM systems, RxClaim adjudication, and eligibility workflows.
- Strong knowledge of EDI 834 (enrollment/eligibility) and EDI 837 (claims) transactions.
- Experience in production support, defect resolution, and performance optimization.
- Familiarity with batch processing, job scheduling, and MQ/FTP integration.
- Understanding of SDLC, Agile, and regulatory compliance (HIPAA, SOX, CMS guidelines).
Salary (Rate): undetermined
City: undetermined
Country: USA
Working Arrangements: remote
IR35 Status: outside IR35
Seniority Level: undetermined
Industry: IT
Hi
We are seeking a highly skilled Senior AS400 Developer with strong expertise in Healthcare (PBM / RxClaim) applications, RPG/COBOL development, and EDI 834/837 file processing. The candidate will play a key role in claims adjudication, eligibility, and benefits management systems, ensuring accuracy, compliance, and high performance in a regulated healthcare environment.
Key Responsibilities:
Design, develop, and enhance AS400/iSeries applications using RPG, RPGLE, COBOL/400, CLLE, and SQL/400.
Support PBM (Pharmacy Benefit Management) systems, specifically RxClaim adjudication workflows.
Process and integrate EDI transactions (834/837) for eligibility, enrollment, and claims processing.
Work with business analysts and healthcare SMEs to gather requirements and translate them into technical specifications.
Troubleshoot, debug, and resolve production issues related to claims adjudication and eligibility processing.
Develop and maintain batch and interactive programs for healthcare applications.
Ensure compliance with HIPAA, CMS, and other healthcare regulatory standards.
Collaborate with cross-functional teams (QA, DevOps, Business Analysts) in Agile/Waterfall environments.
Create and maintain technical documentation, test plans, and release notes.
Required Skills:
Strong experience with IBM iSeries / AS400 platform.
Proficiency in RPG (RPGLE, RPG IV, Free Form RPG), COBOL/400, CLLE, SQL/400, DB2.
Hands-on experience with PBM systems, RxClaim adjudication, and eligibility workflows.
Strong knowledge of EDI 834 (enrollment/eligibility) and EDI 837 (claims) transactions.
Experience in production support, defect resolution, and performance optimization.
Familiarity with batch processing, job scheduling, and MQ/FTP integration.
Understanding of SDLC, Agile, and regulatory compliance (HIPAA, SOX, CMS guidelines).