Senior Technical Lead

Job description

We are seeking an experienced Facets and SQL Healthcare Professional with strong expertise in TriZetto Facets , Healthcare Payer Operations , and SQL Development . The ideal candidate will have hands-on experience in healthcare enrollment, claims, provider, billing, and membership domains, along with strong analytical and troubleshooting skills. The resource will work closely with business stakeholders, developers, QA teams, and production support teams to deliver high-quality healthcare solutions. Key Responsibilities Facets Responsibilities Analyze and support Facets modules including: Membership & Enrollment Claims Processing Provider Management Billing & Premium Management Authorization & Referrals Perform configuration and maintenance activities in Facets. Investigate and resolve production issues related to claims, enrollment, and billing. Conduct impact analysis for system changes and enhancements. Collaborate with business and operational teams to gather and validate requirements. SQL Responsibilities Develop and optimize complex SQL queries, stored procedures, views, and reports. Perform data analysis, data validation, and reconciliation activities. Support data extraction for business and regulatory reporting. Analyze source-to-target data mappings. Troubleshoot data quality and performance issues. Create ad hoc reports and dashboards as needed. Healthcare Domain Responsibilities Understand healthcare payer workflows and business processes. Analyze claims adjudication and membership enrollment transactions. Support Medicare, Medicaid, Commercial, and Marketplace lines of business. Ensure compliance with healthcare regulations and business requirements. Participate in testing, defect analysis, and production support activities. Required Technical Skills Healthcare Healthcare Payer Domain Claims Processing Membership & Enrollment Provider Management Billing & Premium Management EDI Transactions (834, 835, 837, 270/271) Facets Facets Data Model Facets Configuration Facets Batch Processes Facets Inquiry Screens Facets Production Support Database SQL Server / Oracle Complex SQL Queries Stored Procedures Performance Tuning Data Analysis & Reporting Tools Azure DevOps ServiceNow SSMS / TOAD Microsoft Visual Studio Preferred Qualifications Experience with Healthcare Data Warehousing. Experience with APIs and Healthcare Integrations. Knowledge of Kafka, ETL, or Data Migration projects. Understanding of HIPAA compliance requirements. Soft Skills Strong analytical and problem-solving skills. Excellent communication and stakeholder management. Ability to work independently and within cross-functional teams. Strong documentation and knowledge transfer skills. Ability to handle multiple priorities in a fast-paced environment. Skill Requirements 5+ years of Healthcare Payer experience. 3+ years of hands-on experience with TriZetto Facets . Strong SQL development and data analysis experience. Experience working with large healthcare datasets. Experience in Agile/Scrum environment. Knowledge of Healthcare EDI Transactions (834, 835, 837, 270/271, 276/277). Other Requirements Strong analytical and problem-solving skills. Excellent communication and stakeholder management. Ability to work independently and within cross-functional teams. Strong documentation and knowledge transfer skills. Ability to handle multiple priorities in a fast-paced environment. Nice to Have Facets Certification. Experience in cloud environments (Azure). Knowledge of APIGEE, Kafka, and Microservices architecture. Apply now Information at a Glance Why HCLTech? At HCLTech, you'll supercharge your potential. You'll find your career. And you'll find your spark. All at a place that knows that helping its customers stay on top starts by putting its people first. HCLTech is a global technology company, home to more than 230,000 people across 60 countries, delivering industry-leading capabilities centered around digital, engineering, cloud and AI, powered by a broad portfolio of technology services and products. We work with clients across all major verticals, providing industry solutions for Financial Services, Manufacturing, Life Sciences and Healthcare, Technology and Services, Telecom and Media, Retail and CPG, and Public Services. Consolidated revenues as of 12 months ending September 2026 totaled $14.8 billion. Disclaimer Privacy Statement Terms of use Sitemap Raise a Grievance We use cookies on our site. Please read more about cookies policy here. Opens in a new tab. Opens in a new tab. Opens in a new tab. Opens in a new tab. Opens in a new tab. Opens in a new tab. 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