Custom Software Engineer

Project Role : Custom Software Engineer
Project Role Description : Develop custom software solutions to design, code, and enhance components across systems or applications. Use modern frameworks and agile practices to deliver scalable, high-performing solutions tailored to specific business needs.
Must have skills : Health Insurance Operations
Good to have skills : HealthEdge
Minimum 5 Year(s) Of Experience Is Required
Educational Qualification : 15 years full time education
Job Summary
We are looking for a skilled HealthEdge Developer to join our healthcare insurance project. The candidate will be responsible for designing, developing, configuring, integrating, and supporting solutions using the HealthEdge HealthRules platform. The role requires a strong understanding of healthcare insurance business processes, claims, benefits, enrollment, and payer systems.
Key Responsibilities:
Develop, configure, and customize solutions on the HealthEdge HealthRules platform.
Work on healthcare insurance processes including claims, benefits, enrollment, membership, providers, and pricing.
Analyze business and technical requirements and translate them into HealthEdge configurations and technical solutions.
Configure HealthRules applications based on project-specific business requirements.
Develop and maintain integrations between HealthEdge and external systems.
Support claims processing, adjudication, benefit configuration, and pricing requirements.
Perform unit testing, integration testing, defect analysis, and production support.
Troubleshoot application and integration issues and provide root-cause analysis.
Collaborate with Business Analysts, architects, developers, QA teams, and business stakeholders.
Participate in requirement analysis, design discussions, code/configuration reviews, and deployment activities.
Prepare technical documentation, configuration documents, and support documentation.
Ensure solutions comply with healthcare industry standards, security requirements, and project guidelines.
Required Skills:
Hands-on experience with HealthEdge HealthRules or HealthRules Payor.
Strong understanding of US healthcare insurance/Payer domain.
Good knowledge of Claims, Benefits, Enrollment/Membership, Provider, and Pricing processes.
Experience with HealthEdge configuration and customization.
Experience with healthcare application integrations and APIs.
Strong SQL skills for data analysis and troubleshooting.
Good understanding of SDLC, Agile methodologies, testing, and production support.
Strong analytical, problem-solving, and communication skills.
Preferred Skills
Experience with HealthRules Connector (HRC) or HealthRules Integration.
Knowledge of EDI transactions, including 834, 837, 835, and 270/271.
Experience with REST/SOAP APIs and integration technologies.
Knowledge of healthcare standards such as HIPAA and X12.
Experience working with US healthcare payer clients.
Experience with cloud platforms such as Azure or AWS is an advantage.
Experience with DevOps/CI-CD processes is a plus.
Experience
5+ years of overall IT experience.
3+ years of relevant HealthEdge/HealthRules experience preferred.
Healthcare insurance/payer experience is mandatory or strongly preferred.
Education
Bachelor's degree in Computer Science, Information Technology, Engineering, or a related discipline.
Location
Hyderabad / Bangalore
Work model: Hybrid
Role Expectations
The candidate should be able to work independently on HealthEdge-related development/configuration activities, collaborate effectively with distributed teams, and provide production support when required. Experience working with large-scale US healthcare insurance projects will be highly preferred.

Work arrangement
No