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Professional Developer (NCPDP F6 Implementation Project
Job Description
Location: Remote - USA
Project: NCPDP F6 State Implementation Project
Key Responsibilities
- Lead and participate in the full software development lifecycle (SDLC) for the NCPDP F6 implementation, including analysis, design, coding, testing, deployment, and production support.
- Collaborate with business analysts, system architects, quality assurance teams, and technical stakeholders to translate functional requirements into scalable technical solutions.
- Design, develop, and maintain complex application code to ensure accurate and efficient processing of pharmacy claim transactions compliant with NCPDP F6 standards.
- Lead modifications to existing application modules to accommodate updated NCPDP field definitions, segment structures, transaction rules, and state-specific business requirements.
- Partner with EDI, Medicaid, and pharmacy domain experts to validate F6 transaction mappings, layouts, data transformations, and integration points with backend systems.
- Develop and maintain detailed technical documentation, including solution designs, data mappings, interface specifications, code documentation, and system design artifacts.
- Provide technical guidance, conduct code reviews, and support less-experienced developers in applying development standards and project best practices.
- Lead technical support for unit testing, integration testing, user acceptance testing (UAT), defect resolution, deployment, and production stabilization activities.
Required Skills & Qualifications
- Bachelor's degree in Computer Science, Information Systems, or related field (or equivalent work experience).
- 5+ years of progressive software development experience, preferably within Medicaid, healthcare, or pharmacy benefit systems.
- Strong hands-on knowledge of NCPDP standards, including D.0 and F6 transaction structures and processing requirements.
- Advanced proficiency in one or more programming languages such as Java, C#, or COBOL, depending on the project environment.
- Demonstrated experience with EDI processing, pharmacy claims, and Medicaid Management Information Systems (MMIS).
- Strong experience with SQL, XML, data transformation tools, system interfaces, and troubleshooting complex data-processing issues.
- Excellent analytical, technical design, debugging, documentation, collaboration, and communication skills.
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More Info
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Key Skills
Medicaid Management Information Systems (MMIS)
System interfaces
EDI processing
Pharmacy claims
Data transformation tools
