Job Description

Key Responsibilities:

• Design, develop, and maintain COBOL-based applications on IBM mainframe systems (z/OS).
• Support and enhance core payor systems including claims adjudication, enrollment, billing, and eligibility.
• Analyze and troubleshoot complex batch and online processing issues.
• Collaborate with business analysts and product owners to translate requirements into technical solutions.
• Participate in modernization efforts, including integration with APIs, databases, and cloud platforms.
• Ensure compliance with HIPAA and CMS regulations in all system changes and data handling.
• Document system changes, workflows, and technical specifications.
• Mentor junior engineers and contribute to knowledge sharing and best practices.

Required Qualifications:

• Bachelor's degree in Computer Science, Information Systems, or related field.
• 5+ years of experience in COBOL development on IBM mainframe environments.
• Strong knowledge of JCL, VSAM, DB2, CICS, and TSO/ISPF.
• Experience in healthcare payor systems, especially claims processing and eligibility workflows.
• Familiarity with ANSI X12 EDI transactions (837, 835, 834, etc.).
• Understanding of HIPAA compliance and healthcare data privacy standards.
• Strong analytical, debugging, and problem-solving skills.

Preferred Qualifications:

• Experience with modernization initiatives (e.g., wrapping COBOL logic in APIs, migrating to cloud).
• Exposure to FHIR, HL7, or other modern interoperability standards.
• Familiarity with DevOps tools and CI/CD pipelines for mainframe environments.
• Experience with performance tuning and capacity planning on mainframe systems.
• Knowledge of Agile methodologies and tools (e.g., Jira, Confluence).

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