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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive experience in designing and enhancing applications using SYNON/COOL 2E, COBOL400, CL/400, CLLE, and DB2/400, with a strong focus on pharmacy claims adjudication and healthcare systems integration. Proven ability to analyze complex claims processing logic and provide technical leadership while collaborating effectively in remote environments.
Highest-signal resume keywords
SYNON/COOL 2ECOBOL400RxCLAIMHealthcare / Pharmacy Benefit Management (PBM)Production Support
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
SYNON/COOL 2ECOBOL400CL/400CLLEDB2/400RxCLAIMClaims Processing LogicSystem IntegrationTroubleshootingRoot-Cause Analysis
Soft Skills
Analytical SkillsProblem-Solving SkillsCollaborationLeadershipIndependence
Tools & Technologies
AS/400Healthcare SystemsPBM Systems
Industry Keywords
Pharmacy Claims AdjudicationHealthcare ApplicationsLegacy Application ModernizationAgile MethodologiesBusiness Process Analysis
About the role
Key responsibilities & impact- Design, develop, modify, and enhance applications using SYNON/COOL 2E, COBOL400, CL/400, CLLE, and DB2/400
- Develop and support RxCLAIM / pharmacy claims adjudication functionality and related business processes
- Analyze and enhance complex claim processing logic, including business rules and system workflows
- Develop and maintain integrations with downstream healthcare and PBM systems
- Perform major enhancements and modifications to existing healthcare applications
- Maintain, modernize, and improve existing AS/400 applications while developing new solutions
- Analyze, troubleshoot, and resolve complex production and application issues
- Investigate system defects, identify root causes, and implement effective technical solutions
- Translate business requirements into technical designs and application changes
- Document system flows, application functionality, interfaces, and business logic
- Perform impact analysis for application changes and ensure changes do not negatively affect downstream processes
- Conduct unit testing, integration testing, and support system/user acceptance testing as required
- Collaborate with business analysts, technical teams, QA teams, and healthcare/PBM stakeholders
- Deliver high-quality, reliable code with minimal supervision
- Take ownership of assigned development activities and meet project milestones and deadlines
- Provide technical guidance and assume leadership responsibilities when needed
Requirements
What you’ll need- 5+ years of hands-on experience with SYNON / COOL 2E, COBOL400, CL/400, CLLE, and DB2/400
- Strong hands-on experience with RxCLAIM
- Ability and willingness to take on technical leadership responsibilities when required
- Experience working with pharmacy claims adjudication and claims processing systems
- Strong knowledge of Healthcare / Pharmacy Benefit Management (PBM) processes and applications
- Experience analyzing and modifying complex claims processing logic and business rules
- Experience supporting integrations between RxCLAIM/AS400 applications and downstream healthcare systems
- Strong production support, troubleshooting, and root-cause analysis skills
- Ability to understand complex legacy applications and make enhancements with minimal supervision
- Strong analytical and problem-solving skills
- Ability to work independently in a remote environment while collaborating effectively with distributed teams
- Desired: Experience supporting large-scale healthcare or PBM platforms
- Desired: Experience performing major enhancements to existing AS/400 healthcare applications
- Desired: Strong understanding of legacy application architecture and modernization considerations
- Desired: Experience documenting complex system flows and business logic
- Desired: Experience working in Agile or structured environments
- Participation in internal and external meetings via video calls, as necessary
- Ability to go into corporate or client offices to work onsite, as necessary
- For positions requiring business travel and/or event attendance: ability to lift 25 lbs
- For positions requiring business travel and/or event attendance: valid driver’s license and acceptable driving record
Benefits
Comp & perks- Robust healthcare and benefits including Medical, Dental, vision, Disability coverage, and various other benefit options (full-time roles only; does not apply to contractor positions)
- Flexible Spending Accounts (Medical, Transit, and Dependent Care)
- Employer Paid Life Insurance and AD&D Coverages
- Health Savings account paired with the low-cost High Deductible Medical Plan
- 401(k) Safe Harbor Retirement plan with employer match and immediately vest (full-time roles only; does not apply to contractor positions)
- Remote work arrangement
- Reasonable accommodations during the recruitment process, if requested