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. -Positive 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.

📌 Custom Software Engineer - Healthcare Insurance (HealthEdge Developer) (Hyderabad)
🏢 Accenture India Private
📍 Hyderabad