Description

You will lead the implementation of Pega Customer Service solutions within a healthcare contact center environment.

Responsibilities

• Lead Pega Customer Service implementations specifically for healthcare contact center use cases.
• Design and manage healthcare-specific workflows including member services, claims, eligibility, prior authorization, appeals, and provider interactions.
• Ensure technical solutions align with healthcare industry requirements and contact center operational needs.

Required Skills

• Pega Certified Lead System Architect (CLSA) certification.
• 5+ years of hands-on experience with Pega Customer Service for Healthcare.
• Deep expertise in healthcare workflows: member services, claims, eligibility, prior authorization, appeals, and provider interactions.
• Proven experience in Healthcare Contact Center implementations.
• Any Graduate degree.

Preferred Skills

• US Healthcare Payer/Provider domain knowledge (Medicare, Medicaid, or Commercial).
• Cloud experience with AWS, Azure, or GCP.
• Knowledge of HIPAA compliance and PHI handling.

Key Skills

Education

Any Graduate