Pega Lead Business Analyst

Innova Solutions is immediately hiring a Pega Lead Business analyst

Duration: Fulltime with Innova Solutions
Location: Remote (US OR Canada) 
Candidate must work within USA, 


As a Pega Lead Business Analyst, you will:
We are seeking a highly skilled Pega Lead with at least 5 years of experience in Smart Claims Engine (SCE) is highly preferred to lead the design, development, and delivery of innovative claims processing solutions. In this role, you will leverage your expertise in Pega architecture and SCE to drive end-to-end development, ensuring seamless integration, optimal performance, and compliance with healthcare industry standards.

Key responsibilities:

Architecture & Development:    
Lead the design and development of Pega applications, focusing on claims processing solutions integrated with Smart Claims Engine (SCE).
Ensure the scalability, reliability, and maintainability of Pega-based applications by adhering to best practices and architectural standards.

SCE Integration:    
Leverage extensive knowledge of SCE to configure, integrate, and optimize claims workflows within the Pega environment.
Collaborate with business and technical teams to align SCE capabilities with Pega applications.

Solution Design:    
Translate business requirements into technical designs and ensure alignment with enterprise architecture.
Oversee the development of reusable components, frameworks, and utilities to accelerate delivery.

Team Leadership:    
Mentor and guide a team of developers, ensuring adherence to Pega design principles and best practices.
Conduct code reviews and provide technical leadership to maintain high standards of code quality.

System Integration:    
Design and implement integrations between Pega applications, SCE, and other enterprise systems using APIs, web services, and data exchange protocols.

Performance Optimization:    
Monitor application performance and troubleshoot issues to improve system efficiency and reliability.
Implement best practices for system tuning and optimization.

Collaboration:    
Partner with stakeholders, business analysts, and project managers to ensure timely delivery of high-quality solutions.
Facilitate communication between onshore and offshore teams for seamless project execution.

Compliance & Standards:    
Ensure all solutions comply with healthcare regulations, including HIPAA and other industry standards.

Education:
Bachelor’s or Master’s degree in Computer Science, Software Engineering, Healthcare Informatics, or a related field.
Minimum of 5 years of professional experience as a Pega Lead System Architect (LSA).
Extensive hands-on experience with Smart Claims Engine (SCE), specifically in healthcare claims processing.

Certifications:    
Certified Pega Business Aarchitect (CPBA) - highly preferred

Technical Expertise:    
Strong knowledge of Pega platform, including case management, decision rules, and BPM concepts.
Proficiency in integration methodologies (APIs, SOAP/REST, EDI) and healthcare interoperability standards (e.g., HL7, FHIR).
Strong skills in Java, SQL, and enterprise database management systems.
Healthcare Domain Knowledge:    
Deep understanding of claims adjudication workflows, payer systems, and compliance regulations.

Leadership Skills:    
Proven ability to lead and mentor development teams.
Experience in managing project timelines, deliverables, and quality standards

Soft Skills:    
Excellent problem-solving, analytical, and communication skills.
Strong stakeholder management abilities with a focus on collaboration and teamwork.

Preferred Skills:
Experience with DevOps tools and practices, including CI/CD pipelines.
Familiarity with cloud platforms and containerization technologies (e.g., Docker, Kubernetes).
Knowledge of healthcare analytics and reporting tools.

Qualified candidates should APPLY NOW for immediate consideration!  Please hit APPLY to provide the required information, and we will be back in touch as soon as possible.
We are currently interviewing to fill this and other similar positions. If this role is not a fit for you, we do offer a referral bonus program for referrals that we successfully place with our clients, subject to program guidelines.   
ASK ME HOW.
Thank you

Kiran Vajrala
Manager

PAY RANGE AND BENEFITS:
Pay Range: 114,500 $ - 134,500 $ Per Year
Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc.

Benefits: Innova Solutions offers benefits( based on eligibility) that include the following: Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP).
 
ABOUT INNOVA SOLUTIONS: Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals worldwide and reports an annual revenue approaching $3 Billion. Through our global delivery centers across North America, Asia, and Europe, we deliver strategic technology and business transformation solutions to our clients, enabling them to operate as leaders within their fields.

Recent Recognitions:
Named One of America’s Best Employers for New Grads by Forbes (2024)
Named One of the Best Companies to Work For by U.S. News & World Report (Private Companies List, 2024-2025)
One of the Largest IT Staffing Firms in the US – Ranked #3 by Staffing Industry Analysts (SIA, 2024)
One of the Largest Staffing Firms in the US – Ranked #13 by Staffing Industry Analysts (SIA, 2024; includes Innova Solutions, Volt, & HireGenics)
Named One of the Top Ten Private Companies in Atlanta by the Atlanta Business Chronicle (2023)
One of the Largest Certified Minority Business Enterprises (MBEs) in the United States (NMSDC, 2024)
AWS Advanced Tier Services Partner with 100+ certifications

Website: https://www.innovasolutions.com/

Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Innova Solutions is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race, color, religion or belief, national origin, citizenship, social or ethnic origin, sex, age, physical or mental disability, veteran status, marital status, domestic partner status, sexual orientation, or any other status protected by the statutes, rules, and regulations in the locations where it operates.  If you are an individual with a disability and need a reasonable accommodation to assist with your job search or application for employment, please contact us at hr@innovasolutions.com or (770) 493-5588. Please indicate the specifics of the assistance needed.  Innova Solutions encourages all interested and qualified candidates to apply for employment opportunities. Innova Solutions (HireGenics/Volt) does not discriminate against applicants based on citizenship status, immigration status, or national origin, in accordance with 8 U.S.C. § 1324b. The company will consider for employment qualified applicants with arrest and conviction records in a manner that complies with the San Francisco Fair Chance Ordinance, the Los Angeles Fair Chance Initiative for Hiring Ordinance, and other applicable laws.

Benefits: Innova Solutions offers benefits( based on eligibility) that include the following: Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP).


ABOUT INNOVA SOLUTIONS: Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals worldwide and reports an annual revenue approaching $3 Billion. Through our global delivery centers across North America, Asia, and Europe, we deliver strategic technology and business transformation solutions to our clients, enabling them to operate as leaders within their fields.


 Recent Recognitions:

• One of Largest IT Consulting Staffing firms in the USA – Recognized as #4 by Staffing Industry Analysts (SIA 2022)


• ClearlyRated® Client Diamond Award Winner (2020)


• One of the Largest Certified MBE Companies in the NMSDC Network (2022)


• Advanced Tier Services partner with AWS and Gold with MS

Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Innova Solutions is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race, color, religion or belief, national origin, citizenship, social or ethnic origin, sex, age, physical or mental disability, veteran status, marital status, domestic partner status, sexual orientation, or any other status protected by the statutes, rules, and regulations in the locations where it operates.  If you are an individual with a disability and need a reasonable accommodation to assist with your job search or application for employment, please call (770) 493-5588. Please indicate the specifics of the assistance needed.  Innova Solutions encourages all interested and qualified candidates to apply for employment opportunities.   Innova Solutions (HireGenics/Volt) does not discriminate against applicants based on citizenship status, immigration status, or national origin, in accordance with 8 U.S.C. § 1324b.


The company will consider for employment qualified applicants with arrest and conviction records in a manner that complies with the San Francisco Fair Chance Ordinance, the Los Angeles Fair Chance Initiative for Hiring Ordinance, and other applicable laws.

Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals worldwide and reports an annual revenue approaching $3 Billion. Through our global delivery centers across North America, Asia, and Europe, we deliver strategic technology and business transformation solutions to our clients, enabling them to operate as leaders within their fields.