Microfocus Cobol Developer

Conduent State Healthcare, LLC•, Remote US

10h•$96,250 - $125,000•Remote

About The Position

We are seeking an experienced COBOL Developer with deep Pharmacy Benefit Management (PBM) expertise to support and enhance mission-critical Point-of-Sale (POS) and batch processing systems in a healthcare environment. This role is responsible for the full software development lifecycle, including analysis, design, development, testing, implementation, maintenance, and production support of enterprise applications built on Microfocus COBOL, CICS, Oracle, and JCL technologies. The ideal candidate brings strong technical expertise in mainframe and Microfocus COBOL development combined with hands-on experience in PBM workflows such as pharmacy claims adjudication, prior authorization, formulary management, coordination of benefits, and Medicare Part D processing. You will serve as a technical lead, mentor junior developers, and collaborate closely with business analysts and PBM operations teams. This position requires a collaborative team player with strong communication skills, a proactive problem-solving mindset, and the ability to thrive in a fast-paced environment with critical production support responsibilities. Candidates should have extensive experience with Microfocus COBOL in Linux or Unix environments, strong SQL and Oracle database skills, and a proven track record supporting complex healthcare or PBM systems.

Requirements

Proficient working with MICROFOCUS COBOL (Preferably in LINUX environment) – including working on CICS, JCL and ORACLE and extensive knowledge on Health care business and PBM
Have broad knowledge of system engineering/automation concepts, practices and procedures and is expected to perform work related to analysis, design, programming, implementation, maintenance, and enhancement of a Point-of-Sale application
At least eight (8) years of COBOL and 5+ years of PBM domain experience
Combination of mainframe programming expertise and in-depth understanding of pharmacy benefit management workflows — including claims adjudication, prior authorization, formulary processing, and NCPDP transaction standards
Strong oral and written communications skills, as candidate will be required to interact with business users to elicit and understand business requirements
Ability to diagnose problems and suggest resolution with minimal guidance
Readiness to take responsibility for assigned tasks and work with others as needed to complete tasks
Ability to successfully function within a project team and be a team player in an environment of deadlines and project milestones
Have a positive “can and will do” attitude
Microfocus Cobol
Oracle 10g or 11g
CICS
JCL
Able to code complex SQL statements
Hands on exposure working on Microfocus NetExpress (IDE)
Red Hat Linux OS
Experience developing or supporting a Pharmacy Benefit Management (PBM) system
Version Controller
Perl

Nice To Haves

IBM COBOL, ACUCOBOL, isCOBOL
Any ANSI Database.
None
None
SQL exposure on any database
Microfocus Server Express or any older Microfocus IDE's
Any Unix flavor
Experience developing or supporting an MMIS
Any Version control software (e.g. VSS, Endevor, TFS)
Shell Script

Responsibilities

Analysis, design, programming, implementation, maintenance, and enhancement of system that supports Point-of-Sale and Batch processes using Microfocus Cobol, CICS, Oracle and JCL
Analyze RFP documentation, meet with appropriate team members or clients, analyze software factors, assist with proposal work, and complete design documentation and estimates that meet the business requirements
Accurately and completely develop and unit test software solutions to meet client requirements
Develop testing recommendations for more in-depth testing for modifications
Optimize existing COBOL programs for performance, scalability, and maintainability
Provide on-call support on as needed basis
Perform impact analysis and root-cause investigations for production incidents
Resolve any issues that present themselves in a timely manner to prevent system outages
Investigate, resolve and document assigned issues and propose/implement solutions
Assist in discussions with clients and/or in the explanations of the issues, and recommended solutions
Assist in preparation of functional specifications for application systems, presentation of system requirements and designs to client personnel
Develop status reports of development activities weekly, to appropriate management
Assist with update of report documentation and system exhibits
Implement and support real-time pharmacy claims adjudication logic in alignment with NCPDP D.0 and NCPDP SCRIPT standards
Develop processing logic for formulary management, drug utilization review (DUR), and clinical edits
Support prior authorization (PA) workflows and quantity limit processing
Maintain and enhance coordination of benefits (COB) and Medicare Part D processing logic
Support integration touchpoints with downstream systems including data warehouse, and reporting platforms and claims data as outbound for MMIS systems
Ensure all code adheres to HIPAA, CMS, and applicable regulatory requirements for PBM data handling
Participate in disaster recovery planning and execution for PBM application

Benefits

Health & Welfare Benefits: Comprehensive plans tailored to your needs, effective from day one.
Retirement Savings: Robust programs to help you secure your financial future.
Employee Discounts: Access to a wide range of discounts on merchandise, services, travel, and more.
Career Growth Opportunities: Paths for advancement within a global organization.
Paid Training: Learn while you earn with award-winning learning platforms.
Paid Time Off: Competitive PTO packages to help you recharge.
Great Work Environment: Join an award-winning culture that values diversity and inclusion.
health insurance coverage
voluntary dental and vision programs
life and disability insurance
a retirement savings plan
paid holidays
paid time off (PTO) or vacation and/or sick time