SUMMARY:

Obtain a system architect or senior developer position in website development/information technology fields.

TECHNICAL SKILLS:

• Proficient in Visual Basic .NET, C#, Java, JavaScript, HTML, ASP, ASP.NET, JSON & XML
• Experience with cloud computing: Apigee, SiteCore, and Azure.
• Database programming in Access, SQL Server, MySQL, Redis, PostgesDB, and MongoDB
• Possess expertise in Object - Oriented Analysis/Design
• Agile-based (XP and Scrum) methodologies, and IEEE Standards
• Familiar with Section 508 (Web Accessibility Guidelines), and other web standards from W3 Consortium.
• Experience with healthcare systems: Ez-cap, and QNXT
• Familiar with Macintosh, PC computers and Linux variants of Unix
• Work with Windows (win 3.11, 9x, Me, 2000, XP, 2003, Vista, 7, 8), common Unix applications, PICO, and g++ GNU compiler
• Familiar with Graphic Software: Adobe Photoshop, Illustrator, Dream Weaver, and Macromedia Flash
• Certified Microsoft Office 97 Certificate from ROP
• Experience with Google Map API, Google Webmaster Tool, Google Analytics, Apps Engine, Bing Map API, and RESTful Services (web service).

EMPLOYMENT:

System Information Architect

Confidential

Responsibilities:

• Led development team to build and maintain online claim submissions, and resubmission for professional claims (CMS 1500) and institutional claims (UB-04).
• Enhanced existing claim inquiry/search feature.
• Developed new claim features such as claim templates, claim batching to meet various state-specific requirements.
• Supported system in different states and integrations with external systems
• Followed CMS guidelines and regulations.
• Provider Portals
• Lead delivery team to support ongoing development projects and enhancements on these portals in the following areas: online service requests & authorizations, provider online directory, provider surveys, HEDIS profiles, Washington Foster Care, Claims, and others.
• Coordinated with other teams for resources and supports
• Project planning and resource planning
• Provide guidelines to team on technical design and business logics
• Interactive Voice Response (IVR) - Members and Providers Self-Serve Systems
• Maintain IVR web service for automated phone systems for members and providers
• Integrate with QNXT systems for data access for member eligibility, ID card requests, PCP assignments and others for different lines of business (Medicaid, Medicare, Dual and Marketplace)
• Work with Cisco phone systems (Cisco Voice Protocols) for web service integration
• Design call audit systems and reporting
• Integrate with Chase Orbital for payment services
• Lead architectural design and PCI compliance for IVR systems
• Provide technical supports for production issues and grievances
• Familiar with Soap UI, WCF client, Empirix Hammer Tool, HTTP Fiddler, App Dynamics, Splunk and more.
• Child Health & Disability Program
• Led development team in developing technical and portfolio projects such as PM160 duplicate check validation, performance improvements, website re-architecture, provider configuration, claim uploading, QNXT and ODS integration.
• Tuned system performance by applying SQL best practices and web development techniques
• Coordinated peer code reviews through Gate Review processes
• Followed Confidential standards and processes.
• Supported business and IT Operation & Management teams on daily needs
• Analyzed business requirements with stake holder team and system analyst team.
• Established as an SME in this area
• Reviewed scheduled job logics in SSRS package

Senior Lead Software Engineer

Confidential, Cerritos, CA

Responsibilities:

• Developed and maintained company websites:
• Developed following areas: Benefits & Resources, Marketing Events & Seminars, Coverage Re/Determination Request, Medication Therapy Management Program (MTMP), company information, career opportunities, press releases, etc.
• Website redesigned for annual marketing campaigns
• Enhanced website with responsive fluid design with JQuery and Twitter Bootstraps
• Worked Google Analytics for website reporting and analysis; setting up scheduled delivery reports
• Worked third party vendor on Search-engine Optimization and website ranking; submitted site map and keyword for popular search engines such as Google, Yahoo and Bing; applied Meta tags mark-ups to enhance search ability.
• Supported marketing to add company account in social media networks such as Facebook, Twitter, and YouTube.
• Tuned website performance using FireBug, Yahoo PageSpeed, and Google Chrome Page Audit.
• Domain management at Register.com
• Experience with web hosting migration from Register.com to Confidential
• Built online directories for doctors, specialists, drugs, pharmacies, dentists, health plan benefits, hospitals, forms and publication, Medicare Part D info, online transportation, Member Orientation, etc.
• Worked with Google Maps API for driving distance calculation and location mapping
• Content Management System - allows its users to maintain electronic documents and web-page contents
• Health Builder - developed online article sharing for health promotion
• Flu shot vaccination campaign
• Improved website to comply with Section 508 standards (web accessibility), CMS requirements, and W3C web accessibility guidelines. Worked with WebAim WAVE, Cynthia Says, Linx, and IE developer tools.
• Developed public website and member portal in Spanish
• Providers Web Portal (secured website with login security)
• Developed provider online resources such as CMS Star Rating information, compliance policies and procedures, disease treatment guidelines, Fraud, Waste & Abuse (FWA) training, provider manual, newsletters, quick fax, claims/encounter management, member eligibility verification, etc.
• Developed online enrollment system, marketing support, broker blasts, certification training & exam
• Developed reporting tools for commission, and enrollment status report,
• Developed supply order system
• Confidential Intranet - developed company intranet network based on need demand from human resource department and other departments.
• Created and maintained websites using Visual Basic .NET, HTML, XML, CSS, VBScript, JavaScript, JQuery, ASP, ASP.NET (1.0, 2.0, 3.5), AJAX, MVC and SQL Server 2000, 2005 & 2008
• Acknowledged in software: EZ-CAP, MS Studio .NET 2003, 2005 & 2008, Adobe Photoshop, Adobe Illustrator, Crystal Report XI, Macromedia Flash, SourceSafe, and Adobe LifeCycle.
• Create healthcare complex reports in Crystal Report (versions 8.5, 10.5 and XI), and in Macro VBA in MS Excel and Access
• Developed Window-based applications in MS Studio .NET 2005 & 2008
• Created printing brochures and booklets using Illustrator, Photoshop and Acrobat (PDFs)
• Created interactive forms in Adobe Acrobat & Lifecycle.
• Other healthcare experience in the following areas: CMS Daily/Weekly Transaction Reply Reporting (TRR), Coordination of Benefits (COB) - Marx COB and MSP ERCD layouts, Late Enrollment Penalty (LEP), Low Income Subsidy (LIS), Eligibility Verification, Member Eligibility Data Extraction, Member Letter Printing Processes, Online & Electronic Enrollment Processes, Providers/Hospitals/Medical Groups lookup, Disenrollment Processes, Sales Commission, Transportation module, IPA Capitation, and Claim Reports

Website Developer/ Project Consultant

Confidential, Los Angeles, CA

Responsibilities:

• Created and maintained client websites using Visual Basic .NET, HTML, XML, CSS, VBScript, JavaScript, ASP, ASP.NET, and SQL Server 2000
• Acknowledged in software: MS Studio .NET 2003 & 2005, Photoshop, Dream Weaver, Flash, SourceSafe, Araxis Merge, etc.

Website Developer

Confidential, Westminster, CA

Responsibilities:

• Created and maintained Confidential extranet and intranet websites using C Sharp, HTML, XML, CSS, VBScript, JavaScript, ASP, ASP.NET, MS Access, and SQL Server 2000
• Developed web-based applications in .NET framework
• Acknowledged in software: MS Studio 2003, Photoshop, Web Trends, SourceSafe, Araxis Merge, etc.
• Developed and maintained websites with over 10,000 accounts:
• Developed Sample Request Application that allows users to request for sample(s) of products.
• Developed CPE User Administration Tool to allow users to request account/password and approvers to reject/approve requests.
• Automated File Upload Pages