SUMMARY:

• More than 6 years of experience in complete Software Development Life Cycle including requirements gathering, design, development and testing of enterprise wide applications.
• More than 4 years of experience in working on Trizetto Facets proprietary healthcare software system 4.8/5.4, Trizetto Facets Hosted Batch Architecture and Trizetto Facets Advanced Batch Architecture.
• Experienced in working on healthcare membership, provider, premium billing, claims and customer service modules.
• Experienced in developing applications using Microsoft .NET framework, C#, ASP.NET, Windows services, ADO.NET, MS SQL Server, PL/SQL and FACETS healthcare product.
• Hands on experience on HBA architecture, ABF architecture, Database Programming, .Net Programming & Performance Tuning (Oracle, SQL Server)
• Good analytical, debugging and problem solving skills.
• Demonstrated ability to learn, adapt and implement ever changing technologies.
• Knowledge/Experience on various facets modules including Subscriber/Member, Provider, Claims, Billing etc.
• Knowledge on mobile technologies namely Xamarin Forms.
• Have worked on developing C#.Net related windows applications/tools internal to the Confidential project namely component tracker, HocMail, runbook explorer etc.
• Worked with facets claims, membership, billing etc. batches
• Performed testing in non - prod environments for appropriate code changes/bug fixes dealing with both facets front end and back end tables.
• Familiar with X12 claim format, EDI claims formats (837i, XC format) and the batches involving them and familiar with HIPPA gateway for healthcare claims.
• Exposure to Agile methodology.

TECHNICAL SKILLS:

Operating System: Windows 7/10, UNIX, IOS

Programming Languages: Microsoft .Net, ASP.Net, C#.Net(3.5, 4.0 and 4.5), ADO.Net, WCF, Xamarin Forms

Products: Trizetto Facets proprietary healthcare software system 4.8/5.4

Databases & Tools: SQL Server 2005/2008/2012 , Oracle 10g/11g/12c/19c

Other Utilities: TFS, PVCS, Visual Studio 2008/10/12/15

PROFESSIONAL EXPERIENCE:

Confidential, Englewood, CO

Hardware: Intel® Core™ i5-6300U Processor8 GB RAM, XEN app servers, Oracle database servers

Operating Systems: Windows 10

Programming Languages: C#.Net, MS Visual studio 2015, Facets 5.4, Oracle 19c

Responsibilities:

• Involved in Software Development Life Cycle which includes Analysis, Design, implementation, unit testing and Maintenance for healthcare systems.
• Worked on writing new Custom Facets Inbound and Outbound jobs using custom HBA architecture, Oracle packages, procedures, functions etc., along with XML configurable applications around Visual Studio 2015 and .Net Framework 4.5.
• Worked on Facets XCOM extensions using C#.Net for Facets Interface Customization as per business requirements to enhance user experience.
• Involved in debugging of the application using Oracle, XML, C#.Net, HBA architecture files like INI, Runbooks, Control files, Common system property files and Procedure books on application and database servers.
• Involved in integration of Facets with CMS (Centers for Medicare & Medicaid Services ) for enrollments, disenrollment, termination and benefit updates of Confidential Medicare members and Subscribers via Facets Custom inbound and outbound jobs.
• Read and implement code as per Technical Designs for - Oracle Database procedures, functions and tables, C#.Net Programs in Visual Studio 2015.
• Perform performance tuning of database components (Oracle procedures, functions, indexes, tables, packages) and maintenance for Facets Custom Development/Systems Integration to reduce runtimes by reviewing execution plans on servers.
• Analyze FACETS product modules including functionalities.
• Review, analyze and examine proprietary healthcare software system for enhancements requested on technical design documents.
• Perform exercises related to proprietary healthcare software system functionality and maintenance.
• Interacting with end customers for gathering requirement and providing solutions.
• Involved in enhancements as per changes in business requirements and ensured changes meet functional and operational needs.
• Responsible for analyzing technical documents, performing code changes and implementation of new code.
• Worked on conversion of Facets Core and Custom batches to ABF framework from HBA framework.
• Worked on making changes to existing custom code for maintaining Medicare premiums and managing the Facets attachments data, raising tickets for deploying the changed code to respective environments as part of implementation.
• Supported post-delivery defects for change work orders.
• Worked on successful migration (testing, remediation, deployment and validation) of all HOC2 environment components like NAS/DFS components, databases components etc. to HOC3 VDI.
• Have worked on developing C#.Net related windows applications/tools internal to the project namely component tracker, HocMail, runbook explorer etc.
• Worked with facets membership, billing etc. batches
• Performed unit testing in DEV and UAT for appropriate code changes/bug fixes dealing with both facets front end and back end.

Confidential, Englewood, CO

Hardware: Intel® Core™ i5-6300U Processor, 8 GB RAM, XEN app servers, Oracle database servers

Operating Systems: Windows

Programming Languages, Databases & Tools: C#.Net, MS Visual studio 2010, Facets 5.4, Oracle 11g, XML, Xamarin Forms

Responsibilities:

• Review, analyze and examine proprietary healthcare software system.
• Perform exercises related to proprietary healthcare software system functionality.
• Analyze FACETS product modules including functionalities.
• Involve in the complete Software Development Life Cycle including gathering requirements, development tasks, overseeing UAT, stakeholder satisfaction with project deliverables and maintenance for healthcare systems.
• Design, develop and implemented data accuracy and data quality programs and ensure accuracy of the enterprise data warehouse reports and vendor extracts.
• Involve in debugging of the application using Oracle, XML, C#.Net, HBA architecture files like INI, Runbooks, Control files, Common system property files and Procedure books on application and database servers.
• Work on custom code and extracts for all Facets modules (Accounting/ Eligibility/Membership/Claims/ Provider/Customer Service and UM).
• Responsibilities include Function Design, Detail Design, Database Programming, C#.Net Programming in visual studio 2010 & Performance Tuning (Oracle procedures, functions, indexes, tables, packages) and maintenance for Facets Custom Development/Systems Integration.
• Involve in debugging of the application.
• Responsible for analyzing the business process, creating requirements technical documents, maintaining version documents, supplementary specification documents, and developing use cases from functional specifications
• Responsible for creating and maintaining FACETS extracts to help business users with their day to day activities and to provide necessary information for decision making.
• Worked with facets claims, membership, billing etc. batches
• Familiar with X12 claim format, EDI claims formats(837i, XC format) and the batches involving them.
• Familiar with HIPPA requirements for healthcare environments.

Confidential, Englewood, CO

Hardware: Intel® Core™ i5-6300U Processor, 8 GB RAM, XEN app servers, Oracle database servers

Operating Systems: Windows 7

Programming Languages: C#.Net, MS Visual studio 2010, Facets 4.8, Oracle 11g

Responsibilities:

• Involved in Software Development Life Cycle which includes Analysis, Design, implementation, unit testing and Maintenance for healthcare systems.
• Work on writing new Custom Facets Inbound and Outbound jobs using custom HBA architecture, Oracle packages, procedures, functions etc., along with XML configurable applications around Visual Studio 2012 and .Net Framework 4.5.
• Work on Facets XCOM extensions using C#.Net for Facets Interface Customization as per business requirements to enhance user experience.
• Involved in debugging of the application using Oracle, XML, C#.Net, HBA architecture files like INI, Runbooks, Control files, Common system property files and Procedure books on application and database servers.
• Involved in integration of Facets with CMS (Centers for Medicare & Medicaid Services ) for enrollments, disenrollment, termination and benefit updates of Confidential Medicare members and Subscribers via Facets Custom inbound and outbound jobs.
• Read and implement code as per Technical Designs for - Oracle Database procedures, functions and tables, C#.Net Programs in Visual Studio 2012 and Visual Studio 2015.
• Perform performance tuning of database components (Oracle procedures, functions, indexes, tables, packages) and maintenance for Facets Custom Development/Systems Integration to reduce runtimes by reviewing execution plans on servers.
• Analyze FACETS product modules including functionalities.
• Review, analyze and examine proprietary healthcare software system for enhancements requested on technical design documents.
• Perform exercises related to proprietary healthcare software system functionality and maintenance.
• Interacting with end customers for gathering requirement and providing solutions.
• Involved in enhancements as per changes in business requirements and ensured changes meet functional and operational needs.
• Responsible for analyzing technical documents, performing code changes and implementation of new code.
• Worked on conversion of Facets Core and Custom batches to ABF framework from HBA framework.
• Worked on making changes to existing custom code for maintaining Medicare premiums and managing the Facets attachments data, raising tickets for deploying the changed code to respective environments as part of implementation.
• Supported post-delivery defects for change work orders.
• Have worked on developing C#.Net related windows applications/tools internal to the project namely component tracker, HocMail, runbook explorer etc.
• Worked with facets membership, billing etc. batches

Confidential

Hardware: Pentium 300 MHz Processor, 4 GB RAM, Keyboard

Operating Systems: Windows 7

Programming Languages: ASP.NET, C#, Visual studio, Ajax, Web Services, CSS and MS Sql

Responsibilities:

• Alongside team leader, gathered requirements and helped in creation of technical documents.
• Followed the technical design documents and developed web pages displaying list of symptoms using C#.Net and ASP.Net web forms.
• Created Master pages and CSS files for uniform look across all web pages.
• Created and consumed web services for making the payment for medicine purchased.
• Implemented forms authentication and authorization for user login web pages.
• Created various tables and stored procedures required for the application using SQL Server.
• Performed unit testing and debugging of the application to validate the code was as per technical design documents and fulfilled the business requirements.