SUMMARY

• Experienced as a Dotnet Tech Lead & Business System analyst in HealthCare Industry.
• Experience in Healthcare Application Facets in different modules like Claims, Membership and Provider.
• Having 10+ Years of experience in software development Web/Windows based applications using .NET Framework (ASP.NET 2.0, 3.5 and 4.0), C#, ADO.NET, Web service, WCF, CSS, LINQ, SQL - SERVER.
• Having 3 years of experience in analysis, design, development, testing, troubleshooting and support for FACETS (Extension development XCOM, XSQL and Embedded extensions).
• Extensive knowledge in US Healthcare domain.
• Extensive experience and knowledge on all stages of the Software Development Life Cycle (SDLC) and Object Oriented Analysis and Design (OOAD) utilizing project life cycles such as Agile using Scrum
• Well versed in writing SQL queries, together with inner and outer Join commands for data analysis and retrieval.
• Performed automated tests for applications through its user interface (coded UI tests (CUITs)). Performed functional testing of the UI controls to verify that the whole application, including its user interface, is functioning correctly.
• Created Web/Windows based applications using C#.
• Knowledge and experienced on Health Insurance Portability & Accountability Act (HIPAA 4010 and HIPAA 5010), Affordable Care Act (ACA), International Statistical Classification of Diseases and Related Health Problems, 9th Revision and 10th Revision (ICD-9 and ICD-10).
• Proficient in Procedural and Diagnostic codes, and Claims Process.
• Experienced working with Claim Transactions such as 837 I - medical & Hospital claims, 270 - Eligibility, Coverage or Benefit inquiry, 271 - Eligibility, Coverage or Benefit response, 276 - Claim status request, 277 - claim status response.
• Experience in Facets jobs 837M, 837I, Provider match, Member match, XC00, CLMU and CLDU and Runbook configuration for the respective job.
• Strong understanding on Electronic Data Interchange(EDI), both in 4010 and 5010 formats
• Proficient in producing Business Requirement Documents (BRD), Functional Requirement Document (FRD) and Software Requirement Specification (SRS) across the deliverables of a project.
• Expertise on Business Process Modeling Notations with excellent skills on Use Case, Activity, Sequence, Data-Flow diagrams using Unified Modeling Language (UML), in EAP (Enterprise Architecture Process).
• Well versed in Relationship Database Management System (RDBMS).
• Experienced in handling Change Management and Release Management.
• Excellent analytical skills with extensive experience on performing GAP analysis, User Acceptance Testing (UAT), Strengths, Weaknesses, Impact Analysis, Risk Analysis and Mitigation plan, Cost benefit analysis and Return on Investment (ROI) analysis.
• Proficient in handling functional and non-functional requirements with exceptional understanding and skill set in writing Unit Test Scenarios and Test Conditions.
• Experience in writing requirements and generating Software Requirement Specification (SRS), Design document, Understanding document
• Extensive Experience in specialized tools like Tortoise, Visual source safe, Team foundation server, SecureFX, SVN and Teamsite.
• Energetic and creative. Dynamic team player with integrative thinking skills.
• Excellent problem solving, conflict managing, decision making, and leadership skills.
• Excellent analytical, written, communication, presentation and interpersonal skills
• Knowledge and experienced on Healthcare provider data transfer using HL7V2 and HL7V3 standards and Ensemble tool.

PROFESSIONAL EXPERIENCE

Confidential

Sr. Analyst

Responsibilities:

• Read FRD/BRD and preapre the understanding and design document
• Design, develope and test the Facets extension.
• Split the task to teams and provide project objective also help the team.
• Created Facets extension using C#, WinApp and ORACLE.
• Perform analysis and resolution of issues for the respective areas.
• Perform unit testing, code reviews and validation.
• Handling team and schedule daily status meeting to follow up with task items.
• Created stored procedures/SQL scripts for application.
• Knowledge transitioned to new ressources.
• Created XCOM extension in Facets.
• Created Java Rest Service to send/receive data from Facets extension.
• Created Business rules engine to process the customized rules for each client.
• Schedule Facets jobs like 837M, 837I, CLMU/CLDU to test the application.
• Handling IM Tickets and prepare the issue tracker.
• Create knowledge repository for future guidance and proposal.
• Created sequence/data flow/deployment diagrams for each project
• Root cause analysis for issues and problems that occurs frequently.
• Checkin/Maintain code in SVN on daily basis.

Confidential

Developer

Responsibilities:

• Read FRD/BRD and preapre the understanding and design document
• Design, develope and test the Facets extension.
• Created Facets extension using C#, WinApp and ORACLE.
• Perform defect triaging PROD and non prod environments.
• Perform analysis and resolution of issues for the respective areas.
• Perform unit testing, code reviews and validation.
• Created stored procedures/SQL scripts for application.
• Knowledge transitioned to new ressources.
• Created XCOM and Embedded extension in Facets.
• Perform Facets job like 837M, 837I, CLMU/CLDU jobs.
• Handling IM Tickets and prepare the issue tracker.
• Prepare data script for the high priority issue.
• Create knowledge repository for future guidance and proposal.
• Created sequence/data flow/deployment diagrams for each project
• Root cause analysis for issues and problems that occurs frequently.
• Checkin/Maintain code in harvest/SVN on daily basis.

Confidential

Lead Programmer

Responsibilities:

• Development of ASP.NET applications.
• Understanding requirement and co-ordinate with team
• Code review and validation.
• Development, unit testing, code verification, production support and fixing production tickets and provide resolution.
• Monitoring SSIS jobs on daily basis, Application and Database servers
• Production support and monitor all production tool for outages.
• Receive production ticket fix them based on priority.
• Update status in daily scrum call.

Confidential

Developer

Responsibilities:

• Understanding requirement and co-ordinate with team
• Developed application and testing and support for productions.