SUMMARY

• Architect for ICD - 10, Health insurance Exchange (HIX) - CA and 5010 health care mandates and responsible for leading impact assessment and solution phases.
• TOGAF certified architect with 10+ year's project experience, a team builder, motivator with analytical and technical skills.
• Expertise in implement BPMN process and integrate with ESB clients.
• Expertise in Service Oriented Architecture (SOA) and its related technologies like Web Services, BPEL, WSDLs, SOAP1.1, Java, XML, XSD, XSLT, XPATH, XQuery and ESB etc.
• Adept at building large-scale SOA solutions using WebSphere SOA Suite components like BPEL Process, Business Rules, Human Task, Mediator and various activities like Assign, Invoke, Switch, Flow, Java embedding, Wait, and While.
• Experienced using the following SOA Suite technology adaptors for integration with external/legacy systems: Database adaptor; JMS,MQ, FTP and File adaptors; Oracle applications, BAM.
• Expertise in installing the Facets Products as part of new releases and did for migration from and
• Provided leadership and accountable for creating architectural solutions for projects/programs across Claims, Membership domains and mandate efforts.
• Worked with EDI Applications Development team to optimize the technological solution for efficiency, stability and increased performance, where possible.
• Worked closely with enterprise architects and IT/business governance groups.
• Expertise in integrating and testing the Web, External Trade partner applications with in-house applications using SOA integration patterns.
• Lead and collaborated with vendor, platform, data and infrastructure architects to deliver the product within time, cost and quality parameters.
• Expertise in migrating the EDI platforms from for all the HIPAA EDI X12 transactions (834, 835, 837, 820, 270/271, 276/277, 278).
• Expertise in Message Broker 6.1 ESB platform, Web services, ESQL, JMS, MQ integration, XSLT and WTX.
• Proven skills in client interfacing and management.
• Expertise in upgrading the WTX (Mercator) maps and migrating WTX maps across different platforms.
• Proactive and innovative team player proven to work under tight deadlines, capable of managing larger teams across multiple projects.

TECHNICAL SKILLS

• Domain Expertise & Solutions
• IBM Message Broker
• BIZTALK
• IBM DataPower
• IBM WTX
• IBM MQ Series
• Health Insurance Industry
• HIPAA Gateway
• Application Management
• HIPAA EDI X12
• HL7
• EPIC
• Facets
• Programming & APIs
• Visual Basic
• VB script
• VB.net
• C#.net
• MS Dos
• XML
• Core Java
• Message Broker
• IBM WebSphere Transformer Extender (WTX)
• Datapower
• Facets
• EDIFECS EAM
• EDIFECS Spec builder
• EDIFECS map builder
• EDIFECS Transaction Management
• AXWAY Gateway
• AXWAY integrator
• HIPAA Gateway
• MQ series
• EC map
• Crystal Reports 6 and 11
• Databases
• Sybase 12.5
• SQL Server 2000
• Source Control/Version Control
• VSS
• SVN
• Operating Systems
• Unix
• Windows 2000/XP/NT
• Process/Methodologies
• Waterfall
• SCRUM
• AGILE

PROFESSIONAL EXPERIENCE

Confidential - Linthicum,MD

SOA architect

Responsibilities:

• SOA Architect for providing solutions for Maryland-Health Insurance Exchange (HIX) and this solution is reusable for any state health insurance exchange.
• Responsible for integration of State based exchange with multiple state agencies( (Maryland MMIS and CARES),Federal agencies (SSA/CMS/IRS/VLP) and Carriers.
• Architect for development of reusable services to build any state healthcare exchange.
• Drive consensus and decision-making with business, IT and executive management.
• Defined SOA reference architecture, and the roadmap to support an SOA implementation.Used the core of SOA Reference Architecture that consists of the shared services and infrastructure that enable business agility and foster reuse.
• Maintain visibility on day-to-day activities with project teams and ensuring sufficient face-time with key executive stakeholders.
• Developed BPM Automated process to automate human tasks.
• Implemented Fuse ESB (Enterprise Service Bus) and integrated with BPEL ( ActiveVOS).
• Developed Automation workflow using BPEL.
• Development of Project plan that includes all aspects of scope, schedule, budget, quality, communication and risk management.
• Manage and lead various cross-functional projects and multi-national initiatives.
• Provide status reporting to internal and external stakeholders on a regular basis
• Mitigate risks and address program / project obstacles as needed
• Acting as an EDI SME for all HIPAA X12 EDI transactions
• Acting as an integration architect to integrate State based market place with CMS, Carriers and MMIS.
• Responsible for cross domain application integration with different tools such as Fuse, Activevos, DataPower, Sterling integrator File Gateway, MQ, WTX and etc.
• Responsible for application design and development deliverables and working with System and UAT testing for EDI platform end-to-end testing.
• Responsible for coordination, task assignment, task management within the team.
• Lead vendor evaluations, proof of concept development and providing architectural solutions for HIX projects.

Environment: Fuse ESB, MQ series, Sterling B2B integrator and File gateway,, WTX(formerly Mercator),Sterling Reverse Proxy and Connect Direct

Confidential, San Francisco

Sr. SOA architect

Responsibilities:

• Architect and Lead for impact analysis and providing solutions for efforts including CA-Health Insurance Exchange (HIX), ICD-10 and other health care mandates.
• Acting as an EDI SME for all HIPAA X12 EDI transactions (834, 835, 837, 820, 270/271, 276/277, 278).
• Responsible for cross domain application integration with different tools such as Message Broker, DataPower, Sterling File Gateway, MQ, Edifecs, WTX and etc.
• Responsible for application design and development deliverables and working with System and UAT testing for EDI platform end-to-end testing.
• Implemented IIB(Enterprise Service Bus) and integrated with WTX, Edifecs as part of legacy system modernization.
• Developed reusable sub processes for exception handling to capture the Remote and Binding faults.
• Have worked on multiple adapters like JMS, Database, File and SOAP adapters for ESB. Setup and configured them as well.
• Responsible for ensuring all the systems meets the NFR requirements such as performance, scalability, security, compliance, interoperability, reliability, maintainability and availability.

Environment: IBM Message Broker 6.1, MQ series, EDIFECS, WTX(formerly Mercator), Sybase, Perl Scripting, Unix, Crystal Reports XI, XML, Facets

Confidential, Seattle, WA

Solutions/SOA Architect

Responsibilities:

• Project Lead/Architect managing a team of 10 developers.
• Architect for ICD-10 and 5010 health care mandates and responsible for leading impact assessment and solution teams.
• Architect for migrating the Confidential provider system from Lastword system to Epic.
• Designed and architected the solution for 5010 project and this solution is considered to be cost effective solution across the organization
• Designed the proactive strategy to accept the ICD 10 codes without any changes in the backend systems. Step down converter is designed in the middleware to convert the ICD 10 to ICD 9 codes.
• Responsible for the migration of EDI system from for all of the X12 transactions 837,835,270/271,276/277 and 834.
• Lead vendor evaluation, proof of concept and facilitated solution sessions for 5010 project and ICD 10 project.
• Responsible for the integration of the Trade partners with internal applications and the Web in Message Broker using HTTP, WSDL, XML and SOAP
• Architected EDI integration solution using WTX, WMB and Edifecs
• Integrated business and service strategy into enterprise architecture roadmap
• Defined the performance framework for the ESB/EDI platform(EDIFECS and WMB)
• Responsible for creating WTX maps to convert 5010 to Prop format and also step up and step down WTX maps for 4010/5010
• Responsible for analyzing the impact for migration from HIPAA 4010 to HIPAA 5010 and ICD 9 to ICD 10
• Responsible for migration of WTX Mercator maps from launcher to Message Broker 6.1
• Responsible for migration from file based system to message queues for stabilizing the ESB message broker and stabilizing the EDI and HL7 application
• Defined best practices for ESB message flow development. And deployment.
• Responsible for implementing various EDI X12 formats and HL7 implementations
• Responsible for documentation of all the developed applications using BPMN notation.
• Developed Proxy Service and Business services for various purposes to achieve the above mentioned OSB enterprise application.

Environment: Message Broker 6.1, MQ series, EDIFECS, WTX(formerly Mercator), Sybase, Perl Script, Unix, Crystal Reports XI, XML, Facets

Confidential, Moline, IOWA

SOA developer

Responsibilities:

• Developed and tested various custom WMB message sets to handle X12 Healthcare transactions
• Developed and tested various WMB flows to integrate the Legacy system with the external trade partners .
• Developed WTX EDI mapping of Flat File to EDI (ANSI X12), and EDI to Flat File, EDI to Database (SQL 2000) and Database to EDI.
• Created WTX maps that mapped data from EDI HIPAA 834,820,270/271 format to internal layout
• Responsible for Development and Unit Testing, System Testing and end to end testing of the Message broker applications to use the Message Queues .
• Lead Designer/Developer, responsible for implementation and delivery of multiple subsystems.
• Responsible for the integration of the Trade partners with internal applications and the Web in Message Broker using various protocols like HTTP, WSDL, XML and SOAP
• Monitor the application for the daily claim processing and provide the quick fixes in case of any regular production issues.
• Initiated best practices, and maintained system documentation.
• Developed SOA Process and B2B Process to integrate various Healthcare providers with the customers.
• Designed complex composites and BPEL process as per the business requirements.
• Designed an Error Handling Framework to handle exceptions across different integration systems in Oracle SOA

Environment: Message Broker 6.1, MQ series, Facets 441 and 412, Visual Basic 6.0, VB script, Sybase 12.5, SQL server 2000, HIPAA Gateway, IBM WebSphere Transformation Extender (Mercator), EC map, XML, Crystal Reports 6 and 11