SUMMARY

• Over 8 years of skilled IT experience that excelled in Analyzing, Design, Development, Project Management and 24/7 production support of various projects during both academic and professional careers with extensive experience in EDI Technology - Development, Mapping and Testing.
• Expert in EDI standards, protocols, procedures & policies to work with all the business units operating globally.
• Managed trading partner support issues including analysis, Mapping, Testing, Implementation and documentation
• Created direct EDI links to Oracle & SQL Databases.
• Hands-On work experience in SDLC - System Analysis, Design, Development & User training.
• Proficient in writing SQL, PL/SQL, Stored Procedure, Database Performance monitoring and Database troubleshooting
• Lead teams globally, provided Application support, Resource allocations and implemented all aspects of SDLC.
• Integrated PPM Platforms with BI Reporting tools like Qlik, Power BI, Excel.
• Managed and maintained Project and Portfolio Management methodologies and tools while leading teams globally and monitoring teams’ performance for various EDI projects.
• Administered User Provisioning, generated reports, designed dashboards, Analyzed and troubleshooted Cloud-based platforms with Oracle and SQL Databases
• Leverage strong problem-solving skills in analyzing complex risks, assumptions, issues and dependencies while developing functional solutions and financial insight to communicate effectively with business sponsors and stakeholders.
• Strong written, verbal, and listening skills.

TECHNICAL SKILLS

• MS Project, MS Excel, Office 365, Excel in
• Mapping, EDI communication protocols (AS2, FTP, SFTP, HTTPS, SOAP), SQL and PL/SQL, HTML, XML, JDBC, Oracle, Dot Net, Python, C#, C++,.Net, SQL, J2SE, J2EE, Oracle EBS, PL, Informatica, Facets, Google Suite, CAD, ARCSDE, GIS, Crystal reports, JIRA, CA(Clarity) PPM, CA Agile Central (Rally), Service Aid, CRM, Agile and Waterfall.
• EDI, Google Suite, EDI Mapping, File Transfer, MFT, AFT, ERP, Sterling OMS, AS400 with Cleo Clarify/EXTOL, PGP & FTP Encryptions, XML, HTML, Visual Basic, AS2, Secure FTP (SFTP), SMTP, HTTP/HTTPS.
• IDOC, IDOC message types, SAP Status Message, EDIFACT, HIPAA, Gentran Integration Suite, Gentran Server 5.3, IBM Sterling B2B Integrator (5.2,6.0,6.1), JCAPS, Legacy, EDIFECS Spec builder, Transaction Manager, Sterling File Gateway, GXS AI Mapper(Workbench), BIS 5.5/BIC5, IPSwitch MoveIT Central, Extol version 5.3 on AS/400 Application
• ANSI X12: 180, 211, 214, 270, 271, 810, 811, 812, 816, 820, 821, 822, 823, 824, 828, 830, 831, 832, 837, 846, 844,845,846,849,850, 852, 855, 856, 857, 860, 861, 865, 869, 870, 940, 943,945, 996, 997.
• Windows 2000 (2+yrs)
• Windows NT, Windows 9x
• Windows NT, Windows 9x IOS, Windows 95/98/2000Pro/NT/XP Pro, MS - DOS, Unix, MAC OS
• IOS

PROFESSIONAL EXPERIENCE

Integrations Analyst/Developer

Confidential

Responsibilities:

• Setup and configuring trading partners.
• Skilled expert in EDI standards, protocols, procedures & policies to work with all the business units operating globally.
• Work with employees at all levels of their organization to support accurate, proper data exchanges within the organization to assist and train end users in EDI processes to interpret messages and correct errors.
• Worked on several maps for various X12, EDIFACT, SAP IDOCS and TRADACOM based transaction sets. Excellent Mapping skills. Handled complicated looping in development of various transaction mappings.
• Performed new EDI implementations for EDI X12 documents such as (850, 855. 810, 856 etc.), test case Execution, Build deployment, Postproduction. Enhancing existing EDI documents based on customer requirements.
• Provided EDI solutions using IBM Transformation Extender / IBM Transformation Extender Advanced 9.0 (ITX/ITXA) running in Linux environment.
• Developed research/analysis into cohesive ITX/ITXA designs and mappings.
• Worked on getting the Facets Claim IDs from X12 in HTM, HP environment and verify them in TIBCO layer and Facets Claim Adjudication system.
• Identify and analyze requirements, setup, configurations, implement & test to maintain EDI transactions that include global travel to sites to setup and configure EDI programs.
• Expert in all versions of IBM Sterling B2B Integrator while managing a various team of developers for various EDI projects in all B2B platforms.
• Responsible for migrating EDI integrations projects from old existing B2B integrations platforms such as DECEDI and JCAPS process-flows into the new IBM Platform while simultaneously onboarding new customers.
• Develop strategic roadmaps and engineering designs for Industry standards and as per customized user requirements.
• Lead Architectural and infrastructure design team to meet the changing requirements around scaling, reliability, performance, and management.
• Responsible and accountable for the successful completion of EDI Technology projects; Experienced in leading large global projects.
• Expertise knowledge in all EDI & XML formats and EDI communication protocols (AS2, FTP, SFTP, HTTPS, SOAP Web Services.
• Designed, developed, implemented, customized and integrated using Oracle e-Business Suite applications with other systems, and provided complete support and enhancements of those solutions.
• Developed Oracle Order Management, Oracle Advanced Pricing, Oracle Inventory, Oracle Purchasing and iProcurement.
• Evaluated the impact of deploying patches and software updates to Oracle eBusiness Suite.
• Co-ordinated and working with the mapping team to develop and update Sterling EDI, pre and post process maps and Business Processes into IBM Sterling Integrator
• Coordinated Quality Assurance Testing with the QA department. Modified XSDs and DTD file formats.
• Developed and Implemented Qlik Dashboards for Time Management reporting purposes.
• Working with PMO methodology and system processes (PMI, Waterfall & Agile),
• Support standard PPM & Agile objects like Groups, OBS’s, Portlets, Time Slices, Calendars, Other Work, Cost Matrix, etc., Experience in building, customizing, and exporting PPM & Rally Reports and Dashboards
• Proficient with Microsoft Excel for data manipulation.
• Administered licensing and track usage metrics for reporting and oversight.
• Maintained departmental documentation of job duties, monitoring functions and production support activities.
• Coordinated and worked with the offshore mapping team (RSC) to develop and update Sterling EDI X12, EDIFACT, Typing, DocExtract, pre and post process maps and Business Processes into IBM Sterling Integrator.
• Monitored the flow of data through EDI applications to ensure all operational systems are functioning properly when needed.
• Implemented Web-Services successfully including all the components such as WSDL creation, XSLT's, Schema Mappings, Business Processes needed for successful SOAP
• Defined and collected metrics and key performance indicators that align with the goals of the business. Developing basic workflows and triggers
• Provided technical expertise and support for EDI communications.
• Implemented EDI and XML standards, including Web Services and Schema Mappings.

EDI Business Analyst

Confidential

Responsibilities:

• Experience in EDI setup, analysis, design, mapping, testing, troubleshooting, implementation and daily operational activities.
• Experience in developing EDI HIPAA transactions like 997, 270/271, 276/277, 834, 835, 837 and 999
• Experience in strong understanding of the encounter process for CMS rules/regulations
• Used Informatica file watch events to pole the FTP sites for the external mainframe files.
• Involved in testing different interfaces and web application for FACETS .
• Experience in EDI relating to CMS Encounter Data and CMS institutional claims billing.
• Working knowledge of EDI files including: 837P, 837I, 277CA, 999, 834, 835.
• Experience with EDIFECS SpecBuilder, MapBuilder, and XEngine.
• Monitored the submission of claims data through the CMS Encounter Data process.
• Experience in resolving all EDI (999, 277) and CMS (MAO) errors.
• Working knowledge of communication methods: Value Added Networks (VANs), AS2, HTTPS, FTP, SFTP and other communication protocols.
• Set up and configure trading partner agreement/relationship in TM.
• Manipulate guideline files and analyze data in SpecBuilder (v7.0.8 & v8.0).
• Monitor and validate transactions in TM.
• Debug and maintain EDI process via XEngine Service (XES), XEngine Server.
• Knowledge on Java Scripting used in map guideline files SpecBuilder.
• Experience in performing system configuration, mapping and day-to-day management of EDI transactions and processes.
• Troubleshooting the EDI and scripting process for errors using EDI, 3rd party, communication (FTP) and application software.
• Managing and encountering inbound and outbound including submissions and responses files
• Maintaining the SQL code necessary to process claims through the Encounter Data process and make any necessary enhancements.
• Reviewing and resolving claims and system edits using SOA multiple systems, processes and procedures.
• Knowledge of medical terminology, and procedure codes, pricing, and provider contracts
• Experience working with transactional databases and data warehouses.
• Ability to perform Ad-Hoc queries and data transformation for reporting.
• Experience in SQL, C++, Python and C# query writing within a Microsoft technology environment.
• Proficient in developing SQL procedures in SQL Server.
• Setup and configuration of CA PPM (“Clarity”) & CA Agile (“Rally”), migration to the latest versions, troubleshooting data warehouse issues.
• Upgraded CA PPM 14.2 to CA PPM 15.3 for better Portfolio Management and implemented latest features and functionalities successfully.
• Integrated CA PPM with Qlik Platform using REST API to merge and create Time Management reports and dashboards from CA PPM and Service Aid.
• Integrated CA PPM with CA Agile Central to implement latest functionalities of the tools for better usability.

Systems Analyst

Confidential

Responsibilities:

• Implemented and imposed scrum principles and procedures facilitated continuous improvements and identified team impediments.
• Monitored team backlog, maintained Kanban dashboards and ensured they accurately reflect team activities and current state of the sprint and its releases/iterations.
• Provided user stories, acceptance criteria and High-Level scope documentation to the Product Owners and tracked progress in the Agile Platforms.
• Created ICD-9-CM/ICD-10-PCS comparison document and dealt with DRGs.shift through CMS files.
• Documented ICD9 to ICD 10 mappings one to one/one to Many according to the GEM files from CMS with the functional and structural changes related to the conversion.
• Facilitated daily scrum activities, meetings and stand-ups.
• Managed risks to delivery, RAID log and Lessons learned activities during each sprint.
• Maintained and tracked test scenarios, UAT, Unit Testing and Test plans for various EDI projects related to patient-treatment invoices and report shipments.
• Established and actively managed all projects and key stakeholder expectations, maintained customer interactions and relations.
• Reported team productivity, project time tracking and communicated effectively to the team.
• Experience in maintaining and enhancing the already implemented business process.
• Used the Model View Controller (MVC) architecture to decouple the business logic and data.
• Used UML and Rational Rose suite for designing the System.
• Used the Spring Framework for Customer authentication services.
• Worked on Data Mapping and Data Routing, transformed XML documents.
• Involved in development, coding, compiling, testing and migrating and end to end testing inbound and outbound processes for various transactions.
• Implemented JSF applications for login, logout, locale settings, profile administration, account transactions and layout customization.
• Developed and deployed EJB2.0 bean components.
• Developed and provided maintenance for 20+ .NET websites, using ASP.NET MVC, jQuery, HTML, and CSS. Achieved 100% client satisfaction and on-time completion.
• Used SQL Server 2005 as the back end and wrote SQL queries and stored procedures.