SUMMARY:

• A fast track, hands on professional with over 37 years of experience in Healthcare, successful in the Architecting, design, development, management, and deployment of technological applications.
• Extensive experience in Enterprise Architecture, Product and Project Management, development, analysis, modeling, defining requirements, and writing stories of complete healthcare IS, operations, revenue cycle, and administration.
• Thorough knowledge and a complete understanding of healthcare applications including all phases of multiple large - scale technology rollouts, all stages of development, CASE, BPMN diagrams, EAI, Use Cases, UML, BPEL, story writing, business process modeling, cost analysis, planning, vendor selection, testing, customer service, and acquisitions applying various methodologies including Summit-D (SDLC), Plan View, Agile/Scrum, Rational Unified Process (RUP), and waterfall.
• Diverse background includes extensive application and database development, the Internet and infrastructure, seamless integration/interfaces and mappings, including EDI/HIPAA, X12/XML, SOAP, HL7, XML, HL7 and the emerging technologies in a large user community.
• Expansive thinker with an outstanding record of implementing new business concepts, delivering and deploying innovative business solutions, and facilitating operations with a high level of all within the required budgets and timelines.
• Expert on 270, 271, 275, 276, 277, 277CA, 278, 810, 820, 824, 834, 837, 835, 850, 997, 999, TA1, NCPDP, HL7

PROFESSIONAL EXPERIENCE:

Confidential, Burlington, MA

Product Manager

Responsibilities:

• Lead a team that developed all Confidential cross-cutting integration web services for all product offerings
• Work closely in a collaborative agile effort with customers and management to establish overall product vision and roadmap
• Decomposed all high-level requirements into epics, user stories, and tasks, all linked from Salesforce to Jira
• Managed, groomed, and prioritized the product backlog in Jira following Scrum practices
• Maintained a two week cadence and promoted transparency by prioritizing the defect backlog
• Collaborated with external customers regularly to keep them involved in product development
• Perform all acceptances and accept as done/complete
• Lead customer and potential customer sprints complete with demonstrations
• Conduct quarterly product webinars to discuss new release features and enhancements via Webinars
• Work RFP and collaborate solutions with management, development teams, and customers
• Heavily contribute to product documentation and other internal s

Confidential, Burlington, MA

Lead Solution/Integration Architect

Responsibilities:

• Design Integration Architecture Services within the OSGI/Camel layer of the OSI model using business objects and detailed schemas
• Design connector channels for iWay SOA integrations suite developed in Java
• Design integration to company HealthRules and Click4Care Application Suite of products
• Develop BPM diagrams that model the integration layers within Business and Technical collaboration efforts, including trading partners, providers, TPA to deliver application solutions and analysis through requirements documents.
• Designed ad wrote all stories and Epics for integration to all 3rd applications such as Market Prominence
• Followed all Agile practices

Confidential, Watertown, MA

Lead Solution Architect

Responsibilities:

• Create all BPM and UML diagrams/models of current/future/solution systems using Sparx and Visio following the Zachman/Togaf framework methodology, including all conceptual, logical, and physical layers.
• Implementations/analysis through collaboration with business, customers, and trading partners to obtain Gate sign-offs
• Develop models/solutions to integrate/interface systems to communicate Eligibility, Providers, Claims, Authorizations, and other health related data via X12 formats, proprietary mappings, ETL, and other means of transformations and communications conforming to HIPAA regulations and legal support.
• Lead sessions with technical team to establish reuse, patterns, and new company conventions.
• Author all technical detail designs (TDD) and Solution Architecture Design Documents (SADD).
• Publish all solutions to company Wiki with artifact storage links in SharePoint (SP) and Version Control (CVS)
• Lead efforts in establishing all non/functional requirements/technologies and traceability matrixes
• Deliver monthly solution demonstrations
• Mentor other architects on frameworks, delivery of artifacts, and solution designs
• Successful in design of new lines of business (LOB) and serve as the technical/architect SME on additional business efforts that included proposals and PowerPoint presentations.
• Provide weekly status reports and communicate any risks or project concerns
• Extensive independent work efforts as well as detailed collaborative efforts

Confidential, Watertown, MA

Lead Enterprise Architect

Responsibilities:

• Led sessions to gather all business requirements to document the details for integration to the Cigna subscriber portal with the back-end SQL data storage systems.
• Use Oracle 11g Fusion Middleware (BPMN, BPEL, Mediators, XML, XSLT, JDeveloper and Web Services, SOA) to develop ESB/OSB systems
• Authored all technical detail design (TDD) documents for Authorizations, Eligibility, and Claim Status including all web services, orchestration, and integration end points
• Work with Sparx Enterprise, MS Visio to develop all UML use cases, activity flow diagrams, sequence diagrams
• Created all version control using TortoiseSVN, CVS
• Lead development team in Cloud Computing, Java (JDeveloper), Java, J2EE, and POJO
• Worked directly with the developers to establish and implement best practice standards and implementations
• Made projects transparent to entire organization using SharePoint and by following
• Wrote unit/functional test plans/templates and published these in the project technical documents.
• Conducted testing of web services using Soap UI, Fiddler, XMLPad, and Quality Center
• Debugged XML schemas and mapping translations
• Conducting peer reviews of technical code and documentation
• Mentor juniors on the development of Healthcare applications and the improvement of their skills
• Track and monitor to produce progress reports and report daily/weekly activity and project progress
• Produced BAM BI reporting for reconciliations, SLA

Confidential, Cambridge, MA

Lead Enterprise Architect

Responsibilities:

• Use Agile/Scrum Methodology for group collaborations, user stories, scrums, sprints, and working for continuous quality improvement of monthly deliverables
• Work directly with the sales and marketing teams to develop rule based applications and technical architecture using PRPV v5.5/v6.1/v6.2, BPM, BRE, BAM, EAI, work flow diagrams, activities, methods, JSP, Cloud Computing, Java J2EE, POJO, Servlets, and XML to produced Java based SOA Enterprise applications
• Designed integration and upgrades for ICD10 from ICD9, X12 5010 from X12 4010
• Designed integration/connectors/web services to 3rd party applications and database tables
• Use various tools such as MS Visio, Fiddler, Toad for Oracle/MS SQL/DB2, etc
• Write scripts for the creation and updating of DB tables
• Mentor juniors on the development of Healthcare applications and the improvement of their skills
• Actively participate with the shareholders in the requirements gathering, design, and build phases
• Execute unit, integration, and user acceptance testing
• Develop product presentations for the delivery, vision, solution strategies, and discussions with stakeholders and product owners
• Work with professional services teams for the implementations of products and transition of ownership
• Validate conceptual designs to meet and exceed expectations with new and innovate processes
• Solicit and analyze feedback from the end user community and the in corporation into future releases
• Build application releases, update packages, and service requests
• Followed all Agile practices

Confidential, Wellesley, MA

Senior Enterprise Architect

Responsibilities:

• Used Agile/Scrum Methodology for group collaborations, user stories, scrums, sprints, and working for continuous quality improvement of monthly deliverables.
• Collaborated with the CTO, Director of Finance, Enterprise Architects, and vendors to gather business/technical requirements to write requirement documentation using Requisite Pro and Quality Center.
• Managed vendor relationships, Edifecs and Tibco, detailed specifications, expectations, problem solving, resolution follow-ups, interfacing toolsets, and integrating applications.
• Developed and maintained business/technical architectures models, EAI, BPMN diagrams, Use Cases, Business Process Models including the complete “As Is” and “To Be”, data dictionaries, and documentation using MS Visio, Tibco Business Studio, Liquid XML Studio, Wikis, and MS Word/Office.
• Analyzed current architecture and provided recommendations/solutions/architectural designs to integrate new solutions designs including third party vendors to access critical capabilities
• Documented all HIPAA EDI mappings for X12 4010A1/, 835, 837, 270, 2271, 276, 277, and 278 component based SOA, EAI modeling/integration with XML, XSD, and Web Services.
• Architected iteration models that described the domains, usage, and user interfaces, requirements documentation and deliverables using Caliber and Business Studio. Exposed these on Wiki web sites.
• Created architectural diagrams/models to envision high-level scoping including integration to Amisys, EMR/MPI including ETL, and NEHEN, storage in SQL/Oracle 11g database.
• Managed project scope and reported revised directions of future iterations to project team.
• Mentored on the overall vision and functional concepts of EDI financial processing, requirements, and the deliverable activities.
• Collaborated with customers to elicit their needs and requirements, under their work flow patterns, and tied directly to the new architecture through interface and integration points.
• Used agile, as team member and scrum master, iteration to implement the highest priority stories, chart team velocity to streamline estimates, deliver monthly demonstration working models, and planned releases.
• Developed quarterly releases plans in accordance to the greatest business value
• Created documentation and business designs for storage methods and rule sets for long term safe keeping of all documentation into an enterprise-wide document repository.
• Integrated all repository documents for internal/external viewing through the use of Wiki internet/intranet link for full exposure of the project details, progress, burn down charts, availability charts, tasks list, story points, and assignments including real time dynamic reporting.
• Developed testing documentations, results for UAT, design to test, and material, including the use of Test Director for immediate feedback to development and traceability.
• Collaborated on project plans and resource allocations with the senior PM for work load balancing of projects, budget plans, and estimations for final CIO approval.
• Followed all Agile practices

Confidential, Nashville, TN

Enterprise Architect

Responsibilities:

• Collaborate on the project scope, business/technical requirements, architectural designs, and communication details for electronic payments and data reconciling of all inbound and outbound X12 835 e-payments transaction, XML/XSD schemas, and PDF print formats.
• Interview all stakeholders from each corporate entity to determine their business, reporting, and technical requirements in order to develop a technical business model.
• Utilized SDLC, Agile and Waterfall, to document all business, technical, and data requirements incorporating Use Cases/UML for approval/sign-offs from all stakeholders.
• Architected and developed designs using Visio BPMN diagrams of data work flow movement, reconciliation points, attributes, key data elements, and UML representations.
• Developed Word deliverable documents for review with stakeholders, project champions, and project managers to confirm the scope of the project, the requirements gathered, the technical readiness, in compliance with Agile methodologies.
• Developed Data/System Architecture, Data Models, SOA, Web Services, Data Warehousing, ETL, and EHR/MPI solutions for enterprise system and architectural detail designs, data flows, points of integration, data warehouse designs, data marts for BI reporting, and XML/XSD schemas for system integration to SQL/Oracle 11g database including SeeBeyond for ETL Java/SOAP integration.
• Developed data mappings for e-payment reconciliations, SLA commitments, alert triggered events, and Netcool integration escalation procedures.
• Created data models and normalized data tables for integration into the current systems and for expansion into 3rd party systems using Oracle 10g, UNIX, SQL stored procedures.
• Performed Gap Analysis against production database, new data models, system communications, and system architectural designs.
• Developed new SLAs by designing system required alerting mechanisms by improving and designing new work flow procedures.
• Developed BI reporting from the architected Data Mart for public displaying of real time charting and graphing on strategic systems viewed in locations via large screen panels for both internal customers and externals customers.
• Work close with corporate accounting to assure all aspects of the enterprise system designs are covered under Sarbanes-Oxley compliant standards.

Confidential, Memphis, TN

Enterprise Specialist

Responsibilities:

• Determined project scope, technical/business requirements for communicating inbound and outbound transactions.
• Collaborated with stakeholders and project champions to confirm business requirements, report project status, and updates to the new workflow.
• Communicate with client/third party vendors to collect requirements and the system designs, application coding, and implementation solutions to meet the quality requirements.
• Create project deliverables to obtain sign-offs and milestones for project tracking.
• Perform the mappings between the Worker’s Compensation/FMLA to the Federal HIPAA standard X12 837, 835, 997, 824, and the 277.
• Document the data tables, gap analysis, architectural designs, and BPMN work flow diagrams, and Use Cases for the XML schema interfaces and testing.
• Lead technical discussions communicating with vendors, clearinghouse, and state governments to produce resolution agreements.
• Created deliverables consisting of project plans, releases, requirements, test plans, test labs, and defect tracking using Project, Word, Visio, and Excel
• Performed all test cases with team members, in-house, remote offices, vendors, clearinghouse, state governments, satellite offices, and financial institutions using HP Quality Center Enterprise Edition / Mercury Test Director.
• Maintain version control using Tortoise SVN
• Develop Oracle interface tables using tools by Toad, storage in SQL/Oracle 11g database.
• Create SQL scripts for testing Oracle 11g database elements.

Confidential, Clayton, MO

Product Manager/ Specialist

Responsibilities:

• Determine scope of projects including initiating the project management, planning, architectural designs, RFP, requirements, business analysis, benchmarks, budgeting, scheduling, development, delivery, and completion through production.
• Created financial budgets, ROI, project timelines, milestones, resource balancing, and administrative reporting that assured on time and on budget tracking.
• Coordinated communications with project champions, sponsors, and owners to identify and scope all requirements, definitions, progress charting, impacts, and change controls methods.
• Manage all resources, schedules, and communication notifications.
• Create capital budgets, obtained approvals, administrative sign-offs, cost breakouts, expenses, and business valued justifications.
• Creates reports and conducted meetings in regards to current and ongoing expenses, project schedules, resource demands and requirements, milestone status’, critical issues, challenges, and change controls.
• Created Business Object analysis with Crystal Reports.
• Set deadlines, assign responsibilities, monitor and summarize project progress.
• Lead and managed entire claim sets as defined by the Federal Government, State Governments, Medicare, Medicaid, and commercial arena as required by their X12 EDI HIPAA and HL7 ADT/DFT/OE specifications.
• Managed and lead all development/upgrades/architectural designs from NSF to HIPAA compliant ANSI X12 mappings with completion 1 year ahead of schedule compliance to 92 connections, intermediaries, clearinghouses, adjudication centers, VANs, and gateways.
• Work directly with user community to obtain change requests, business requirements, and functional requirements.
• Collaborate with developers, vendors, and management teams to delivery designs and strategies to successfully bring into production enhancements and upgrades to the products.
• Architected and integrated SAP Purchase Orders systems, MMIS, IDOCS, and integration engines developed and maintained in Peregrine/Inovis TrustedLink running on Unix with an SQL/Oracle 11g storage database
• Design system architecture of n-tiered applications to integrate with McKesson HBO patient accounting, material management, with middleware to vendor products for electronic commerce.
• Performed Project management using Visio, Project, Lotus Notes, Excel, following standard development life cycles (SDLC) methodologies.
• Mentored colleagues, managers, and others on project managers, on methodologies and system architecture/middleware.
• Maintained version control, disaster recovery plans, and system/application specifications.
• The company SME for claims processing using SSI ClickOn and Direct clearinghouse for claim processing and billing to insurances companies nationwide all on a SQL backend.
• Created, administered, and maintained SQL tables and indexes for data warehousing of corporate wide claim processing and history databases.
• Analyzed all electronic transmissions, setup up all LOBs by partnering with other business’ and/or enrolling into service agreements (TPA), determine and setup all appropriate communication parameters, procure and apply integrations for transaction processing, reporting, reconciliations, accuracy, timeliness, verifications, adjudication, proper coding, and final payments,
• Administer all user access, support for users and the 24x7 data center,, authorization, security, and disaster recoveries.
• Delivered reports on opportunities for additional LOBs, ROI, migration plans, project timelines, detailed summary reports, and implementation strategies.
• Developed the architectural design and managed the development of all Claim processing, status inquiries, responses system developed in SQL, Visual Basic, Java, IIS, and various integration engines such as TrustedLink, all automated for batch processing to various insurance companies.
• Integrated prior system architecture with current and future development through integrating enhanced protocols such as SMNP, POP3, LDAP, VPN, JAVA, and SCRIPTS.
• Chaired weekly meetings with over 20 large city hospitals directing all future developments in accordance to federal regulations and newly planned and ongoing initiatives.
• Developed migration paths, system architecture, project plans for database storage on Windows 2003 Servers Running SQL Server Enterprise including administration of the claims processing systems.
• Collaborated with vendors to produce web site commerce and confirmations for tracking of electronic records.
• Collaborated with all insurances, fiscal intermediaries, clearinghouses to assure daily processing for claims, payments, purchase orders, invoicing, remittances, inquiries, and responses.
• Developed mappings for ANSI X12 4010A1 837, 835, 276, 277, 270, 810, 820, 850, 855, 834, 997 for institutional, professional, and commercial.
• Negotiated contracts for costs, fees, implementations, integrations, and support.
• Chairperson responsible for developing and facilitating Mid-West regional claims processing seminars, user groups, and seminars.
• Obtained edi s in HIPAA compliance using various testing tools such as Claredi, Mercury, Washington publishing implementation guides, supplemental guides, vendor toolkits, and HIPAA plug-ins.
• Coordinated communication upgrade to WinBatch and WS FTP Pro from dial-up to ftp over secure web sites.
• Escalated issues with supporting documentation, solutions, and new business procedures that resolve current and possibly future repeating issues.
• Perform upgrades on claims, purchase order, integration engines, and on all applications.
• Conducted communication system support with PC Anywhere, VNC, Remote Desktop, HyperTerminal, Win batch, WS FTP Pro, and WebEx.
• Performed EDI integration work using engines such as Cloverleaf, Integrator, TrustedLink, BizTalk, RealTime, ClickOn, and Mercator.
• Integrated with VAN services including GHX for JIT MMIS Delivery Supply Chain and Real Time notifications.
• Followed all Agile practices

Confidential, Maryland Heights, MO

Senior Project Manager

Responsibilities:

• Managed system wide security teams to fulfill the Department of Defense and HIPAA regulations.
• Developed company strategy deliverables using MS Project, RUP and Summit D methodologies, Word, Visio, and Windows NT.
• Developed business plans for an enterprise-wide security system including all architectural designs that described all interfaces, integrations, sockets, application tie ins, communication parameters, mappings, system access, data exchanges/modeling, RDBMS import/ export.
• Developed schemas for ETL data integration using Solonde Warehouse Workbench
• Developed enterprise wide timelines/budgets for all applications/projects; charter through deployment.
• Worked with nationwide pharmacies and insurances to develop and deploy upgrades of NCPDP from v3.2 to v5.1 including s with WebMD, PAID, and Merck Medco.
• Developed plans for version control, releases, and upgrades, using PVCS.
• Conducted status report meetings using Gantt charts, project status’, milestones, deliverables, schedules, timelines, and workflows.

Confidential, Olivette, MO

Senior Business Analyst / Developer

Responsibilities:

• Developed in Dibol interfaces for claims processing, inventory control, and accounts receivable.
• Created business plans for integration of front end applications to communication with the back end mainframe.

Confidential, St Charles, MO

Chief Healthcare Architect

Responsibilities:

• Designed and architected complete hospital systems including workflow diagrams, integration and interfaces between admissions, billing, accounting, radiology, pharmacy, EHR/MPI using HL7, X12, and Dicom/PACS.
• Defined all hospital and clinical workflow diagrams and architecture using tools such as Visio.
• Installed, configured, and deployed BizTalk, Great Plains, MS SQL, IIS, e-Commerce, eTimesheets Windows 2000 Advanced Professional Servers and clusters and routers which included data flows, data collection, order processing, invoicing, billing, and EDI transactions.
• Created and administered users, access rights, and services.
• Developed XML, XLang, and SOAP EDI integrations with Microsoft BizTalk, Visio, and adapters between Great Plains applications and other business logic.
• Designed and programmed front and back end eCommerce internet bookstore application and EDI with ASP.Net, C#, VB Script, VBA, XML, XSLT, HTML, ODBC, SQL 2000, SQL 2000 Server, VS.Net, .Net Framework, Windows XP Professional, Windows 2000 Advanced Server, BizTalk 2002 Server, and Visio Professional 2002 accessing SQL and Access databases.
• Installed, administered, and maintained BizTalk 2002, SQL 2000, Great Plains, and eCommerce Servers.
• Integrated systems with Microsoft Great Plains Accounting, HR, Payroll, and web based eTimesheets on Microsoft Windows Advanced Server with IIS.
• Develop strategies for customers including hospitals, clinics, outpatient rehabilitation centers, and manufacturing.
• Updated and maintained project management tools keeping with milestones and baselines with Microsoft Project.
• Assisted in the development phase for Microsoft XP Office challenge - finalist.
• Wrote sales proposals outlining strategies for system architecture and system development.
• Work closely with other vendors to help design the business analysis, logic, and integration needs between different applications for seamless integrations including RFIs and RFPs.
• Quilogy s in XML and VS.NET

Confidential, Jacksonville, FL

Senior Business Analyst

Responsibilities:

• Developed the guidelines/ business rules for integration to/from BlueCross BlueShield for transaction processing of claims, insurance eligibility, remittance advices, and benefits.
• Managed and developed EDI specifications, gap analysis, and applications structures for data feeds and mappings for integration with XML, ANSI X12 4010 formats for 270 Eligibility/Benefit Inquiry, 271 Eligibility/Benefit Information, 276 Claim Status Request, 277 Claim Status Response, 700 Attachment Request, 701 Attachment Response, 810 Invoice, 820 Payment Order/Remittance Advice, 834 Benefit Enrollment, 835 Remittance Advice, 837 Claims and Encounter, and 997 File Transmission Acknowledgement, to meet and exceed HIPAA requirements.
• Documented process flow of the transaction operations and record sets.
• Effectively applied and defined business requirements per Summit-D (SDLC) methodologies.
• Trained personnel on transaction sets and proper use of developing mappings with translators.

Confidential, St Louis, MO

Senior EDI Specialist

Responsibilities:

• Used Sybase Neon integration engines running on Unix to integrate with different with HBO/McKesson registration, Cerner radiology, and other EHR/MPI applications, and EDI integration engines for storage into Oracle SQL databases.
• Developed EDI mapping tables and integration scripts for loading of data in batch/real time ADT/DFT/OE HL7 formats.
• Documented process work flow of the transaction operations and record sets.

Confidential, St Louis, MO

Director of Operations/Product

Responsibilities:

• rDeveloped system to trade stocks real time with market makers on Wall St.
• Integrated applications for electronic e-commerce between systems and programmed scripts for loading of data in various formats.
• Performed analysis on the process flow of the transaction operations and record sets.
• Controlled business Profit/Loss operations and daily business operations.

Confidential, St Louis, MO

Project Manager / Project Leader

Responsibilities:

• Architected and designed two complete intranet/internet projects, an Image Based Optical System and an Enterprise Wide Global Master Patient Index and Electronic Medical Records (EMR/EHR/MPI), for the second largest non-profit healthcare organization in the country.
• Defined and architected the migration and all workflow analysis of all film, microfiche, and paper documents to digital storage and retrieval through web browsers.
• Diagrammed architecture using the Booch Method with Visio module interactions depicting responsibilities while complying with CORBA/COBRA standards for multi-tiered access and retrieval on Windows NT and Sun Solaris Unix platforms accessing Oracle and DB2 database systems.
• Managed tasks with methodology tools, Summit-D (SDLC), MS Project, and PlanView including all deliverables, charters, timelines, schedules, budgeting, and milestones.
• Performed budget analysis on cost reductions and savings for department heads, sponsors, stakeholders, and executive board members.
• Interviewed department heads and staff for analysis on designs, considerations, and approval of the business workflow procedures, documentation access, security, and improvements.
• Performed gap analysis for HIPAA compliance for access controls, security awareness and policies, protection levels, encryption, integrity control, audit trails, authorization, s, data backup, storage, and recovery, physical access, and MPI data integrity.
• Developed in Java to interface the legacy systems to Sun Solaris Unix systems for web integration with Netscape Navigator.
• Performed ROI analysis to provide a cost/benefit report demonstrating a reduction in resources versus budget allotment.
• Managed and scheduled vendors interface/integration discussions on the image based optical and global master patient index systems design.
• Analyzed, architect, designed, and developed integrations/interfaces with various EDI tables to deliver electronic messages, primarily batch/real time ADT/DFT/OE HL7, to communicate to all departments and facilities.
• Designed specifications for vendor applications to allow for an open communications path to allow for internal development and access.
• Delivered PowerPoint presentations to department heads, administrators, officers, and sponsors on the new developments regarding access points and the impacts on the enterprise

Confidential, Madison, WI

Project/Product Manager

Responsibilities:

• Architected designed systems and database work flow with the Booch Method using Visio, ERwin and Easyflow diagramming data module interactions, responsibilities, and analysis.
• Architected and created data warehouses by gathering, analyzing, mapping, normalizing, developing import/export functions and interfaces from legacy to shared RDBMS systems.
• Completed numerous large scale full software development life-cycles using various methodologies such as Rational Unified Process (RUP).
• Developed in Metafile, Paradox, Clarion, Visual Basic, C, VB, C++, DDF Builder, R&R Report Writer, Business Objects analysis with Crystal Reports, SQL, and Assembly operating on sequential client/server Btrieve and SQL databases running on Novell network and Windows/NT operating systems.
• Managed teams up to 26 using Timeline, MS Project, Timeline, Timesheet, MS Excel, and MS Word keeping to milestones and delivery dates.
• Deployed 4 major releases and several updates - registration, billing, accounting, medical records abstracting (EMR/HER/MPI), case mix integrated logging, materials management, managed care, general accounting, and inventory control to over 150 national institutions.
• Served as the OOA/OOD/OOP domain expert in the field, evolving new means for application development in C++ and Windows NT for future growth of junior and senior development staff.
• Conducted interviews, hiring, and discharges.
• Responded to RFPs with designs concepts and charges.
• Created and implemented version control (PVCS) and MS SourceSafe.
• Responsible for 24x7 client support.
• Architected, designed, and programmed ANSI EDI X12, X12N, batch/ real time ADT/DFT/OE HL7, NSF, and proprietary interfaces across TCP/IP, XON/XOFF, XNS, IPX, and IEEE 802.3.
• Architected, designed, and programmed interfaces and workflow analysis between modules as a direct result of company mergers with Cerner; for Millennium products such RadNet and PharmNet.
• Designed, programmed, architected databases, managed, tested, and maintained all phases of HIPAA/EDI UB-82, UB-92, HCFA 1500 claims, HEDI, and Cost Containment information, processed from patient billing systems to 46 state specific Bluecross, Medicare, Medicaid, and commercial insurances in HIPAA ANSI X12 formats including 270, 271, 276, 277, 700, 701, 810, 820, 834, 835, 837, 997, and NSF formats.
• Created interfaces to vendor applications including NEIC, SSI, ESI, Datatrac, Medtrac, Cube, Bluecross, Medicare, and several others using COBOL, Metafile, Visual Basic, Unix, DOS, Assembler, C, FTP, Windows, Novell, and various communication packages.
• Collaborated with other vendors to integrate with their applications including all state specific information to process medical claims and feed managed care applications.
• Developed smart card (magnetic strip) technology for quick admission of patients including HL7 EDI interfaces to other systems including Eltrax magnetic strip card readers.
• Designed, programmed, and managed conversion programs from other vendor for new installs populating databases for a quick and easy system change over maintaining all financial integrity.
• Created test plans, test environments, test scripts, and defect tracking for quality assurance of applications.
• Validated test results and resubmissions for further software changes for accuracy.
• Organized beta sites for user acceptance testing and closely monitored the progress delivering patches on a timely basis to deter any interruptions.
• Organized and conducted video recordings on VCR for general releases.
• Conducted seminars both on and off site using PowerPoint, Carbon Copy, and PCAnywhere to educate staff and clients.
• Organized and conducted nationwide demonstrations and presentations at forums across the United States using PowerPoint. Discussed future releases/features and system use to special interest groups.
• Traveled to various facilities to conduct, manage, and install initial new releases to assure a smooth transition to new releases. Met with administrators, officers, managers, and clerks to discuss operations, train, and help restructure operations to gain a more efficient flow of business.
• Worked and traveled with sales teams to give demonstrations, serving as the technical expert, on product lines to assist in closing deals in direct competition with other vendors such as HBO, Cerner, and SMS.
• Created both internal and customer use documentation manuals on workings of the system and applications.

Confidential, Madison, WI

Computer Applications Manager

Responsibilities:

• Pioneered the research, design, and implementation of the first microcomputer network at the University of Confidential using an Altos running Xenix layered with Etherseries.
• Designed, architected, and programmed RDBMS financial and tracking software to on-line EDI direct charge back of services tied to a Sperry Univac 1100 mainframe including all data gathering mappings, analyzing, normalizing, import/export, communicating to all departments throughout the university system.
• Designed, implemented, and administered the network including trouble shooting, security, user rights, file access, updating software and hardware, data directories, backups and restores, and integration to campus wide mainframes.
• Produced all billings with the Xerox Forms Description Language and Postscript by extending the database applications language using laser printers.
• Processed monthly accounting procedures to update all month and year to date totals including interfacing to internal and external general ledgers.
• Created timelines, project milestones, and Gantt charts with ABT Project Workbench for resource allocation, tasks, budget analysis, and project deliverables.
• Trained end users, wrote documentation, maintained the budget, ordered equipment, parts, 24x7 functionality.
• Created slide presentations on the use of the systems with Matrix machines.
• Traveled to different departments and campus’ to assure the system integrity and proper use.
• Preformed customer service support for campus wide applications either through or problem solving.
• Created both internal and customer use documentation manuals on workings for the system and applications.