SUMMARY

• More than thirty years as a senior level contractor/consultant in a wide variety of industries to include Finance, Manufacturing, Retail, Telecommunications, and State and Federal Government. More than fifteen years of Medicaid (MMIS) and private sector HMO systems.
• Positions have included database administrator/designer, supervisory level of manager, task manager, project leader, requirements analyst, systems analyst, business analyst, systems designer, and developer.
• Experienced at every aspect the project management system development lifecycle in a variety of styles to include the phases of general and detail design, business and systems analysis, testing and environment setup, and assessment of technical risks.
• Excellent communicator with strong organizational skills and attention to detail.
• Note that since 1995 the projects have been almost exclusively Medicaid/Healthcare with heavy emphasis on Claims and Recipient Eligibility. The industry concentration was not intended given otherwise extensive, broad based experience. Open to all alternatives.

TECHNICAL SKILLS

• COBOL II, Natural, MicroFocus COBOL CICS/VS, IMS DC
• DB2, IDMS, VSAM, IMS DB, ADABAS Xpediter, EZtrieve, REXX
• SQL Server, Sharepoint, Assembly FileAid, TSO, JCL, MQ - Series
• Graphics Packages per environment and situation: Powerpoint, Word, Visio, Erwin

PROFESSIONAL EXPERIENCE

Confidential, Sacramento, Ca

Business Analyst

Responsibilities:

• Performed reviews, analysis, and evaluation of business systems rules management, business process modeling management, requirements documentation, and end user needs as a business analyst for the new Confidential Medicaid System Replacement Project conforming to the MITA Framework.
• Participated in review of existing use cases in an Agile environment.
• Project was not initiated during the timeframe, ended by the client.
• System platform: IBM Mainframe, COBOL, Java, Oracle, DB2, CICS, VSAM, Sharepoint, Rational.

Confidential, Des Moines, IA

Lead Technical Functional Business Analyst/Developer

Responsibilities:

• Performed reviews, analysis, and evaluation of business systems rules management, business process models, change management procedures and user needs for Recipient Eligibility and Claims subsystem enhancements as a business analyst and developer for the Confidential Medicaid System (MMIS).
• Team participant for design and implementation/conversion of ICD-10 Diagnosis code standards. Defined strategic approach to accelerate critical path execution for early end user system availability.
• Team participant for design and implementation of a Claims Subsystem transaction format upgrade/conversion along with an end-to-end system conversion. Proposed techniques to eliminate extensive planned overtime within the same project timeframe.
• Pharmacy point-of-sale NCDPDP D.0 standards conversion of record transmission and processing with an external vendor with HIPAA 5010 transactions.
• Data analysis using SQL Server against a data warehouse.
• Analysis and program changes to Assembly language modules.
• System is written in CICS and VSAM with Assembly and Sharepoint added.

Confidential, Glen Allen, VA

Senior Business Analyst/Developer

Responsibilities:

• Performed reviews, business rules identification, business process management, and evaluation business systems and end user needs for enhancements to subsystems as a business analyst and developer for the State of Virginia Medicaid System (MMIS).
• Extensive use of SDLC phases: Impact/business rule analysis assessment, budget and time estimation, steps required to develop or modify computer programs, risk identification design, test plan definition, coding and testing, user approval, production implementation and change management in line. Subsystems serviced include Claims Adjudication and user interface developmentPrior Authorization, Diagnostic Related Groups (DRG), Reference, Recipient Eligibility, Provider, and Management Reporting with HIPAA 4010 transactions..
• Team member for the systems analysis, development, and conversion activities within the Provider and Claims subsystems for the National Provider Identification (NPI) implementation.
• System is written in CICS and DB2. Used advanced SQL coding techniques.

Confidential, Lincoln, NE

Business/Systems Analyst

Responsibilities:

• Team member for design, business/systems management, and developer of the Medicaid/HIPAA 4010 EDI transaction compliance implementation.
• Reviewed current system functionality, developed as-is and business process diagrams from COBOL and Assembly language modules, and wrote to-be business rule documentation.
• Analyzed Medicaid models, Federal Government NPRM’s, and HIPAA X12N transaction documents.
• Developed detail design documentation for Suspense claims reporting and applied the required changes.
• Performed business analysis and implementation for a large database conversion from multiple batch systems to DB2 impacting the Claims and Recipient Eligibility subsystems.
• System written in CICS and DB2 with Assembly added.

Confidential, Silver Spring, MD

Senior Analyst

Responsibilities:

• Business analysis and development of two Natural/ADABAS remediation projects to accommodate standard data input forms changes for Department of Energy natural gas data acquisition.
• Full SDLC modifications to include database upgrades and conversions.
• Performed desktop publishing functions to development of Department of Energy Annual Natural Gas publications using Ventura 8 and Adobe Acrobat/Distiller.
• Designed and development of an MS Access/VBA application to collect, process, and transfer data between mainframe and client/server platforms.

Confidential, Baltimore, MD

Systems Analyst

Responsibilities:

• Supported Cold Mill order release facilities.
• Designed and developed Tin Mill inventory movement tracking and physical inventory relocation with Teklogix terminal user interfaces.
• Developer for the steel casting system conversion to handle new slab production dimensions.
• System based on IMS DB/DC, DB2, MQ-Series.