Professional Experience Summary

• Currently working as a “Project Lead” at Syntel, Ltd and playing a dual role of “onsite production support Team Lead\\Business Analyst” for EDI module at client location in USA for the last 3 years 3 months.
• PAHM certified in “US Health Care Payer” domain.
• 6 years 3 months of experience in maintenance\\24x7 prod support\\implementation-upgrade of applications and projects using Open systems and IBM Mainframe Technologies in “US HealthCare Payer – EDI” domain which includes 3 years 3 months of experience at various client locations like Wellpoint and TriZetto in USA.
• Handful of Experience in EDI Gateway platforms that supports “Facets, QNXT and QicLink Claims Systems - TriZetto Group, Inc.” and “Qcare Claims System – Wellpoint, Inc.”.
• Gained expertise in HIPAA EDI ANSI 4010 and 5010 X12 transactions (Batch and Realtime) for healthcare and life sciences. The transactions include 837, 837 Outbound, 835, 834, 820, 997, 999, 270/271, 276/277, 277U, 277CA and 278. Desired to work in ICD 9 to 10 conversion projects.
• Formulated efficient and advanced trouble shooting skills that could debug the claims in the ANSI X12 format from a technical and business point of view. Conducted many Induction training programs to US Full time employees on the ANSI X12 transactions.
• Earned skillsets on handling EC map\\XSLT\\MS BizTalk mapping from HIPAA ANSI format to claims proprietary format under EDI – Health Care Payer side.
• Successfully led a team size of 16 resources at offshore and worked as a Quality Assurance head for a 70 head count project. And faced external audits like SAS-70 and so on.
• Ample experience in designing, coding, unit testing, de-bugging, documentation and implementation life cycles of a project.
• Besides the current project I am undertaking, also helping the fellow projects to build the Gateway modules that runs on Facets.
• Received a Syntel Value award “SPEED” in the year 2011 for outstanding performance.
• Received a “Service Quality Award” from TriZetto for implementing the CIGNA-CYCLONE project successfully in May 2012.

Technical Skills:

• Operating Systems-OS/390, ZOS, Windows 2000/XP/7 and Windows Server 2008
• Programming Languages-XSLT, EC mapping, JCL, COBOL, CICS, EASYTRIEVE, Perl and IBM Web sphere MQ series
• DBMS-VSAM, SQL Server, DB2, Siebel and Oracle
• Tools-EC Maps\\XSLT (837, 837 Outbound, 835, 834, 820, 997, 999, 270/271, 276/277, 277U, 277CA and 278 in both HIPAA ANSI X12 4010 and 5010), MS Biztalk, Cyclone Activator, Globalscape, Tidal Scheduler, Onyx ticketing System, HP service Desk, Gentran, Chgman, Xpeditor, Fileaid, Control-m, $Avrs, Mainview, Infopac, File Manager and Debug Tool

Educational Qualification

• Bachelor of Engineering (Computer Science Engineering)

Project Experience

Project 1:

Work Unit

Confidential

Client

Confidential

Name of the Project

EDI Batch processing

Duration

Jul 2006 - Oct 2007

Team Size

10

Role

Analyst Programmer – Level1

Responsibilities:

• Involved in analysis of requirements & analyzing existing programs.
• Preparing Technical program Specifications document.
• Involved in preparation of unit test plan.
• Coding the program as per the client specifications mentioned.
• Unit testing of the changed programs.
• Following the quality procedures prescribed in the project.
• Played a crucial role in completing a critical project – ‘NPI ‘, successfully in the domain of Health Care with the assistance from onsite with a team of 5.

Work Unit

Confidential

Client

Confidential

Name of the Project

EDI Real time

Duration

Nov 2007 - Apr 2008

Team Size

2

Role

Analyst Programmer – Level2

Responsibilities:

• Involved in real time production support activities by monitoring the batch scheduler (CTM) error queue and suggesting permanent solutions if needed.
• Successfully implemented few Projects like ‘NPI full Compliance’ and ‘EIS Rerouting’ in Real-time system.
• Involved in analysis of requirements & analyzing existing programs.
• Preparing Technical program Specifications document.
• Involved in preparation of unit test plan.
• Coding the program as per the client specifications mentioned.
• Unit testing of the changed programs.
• Following the quality procedures prescribed in the project.

Work Unit

Confidential

Client

Confidential

Name of the Project

Common Coder

Duration

May 2008 - Aug 2009

Team Size

4

Role

Analyst Programmer – Level3

Responsibilities:

• Played a crucial role while working in Common coder system, a new sub system, added as successor to the EDI system in the project flow. Also implemented a project (Common coder ITS 10.2) and few Service requests in the same system.
• Involved in analysis of requirements & analyzing existing programs.
• Preparing Technical program Specifications document.
• Involved in preparation of unit test plan.
• Coding the program as per the client specifications mentioned.
• Unit testing of the changed programs.
• Following the quality procedures prescribed in the project.

Work Unit

Confidential

Client

Confidential

Name of the Project

Id cards

Duration

Aug 2009 - Jan 2010

Team Size

4

Role

Onsite Team Lead

Responsibilities:

• Worked as Onsite Coordinator in Columbus, GA and was involved in client interaction, gathering requirement, and Implementation activities
• Played a crucial Team lead role in maintaining the Id cards system
• Involved in analysis of requirements & analyzing existing programs.
• Preparing Technical program Specifications document.
• Involved in preparation of unit test plan.
• Coding the program as per the client specifications mentioned.
• Unit testing of the changed programs.
• Following the quality procedures prescribed in the project.

Work Unit

Confidential

Client

Confidential

Name of the Project

Commlog

Duration

Oct 2009 - Apr 2010

Team Size

2

Role

Onsite Team Lead

Responsibilities:

• Played a crucial Team lead role while working in Commlog System, a new sub system.
• Involved in analysis of requirements & analyzing existing programs.
• Preparing Technical program Specifications document.
• Involved in preparation of unit test plan.
• Coding the program as per the client specifications mentioned.
• Unit testing of the changed programs.
• Following the quality procedures prescribed in the project.

Work Unit

Confidential

Client

Confidential

Name of the Project

Correspondence System

Duration

Oct 2009 - Apr 2010

Team Size

4

Role

Onsite Team Lead

Responsibilities:

• Played a crucial Team lead role while maintaining the Correspondence System.
• Involved in analysis of requirements & analyzing existing programs.
• Preparing Technical program Specifications document.
• Involved in preparation of unit test plan.
• Coding the program as per the client specifications mentioned.
• Unit testing of the changed programs.
• Following the quality procedures prescribed in the project.

Work Unit

Confidential

Client

Confidential

Name of the Project

EET – Electronic Eligibility Transmission

Duration

Jun 2009 - Jul 2009

Team Size

6

Role

Onsite Team Lead

Responsibilities:

• Played a crucial Team lead role in maintaining the EET – Electronic Eligibility Transmission sub system.
• Involved in analysis of requirements & analyzing existing programs.
• Preparing Technical program Specifications document.
• Involved in preparation of unit test plan.
• Coding the program as per the client specifications mentioned.
• Unit testing of the changed programs.
• Following the quality procedures prescribed in the project.