We provide IT Staff Augmentation Services!

Software Engineer - Edi Analyst Resume

Naples, FL

SUMMARY:

Positive, results - driven, and innovative individual with over 10+ years technical mainframe expertise including COBOL-II, PACBASE, XGEN, APS, JCL, DB2, CICS, MQ-Series, IMS and VSAM as well as working directly with customers in a consulting capacity throughout the full software/system life cycle, (SDLC), utilizing Agile, waterfall, Sequential Development or IFW Methodologies. Background includes international and domestic experiences in leadership role, three (3+) years of team lead experience, business administration and project management. Projects included implementation of software applications, modules, and upgrades, as well as conversions within the industries of Government, Health Insurance, Insurance, Automobile distributor, Financial, and Telephone Communication. Develop matrix for RAPSODY to map their EDI files to the 5010 transactions. Project management expertise includes analysis and planning, systems implementation and methodologies, technical, and documentation review.

KEYWORDS/TECHNOLOGIES:

Industry: Life and Health Insurance, Government, Manufacturing, Inventory Control, Automotive Finance, Financials, HIPAA transactions (X12, 835, 837, 270, 271 & 276)Claims Processing, EDI claim processing, Conversions

Skills Summary (years): PACBASE (10), COBOL, COBOL II, III (10), SDLC (10), XGEN (1), CICS/BMS (10)SDSF (7), IMS DB/DL1 (10), IMS DC (5), JAVA (1), HTML (1), XML (1), Shell Script (1), Eztrieve (5), TELON (2), APS (2), DB2 and DB2 UDB (10), SQL (10), EDI (X012, 835, 837, 270, 271 & 276), QMF (5), SPUFI (5), VSAM (10), STROBE (2), Stored Procedures (4), ROSCOE (2)ZEKE (5), SAR (3), Quality Center (2), MS SourceSafe (1), SharePoint (1), J2EE (2), MFE (1), XIDE (1), MVS JCL (10), MS Access (2), VBA (3), Visual Basic (1)TSO/ISPF (10), CEDF/CEMT (10), Expeditor (10), Intertest (4), SmartTest (3)FTP and SFTP (5), ABENDAID (5), ENDEVOR (10), Panvalet (5), ChangeMAN (5), DumpMaster (3), FileAid (10), GSAM (2), MS Office Suite (5), Visio (2), MS Outlook (3)

Operating Systems (years): z/Linux (1), Z/OS and OS/MVS ), UNIX (1), UNISYS (1), DOS/VSE (1), VM/ Confidential (1), Windows NT/2000/XP, 2003, 9 ).

EXPERIENCE:

Confidential, Naples, FL

Software Engineer - EDI Analyst

Responsibilities:

  • Provided Information technology service for MMIS at Confidential for their claim processing system.
  • Converted Confidential version, this included identifying the gap between Confidential version 4010 and 5010calim system, then developed the system change specification.
  • Once the system change document identified where the changes are needed, the specification for the system and programs were also developed.
  • Worked with third party payers and Confidential to produce files for testing the new 5010 changes.
  • Developed the developed new program and updated old one, developed new file structure and data needed to test the new applications and changes.
  • Worked with most of the 66 hospitals to ensure there needs are met during the development stage.
  • Have each hospital (Service Providers) test their new interface to ensure proper transmission of the new data file carrying the 834, 835, 837 transactions.
  • Worked with Payer to ensure the 835 and or 270, 271, 272, 273, 274, 997, 999 transactions are flowing through the systems.
  • Developed the EDI map for the system to map the data to interfaces.
  • Processed hospital claims and then supply the claims data to third party clearing houses for processing at Confidential, Confidential process include sending claims directly to Confidential for payment.
  • We process institutional, professional and individual claims for our clients.
  • Researched requirements for converting the 4010 existing claims to the new 5010 format.
  • This would include the processing of X12 to submit the ICD09 - ICD10 claims.
  • Identifying the changes needed for the new Confidential Version 5010.
  • Applications for this system were developed in COBOL-II. Enterprise Workbench, Quality Center. Coordinate changes with local and national sites. Schedule delivery of updates through QC.
  • Used Enterprise Workbench application(s) to download/upload changed modules from production to test or test to stages, through production environment.
  • Developing strategy to change the applications needed to do the conversion from data to comply with Confidential Version 5010 D.0/3, HIPPA requirements
  • Responsible for enhancements, upgrades, and fixes to Claims transactions that were impacted from production cycle run.
  • Mapping the data to the old file 4010, mapping the data to the new file for 5010.
  • Promoted code changes and new programs utilizing proper methodologies to maintain quality control standards and integrity via Enterprise Workbench system or ENDEVOR
  • Negative and Positive Testing Verification.
  • Prepared test plans to ensure application is fully tested.
  • Create the crosswalk for EDI transaction to be mapped in RAPSODY
  • Provided the LOOP for each field in the crosswalk for RAPSODY to build the HL7 & HL12

Tools: used: Excel, Word, VISIO, VSAM, CICS, DOS/e-VSE, Quality Center, RAPSODY transaction generator for 837, 834, 835.

Confidential, Jacksonville, FL

Sr. Programmer Analyst / Consultant

Responsibilities:

  • Convert transaction from data to comply with HIPPA requirements
  • Subject Matter Expert of the XPEDITOR, JCL and standard for XGEN.
  • Responsible for enhancements, upgrades, and fixes to Claims transactions that were impacted from production cycle run.
  • Modify and Compile all XGEN programs after download to PC for local processing using MFE & XIDE tools.
  • On the mainframe side of the system upload the COBOL II version of the program and execute the programs in DB2 UDB 9.1
  • Perform regression testing for all system worked on, do parallel testing to ensure the data is the same.
  • Promoted code changes and new programs utilizing proper methodologies to maintain quality control standards and integrity via Enterprise Workbench system or ENDEVOR
  • Negative and Positive Testing Verification.
  • Compiled and assembled computer code and performed appropriate testing for both online and batch using Expeditor as needed.
  • Prepared test plans to ensure application is fully tested.
  • Identify modules need to migrate from z/OS to z/Linux system.
  • Identify feeds needed for DASHBOARD SYSTEM
  • Point UNISYS feed to new z/Linux system
  • Point UNIX feed to new z/Linux system
  • Migrated input data to z/Linux via FTP and SFTP
  • Convert ANSII/EBCDIC files to correct format to process on z/Linux platform
  • Access environment for z/Linux via VPN, access DB2 via XA Manager
  • Use NET EXPRESS to do compilation of COBOL programs
  • Use FileZilla to transfer file on z/Linux system, use PUTTY to do compilation of COBOL programs
  • Use SourceSafe to preserve versions of the program before and after images

Tools: used: Expeditor, ENDEVOR, TSO/ISPF, DB2 UDB, JCL PLUS, Utilities, CICS, SPUFI, QMF, COBOL II, JCL, Syncsort, Z/OS and z/Linux server, XIDE, MFE, FTP, SFTP, VSAM, FILEAID, XPEDIROR, CICS web services, XA Manager, Enterprise Workbench, SourceSafe, SharePoint, VPN. PUTTY, UNIX, UNISYS, J2EE, NET Express.

Confidential, East Setauket, New York

Sr Programmer Analyst / Consultant

Responsibilities:

  • Responsible for programming, analysis, process improvements, problem resolutions, testing and debugging on a multi-platform distributed environment.
  • Recompile all impacted programs that prints third party EOB processing, test the changes made to the programs ensuring the subscribers’ address is printed on third party EOBs claims.
  • Performed Baseline Compares, Error tracking, and reporting using Eztrieve plus.
  • Created User Documentation using Native HTML format to be placed on the IntraNet Portal. Responsible for Web Server Verifications and assisting test coordinators, customers, and other programmers in HIPAA Compliancy resolutions for 835I and 835P claims.
  • Prepared test data for 835 and 837 claims and ensure that if there were refunds IRS deductions are done before checks are written to subscriber.
  • Resolved compliancy errors using EDI (X012, 835, 837, 270, 271 & 276).
  • NPI (National Provider Information), and HIPAA conversions including program, reports and database changes.
  • Supported and maintained existing settlement system in the production environment by resolving production issues and making other client requested changes as needed for 834, 835, 837, 270, 271, 272 & 276 processing.
  • Ensure EOBs are sent to the correct subscribers with their Remits and Checks by checking AFP.
  • Rotating 24 X 7 on-call support.
  • Negative and Positive Testing.
  • Compiled and assembled computer code and performed appropriate testing for both their batch and online system.
  • Promoted new code into production utilizing proper methodologies to maintain quality control standards and system integrity.
  • Converted all DB2 Pack-binds for various internal departments to be generic Pack-binds by using collection ID’s as the basis for the generic builds. This was to allow a program to bind once across 50+ test platforms instead of compiling for individually per platform or to conduct multiple Pack-binds via use of collection id's.
  • Maintained and tested all programs to use these generic Pack-binds and new Collection ID’s where applicable as well other changes not related to conversion efforts. This included both batch and online programs.
  • Interfaced with other teams, departments, and test coordination to create testing plans and approaches for successful multi-platform testing.
  • Promote code changes and new programs utilizing Agile methodology to maintain quality control standards and integrity via Endevor.
  • Ensure all claims presented for payment were settled and the correct EOBs are sent out with the check and/or remittance.
  • Ensure the financial cycle balance each day, and that out of balance is within a given acceptable range for all claims.

Confidential

Project Lead/Team Lead

Responsibilities:

  • Re-vamped the 835, 837 records processing in prep for the new HIPAA requirements processes using X12 formatting as designated by the HIPAA manuals.
  • Created common batch I/O Module for the Confidential adjudicated claims
  • A Module was necessary because the company needed a common access point to all adjudicated claim files GSAM, VSAM and Flat files.
  • Created design specification documents, code the program and implemented the solution for existing programs and future programs.
  • Changed and tested Existing programs to accommodate the new common batch I/O module.
  • All program accessing adjudicated claims were converted to use the Common Batch I/O module.
  • This I/O module was able to read all the claim records associate with a claim by using GETMAIN and RELEASE MAIN
  • Worked with Sr. System Analyst and Business Analyst to design the I/O module,
  • Developed the code and implement the module in system test and then Production
  • Promoted code to production utilizing Agile methodologies to maintain quality control standard across the organization.
  • Assisted all department with the usage of the I/O module.
  • Assisted all the Sr. Programmer Analyst with instructions on how to utilize the functions.
  • I was responsible for 3-4 reporting to me.
  • Responsible for maintaining and support of existing Confidential systems while legacy was migrated to new platform being split between IMS DB (20%) and DB2 (80%).
  • Worked on application providing production support
  • Worked on Benefit application providing production support
  • Modified Supplemental Benefits application for new enrollees into Medicare

Tools: used for all projects while at Confidential SC: TSO, ISPF, JCL, Easytrieve plus, COBOL, CICS, VSAM, testing, analysis, mainframe, WORD, EXCEL, Access, SQL, Endevor, HTML, ISPF, Utilities, Sorts, DB2, APS, DUMPMASTER, Smart Test, Z/OS server system, ZEKE, GSAM, Quality Center.

Confidential, Bedford, NH

Tech Lead

Responsibilities:

  • Used MRP and APP to update online screens.
  • Coded new PACBASE and COBOL-II Online and Batch programs.
  • Developed New PACBASE programs to produce reports for ATM processing for Confidential .
  • Worked on the following systems: Retail Banking application, Telephone Call Center, Loan Service Centers, Commercial Loan Operations, Investment Management Group, National Enterprise Operations - On-shore and Off-shore and Asset Management.
  • Took a leading role on fixing errors on the ATM system applications; Worked on the ATM transactions for bank processing systems.
  • Created ZEKE entries to schedule new jobs, develop new trigger to release new jobs.
  • Updated existing jobs in the scheduler to prevent untimely release. Worked with operation to ensure existing jobs were not impacted.
  • Develop system flow chart for new job schedule and modify existing job flowchart. Created new SARS entries for jobs output and modify existing SARS entries.
  • Responsible for programming, analysis, process improvements, problem resolutions, testing and debugging on a multi-platform distributed environment
  • Worked with Sr. System Analyst and Business Analyst to design the needed enhancements on moderate to complex application systems
  • Research application change and develop solution for the changes. Determine code change implementation process using the SDLC
  • Promoted code change and new modules to production while utilizing Agile methodologies to maintain quality control standard across the organization.

Tools: used: PACBASE, COBOL II, TSO, CICS, IMS, DB2, SQL, VB 6.0, ISPF, HTML, Dreamweaver, JavaScript, JCL, Panvalet, ENDEVOR, CA-7/CA-11, SmartTest, SPUFI, QMF, Expediter, Utilities, VSAM, AbendAid, FileAid, Platinum Products. SARR, ZEKE, OS/MVS, Sharepoint, Quality Center, SourceSafe, testing, Analysis

Confidential, Port Charlotte, FL

Sr. Programmer Analyst - Team Lead

Responsibilities:

  • Responsible for programming, analysis, process improvements, problem resolutions, testing and debugging on a multi-platform distributed environment.
  • Developed new application of the logistic systems, then test all application and merged it with the existing application in the system.
  • Developed all the JCLs for the new applications.
  • Updated the Online screens to enter the new transaction type, add transaction to CICS
  • Schedule new programs through ZEKE
  • Used STROBE to do performance testing of DB2 programs

Tools: used: COBOL, COBOL II, TSO, CICS, IMS, DB2, SQL, ISPF, HTML, JCL, DUMPMASTER, ENDEVOR, ZEKE, SARR, ENSCRIBE, STROBE, NON-STOP, SmartTest, SPUFI, QMF, Expediter, Utilities, VSAM, AbendAid, FileAid, Platinum Products. OS/MVS.

Confidential, Fort Myers, Florida

Counselor

Responsibilities:

  • Provided assistance to the families and children that are abandon, neglected and abused.
  • Represented them in court and find community assistances for the families.

Confidential, Port Charlotte, FL

Programmer Analyst

Responsibilities:

  • Wrote, test, and implemented all batch DB2 programs in COBOL-II
  • Worked with users on analysis of production reported errors that required fix, worked with users to define scope of changes, prepare specification of changes.
  • Changes were loaded in QC and SourceSafe for developers to complete.
  • Worked with developers to understand change(s) as requested by the user(s) community.
  • Develop test data for developers to use in testing change(s) as define in specification.
  • Worked with QA to set up environment(s) for testing application for users’ communities in order to obtain signature for sign-off.
  • Made changes to trigger in CA-7 or ZEKE as the new change required different processing time. Coordinated the changes with offshore team.
  • Apply the standard to transfer test modules to production environment through endeavor or changeman. Verify that module are elevated to production and post production efforts are supported until user communities are satisfied.

Tools: used: COBOL II, DB2, SQL, TSO, OS/MVS, JCL, ISPF, SPUFI, Utilities, ChangeMAN, ENDEVOR, CA-7, IMS, RDBMS, FTP, J2EE, XIDE, MFE

Confidential, Salem, NH

Sr. System Analyst - Team Lead

Responsibilities:

  • Providing services to the State of Pennsylvania Human Resources information systems.
  • The Human Resources administrative systems were coded in PACBASE/COBOL-II utilizing DB2 database.
  • Major responsibilities were to lead the project and provide guidance to our client's company and other Consultant associated with the project.
  • Maintain existing systems until the successful implementation of ERP system.
  • Provided software application support for the user’s communities.
  • Develop internal and external specifications for programmers.
  • Assist System/Programmer Analyst in coding and testing systems requirements, while guiding and coordinating the testing of systems and programs.
  • Managed and supported the implementation of changes resulted from Production system, these changes or updates are generated from the production system Incident Report log.
  • Assisted client to understand implication of changes and impact to other systems.
  • Assisted and provide directions to Senior and Junior Programmers with their assignments.
  • Reported the progress of projects to management through tracking software.
  • Developed test data for Jr. Programmers. Maintain test region and database for applications in test area.
  • Assisted programmers transfer their changed program(s) & ECL(s) changes from test to production environment.
  • Responsible for programming, analysis, process improvements, problem resolutions, testing and debugging on a multi-platform distributed environment.
  • Developed internal and external specifications for batch and online programs
  • Assisted Programmer Analysts with the test data needed to test their applications for the payroll system.
  • Modify the time entry system for per customer request, the change was s result of Product support for addition of new union.
  • Team Leader design system changes for application ranging from man hours
  • Converted several non PACBASE programs to COBOL-II, use Eztrieve to pull down some production data. Programs accessed DB2 and IMS
  • Ensure all changes were moved to production environment using Waterfall methodology utilized by the company.

Tools: used: PACBASE, COBOL-II, ETL, CICS, DB2, IMS, DATACOM, SPUFI, Eztrieve Plus, Assembler, VSAM, SmartTest, FileAid, AbendAid. DUMPMASTER, CA-7/CA-11, SARR, ENDEVOR, Word, Excel, visio, powerpoint

Confidential, Columbus, OH

Programmer Analyst

Responsibilities:

  • Worked as a COBOL/PACBASE consultant providing services for account payable applications.
  • Maintained the account payable databases by provide on call services for the database and programs during the conversion of the programs from COBOL to PACBASE.
  • Develop the model office environment for testing new and existing Batch/Online applications.
  • Worked with programming and operation staff to create new testing environments.
  • Populated tables associated with the daily cycles, identify channels where data were received, then develop interfaces for accepting data into the system.
  • Identify input feeds, output report and transmit files.
  • Build all VSAM, GSAM file associated with the environment.
  • Identify the jobs in the Daily, Weekly, Monthly and Annually files and tables.
  • Add the monitoring tools such as ENDEVOR, STROBE, FILEAID, XPEDITOR.
  • Aided in designing and maintaining their retirement account for state teachers, application were coded in PACBASE which generated COBOL-II code.
  • Programs were coded using CICS and batch processing, new transactions were added to PPT tables.
  • Identified obsolete programs and archive those modules. Identify programs that could be combined in job stream and remove them or modify as was necessary to improve processing time
  • Create JCL to add new programs to the scheduler, develop report entities for SARR

Tools: used: PACBASE, CICS, DB2, IDMS, SQL, TSO, OS/MVS, JCL, ISPF, SPUFI, VSAM, ENDEVOR, CA-7, ZEKE, SARR, Utilities, GSAM.

Hire Now