SUMMARY

• Over 12 years of strong US Healthcare IT experience in Business Analysis, Design and Interface development for achieving operational efficiency in Health care Provider and Insurance Space.
• Experience in performing GAP Analysis and Impact Analysis on various projects aligning with Business needs.
• Experience with relational Data Models and experience with Data Migration.
• Work closely with other Business Systems Analysts, Process Owners and Development Teams as required on projects and initiatives.
• Liaison between the technical and business views of the system by ensuring that the technical solutions being developed aligning the needs of the business vision.
• Excellent client interaction, communication, strong interpersonal, analytical skills and very good learning capabilities.
• Possess strong organization, analytical, problem solving, and interpersonal skills.
• Exceptional ability to maintain and build client relationships, able to comfortably converse with all facets in the client organization and involved in various phases like Requirements, Analysis/Design, Development and Testing.
• Pega Certified System Architect (CSA 7.1) (Completed in March 2015)
• Pega Certified Business Architect (PCBA 8) (Completed in August 2019)
• Knowledgeable in area of various types of health insurance programs such as Medicaid, Medicare and MMP.
• Extensive knowledge on Care Management and Pharmacy Prior Authorizations.
• Hands on experience in integration lifecycle and enterprise integration services and SOA.
• Experience with diverse clientele Confidential Healthcare, Intermountain Healthcare,

TECHNICAL SKILLS

HealthCare Protocols: HL7 2.x, CDA, CCD

Integration Engine: Ensemble, Mirth, Rhapsody, Microsoft Amalga UIS, GE ConnectR, Healthunity HIE, AllScripts Interface Engine, IHE

Business Skills: Business Process Analysis & Design, Requirement GatheringUse Case Modeling, JAD Sessions, Gap Analysis, Impact analysis and Data Mapping

Programming Languages: Cache object Scripting, C#.Net Integration.

Development Tools: Visual studio .NET 2005/2008/2010

Analysis Tools: PowerPivot, MSBI

Web Technologies: HTML, DHTML

XML Technologies: XML, XSL, XSLT, SOAP, Web Services.

Relational Database Tools: Oracle 10g, Intersystem CACHEDB, MS SQL SERVER 2005/2008 R2

Operating System: Windows 9X/XP/2000/2003/7, Linux

Scripting Languages: Java Script, VB Script

PROFESSIONAL EXPERIENCE

Confidential

Business Analyst

Responsibilities:

• Proficient in different software development life cycle (SDLC) methodologies such as Agile/Scrum models.
• Excellent organizational, planning and time management skills for handling multiple and conflicting activities.
• Knowledgeable in area of various types of health insurance programs such as Medicaid, Medicare and MMP.
• Proactively work with stakeholders to identify future system opportunities and enhancements.
• Strong Experience in building data interfaces between EHRs, EMR’s and HIEs.
• Accomplished business and system analyst in developing interfaces using Ensemble, Mirth , GE ConnectR, Rhapsody Integration Engine, Healthmatics Interface Engine, eGate and Amalga Parsers.
• Worked extensively in the areas of Hospital Workflow, Physician (Ambulatory Workflow), Laboratory Workflow , etc.
• Designed HL7 technical specifications for ADT, SIU, ORM, and ORU.
• Extract the requirement, configure and test HL7, flat - files with various transport protocols connections for different integration check points.
• Extensive design and programming experience with web technologies like CSS, HTML, HTML5, XML, and XSL/XSLT.

Confidential

Lead System Analyst

Responsibilities:

• Involve in designing & developing application's PEGA PRPC rules.
• Brainstorm the solutions for data mappings and development of PEGA PRPC Flows, Activities, Reports, Data Pages, User Interface and Flow actions for HEALTHY RETURNS SYSTEM (CARE MANAGEMENT and DISEASE MANAGEMENT) application.
• Design database entities of the project and create multiple stored procedures emphasizing on Performance of the data retrievals using Microsoft SQL Server, Oracle, etc.
• Analyze and build API using SOA and RESTFUL services for smooth exchange of Member health benefit data for Medicaid, Medicare and MMP benefits between multiple tenant applications.
• Implement exception handling mechanism through the system (web services, windows services, back end) using enterprise application blocks.
• Responsible for Data Modeling and source to target mapping through data analysis for extracting data elements from various OLTP using ETL technique and utilized Business Intelligence Tool for report generation.
• Demonstrate expertise in HRS system integration with external systems using PEGA Service rules, Listeners, Files, SOAP, REST Web services and SQL.
• Lead identification and definition of key architectures, components and interfaces for migration of HRS to HIP platform, design of Data model and data/information flows using Mongo DB.
• Provide technical support for issues during testing, business checkout and deployment stages in various environments such as SIT, UAT and PRODUCTION.
• Prepare different use case scenarios for all new and existing applications, organize quality assurance activities and prepare high level design structure for HRS application.
• Perform data modeling and apply coding standards and best practices for fine tuning system
• Performance.

Environment: SQL - server, MongoDB, Java, Windows OS

Confidential

Programmer Analyst

Responsibilities:

• Extracting requirements from eGate by understanding the workflow and logic of the existing interface.
• Build custom code for processing of messages with in mirth to process messages of different formats which includes creating custom tables and code templates such that it can be used globally across multiple clients.
• Creating functional flow documents specifying logic and the approach in building the interfaces in Ensemble mentioning the old eGate logic and the steps for Ensemble interface building.
• Build the interface using Ensemble which needs to be migrated from eGate code written in Java to Cache object Scripting and Conduct quality assurance activities such as peer reviews.
• Execute the Unit testing to verify the results and create release packages to deploy to the QA environment
• Creating implementation plan to promote to UAT and PROD which will contain all the necessary steps for promotion from QA.
• Create support documentation for all the ensemble components used in building the interfaces.
• Support User testing for any issues post Go-Live of the interface.

Environment: Java script, Mirth Integration Engine.

Confidential

Senior Integration Analyst

Responsibilities:

• Creating parsers from the source, Connectivity Director to HIE.
• Handling the requirement of transformations from custom Flat file to transform to HL7.
• Handling the Batch messages to transform to individual HL7 messages.
• Involved in creation of custom classes for Business service, process and operations in Cache.
• Writing the unit test classes for the production and the individual custom classes and packages.

Environment: Cache Scripting, Ensemble 2010, 2012, 2013.1

Confidential

Senior Integration Specialist

Responsibilities:

• Setting up the appropriate Amalga Environment for Data Flow and Message Processing
• Preparing Amalga Environment to parse data by consuming Data feeds, Packages, Messages, segments, elements, tables, and internal identifiers.
• Writing Parsing Scripts, Debugging, and Lookups Days
• Building Applications, Base views, User views, Permissions and Cohorts: Solving the use case
• Creating parsers for loading the incoming messages to the database.
• Working on the dashboards to integrate the data with the Provider UI.
• Developing ADT Interface.
• HL7 Message Analysis for Amalga ID Configuration.
• Feed Analysis Documentation.

Environment: C#, SQL Server 2008, Amalga UIS