Summary of Experience:

• Over 10 years designing, developing, and supporting Healthcare systems in both the private and government sectors.
• Excellent database related skills, including design, analysis, and support.
• Highly praised by clients for implementing cost saving measures into existing systems.
• Participated in revitalization effort for Confidential MMIS systems.

Confidential

Tools:

• Changeman, Spufi, SQL,Erwin, X12 interfaces for 837, 835 and 834, CMS and MITA Architecture,
• Visual SourceSafe, IBM Rational Suite, MS Project, Microsoft Office, Change Management, Abend
• Aide, Configuration Management, FLDC Testing, Agile, Scrum, SQL, JCL, BMC, COBOL2, Platinum
• Utilities, CHANGEMAN, 5010 processing, APPTUNE, VISIO, CA, DB2MONITOR, Endevor,
• Lotus Notes, File-aide, MVS/TSO, WORD, Systems Architecture, DB2, QMF, C, XPEDITER,
• CICS, Easy Edit, Panvalet, and various other mainframe tools.

Operating Systems: Windows 2007 Windows XP. MVS Mainframe.

Programing: SQL, JCL, BMC, COBOL2, Platinum Utilities, CHANGEMAN, APPTUNE, VISIO,

Endevor, Lotus Notes, File-aide, MVS/TSO, WORD, DB2 , QMF, C, XPEDITER, CICS

X12 interfaces for 837, 835 and 834, Easy Edit, Panvalet, and various other mainframe

tools.

EXPERIENCE

Confidential

Title: Senior Business Analyst

As part of an elite team, I am responsible for identifying company projects that were in jeopardy of missing scheduled implementation dates. I then develop a strategy to include resources and updates to areas of impact that ensure the success of the project. During my time at Marriott, my team has never missed a scheduled implementation date. I work as both Business Analyst and Sr. Programmer Analyst, providing programming and analytical support for the Rewards team.

Title: Senior Programmer Analyst

Lead programmer/Business Analyst for the Claims team. Worked with system users to analyze, document the legacy system, create design specifications, and implement NPI inquiry and Exam Entry into the online system. Designed, documented, and developed NPI reporting for batch Claims processing. Researched and developed a reporting system for Illegal Alien claims that facilitated tracking and payment of these claims. I incorporated NDC regulations into the current system. Worked extensively with state auditors to facilitate the tracking and usage of specific drugs related to their allowed diagnosis codes.

Title: Environmental Architect

Environmental Architect for the revitalization effort for the Mississippi MMIS system. Facilitated and participated in Joint Application Review sessions with current staff, to gather requirements, establish use cases, and ensure overall quality of system enhancements. Analyzing, designing, documenting, and testing of enhancements for Reference, Provider, TPL, and Claims subsystems. Designed and implemented twelve new test environments to support client implementation of enhancements to fifteen subsystems which includes Platinum Utilities, Detector, DB2 Commands, fast unload, backup and recovery procedures using Image Copy, Quiesce, Restore, DSNTEP2, database refresh processing and Spufi. Provided CICS supportutilizing working knowledge of FCT, PCT, PPT and RCT processing including set up and modification of these structures. Developed X12 interfaces for 837, 835 and 834 transactions. I developed systems documentation to support the new code being implemented into the MMIS applications. Incorporated efficiency techniques learned from the Georgia project, into the new MMIS system.

Title: Senior Programmer Analyst, Test Team Manager

Coding new programs from high level design specifications, unit testing, system testing, and implementation of new code. Established testing procedures and worked with team leaders to ensure the overall functionality of systems changes. Became heavily involved in the efficiency project, reducing the cost of claims processing by 40 percent in a three-month period.

Title: Technical team lead and Senior Business Analyst

Lead programmer and Business analyst, for the EmedNy project. This project was a complete re-design of the New York State Medicaid and Medicare system. Provider system design, program design, technical team leadership, development, documentation, and full life cycle development. Supervised a development team of 25 developers from an offsite location, providing expert technical analysis, and mentoring junior developers during full life cycle project development. Supported Provider, Claims, Forms management, and Eligibility systems.

Title: Technical Team Lead

Technical lead for two new systems, documentation, code review, QA testing, Systems integration testing, and Production Simulation testing, unit testing, tree maintenance, JCL, performance tuning, developing functional designs from high-level concepts, and full lifecycle system development. Design, test, and implement, Voice recognition, Billing, meter readings and usage, payment and delinquency, charge off, and customer support systems. Developed a batch memory manager program used for DB2 processing that saved the client an average of 65,000 a month by eliminating DB2 restart processing. While implementing the latest release of 'FMIS', Duke's new financial management system, I completed PeopleSoft certification in People Tools 1 2, SQR, Application Engine, and People Code.

Title: Programmer Analyst

Part of a team that was responsible for implementing the latest release of QCARE, a batch and on-line system for insurance claims, billing, and collection processing. Making modifications to an existing system, creation of new programs, correcting discrepancies in a production environment, QA testing, Code review, and system testing.

Title: Programmer Analyst

Responsible for implementing and maintaining a system to handle insurance eligibility membership. This included system documentation, program creation, adding new members and their respective JCL to the system, DB2 table maintenance for claims processing, and system testing. Reduced an eligibility backlog by 85 , in only 3 months, and developed strong skills in Excel, Access, Word, PFE, JCL, MS Mail, and QMF.

Title: Intern

As part of an internship Involved in a project to incorporate several new companies into an existing system as a result of a merger between Royal Insurance and Sun Alliance. This included program modification, documentation, and testing.