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.

SKILL SET Technical Skills

• COBOL II, Natural, MicroFocus COBOL CICS/VS, IMS DC
• DB2, IDMS, VSAM, IMS DB, ADABAS Xpediter, EZtrieve, REXX
• SQL Server FileAid, TSO, JCL

Training

• 2008 Self-training in Microsoft .Net with MCSD certification.
• 2013 Nine weeks of Java coursework covering 'Core Java', Servlets/JSP, Maven, Hibernate,and Spring.

PROJECT DETAILS

Confidential

Business Analyst

• Performed reviews, analysis, and evaluation of business systems rules,
• Requirements documentation, and end user needs as a business analyst for the new State of California 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.
• System platform: Java, Oracle, DB2, CICS and VSAM.

Confidential

Business Analyst

• Performed reviews, analysis, and evaluation of business systems and end
• user needs for Recipient Eligibility and Claims subsystem enhancements as a
• business analyst and developer for the State of Iowa Medicaid System MMIS .
• Team participant for design and implementation of ICD-10 Diagnosis code
• standards. Proposed 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 along with an end-to-end system conversion. Proposed techniques to eliminate extensive planned overtime within the same project timeframe.
• Lead for the Pharmacy point-of-sale NCDPDP D.0 standards conversion of record transmission and processing with an outside vendor.
• Data analysis using SQL Server against a data warehouse.
• System is written in CICS and VSAM.

Confidential

Senior Apps Dev Consultant

• Performed reviews, analysis, 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 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 and production implementation.
• Subsystems serviced include Claims Adjudication and user interface development, Prior Authorization, Diagnostic Related Groups DRG , Reference, Recipient Eligibility, Provider, and Management Reporting.
• Team member for the systems analysis and development of the National Provider Identification NPI implementation.
• System is written in CICS and DB2. Used advanced SQL coding techniques.

Confidential

Business/Systems Analyst

• Team member for design, business/systems analysis, and developer of the Medicaid/HIPAA 4010 EDI transaction compliance implementation.
• Reviewed claims current system functionality, developed flowcharts, and wrote 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.

Confidential

Senior Analyst

• 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

Systems Analyst

• 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.

Confidential

Business Analyst

• Analyst on a short term project to review the Y2K remediation status of main loan processing system.
• Involved in performing general production support tasks responsibilities.
• System based on IDMS and CICS.

Confidential

Lead Analyst

• Performed business analysis on the Global Investor Services system for Y2K program remediation.
• Wrote system design documentation for application of additional corporate tax computations.
• Participated in production support functions.
• System programmed with ADABAS. Project suspended for funding.

Confidential

Business Analyst

• Performed reviews, analysis, and evaluation of business systems requirements documentation and end user need for the new system State of Maryland Medicaid MMIS replacement project.
• Business, systems analysis, and development of several State of Maryland Medicaid subsystems focusing on the Recipient Eligibility and Claims.
• Analyzed and developed the Medicare Buy-In subsystem.
• Developed portions of Management Administration and Reporting Subsystem MARS .
• Analyzed and redeveloped eligibility and program participation processing in the online user interface for the Recipient subsystem.
• Analyzed and developed the Claims electronic interface subsystem.
• Performed extensive analysis and modifications to the Recipient online subsystem as part of a conversion from fee-for-service to managed care processing.
• Supported development in SURS and Provider Subsystems.
• System programmed using XDB and MicroFocus COBOL along with DB2 and CICS on a mainframe.

Confidential

Systems Analyst

• Analyst and developer for marketing information exchange between an HP LAN/Server and mainframe order entry system using DB2 and QMF.
• Participated in developing a system to exchange information between a mainframe and LAN/Server to keep date on both platforms synchronized using REXX.
• Analysis of enhancements to an inventory control system user interface written in IDEAL/Datacomm.

Confidential

Systems Analyst

• Scheduled three week effort to develop a series of programs to benchmark the company's EDA/SQL product.
• EDA/SQL enables programs to access a variety of database types transparently across multiple client/server platforms.
• Programs written to compare performance across client/servers using native CICS/DB2 versus CICS/DB2 with EDA/SQL.

Confidential

Team Leader

• Process model team leader of three individuals for reengineering of the residential order entry system from an ADABAS mainframe to a client/server C /Sybase/DB2 platform.
• Developed a business analysis structure chart document of system function flows for the on-line system.
• Wrote an object-oriented design model to transform the current logical system function flows to one suitable on the target platform.

Confidential

Business Analyst

• Short term assignment to perform detail design and development of enhancements to mortgage purchasing, mortgage document custodial services, and government fair housing reporting systems.
• Programming performed using CICS and IMS, MQ-Series.

Confidential

Project Leader

• Project Leader of a three person team for business analysis and systems design and development of a sales promotion system in ADABAS and VSAM intended to retain new residential customers.
• Project Leader for a team of three on for business analysis and systems design and development of a marketing sweepstakes contest system in ADABAS/VSAM aimed at promoting new customers to use MCI calling card services.
• Detail design and development for a commercial accounts order entry system enhancements in CICS, DB2, and QMF.
• Design and development of a text management system for invoice form verbiage using CICS, VSAM, and DB2.

Confidential

Task Manager/Database Administration Design DBA Specialist

• Task Manager of a three person team reporting the SSA Director of Database Systems to develop a very large-scale database design document showing the advantages and disadvantages of converting an existing VSAM system to DB2. Recommendation made to not implement due to dramatically negative performance projected. Study used by SSA as a teaching tool and justification to purchase DB2 for future applicable systems usage.
• Activities in a series of nine reports included business analysis and design development methodology definition, logical and physical data modeling, physical design, performance estimation and cost benefit analysis.
• Conducted an assessment study making recommendations for IDMS database administration and application performance evaluation using graphical tools presentations.

Confidential

Systems Analyst

• Participated in the design and development of business analysis enhancements to a managed healthcare system product for Health Maintenance Organizations HMO's in IMS DB/DC.
• Areas included new functionality and database redesigns for claims processing, client research, membership, and precertification.

Confidential

Systems Analyst

• Participated in the design and implementation of a Federal Government student loan program using IDMS and CICS.
• Areas included collections functions, government agency interfaces, file conversions, migration from test to production environment, acceptance test plans, and database design enhancements.

Confidential

Systems Analyst

• Short term project assigned to review and make corrections to a Defense Department logistics system with respect to warranty issues performance.
• Modifications made to existing programs and logical/physical database structures.
• System written in IMS DB/DC.

Confidential

Systems Analyst

• Participated in the design and development of a home mortgage pricing and fee processing application using IDMS, CICS, and ADSO.
• Performed a review of current operations, identified future changes to production processing based on a business requirements document.
• Developed changes to IDMS databases and designed new ones for enhancements.

Confidential

Requirements Analyst/Business Analyst

• For a new Operations Failures Analysis and Management system, developed a requirements analysis document.
• Reviewed current operations artifacts, identified management information requirements additionally through end user interviews, proposed and presented a system solution, and performed cost/benefit analysis.
• Developed using Excelerator CASE tool.
• Database logical modeling presented using DB2 and IMS alternatives.
• On-line functions presented using IMS DC.
• Scheduled twelve weeks.

Confidential

Senior Business/Systems Analyst

• Developed general and detailed system design documents for the chemical division inventory management intra-corporate transfers, quality control, and general data inquiry.
• Participated in developing database system modifications using IMS.
• Supervised program coding and testing by several programmers.

Confidential

Database Administrator/Designer DBA

• Business Analysis for general and detail design data model for the State of Connecticut Welfare Eligibility System EMS using IMS and CICS.
• Review and recorded Yourdon/Demarco system design document information in an IBM Data Dictionary and Design-Aid CASE tool.
• Performed data modeling, function verification, and performance estimation.
• Developed a database data model proposal for the State of New Mexico Welfare Eligibility System using IDMS and CICS.
• Performed all data analysis, conceptual design, technical specification, data modeling, function verification, and performance estimation.
• Used Cullinet specified methodology.

Confidential

Systems Analyst

• Participated in the design and development of a system to automate Federal government pricing proposals for the purchase of military aircraft engines using IMS DB/DC.
• System used Materials Requirements Planning MRP concepts to determine bidding costs with projections into the future under a variety of scenarios to include changes in inflation, interest rates, and organizational design.
• System used IMS DB/DC.

Confidential

Systems Analyst

• Participated in the analysis and implementation of a fire insurance underwriters risk analysis system.
• Similar level of involvement in a worldwide accounts receivable system to include a conversion from ongoing operations.
• Both areas used IMS database, CICS, MQ-Series.

Confidential

Systems Analyst/Data Architect

• Participated in the designed and developed several subsystems of the Welfare Eligibility system DCIS .
• Subsystem involvement included Claims, Client and Case Management, and Statistical Analysis.
• Responsible overseeing a group of individuals on multiple ongoing batch VSAM systems conversions into IMS, CICS, and PCS-ADS based formats.
• Performed DBA system software generation for the databases and CICS tables.

Confidential

Systems Analyst

• Participated in the development of major subsystems of the Medicaid Management Information System MMIS .
• Online subsystems included Provider definition and Claims editing and updating.
• Batch system design and development included the Statistical Utilization and Review SURS and Management and Administration and Review MARS reporting subsystems.
• Implemented in VSAM and CICS.

Confidential

Systems Analyst

• Participated in the design and implementation of a cost control system.
• System designed to compare actual to budgeted standards of expectation in order to manage development projects.
• Programmed in IMS DB/DC.

Confidential

MIS Manager

• As start-up electronics venture, responsible for departmental functions of planning, budgeting, and systems implementation.
• Developed a sales order processing system,
• Developed a customer support system using basic artificial intelligence techniques to aid in remote hardware/software product problem determination and resolution.
• Implementations used COBOL, C , and UNIX.
• Used Gane and Sarson methodology.

Confidential

Systems Analyst

• Participated in the analysis and implementation of an DM4/TDS Materials Requirements Planning MRP system.
• Involved in changes and other general support of purchasing system using TOTAL.

Confidential

Systems Analyst

• Implemented the McCormick Dodge M D Fixed Assets package.
• Analysis and programming for Accounts Payable M D , General Ledger M D , Accounts Payable M D , field service inventory, and physical inventory reconciliation.
• Conversion programming from Burroughs to IBM of a manufacturing resource planning MRP system.
• Participated in analysis and implementation of the IBM COPICS MRP product in the areas of purchasing, bill-of-material, and WIP inventory.

Confidential

Systems Analyst

• Performed a series of limited term programming and analysis assignments.
• For the City of Boston, programming of a parking tickets application.
• For New England Life, programming of insurance capital asset accounting.
• For American Optical, programming of a plastic eyeglass lens quality control.
• For Norton Company, programming of inventory control of grinding wheels and abrasives materials in IMS DB/DC.
• For H P Hood, programming food process sales tracking, perishables inventory, and general ledger using TOTAL and Environ/I. Worked with the Controller to determine optimum mode of inventory pricing from LIFO, FIFO, and average costing choices.

Confidential

Programmer

• Analysis and programming in a range of systems including sales commissions, billing, general ledger, inventory control for work shoes and accessories, sales analysis of retail store activities and major purchases.
• System programmed with VSAM.