SUMMARY

• Over 7 years of IT experience with 5 years in the field of EDI Technologies of which worked for Health Care, Retail and Logistics domains. Proven ability in EDI implementations, maintaining B2B transactions using major EDI tools Rhapsody 5.2, Sterling Integrator (SI) 5.1, Gentran Integration Suite (GIS 4.1/4.2/4.3),Gentran server 6.0, standards(X12, EDIFACT).
• Involved in Mapping of EDI ANSI X12 transactions 810, 820, 850, 855, 856, 852,867, 997, X12 HIPAA transactions 834, 837, 835, 270/271, 276/277, 999 etc.
• Expertise in handling various EDI Translators like Rhapsody, GIS, Gentran and IBM Sterling Integrator.
• Excellent Mapping skill set. Handled complicated looping in IBM Sterling Integrator Map Editor and Trading Partners setup such as Involving Documents Envelopes and AS2 Partnership Set - ups.
• Responsible for creating logical and physical maps, business processes, adapters, production support of EDI applications for vendors, suppliers and customers.
• Expertise in Outbound and Inbound communication protocols like FTP, SFTP, AS2 and VAN.
• Worked for creating the Business process Models as per the business requirements using Business process modelling language.
• Hands-on experience in working with XML related technologies such as XML Schema, XSL, and XSLT.
• Extensive experience in developing transaction sets in EDI and data mapping and data conversion.
• Experience in Business Analysis to Translate EDI Requirements into Functional Specifications and Develop Logical Mapping for Gentran/GIS/ SI.
• Involved in creation of Companion Guides for various transactions like 834, 999.
• Experience in preparing Test cases, Test plans and executing Gap Analysis.
• Proficiency in using Gentran Integration Suite (GIS 4.1, 4.2, 4.3) and Sterling Integrator 5.1.
• Configured and implemented Sterling file gateway process.
• Performed migration to various environments (Dev, IST, UAT and PROD).
• Extensive Experience in PL/SQL stored Procedures and Triggers.
• Quick to learn about new business industries and models. Ability to successfully work under tight deadlines.
• Excellent analytical, communication skills and a good team player.

TECHNICAL SKILLS

EDI Standards & Formats: EDI X12 (ANSI), EDIFACT, HIPAAXML, SAP IDOC, FLAT FILES.

EDI Tools: IBM Sterling Integrator (SI) 5.1, Gentran Integration Suite (GIS) 4.1, 4.2, 4.3, SFG, GENTRAN Server for Windows/Unix 6.0, Orion Rhapsody Translator. EDI Transactions270/271, 276/277, 810, 820, 834, 835, 837, 850, 856, 997, 999.

Functional Areas: Health Care & Logistics

Methodologies: Full Life Cycle Development

Operating Systems: UNIX, Windows 2000/XP

PROFESSIONAL EXPERIENCE

Confidential, Quincy, MA

EDI Analyst/Developer

Responsibilities:

• Installation and configuration of Orion Rhapsody Translator on Windows platform.
• Involved in Analysis, build requirements specification as per the Implementation guide, development (mapping), testing with the end client and managing the deployment into production.
• Created Outbound and Inbound Companion guides for X12 HIPAA 5010 EDI transaction sets 834 and 999.
• Worked on 834(Benefit Enrolment and Maintenance) and 999(Acknowledgment) transactions using Orion Health Rhapsody Translator.
• Worked on various filters like Mapper, X12 validator, X12 splitter, X12 Rebatcher.
• Involved in the design of XML schema that is required for the generation of the X12 HIPAA 834 transaction.
• Involved in the mapping of XML to X12 and X12 to XML for the 834 transactions.
• Coordinated with various Trading partners in finalizing the 834 file layout.
• Performed Gap Analysis on the requirements.
• Responsible for creating the automation process in the Rhapsody translator which includes translation, validation, transmission etc...
• Involved in creation of different routes for different Trading partners based on their specifications.
• Setup SFTP communication point with various Trading Partners.
• Created Technical Detail Design Document (TDDD) for Rhapsody Translator tool.
• Performed Migration to higher environments (Dev., IST, UAT, and PROD).
• Involved in knowledge transfer and training to the offshore team.
• Achieved Health Insurance Portability and Accountability Act (HIPAA) certification.

Environment: Orion Rhapsody Translator 5.2, Oracle 11g, Mapper, Validator, SFTP, WinSCP, XSD, XML, HIPAA.

Confidential, MD

EDI Analyst

Responsibilities:

• This project involves the transformation of Health Plan policies defined by CMS into enrolment requirements.
• Mainly involved in analysing and implementing a solution for carrying out the Enrolment operations involved for Obama’s Affordable Care Act.
• Worked on EDI 834(Benefit Enrolment and Maintenance), 820(Payment order/Remittance Advice) Transactions.
• Gathered requirements for the downstream activities as per the project plan for both individual and SHOP market.
• Created Enrolment data mappings for each user stories to capture the requirements as per the business process. Thisexercisetransforms the user stories into X12 834 which incorporates the various loops for outbound and inbound.
• Creation of Business Services definition documentation (BSD) for the development of web services for enrolment data interchange.
• Involved in the design of XML schema for the data interchange with Exchange.
• Mapping the data elements from the schema with the X12 Elements.
• Involved in the creation of Enrolment workflow for the individual and group enrolment process with the data architect team.
• Reviewed the data mappings created by other team members.
• Participated in the discussion for the data mapping of Remittance Advice / Payment order transaction (820).

Environment: Healthcare transactions, Spec Builder, Windows XP, XSD, XML, Web services (SOAP UI), WSDL.

Confidential, NY

EDI Application Analyst

Responsibilities:

• Responsible for creating basic and Advanced Trading Partner profiles in the communities and Management of Communities.
• Responsible for creating the Business process Models as per the business requirements Using Graphical process modular.
• Maintaining Code lists based on the customer requirements.
• Configured envelops for new Trading partners.
• Created the workflows to accomplish the Business models in the Business process Models using the BPML in GIS.
• Worked on Various Inbound and Outbound Processes for transactions list that includes 850, 856, 810 and 997. Implementation and Post-Implementation of these transactions with various Partners.
• Responsible for Creating and Managing the Import and Export MAPs using GIS Map Editor.
• Experience on Configuring Inbound and Outbound File systems Adapters (FSA).
• Responsible for trouble shooting the Business Process models in application connectivity.
• Responsible for the day-to-day production support, configuration and monitoring daily error reports and coordinate/perform error resolution.
• Integration of GIS and SAP using SAP Suite Adapter.
• Automation tools and/or scripts were created. EDI systems were evaluated.
• Tracked the record fall out due to mismatch or deviated record structure from the guidelines or IG’s
• Establishing testing process and cut-over schedules with Trading Partners
• Maintenance of EDI Documents, data managers.
• Performed Unit and system testing on all EDI transactions both inbound and outbound.

Environment: Gentran Integration Suite (GIS), Oracle 10g, Windows Server, SAP R/3, Test Director.

Confidential, NJ

EDI Developer

Responsibilities:

• Provided Complete Technical Support on EDI Implementations and Development.
• Develop/Modify EDI maps using Sterling Integrator Map editor.
• Created new Business Process for Customer Integration Project using Graphical Process Modeler and BPML.
• Responsible in setting up Trading Partner Identities, Document exchange, Packaging and Envelopes for both inbound and outbound partners.
• Configuring Maps as per the Client’s Specifications, Validation of the Map, testing the EDI Cycle.
• Developed and upgraded EDI maps for transactions 835, 837, 270/271 from ANSI X12 to Flat-Files and vice-versa.
• Implementation and Post-Implementation of these transactions with various Partners.
• Configured and implemented Sterling file gateway process.
• Configured adapters, services, configurations and AS2 setups as per business needs.
• Migration of maps and business processes from Development environment to QA and to Production environment following the established change control procedure.
• Set up various communications using Protocols FTP, HTTP, SMTP and AS2 with trading partners.
• Updating Map changes as per the Clients Rules and creating new Implementation Guides.
• Conducted System and Regression testing identified application errors and interacted with various teams to resolve technical issues.
• Created Traceability between Requirements and Test Cases.
• Coordinating with the customers to analyze requirements for Implementation Guide.
• UNIX (Shell) script writing for both communicational and file handling, System cut-over scheduling with Communication Protocols and trading partners.

Environment: Sterling Integrator 5.1, BPML, Windows Server, Oracle 10g, SQL, UNIX, Ultraedit

Confidential, Atlanta, GA

EDI Consultant

Responsibilities:

• Working with Implementations team to develop, and move the maps to Production.
• Responsible for communicating between business users and customer to gather requirements and documented logical and physical maps.
• Responsible for staging of EDI systems in Development, Testing and Production.
• Created business process using Graphic process modeler as per business requirements.
• Involved in the design of data flow diagrams, sequence diagrams and business process models that describe how the EDI Health Care Claim Transaction set (837) is used to submit health care billing information and encounter.
• Responsible for HIPAA compliance and testing of HIPAA 270/271, 276/277, 820, 834, 835 and 837 Transactions.
• Created app to XML and vice versa maps for new customers in X12 5010 standards and moved them to production.
• Configured adapters and services as per business need to automate the EDI file processing.
• Used Data Manager for Routing, Archiving and Translation of data.
• Created the Envelopes and trading partner profiles as per business needs.
• Setup FTP communications with Trading Partners using scripts.
• Resolving Issues to executing maps by viewinglogs and failed operations.
• Worked with PL/SQL to createTables,Views and triggersandstored Procedures.
• Performed manual testing of the functional items by checking a summary of all claims entered and submitted.

Environment: Gentran Server GIS 4.2, 4.1 for UNIX, Oracle 9i, BPML, XML, PL/SQL and UltraEdit.

Confidential

Oracle Developer

Responsibilities:

• Identifying functional and non-functional requirements, analyze the system, provide suggestions, and design as per requirements and test the design.
• Identifying database requirements and was involved in designing of database for various modules.
• Created Database objects like tables, views, stored procedures, functions, packages, DB triggers Indexes and Collections.
• Used features like PL/SQL record inserts and updates.
• Used UTL FILE packages for writing data into flat file.
• Created stored procedures, functions and packages for applying the business rules.
• Involved in generating new reports using Reports 6i and Report Templates.
• Developed single form to run all the Reports as central point.

Environment: Windows XP, PL/SQL, Visio, Excel, PowerPoint, Word.