PROFESSIONAL SUMMARY:

• Around 6+years of total IT experience.
• Have good knowledge of healthcare regulations.
• Well acquainted with the Software Development Life Cycle (SDLC) and Software Testing Life Cycle.
• Working knowledge of HIPAA standards, EDI (Electronic data interchange), HIPAA code sets, ICD - 9 and ICD-10 codes.
• Good knowledge of EDI transactions like 270, 271, 834, 835, 837, TA1, 999, 277U, 277CA and responses like MAO.
• Worked on Confidential 8x product suite and familiar with 9x product suite.
• Confidential Specbuilder and XEngine certified.
• Possess good knowledge on Oracle and SQL databases.
• Familiar GIT version control system and Jenkins build release process.
• Developed test cases from Test Scenarios and Use Cases.
• Possess strong analytical, problem solving, interpersonal and communication skills. Self-starter, quick learner and able to adopt new technologies as needed in rapidly changing IT environment.
• Proven ability to work efficiently in both independent & collaborative environments.
• Committed, result oriented, hard working with a quest and zeal to learn new technologies and undertake challenging tasks.

TECHNICAL SKILLS:

Databases: Oracle, SQL Server

Application Servers: Apache Tomcat

Messaging Service: Apache ActiveMQ

Virtualization Tools: VMware

Languages/Tools: Java, Groovy, Drools, MS Office

Operating Systems: Windows, Linux

Confidential Tools: XEngine, XEServer, EAM, Specbuilder, Transaction Management( TM ), Encounter Management( EM ).

PROFESSIONAL EXPERIENCE:

Confidential, Bellevue

Implementation Consultant

Responsibilities:

• Closely worked with business users on gathering requirements.
• Involved in the project from requirement gathering stage to delivering the solution.
• Prepared fit gap, business requirement and design documents.
• Created business rules to take care of requirements that were identified as gaps in fit-gap document.
• Implemented MAO, RAPS, KY, NY, IL, FL and AR knowledge packs for Encounter management customers.
• Met with state Medicaids on monthly basis to gather new changes being imposed and made sure those changes are incorporated into the knowledge packs for respective states.
• Maintained knowledge of Medicare and Medicaid rules and regulations pertaining to the Confidential configuration and evaluated the impact of proposed changes in rules and regulations.
• Scheduled regular calls with customer management team to make sure project is meeting timelines and there are no roadblocks.
• Worked on a daily basis with customer business teams to analyze the issues and provide guidance.
• Involved in developing detail Test Plans for different health plans/health care providers according to Business requirements documentation.
• Involved in discussion with the Subject Matter Experts (SME) during creation of test plans and updating of business requirements.
• Automated processes for repeated regression testing and analysis.
• Built custom profiles to handle requirements that are not met in product.
• Documented all testing results and made recommendations for enhancements.
• Performed Manual Testing as well as Automation Testing using in house grown tool based on akka/scala framework.
• Created ad-hoc custom reports on demand basis as requested by business users.
• Auto scheduled custom reports for reconciliation of files processed and submitted to partners on a weekly basis.
• Installed Confidential monthly and bi-yealry standards.
• Loaded monthly provider files for KY state, FL state and CMS.
• Build the environments with all required Confidential (XE, XES, EAM, Standards, TM, EM) and 3rd party software(Java, Apache Tomcat and Apache ActiveMQ).

Environment: Confidential XEngine, XEServer, EAM, Specbuilder, Mapbuilder, Transaction Manager, Encounter Management(EM), Apache Tomcat, Apache ActiveMQ, SQL Server.

Confidential, Bellevue

Associate Implementation Consultant

Responsibilities:

• Met with customer business teams to gather requirements and prepare business requirements documents.
• Prepared fit gap and design documents, made sure gaps identified are handled through custom guidelines, maps, routes or business rules.
• Attended weekly webinars organized by state medciaids and ingested new changes and made sure they are incorporated into the EM product.
• Used Target Process Management to document User stories.
• Installed and configured Confidential suite of products for customers.
• Prepared test cases covering all possible scenarios, guided team in testing the application, reported issues identified during testing to product team and made sure they are resolved.
• Interacted with the release/product managers to gather requirements and create test cases accordingly.
• Built/modified product guidelines, maps, severity files as required for implementation.
• Used bugzilla to report and track bugs with product team.
• Overseen functional, system integration and user acceptance testing to complete project on time and under budget.
• Worked with developers to automate testing process by eliminating various manual steps.
• Made sure all monthly patches are bug free before delivering to customers.
• Created various reports as requested by business users and helped in making various business decisions.
• Organized weekly knowledge sharing sessions with all implementation teams to discuss issues identified within their implementation and approach taken to solve which will help other implementation teams.
• Worked on POCs conducted for new clients and helped in identifying the requirements and bridge any gaps.
• Worked extensively on 837, 835, 277U, 277uESE, MAO, TA1, 999 transactions.

Environment: Confidential XEngine, XEServer, EAM, Specbuilder, Transaction Manager, Encounter Management(EM), Apache Tomcat, Apahce ActiveMQ, SQL Server, Oracle, Windows, Linux.

Confidential, Bellevue

Associate Implementation Consultant

Responsibilities:

• Met with stakeholders to discuss the requirements.
• Taken active part in design discussions with customer business teams.
• Translated business requirement to product functionality.
• Built custom profiles, guidelines and maps where required to fill the gaps in product features and customer requirements.
• Reported bugs identified during testing to product team and tracked for fixes.
• Created test scenarios, test cases and tested using the new routes developed.
• Took active part in developing Health Insurance Exchange suite of products.
• Worked primarily on 270, 271, 834, 999, TA1 healthcare transactions.
• Worked with product team and proposed enhancements that help customers.
• Provided Knowledge Transfer and transitioned project to technical support team.

Environment: Confidential XEngine, XEServer, EAM, Specbuilder, Mapbuilder, Transaction Manager, Windows, Apache Tomcat, Apahce ActiveMQ, SQL Server.

Confidential

ETL Developer

Responsibilities:

• Imported various Sources, Targets, and Transformations using Informatica Power Center Server Manager, Repository Manager and Designer.
• Responsibilities included source system analysis, data transformation, loading, validation for data marts, operational data store and data warehouse.
• Used heterogeneous files from Oracle, Flat Files, SQL server as source and imported stored procedures from oracle for transformations.
• Designed and coded maps, which extracted data from existing, source systems into the data warehouse.
• Used Dimensional Modeling Techniques to create Dimensions, Cubes and Fact tables.
• Written PL/SQL procedures for processing business logic in the database. Tuned SQL queries for better performance.
• Developed Informatica mappings, mapplets, sessions, batches. Designed and developed the sessions for the relevant mapping(s) or Informatica jobs and organized as sequential / concurrent batches. Scheduled the main batches as per the business rules using the Informatica scheduler /CRON job using UNIX shell scripting for some of the existing data jobs.
• Generated completion messages and status reports using Informatica Server manager.
• Tuned ETL procedures and STAR schemas to optimize load and query Performance.
• Coded, documented and tested the dimensional tables, ODS tables.
• Prepared Source-To-Target mappings for the dimensional tables, performed the unit testing and co-ordinate the tester during Unit-Testing, Assembly-Testing, Regression-Testing procedures and fixed the bugs, enhancements to the modules.

Environment: Informatica Power Mart 5.1, SQL,PL/SQL, Unix Shell Scripts, Oracle 8i, MS Access, SQL server 2000, Windows NT/2000.