SUMMARY

• An organized, results - oriented Mainframe Developer with 35 years of business and technical development skills and experience in teh IT industry.
• 20+ years of experience in Mainframe Development utilizing COBOL (Batch & Online), PL/1, Assembler, TSO/ISPF, JCL/Procs, VSAM, SQL, C/C++, JAVA, CICS, IDMS, DB2, SFTP, NDM, On-Call Support, CA-7 & Control-M Batch Schedulers, Tortoise SVN, CA Endevor, CI/CD Jenkins Tool and Mainframe Utilities while supporting a Batch and CICS Online Transaction Processing Legacy Healthcare Membership and Claims systems
• Extensive experience (20+ years) providing support to existing production applications as well as performing technical requirements gathering (BDD), analysis, design (TDD), development, documentation, testing, integration deployment and implementation of changes, modifications, and enhancements
• Experience in teh full SDLC (Systems Development Life Cycle) Methodology
• Experience in a CI/CD GitLab, JIRA, ChangeMan, Agile/Scrum Environment
• Experience in a CI/CD Jenkins, ServiceNow, CA Endevor, SDLC Waterfall Environment
• Experience working in an onsite-offshore team model
• Mainframe Software Developer (COBOL, PL/1, Assembler); ETL Developer
• Data Integration Projects for Informatica, Data Warehouse, NASCO systems
• Supported Claims Batch Legacy Systems (COBOL and Assembler)
• Supported Claims EDI Systems and HIPAA EDI Standard Transactions
• Ability to work under pressure while managing multiple priorities
• Exceptional critical thinking/problem solving and analytical skills
• Strong ability to quickly understand complex systems
• Strengths include a positive can-do attitude, a willingness to do what it takes to ensure team success and a strong team player
• Eager to learn and participate in difficult project assignments
• Self-motivated, highly committed to responsibilities and an ability to work independently as well as in a team environment
• Proven ability to work in a high-pressure environment and multi-task
• Experience interacting with clients/stakeholders
• Strong written and verbal communication skills35 years of experience developing, testing, implementing, and maintaining Healthcare applications across multiple business clients:
• Confidential ( Confidential )
• Blue Shield of California (BSC)
• Wellmark Blue Cross and Blue Shield
• Undertook teh roles of:
• a mentor and coach to 20+ junior teammates
• a member of a Technical Change Review Team
• a member of a HLE (High Level Estimating) Team
• a Subject Area Technical Lead
• an SME on KT (Knowledge Transfer) team to transition system noledge
• an SME (Subject Matter Expert) across multiple application sub - systems
• a BSA (Business Systems Analyst)

TECHNICAL SKILLS

Software: COBOL (Batch & Online), PACBASE, PL/1, Assembler, Easytrieve, JCL/Procs, CA-7 & Control-M Batch Schedulers, TSO/ISPF, FTP, Direct Connect (NDM), CICS, JAVA, C/C++, SQL, Mainframe Utilities, Oracle PL/SQL

Tools: VSAM, IDMS, IDCAMS, File-AID, Abend-AID, Xpeditor, InterTest, Syncsort, Tortoise SVN, CA Endevor, ChangeMan, SDLC Waterfall Environment, CI/CD Jenkins & GitLab Tools, ServiceNow, JIRA, Agile/Scrum Environment

Systems: IBM S/360, OS/390, z/OS

Databases: IBM IDMS, DB2, IMS DB/DC, Oracle

EDI Tools: EDIFECS SpecBuilder (SpecGenerator and MapBuilder)

MS-Office: MS Office, MS-Outlook, MS-Word, MS-Excel, MS-PowerPoint, MS-Visio

PROFESSIONAL EXPERIENCE

Confidential

IT Business Systems Analyst

Responsibilities:

• Leveraged my healthcare business and technical experience gained from 15+ years of supporting teh Confidential account as an IT mainframe developer.
• Successfully performed teh following BSA roles across multiple projects:
• Helped guide business in analyzing processes and determining what’s technologically feasible, and financially and functionally reasonable.
• Facilitated teh negotiation of requirements among multiple stakeholders.
• Created, analyzed, and validated detailed functional specifications.
• Facilitated design sessions with teh implementation team to define teh solution.
• Delivered elements of systems design, business rules and other detailed deliverables.
• Experience working in a CI/CD GitLab, JIRA, Confluence, ChangeMan, Agile/Scrum Environment

Confidential, Plano, Texas

IT Mainframe Developer

Responsibilities:

• Supported multiple BCBS (Blue Cross and Blue Shield) Membership and Claims business clients
• Batch and Online Transaction Processing Legacy Systems (COBOL, PL/1)
• On-Call Support for Test, UAT/Stage, and Production regions
• Research and Resolve Production Issues
• Mainframe Software Developer (COBOL, PL/1, Assembler)
• ETL Developer
• Data Integration Projects for Informatica, Data Warehouse, NASCO systems
• Claims Batch Legacy Systems (COBOL and Assembler)
• Claims EDI Systems; HIPAA EDI X12 Standard Transactions
• Legacy Enterprise Systems Modernization and Replacement Projects
• Software Maintenance, Enhancement, and Implementation Projects
• SDLC (Systems Development Life Cycle) and Development Methodology
• Worked in a CI/CD Jenkins, ServiceNow, CA Endevor, SDLC Waterfall Environment
• Worked in an onsite and offshore team model
• As an SME on KT (Knowledge Transfer) team to transition system noledge
• Proficient in a high-pressure environment
• Proficient in supporting business clients from a remote location (21 years)

Confidential

Responsibilities:

• Supported account in teh design, development, testing, and implementation of several ACA (Affordable Care Act) related changes to teh application’s Claims and Provider sub-systems.
• Gatheird Single Source of Truth (SSoT) Admin Mapping & Operations Requirements.
• Successfully implemented changes related to teh ACO Stanford Phase 2 - RTMS Service Area ADMIN Screen project.
• Research and Resolution of several RTMS application problem tickets in teh financial sub-system area.

Confidential

Responsibilities:

• Key contributor in teh standing up of teh following HIPAA EDI X12 transactions on BSC’s new BSC Edifecs platform (utilizing Oracle PL/SQL):
• 820 Premium Payment
• 834 Enrollment
• 270 Eligibility Request / 271 Eligibility Reply

Confidential

IT Mainframe Developer

Responsibilities:

• Joined teh Cigna Account to support teh Intake Service Implementation project.
• Supported project as a developer working in teh EDI transactions component of teh project.
• Accomplished much in teh way of development, defect resolution, and CR implementation.
• Also worked with teh IB837 Defect Tower contributing to teh resolution of many defects across all environments.
• Unix/Linux Operating System
• Oracle PL/SQL
• HIPAA EDI X12 transactions 834, inbound 837 Institutional/Professional/Dental, 276/277
• CCSR (Claim Status Request) transaction
• Development using Edifecs SpecBuilder (SpecGenerator and MapBuilder)
• EAM (profiles and routes)

Confidential

Responsibilities:

• Invoice Creation and Generation (ICG)
• Mellon Bank Lockbox Interface
• Great Data Zip Code Load Interface
• Auto Upload Manual Invoice Adjustments
• Earned title of MetaVance Surround Applications SME (Subject Matter Expert).
• As an SME, participated in all teh Knowledge Transfer (KT) phases as teh Confidential MetaVance system was being transitioned over to new 3rd party vendor (IBM) support team.
• Successfully designed, developed, tested, and implemented teh following MetaVance Surround Applications:

Confidential

Responsibilities:

• Designed, developed, tested, and implemented several healthcare membership conversion programs.
• Developed requirements and conversion mappings, designed, coded, and tested Reverse Mapping (MetaVance to RTMS) and Membership Synchronization (RTMS to MetaVance) processes

Confidential

Responsibilities:

• Designed, developed, tested, and implemented pieces of teh Balance Phase 2 project.
• Contributed to teh PLOG (Problem Log) inventory reduction effort by researching and resolving RTMS (Real Time Membership System) application issues.

Confidential

Responsibilities:

• Played a key role in teh successful Confidential implementation of teh RTMS application.
• Implemented numerous modifications and resolved numerous PLOGs (Problem Logs) in teh Subscriber, Financial, Group and HMO sub-systems.
• Completed major enhancements for teh Blue Care 65, MEDCO, and HMO New England projects.
• Successful implementation of teh FEP POS conversion and teh Corporate Form projects.
• Key contributor to teh RTMS PLOG inventory reduction effort during first and second quarters of 1998.
• Successful completion of teh ESI (Express Scripts) Pharmacy Group conversion project (August 1999).
• Earned title of Subject Matter Expert (SME) in teh RTMS systems’ Enrollment and Financial areas.
• Provided support in teh HLE (High Level Estimate) project process.
• Started supporting Confidential account from a remote site (June 1998).

Confidential

Responsibilities:

• Became a key contributor to teh BSC healthcare implementation project.
• Completed a TDY assignment to teh NASCO Claims Team in Camphill, PA to support maintenance changes to a COBOL and Assembler system.
• Earned a spot on teh Technical Change Review Team.
• Earned a spot on teh HLE (High Level Estimating) Team.
• Promoted to Advanced System Engineer in November 1990.
• Mentored 20+ new employees
• Played a key role in teh successful Iowa BCBS implementation of teh RTMS application.
• Became Subscriber Subject Area Technical Lead.

Confidential

Responsibilities:

• Developed and implemented a pre-edit processor for teh STEP (Standard Tape Exchange Program) System.
• Produced numerous technical system solutions using COBOL.
• Became a key contributor to teh NASCO Healthcare Membership AT&T Project.

Confidential

Responsibilities:

• Joined teh Dallas Regular Business Systems (DRBS) Technical Support Group.
• Designed and developed numerous technical system solutions using COBOL and Assembler.
• Monitored mainframe batch cycles.
• Became an expert of teh Group Abstract System, a complex system of mostly Assembler code.
• Promoted to Systems Engineer in November 1985.

Confidential

Systems Engineer Development

Responsibilities:

• Went through a 10-week intense technical training “boot camp” to learn company’s culture and core coding standards.
• Successfully completed company’s technical training on January 1985.