PROFESSIONAL SUMMARY:

• Over 9 plus years of experienceinSoftware Development Life Cycle (SDLC)including requirement gathering, Analysis, Design, Development, Testing and Maintenance of EDI Applications.
• Extensive experience in various Business domains like Retail, Healthcare, Logistics, and Telecommunication.
• Coordinated with the customers to analyze requirements, prepared implementation guides and setting up of Trading Partners etc.
• Expertise in B2B standards like ANSI X12, HIPAA, NCPDP, TRADACOMM, ODETTA, HL7
• Development and implementation experience using Gentran Integration Suite, Sterling B2B Integrator, Sterling File Gateway, EDIFECS Spec Builder, EDIFECS Xengine, EDIFECS Transaction Manager, and Innovis TLE.
• Strong knowledge on Transactions of Health care 834,837(I, P, D), 835, 270, 271, and Retail 840,843,850,855,810,820,856,860,846.
• Extensive Knowledge on Map editor, Business processes, Routes, Mapping, Trading Partner Set up, File Transfer, Monitoring Tools.
• Developed Several maps from EDI to Application format (IDOC, CSV, Flatfile) and Application format to EDI
• Configured Trading Partners using HTTP/HTTPS/SFTP/FTP/FTPS/AS1/AS2/Connect Direct Protocols
• Well Versed with XML/SAP IDOC/Positional/Flat file/CSV File formats.
• Performed gap analysis of 4010/5010 for transactions like 835, 837, 834
• Worked on ICD9/ICD10 disease codes and prepared documentation.
• Worked on Oracle, SQL Server, MS - ACCESS, DB2 Databases
• Developed Test Cases/Test Scripts to do unit testing.
• Worked on Several Operating environments like Windows/Unix.
• Worked in Production Support team and resolved Production issues.
• Extensive experience in design, modification and execution of test plans, test scenarios, test cases, test reports and documentation of manual and automated tests.
• Knowledge in analysis of defect severity, defect tracking system and defect reporting.
• Expertise in using tools like QTP, Win Runner, Load Runner, Test Director and Rational Suite (Robot, Clear Quest) and familiar with Bug Zilla.
• Excellent business knowledge, ability to work under pressure and good interpersonal skills.
• Excellent communication skills and written skills.
• Experience in documenting user manuals and creating demos.

TECHNICAL SKILLS

EDI Tools & Standards: Sterling B2B Integrator 5.2, Gentran Integration Suite 4.3/4.2/4.0, Gentran 5.1/5.3/6.0/6.1 ,EDIFECS 7.5/8.1, Innovis TLE ANSI X12, EDIFACT, HIPAA, NCPDP, TRADCOM, HL7, ODETTA

EDI Transaction sets: 180, 270, 271, 276, 277, 810, 812, 820, 830, 832, 834, 835, 837, 844, 845, 846, 849, 850, 856, 857, 858, 867, 875, 940 and 997.

Database: Oracle10g/9i/8i/8, SQL Server 2008R2/2005, DB2, MS Access.

Programming Languages and Testing Tools: C++, JAVA, SQL, PL/SQL, Hp Quick Test Pro 10.0/9.2/9.0 , Win runner 8.0

Bug Reporting Tools: Test Director 8.0, Quality Center10.0, Bug-zilla

Networking Tools: UNIX, Telnet, FTP, Putty, LDAP Server, Windows AD, FileZilla, Reflection

GUITools/Internet Programming Tools: Visual Basic, Developer 2000, Power Builder and Crystal Reports, HTML, XML.

Encryption tools: PKI, SSH, PGP, RSA, SSL

Operating System: Windows NT, 2008, 2007, 2003, XP, Linux 3.11, UNIX 2.6

PROFESSIONAL EXPERIENCE:

Confidential, Richardson, TX

Sr. Developer

Responsibilities:

• Assisting in collecting, analyzing, reconciling, and distributing data from monthly enrollment files including 834, and monthly encounter data files 837, NCPDP (HIPPA transactions and code sets) and tracking missing delivery payments for recovery.
• Developed and maintained documentation X12 and NCPDP post adjudicated claim (encounter) companion Guidelines.
• Worked on Benefit Enrollment and Maintenance (EDI834), transaction sets and flat file/delimited flat file mappings for various BCBS customers for active, cobra and retirees files.
• Worked on customized institutional and professional EDI837 maps by using baseline for various BCBS customers as per customized requirements.
• Developed NCPDP (National Council for Prescription Drug Programs) post adjudicated claim Billing (B1), claim reversal (B2) and Claim Rebill (B3) maps to state and CMS for historical and daily encounter submission for various trading partners.
• Developed Routes for various tasks for automated business in EDIFECS EAM for process flow from receiving the files to final destination.
• Established process improvement including auto notifications
• Coordinated with the clients and the internal team to halp resolve the tickets raised by the EDI trading partners.
• Coordinated with EDI trading partners to perform transaction tests (as required) and resolve all EDI transaction issues according to specification
• Communicated with external parties via email / phone to provide support related to EDI activities / issues.
• Proactively contributed, offered recommendations, and identified risks and solutions for various support related activities.
• Reported on Common errors in encounter submissions and made suggestions for Quality improvements
• Created test scenarios and developed test plans to be used in testing the business applications in order to verify that client requirements are incorporated in to the system design.
• Assisted in analyzing testing results throughout the project.
• Provided input into developing and modifying systems to meet client needs and develops business specifications to support these modifications.
• Participated in technical reviews and inspections to verify 'intent of change' is carried out through the entire project.
• Assisted with developing the methods and procedures required to identify whether current business goals and objectives meet organizational needs.
• Documented the project related information in detail and developed best practices for all projects carried out.

Environment: Edifecs 7.5, Edifecs 8.1, EDIFECS TM, NCPDP, PGP Encryption, Putty, FileZilla, and Microsoft Office tools.

Confidential , Roanoke, VA

EDI Integration Analyst

Responsibilities:

• Worked as EDI Integration Analyst in Project “Integration between Advance Confidential Inc (AAP) and CarQuest Companies”. Analyzed business requirements for EDI in integration between Advance Confidential and CarQuest companies, developed functional specifications documents for all unified 850, 810 and 856 maps.
• Worked with WebSphere Message Broker Integration team in developing new XML schemas for all unified 850, 810 and 856 maps.
• Worked with AS400 Team in developing new AS400 layouts as per the new unified mapping specs.
• Developed unified 850, 810 and 856 maps as per new unified specs. Performed functional unit testing and end to end testing of the developed maps.
• Maintained EDI documentation such as work instructions and procedures. Developed detailed technical documentation for all the existing and new unified maps.
• Provided basic training to business onboarding team on SI QA environment which includes dropping the files in to the respective mailbox, editing routing rules, tracking the messages, reprocessing the messages and monitoring business process.
• Created non common trading partner set ups in AAP SI environment as part of AAP and CarQuest integration. Created new trading partners set ups apart from AAP and CarQuest integration project.
• Created non common supplier communication set ups with AS2, FTP and SFTP protocols in AAP SI environment as part of AAP and CarQuest integration. Created direct connection with the trading partners which were connected earlier with third party providers as per the trading partner’s request.
• Supported Onboarding User Acceptance Testing in QA environment on Unified Maps. Worked day to day on data-related issue and contacted trading partners’ EDI team and communication providers to resolve data transmission issues. Providing the incoming files and data translated files to onboarding team for their test validation from archive folders.
• Interacted with trading partners EDI providers like, Sterling VAN, GCommerce, Ecommerce and ICC Net .etc to resolve the routing issues of corresponding trading partners in AAP QA and production environments.
• Worked on Supply Chain inbound and outbound Feed tasks for sending and receiving non EDI business documents. Created SFTP connections to trading partners and by using existing routing rules and Business process transferred the business documents. Provided basic training to the AAP business users on PGP Encryption and dropping the files in to the respective mailboxes.
• Developed non common National Accounts 810 outbound Flat file to EDI conversion maps, as part of AAP and CarQuest integration and developed corresponding technical documentation.
• Worked on AAP SI upgrade from 5.0 to 5.2 project, end to end data related and connectivity testing (AS2, FTP and SFTP) randomly identified batch trading partners to ensure that the new environment working fine.
• Troubleshoot current AAP day-to-day communication, mapping and data-related production issues.

Environment: Sterling Integrator 5.0 and 5.2, PGP Encryption, Putty, FileZilla, WMB 7.0, WMQ 7.0 Sterling Map Editor, Sterling GPM and Microsoft Office tools.

Confidential, Buffalo Grove, IL

Sr. Developer

Responsibilities:

• Worked extensively on Benefit Enrollment and Maintenance (EDI834), ANSI X12 transaction sets and flat file mappings for various CVS customers for active, cobra and retirees files.
• Developed complicated custom 500 bytes, 1000 bytes, 2500 bytes flat file (position to position) maps.
• Experience in leading team, mentoring junior team members and conducting technical code reviews.
• Prepared & reviewed the test plans and test cases to successfully perform the system integration testing, functional testing.
• Participated in business requirements, user requests and defect analysis meetings.
• Interacted with Secure Transport team in creating appropriate libraries for various clients.
• Carried out end2end test for migrated maps to ensure the translated files are going to appropriate libraries.
• Worked with firewall configuration team to ensure that the new client incoming files are reaching without any obstructions.
• Communicated new client maps set up in typing map through EDI infrastructure team to ensure smooth translation.
• Worked on PGP V7 to PGP V10 up gradation scripts.
• Experience in handling end-to-end testing, analyzing user requirements, procedures and resolving relevant issues.
• Created various envelopes for different incoming files for trading partners.
• Manage and deliver tasks on timely manner in order to meet project deadlines.
• Migrated from Sterling B2b Integrator to EDIFECS
• Used EDIFECS EAM to build routes
• Developed EDIFECS Guidelines using Specbuilder
• Reverse engineered maps from Sterling B2b Integrator and developed in EDIFECS Map builder
• Analyze requirements, make recommendations and perform system design to meet custom solutions
• Conducting walkthrough meetings with other testing team and business teams to make sure everyone agrees on mapping document.
• Communicated with clients to finalize mapping document and input files.
• Working on day to day production issues, Involved in production support, trouble-shooting day to day issues of the application. These production issues are converted to Business Support Request (BSR), which are monitored and resolved immediately.
• Coordinated with all stakeholders to resolve urgent customer issues where immediate and pressing failures were not resolved by the support teams.
• Created Dimensions work packages for all the client maps, which are mandatory for production move.
• Documented all best practices and learnings for continuous learning to everyone in the team.

Environment: Sterling Integrator 5.0, Sterling file Gateway, Edifecs Spec Builder, EDIFECS TM, My Sterling file Gateway, Windows 2008, FileZilla, Sterling GPM

Confidential, Boston, MA

EDI Consultant

Responsibilities:

• Complete understanding of Managed File Transfer.
• Implementation of File Transfer Processes.
• Work to ensure all file transfers are secure, meet audit regulations, are accurately documented, efficient, and properly supported.
• Worked with Trading Partners in suggesting the best method of file transfer mechanism and configured them.
• Worked on EDI ANSIX12 standards and Transactions like 840,843,850,855,856,810,820
• Worked with Trading Partners EDI Teams, Business Units, and Legacy Application Teams to implement EDI.
• Analysis of legacy systems and migrating them to new Systems.
• Worked on migrating from Oracle B2B 11g legacy EDI system to Sterling B2b Integrator Configured Oracle EDI Adapters to connect to Trading Partners
• Have experience in trading manager setup and creating Envelopes.
• Developed/Modified EDI maps using Gentran Integration Suite/Sterling Integrator’s Map editor.
• Developed several different maps to convert from ANSI X12 to .CSV, XML Oracle Flat files and vice versa.
• Scheduled reports for daily, weekly, monthly reports for executives, Business analyst and customer representatives for various categories and regions based on business needs using SQL Server Reporting services (SSRS)
• Developed several different business process using different Services and Adapters using both GPM and BPML
• Used Produce/Consume/Operation Activities and Input / Output Elements in BPML
• Created the Business process and automated the whole Inbound and outbound.
• Configured and implemented Sterling File Gateway process.
• Created Partners using Sterling File Gateway (SFG) and associated them to Groups in Sterling File Gateway (SFG).
• Setup new EDI trading partnerships and created Trading Partner profiles and Management of Communities in Sterling Integrator 5.2.
• Worked on Sterling Connect: Direct for securely transferring of files.
• Worked on Sterling Control Center which provided consolidated view of your full file transfer environment.
• Worked with Legacy teams to understand their Application format.
• Involved in Creating the Envelops for various Trading Partners.
• Preparation of Test case documents for testing Maps.
• Configured FTP/SFTP/AS2 protocols in SI 5.2
• Involved in Production Support monitoring daily transactions, notifying appropriate team and troubleshooting them.
• Monitoring EDI transactions, verifying associated error notification and logs and troubleshooting the issues, and resolve them in a timely basis.

Environment: SI 5.0, GIS 4.3, Gentran UNIX 6.0, SQL Server 2008, Sterling File Gateway 2.2, Sterling Connect Direct, Sterling Control Center and ANSI X12.

Confidential, IL

Business Analyst

Responsibilities:

• Created ASN (Advance Shipping Notice EDI X12 856) which comes in ANSI X12 format from trading partners.
• Created IG’s & Applications Based on the customer requirements.
• Translating the data from ANSI X12 to text format in inbound process using the translator.
• Created maps for Application to Application and Application to X12.
• Responsible for developing/improving EDI maps and related processes with the Mercator Design Studio and other applications in the Mercator tool set...
• Created new synonym table based on the customer requirements.
• Translated the data from text to ANSI X 12 formats.
• Developed ETL procedures to ensure conformity, compliance with standards and lack of redundancy, translating business rules and functionality requirements into ETL procedures.
• Receiving an Acknowledgment (EDI X12 997 Functional Acknowledgment) from the trading partner.
• Creation of implementation guides to document detailed exchange requirements such as structures, timing and business rules (GAP analysis documents.)
• Set up new trading partners and maintain existing partners
• Developed SQL queries to interact with the lifecycle database and provide monthly capacity reports reflecting on the utilization of EDI infrastructure.
• UNIX script writing for both communicational and file handling
• Maintenance of EDI Documents, data managers, and Gentran life cycle Database.
• Creation of trading partner files/interfaces.
• Creation of ODBC mapping guidelines.
• Developed maps for following transaction sets: 810, 820, 830, 832, 850, 852, 855, 856, 857, 864, 867, 875, 879, 880, 940, and 997.
• Created interface data files for application file formats.
• Troubleshoot API data loading from the open interface tables onto the Apps data tables
• Responsible for Trouble shooting Mapping errors.
• Responsible for Unit testing for MAPs created for the new partners and Production Turnover.

Environment: Gentran Integration Suite 4.2, Gentran Windows, IBM Web Sphere Data stage TX, windows NT, XML, Oracle 8.1.0.7, ODBC

Confidential, Bloomfield, CT

EDI Analyst/Developer

Responsibilities:

• Writing specifications for enhancements by using existing legacy system documentation and procedures.
• Performed GAP Analysis and created 4010 Companion guides for HIPAA EDI transaction sets
• Created crosswalks by analyzing the base maps provided by the client.
• Planned and developed test cases using Quality center defect tracking tool.
• Participated in business requirements, user requests and defect analysis meetings.
• Worked on 835, 834, 270, 271, 997, 999
• Worked with EDIFECS Spec Builder to create companion guide lines
• Created severity files in EDIFECS
• Monitored EDIFECS file in TM
• Worked with HIPAA compliant ANSI X12 837 formats for both professional claims and institutional claims.
• Developed test cases and test scripts for the functional testing.
• Include claims and enrollment testing as well as NPI and medical coding and ICD-9 EDI testing.
• Experience in developing, implementing and testing EDI ANSI X12, XML/XSLT applications.
• Regenerating the defects and resolved them and maintained log files for every test.
• Involved in smoke testing and resolving the defects when required.
• Defining test cases, creating test scripts, analyzing bugs, interacting with QA / dev teams in fixing errors and User Acceptance Testing (UAT).
• Prepared the Test plans and Test cases to successful perform the system integration testing, functional testing.

Environment: GIS 4.2, EDIFECS, EDI ANSI X12, SQL Management Studio, Oracle 9i/10g, XML, XSLT, Unix, Windows

Confidential

Software Engineer

Responsibilities:

• Involved in functional study of the application.
• Developed Ansys Parametric Design Language (APDL) Programming codes for various Aerospace system designing.
• Developed optimization programs for efficient productivity.
• Tested and compared with tool vs automated developed codes.
• Got Trained on EDIFECS, Gentran EDI tools
• Developed Patran command language (PCL) Programming codes for various Aerospace system designing.
• Developed automated code for meshing different aerospace components in HYPERMESH software.
• Developing intermediate codes of different analysis tools.
• Involved in developing a full suite of test cases to test the product’s stability.
• Executed test cases and reported defects in terms of Major, Minor & Critical.
• Involved in preparation of traceability matrix.
• Derived test cases using functional and requirements specifications.
• Reviewed defects and analyzed escape defects raised by the external team.
• Performed backend testing and used SQL queries to validate the entries in the database.
• Reported and tracked bugs using Test Central.
• Developed standard work for different optimization process.
• Interacted with client for various design change optimizations.
• Guided the team members on various optimization processes.
• Developed best practices for various design criteria.
• Documented the best practices and standard work.