EDI Manager Resume St Louis, MO - Hire IT People

SUMMARY:

Over 13 years of HIPAA Data Integration /Edifecs / EDI Management solutions experience
Goal oriented, resilient and persistent
Experience in developing, implementation and Supporting Enterprise Applications to bridge the gap between the business and technology.
Experience working with Edifecs Specbuilder and Map builder and RAMP Management tool and handling trading partner profiles/ relationship management using Trading Partner Manager
Have hands on experience in monitoring a transaction life cycle using Edifecs Product Suite 7.x/8.x
Extensive working experience with EDI and X12 formats in HIPAA providing Business Process Assessment, Requirements Gathering, Gap Analysis, Implementation and Testing.
Contributed towards various project estimations that were planned for Edifecs implementation across various customers
Gained experience in various EDI tools like Edifecs Integration Suite 7.x/8.x, GXS AI 4.0/4.1, Informatica DT/DX and Data Mapper.

SKILLS PROFILE:

EAI Tools: Edifecs Integration Suite, GXS AI Trade Guide, Informatica DT/DX

HIPAA transactions: 834, 837 I/P/D, 835 (ERA & Payments), 820, 810, 850, 854, 276/277, 278, 999, TA1

WORK EXPERIENCE:

Confidential, St Louis, MO

EDI Manager

Responsibilities:

Built entire production support team from scratch by owning and managing complete EDI production support for Edifecs and Tibco application as EDI technical manager
Responsible for any update/patches to Edifecs product and coordinating the changes with product vendor
Responsible for processing all inbound and outbound files within the SLA and to maintain it 100%
Creation of reconciliation report with claims received from Clearinghouse/Submitters and to the downstream
Discussion with clearinghouse/submitters on any EDI data related issue with respect 837, 277CA, 270/271, 276/277 and 999/TA1
Lead the team for creation of automation of recovery process in both Edifecs and Tibco
Excelled in Agile methodology and performed scrum master role for the team
Involved in prioritizing the user story based on the criticality of the production issue
To Create metrics for Daily/Monthly/Quarterly of the claims processed and accountable for any pending claims to be processed and also on the list of prod issues resolved
Responsible for preparing weekly/Monthly report and metrics for clients

Confidential

EDI Manager

Responsibilities:

Executed the role of production support lead and used Edifecs application
Slashed the resolution time for issues at the EDI Gateway considerably and maintained an SLA of 100% while ensuring the system and application availability for 24/7 at Confidential
Experienced in validating the code - sets, maps, guidelines, error severity files during analysis of production issues
Gained experience in leading a large Edifecs team at Confidential that included both onshore and offshore resources
Achieved experience in interacting with Confidential customers on a daily basis.
Was able to resolve all trading partner issues using Edifecs RAMP manager.
Assist various trading partners with research of issues related to their X12 data.

Confidential, Providence, RI

EDI Manager

Responsibilities:

Involved in implementing Trading Partners from END TO END Life Cycle.
Preparation of MRS from customer provided specification
Development of maps in GXS from scratch for migrating customers from REIMS to GXS and also for the new Confidential customers
Partner profile setup in SAP and also in Tradeguide
TP, Application cross reference, lookup tables, etc
Preparing production turn over documents for production moves
Preparing weekly status report for both customer and cognizant management and updating the status in weekly status meeting

Confidential

EDI Manager

Responsibilities:

Executed the role of production support for EDI
Implemented various projects using VMS scripts and EFT jobs.
Gained experience in leading a large team at Confidential with onshore and offshore members
Successfully implemented various EDI projects
Was able to resolve all trading partner concerns related to file transmission.
Assist various trading partners with research of issues related to their X12 data.

Confidential, Denver, CO

EDI Manager

Responsibilities:

Responsible for converting all the transaction involved in the application like 820, 850 from Gentran and REIMS to GXS
Involved in implementation Trading Partners from END TO END Life Cycle.
Configuring the cron setup for triggering all the job
Involved in direct interaction with client for the requirement gathering
Communicating project status effectively to management and client.
Responsible for creating test file for all the transaction involved in the project
Responsible for all CMMi related artifacts

Confidential

EDI Manager

Responsibilities:

Responsible for the maps like 850, 855 and 810. Partly worked on the maps like 864
Responsible for getting the design from client
Responsible for developing models according to the standard message specifications
Responsible for testing the developed maps with the available test files from the customer