SUMMARY:

• 11.5 years of experience developing applications using AS400, RPG, COBOL, CL, SYNON, DB2, ILE, Embedded SQL and Stored Procedures.
• Extensive knowledge of US Healthcare Insurance domain with Pharmacy & Medical claims Insurance along with HIPAA 5010 and D0 transactions.
• Extensive background in RxClaim & PBM (Pharmacy Benefit Management).
• Extensive knowledge of EDI X12 Transactions like 837, 835, 834, 820 & 270.
• Expertise in implementing Performance Improvement measurements to reduce the response time of the application, to save the CPU Usage and Optimize the Overall Application.
• Proficient in Screen Design using Display Files and Sub Files.
• Expertise in CMS (Center for Medicare and Medicaid) Reports
• Extensive knowledge in Medicare Part D, Specialty Rx Claims & Encounter Management.
• Extensive knowledge in Institutional (UB - 04) and Professional Claims (CMS-1500).
• Managed the Full Project Implementation lifecycle, from initiation through implementation, including requirements gathering & prioritization, defining scope & schedule, obtaining approvals, development, testing tasks and troubleshooting.
• Worked on the Onsite/Offshore Model, which involves constant interaction with Business, Client Team, End users and Technical personnel.
• Worked in L1, L2 & L3 Production Support.
• Expert in JIS (Jacada Interface Server) a GUI for AS/400 applications.
• Experienced in DB2, SQL & Work Query with strong query skills.
• Experienced in I-Series Navigator.
• Proficient in Agile Development and Waterfall methodologies.
• Extensive experience with Quality Center for Test Planning and Test Execution
• Worked as Configuration Manager using Aldon CMS and Turnover Tools.
• Used tools like Clarity, M-DOS Clarify, JIRA for managing & tracking of project and team.
• Knowledge in developing applications compatible to MQ Series.
• Worked in Retail and Order Management.

TECHNICAL SKILLS:

Languages: RPG, RPGLE, COBOL, COBOLE, CLLE, SYNON, Embedded SQL

Databases: DB2, SQL, Work Query, Stored Procedures

Applications: MS Office, Visio, Jacada, Clarify, JIRA

Screen Design: Display File, Sub Files.X Analysis, Hawkeye.

Tools: I-Series Navigator, Aldon, Quality Center, RDI, MQ Series

Operating System: AS400, Windows

PROFESSIONAL EXPERIENCE:

Confidential, Boca Raton FL

AS400 Application Developer

• Providing Business Solutions related to Order Management which includes Warehouse Load Management, Store Management.
• Providing Technical Solutions related to AS400, RPG, COBOL, CL, DB2, Embedded SQL & Stored Procedures.
• Implementation of Customer Choice and Order well projects.
• Spoc for Same Day Delivery and Ship from Stores Modules.
• Maintenance of different delivery options like 3 - 5 Day, Drop Ship, Will Call, Next Day, Alternate Location.
• Coordinating with 3rd party delivery services like DELIV, Delivery Solutions etc.
• Troubleshooting generally and during outage window.
• Coordination with different vendors and teams.
• Question Resolution and Requirement Gathering from Business and SMEs.
• Design and Development
• CDAP Analysis and Support.
• Project Estimation.
• Creation, tracking and completion of stories through JIRA.
• Prepare the technical design document and unit test plan so as to ensure proper development and testing.
• Version Management through turnover.
• Queries for Production Data Validation
• Performance Improvement implementations.

AS400 Application Developer

Confidential

• CVS Health is the USA’s premier integrated pharmacy services provider, combining one of the nation's leading pharmaceutical services companies with the country’s largest pharmacy chain.
• CVS Health has three major Business Groups: Retail, Pharmacy and Corporate Systems. Layered across these Business Groups is Operations Support Services (OSS) which provides support for all Applications and is organizationally partitioned by platform (AS400, Mainframe I Remote Warehouse Management System, Open Systems I PeopleSoft, and Data Warehouse).
• CVS Health also coordinates with CMS for various reporting and auditing purposes.

Hardware IBM AS400 server with Pentium Workstation

Confidential

AS400 Application Developer

• Providing Technical Solutions related to AS400, RPG, COBOL, SYON, CL, DB2, Embedded SQL & Stored Procedures.
• Implementation of HIPPA EDI D.0 standards in RxClaim.
• Generating & Coordinating Medicare Part D reports and sharing them with CMS (Centers for Medicare & Medicaid Services).
• Troubleshooting generally and during outage window.
• Coordination with different vendors.
• Conversion Implementation
• Question Resolution and Requirement Gathering from Business and SMEs.
• Design and Development
• RxClaim System Analysis and Support.
• Team and People Management.
• Project Estimation.
• Validation of requirements against current CVS Health System.
• Prepare the technical design document and unit test plan so as to ensure proper development and testing.
• Develop programs and perform quality assurance testing so as to ensure a proper fully functional application.
• Expertise in Adjudication and Outputs operations.
• Requirement Analysis both at off - shore and on-shore.
• Queries for Production Data Validation