PROFESSIONAL SUMMARY:

• A highly talented and accomplished IT professional with over Twenty years of extensive experience in the areas of Project Management, Business Analysis, System Design, Development and Implementation of software systems.
• Good understanding and hands on experience in Healthcare - Claims processing, Provider Management, Pricing and Disbursement systems.
• Lead many projects for successful releases.
• Good understanding in designing PEGA applications, integrating with external systems, Case Management an UI.
• Good knowledge of Business Process Management and Business Rules Engine concepts and its tools.
• Participated in PEGA DCO sessions to capture and convert the initial requirement to application.
• Good understanding in analyzing and resolving Performance issues.
• Highly capable to quickly learn new technology and adapt to a new environment.
• Confident, proactive, versatile, self-motivated, problem solver and poised in interactions with individuals at all levels. Detail-oriented and resourceful in completing projects, able to adapt project management and technical skills successfully to meet the challenges that IT industry requires in order to deliver.

SKILLS SUMMARY:

BPM Tools: Pega PRPC v7.2

Programming skills: Java, Node.JS, Python, MongoDB

Project Management Tools: Microsoft Project, Smart Sheet

Tools: JIRA, Rally, HP ALM, File Manager, Excel, Visio

Mainframe environment: COBOL, JCL, IMS DB/DC, VSAM, CICS, REXX/CList

DataBase: IMS DB, Oracle, DB2, Mongo DB

Business Knowledge: Healthcare Claims Processing, Provider Management, and Disbursement

EXPERIENCE HIGHLIGHTS:

Confidential, Florida

Technical Lead

Tools: Used: Pega PRPC v7.2, Python, Node JS, Rally and Microsoft Office tools

Softwares used:

• Python - for preprocessing files
• Ingestion framework - for consuming incoming data into the Data Lake
• PostgreSQL - to load the preprocessed files
• Node JS/ GraphQL- to build API services
• React - front-end development (Involved only in designing and tracking the work)

Responsibilities:

• SellPoint is the platform solution for Group Sales; satisfying Small Group and Large Group customer needs for Health Insurance coverage for their employees.
• Sellpoint is built using PEGA Sales automation framework for Health Care.
• The platform will support the ease of doing business, automation, streamlining sales process and ultimately enhancing the customer experience.
• This capability includes prospecting, quoting and rating along with client activation and renewals.
• Project involvement:
• Involved in developing Quote applications for Large and Small group.
• Involved in the development, building services to exchange the data and status.
• Involved in planning and execution of revamping the UI aspect of the application.
• The application UI was redesigned to suit the corporate template.
• E-enrolment is the process in which the organization collects the member (census) data in the centralized location and shares it with multiple applications.
• Prior to this Agents uploads the Excel based census data for Small Group and Large Group applications for rating. This involved manual data exchanges between applications.
• Requirement Analysis, Technical Design of Class Structure, DB design and Application Design, Development, Testing and Peer Review, Deployment and support.
• Analyzing PAL, Guardrail warnings, PLA and modify rules accordingly to improve Performance.

Confidential

Project Manager / IT Architect

Tools: Used: JIRA, Smart Sheet (Project Managerment ), Kiteworks (Content Management ), Office tools

Responsibilities:

• Working with the users and project BA to document the business requirements
• Prepareing the detailed requirement and working with the dev team
• Project Planning and Capacity planning for team members
• Project plan creation and tracking the tasks to the closure
• Involved in Integration testing and end-to-end testing
• Handling escalations with communications on next steps and defining the timelines for delivery
• Reporting the project status to the stake holders

Confidential, FL

IT Analyst / Tech Lead / Project Manager

Tools: Used - RALLY, HP ALM

Responsibilites:

• Working with the users to gather detailed business requirement
• Breaking up the requirements into User Stories
• Creating UserStories in RALLY
• Running the analysis sessions/meetings with cross applications to understand the need for communication and designing services
• Preparing high-level test scenarios and testing them as part of UAT
• Involved in spring planning and assignment discussions

Project Manager

Confidential, FL

Responsibilities:

• Project Planning and Capacity planning for team members,
• Actively participating in the Discovery Phase of the projects and work in-take.
• Capturing metrics related to on-time delivery and meeting SLAs for each phase (Req, Design, Unit Test, SIT and UAT)
• Handling escalations with clear communications on next steps and defining the timelines for delivery
• Scheduling RCA meetings and document the process so it is not repeated after the release.
• Actively participating in the recruitment process.
• Maintaining good relationship with the customers.

Confidential

Sr. BSA / Tech Lead

Responsibilities:

• Gathering Project specific requirements from business
• Preparation of the functional specifications after requirements analysis
• Assistance in the preparation of Technical Specifications.
• Monitoring and supporting the Unit Testing, Systems Integration Testing and User Acceptance testing and validating the Test Results.
• Validating after the project implementation - business checkout.
• Revamped the estimation process for SSCRs
• Supporting the release activities - communicating with business on issues on the release day, work towards the solution.
• Suggesting and helping team members in Functional / Technical design / solution.
• Providing innovative ideas to reduce the day to day work by suggesting REXX tools

Environment: JCL, COBOL, DB2, CICS, TeraData