Technology Lead Resume

SUMMARY:

I am a Facets a healthcare claims payer software system consultant with more than with 12+ years for Trizetto.
My experience includes a background with claims, provider and member batch jobs, custom applications and data modeling. I have worked as a programmer at Trizetto developing core applications.
My recent positions have involved working with QA Leads for healthcare payer and utilizing my programming background to assist in application test and release change management.
Worked with healthcare claims software, Facets Enterprise System.
Designed and implemented electronic interfaces.
Communicated with numerous departments involved in overall business.
Helped with internal applications such as Intranet sites.
Work with .Net with COM+
Application Release control - check in/out code changes
Root cause analysis /Debugging
EDI transaction 276/277
Processed IT Healthcare data:
Provider
Member
Claim
Plan
Wrote/Updated ASP and VB Script
Designed programs from Requirements
Unit testing

COMPUTER SKILLS:

Vertical applications: TriZetto Facets Integrated Healthcare System

Operating systems: Windows, .Net Platforms, Unix

Programming: C++, ASP, VB Script, Microsoft ExcelDatabase: Sybase 12, SQL

Batch Jobs: I have a strong knowledge on Standard Trizetto jobs such as:

Provider: ErccsRunXpf0

EDI: ErCcRun277o

ACCUMLATOR: ErCmcAbe0, ErCmcRunAbi0

Data Model: I have worked on Provider, Member/Subscriber, Claims, and EDI transactions involving member/claim searches.

FACETS EXTENSION: Experienced development/ testing of custom Facets Extensions.

CUSTOM INTERFACES/APPLICATIONS: I have worked on custom applications that interact with Facets Data Model. I have created/tested custom database tables that were needed for custom applications/extracts on claims, provider and accumulators.

EMPLOYMENT HISTORY:

Technology Lead

Confidential

Responsibilities:

Working on site assisting with testing SQL scripts and executable extensions.
Wrote scripts to assist with comparing batch job changes for Facets 4.71 and Facets 5.01
Executed Medicare Reconciliation jobs moved output for BA review
Executed scripts that created excel reports
Verified enhancement to scripts and excel report

Technology Lead

Confidential

Responsibilities:

Working on site at Confidential a client of Confidential .
As Technology Lead and acting as liaison with offshore team members.
Working with Facets Configuration management team members.
Worked on application/configuration management team.
Responsible for upgrading changes in a QA environment for Claims, Provider, and Member external tables and workflow changes
Coordinated with offshore teams of enhancement and fixes
Executed scripts to migrate data to new table layouts
Migrated code changes and unit testing

Programmer

Confidential

Responsibilities:

Supported FACETS integration and customer-specific applications, inbound data cleansing, outbound data extraction and transformation (ETL) and process metrics/error handling projects to enable large FACETS user companies to establish trading relationships with healthcare providers
Progressed from Junior Programmer to Programmer and to Senior Programmer
Progressed from an MVS/COBOL development environment to C, C++, Java and MS Windows/Web

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