SUMMARY

• Over 7 years of experience with all EDI/B2B operational areas including: analysis, mapping, testing, creating specifications, establishing and maintaining trading partner relationships, documentation, support of infrastructure and transactions, and third party vendor management.
• Highly knowledgeable on the businessside of Healthcare, Logistics and Purchasing and able to perform comprehensive analysis in order to establish thebusiness requirements. Possess a strong track record of developing valuable relationships with clients, business partners and vendor support.
• Strong analytical, communication, project Management and trouble shooting skills.
• Strong experience in the analysis, development, unit testing, trading partner testing of EDI - Integration applications that involves the complete Software Development Life cycle from Analysis, Design, Testing & Implementation.
• Proficient in creation, modifications, testing of envelopes, maps, business process, service/adapters and AS2/FTP communications. Worked on Migrating Communication setups (AS2, FTP), Envelopes and Maps from GIS 4.3 to SI 5.1.
• Experience in Migrating Trading Partner setups toSterlingIntegrator5.1 (GIS) from Gentran Server for Windows.
• Strong experience in development and implementation experience in EDI ANSI X12, HIPAA, VICS, UCC, EDIFACT, XML, Sterling Integrator, Sterling’s Gentran Server on UNIX, Gentran Integration Suite (GIS), GXS Application Integrator Workbench, GXS Enterprise Gateway & XML/XSLT applications.
• Highly Experienced in HIPAA (Health Insurance Portability and Accountability Act), Health Care industry providing Business Process Assessment, Requirements Gathering, Gap Analysis, Implementation and Testing.
• Experience with file transfer set-up and configuration using IBM’s Sterling Managed File Gateway suite.
• Expertise in different communication protocols such as AS2, FTP, HTTPS, and SFTP using IBM VAN, GXS VAN, Axway and SFG.
• Installed Sterling File Gateway and configured community, partners, groups, mailboxes, Channels and templates. Added new file gateway protocol for FSA handling. Added Connect Direct protocol handling.
• Proficient in creating Business Requirement Documents(BRD), Functional Specification Documents(FSD), Use Case Narratives and Use Case Diagrams in Visio and Rational rose.
• Good understanding on HL7 messagingfor the exchange of clinical data. ACK, BAR, ORM, QRY and MDM are the most common used messaging types.
• Experienced in EDI implementations, New EDI Map Development and Testing, Standards Upgrades, Translator Upgrades, Conversions to New ERP Systems with Gap Analysis for New systems and EDI Re-Certification Testing. On Boarding of EDI Trading Partners, 24x7 Production support.
• Good understanding in end to end Order to Cash, Source to Pay flow and responsible to monitor the transactions to ensure the documents were delivered as expected.
• In-depth knowledge of various SDLC Processes and methodologies; BA/ QA life cycle/ Phases (including Manual, Functional, System, Unit, Integration, End-to-end, Business Process testing, bug tracking).
• Trading Partner set up in SFG. Configuration sssh2 connectivity methods, authentication certificates
• Work on 837 and 835 projects, including syntax and business rules for X12 HIPAA 4010 and 5010 validation for loops, segments, elements, qualifiers and code sets.
• Developed Maps to and from trading partners to Internal Order Management applications (SAP IDOC’s) in supporting Delivery Order, Goods Receipt, ANSI etc.
• Health Care Industry experience with HIPAA Compliance EDI documents including EDI transaction sets: 270 Benefits inquiry, 271 Benefit info, 276 claim status request, 277 Status Notification, 278 Service Review, 834 Benefit enrollment, 835 Payment Advice, 837 Claim form. Good understanding of 5010 upgrades to support ICD-10 code Compliance.

TECHNICAL SKILLS

EAI/B2B Tools: Sterling Integrator (5.2), Gentran Integration Server (4.2), Gentran Server for Unix 6.0

Mapping Tools: IBM Sterling Integrator, Gentran.

Industry standards: ANSI X12, EDIFACT, XML, CSV

Transaction/Messages: 850, 855, 856, 810, 820, 816, 860, 865, 945, 940, 210, 214, ORDERS, ORDRSP, ORDCHG, DESADV, INVOIC

Programming Languages: C, JAVA, SQL

Databases: Oracle 10g, IBM DB2, MySQL

Operating Systems: Windows … AIX-UNIX

Communication Protocols: AS2, FTP, SFTPvia VAN(GXS, Sterling, NuBridges, Axway

Others: Edit plus, Ultra edit, Confidential compare, Liaison, TOAD, SAP MM & SD modules, SAP ALE

PROFESSIONAL EXPERIENCE

EDI Architect

Confidential, Middleton, WI

Responsibilities:

• Responsible for analyzing, designing, implementing, testing, monitoring the changes and moving to Production support.
• Work with trading partners on new implementations, code change requirements, issue resolution, and connectivity setups.
• Designed functional specification documents by gathering all the required setup information from the external partners & the internal business teams.
• Responsible to monitor EDI Inbox, transactions and subsystems for any issues in production and resolve EDI translation issues, map logic errors in transactions like 850,810,855,856,830,820,860,210,940,945.
• Coordinate with various teams internally as well as vendors to work on projects and enhancements to avoid any potential issues and to increase performance.
• Support EDI project implementations through various “Go Live” activities.
• Accountable for managing development and production tickets, Incidents on Service Now based on timelines.
• Working on SAP/ECC for data analysis using various T-codes like WE02, WE20, VA03, MM03, VM03 etc.
• Analyzed, tested and implemented business processes resulting in proper manipulation of EDI and ERP data and consultation with Trading Partners for roll-in into EDI process.
• Involved in ED -Liaison migration project and provided map analysis to Liaison team.
• Coordinated UAT between multiple business divisions internally and LIAISON.
• Track trends and issues, validates with in-depth data and analysis; applies solutions quickly in LENS Issue log.
• Proactively participate in the weekly meetings to track the project status & record meeting notes to ensure timely deliverables.

EDI Analyst

Confidential, Maplewood, MN

Responsibilities:

• Involved in the whole cycle of the project from trading partner configuration to supporting production environment.
• Worked on integration with new trading partners using ANSI X12 standards (850, 855, 856, 860 and Acknowledgements) using SIMON.
• Experience in creating and implementing communication protocols such as FTP, SFTP, VAN and AS2 within Sterling Integrator.
• Involved in updating the guidelines file and trade relationships per requirements using JavaScript.
• Upgraded ERP from PeopleSoft to SAP. Tested and implemented maps, applications and responsible for handling more than 100 suppliers as trading partners in this migration.
• Worked on ANSI X12 standards and SAP IDOC formats.
• Performed gap analysis and testing at various stages to confirm the files are making end-to-end process.
• Responsible for handling all carriers and EDI 210 end to end processes in the migration project.
• Assist in identifying and resolving issues during unit and End-to-end testing.
• Working with partners on multiple rounds of testing and ensuring the test results match the requirements.
• Supported Oracle and SQL server databases including server related activities (updating tables, troubleshooting, schema updates, migration and data preparation)
• Responsible for providing estimates for various tasks in the project.
• Responsible for analyzing, designing, implementing, testing, monitoring the changes and moving to production.

Sr. EDI Analyst

Confidential, Shoreview, MN

Responsibilities:

• Develop/Modify EDI maps using Sterling Integrator Map editor.
• Implemented Migration project with various transactions like 810, 850, 855, 856 so on.
• Responsible for staging of EDI systems in Development, Testing and Production.
• Responsible for writing correlation documents for the transactions and creating test files.
• Dealt with implementation of Custom layout maps.
• Responsible for importing and exporting packages from development regions to PROD and vice versa.
• Manage and Create Trading Partner accounts and Groups withinSterling Integrator / File Gateway.
• Configuring SAP ALE with Sterling integrator
• Creating Partner profiles in SAP
• Worked extensively with SAP IDOCS for all transactions and been a part of full cycle SAP implementation
• Involved in working Source to pay flow.
• Created UNIX shell scripts to automate the FTP process, handling of data discards, data errors, Compliance errors.
• Performed End to End testing in SFG to confirm the files are making through the end to end process.
• Involved in setting up of Trading Partners Envelopes for multiple transactions in Sterling Integrator.
• Configured and implemented Sterling File Gateway (SFG) for various TP transactions.
• Created test plans for all maps and coordinated with QA Team on any defects.
• Worked on Change/Heat tickets for any required changes to support the production Environment.
• Create SFG-communities, partners, groups, routing rules, and templates, static and dynamic routing channels and remove special characters from files.
• Responsible for providing daily/weekly status reports to the management and discuss any roadblocks.
• Developed queries to interact with the lifecycle database and provide monthly capacity reports reflecting on the utilization of EDI infrastructure.

EDI Analyst

Confidential, Rockville, MD

Responsibilities:

• Developed/Modified EDI maps using Sterling Integrator’s Map editor.
• Involved in map development, testing and implementation for EDI transactions 834 and also Flat files 1000 and 500 byte layouts in Sterling Integrator 5.2/GIS 4.3.
• Configured and implemented Sterling file gateway process. Configured adapters, services, service configurations and AS2 setups as per business needs.
• Created 5010 Companion guides for 837i, 837p, 837d, 835, 270/271, 276/277, 834.
• Implemented Migration project of Enrollments (834’s) from RxClaim to Internal systems.
• Implemented large number correlation documents and maps for the ACA project in short time span and met the timelines successfully.
• Configured Gateway allows using multiple repositories for document management in Oracle 10g and SQL server 2005 based on trading partners.
• Worked with SQL statements to extract data from tables and verify the output data of the report on the browser page.
• Worked extensively in validating 837 Institutional and Professional (loop 2300 which consists the claim information) for both 4010 and 5010 and also created various test data for validation purposes.
• Performed logical mapping changes for 834 and 835 transaction sets to-and-from claims and billing applications.
• Trouble shouted and resolved XSLT mapping issues and adapter failures/discards.
• Developed/modified the existing business processes to improve the performance in BPML.
• Set up various communications using Protocols FTP, HTTP, SMTP and AS2 with trading partners.
• Developed complex web services using SOAP over HTTP to meet the requirements by creating request/response.
• Track the status of assigned tickets to insure timely completion, maintains communication with customer regarding progress of work, and notifies appropriate parties when open issues have been resolved.
• Responsible for writing test cases, execution and pulling the report in QC.
• Track trends and issues, validates with in-depth data and analysis; applies solutions quickly.
• Involved in writing DB queries to pull the data from Database during testing.
• Stay current with changing technical protocols and Healthcare regulations regarding data exchange.
• Continue to research and establish communication channels with industry-recognized organizations that provide EDI insights and direction.
• Used EDIFECS spec builder to manage claim transaction and billing application requirements. Mapping the requirements onto the implementation guide development and development of test cases for each transaction.
• Extensively used EDIFECS Transaction manager to monitor the transactions, claim status and for the partnerships.