Sr. Mainframe Programmer Analyst

Solutions-focused, IT professional with 9+ years of hands-on experience providing computer programming and analysis supporting application / system development projects for financial and healthcare industries. Successful identifying and resolving programming issues to deliver complex applications per client requirements. Highly effective leveraging team relationships and programming languages to maximize performance, scalability, and reliability across systems and applications. Excel at gathering and analyzing requirements to develop programming code, test, and implement robust, cost-effective applications. Outstanding communication skills; interfaces effectively with upper management, vendors, staff, peers, and users.

Team Collaboration l Programming Analysis & System Reporting l Project Coordination & Execution l Programming Languages l Documentation & Testing Procedures l Solution Design & Development l Business System Migrations l Meeting Client Requirements

Programming Languages: COBOL, JCL, EasyTrieve, VSAM, Batch/CICS Expediter, SQL, DB2, IMS, CICS, Assembler

Platforms / Tools: Mainframe, MVS, Changeman, Endevor, Infoman, Infopac, CA7,Zeke, MVS, OS/390, Legacy, Microfocus

Confidential- Sandy Springs, GA
2006 - 2009
Developer / Technical Analyst

Provided system development via Legacy/Microfocus COBOL and technical support for a provider of diversified business process outsourcing and IT services and solutions to commercial and government clients worldwide. Oversaw and supported transmission of all data via FTP and NDM to DSS and the DRAMS rebate manufacturing team. Wrote and maintained programs that processed and edited data to be sent to DSS data warehouse. Knowledgeable of various systems within the ACS mainframe environment, including claims adjudication, posting, rebates, pharmacy, statements, administration, and billing.

Selected Highlights

• Developed, implemented, and maintained system processes for a Medicaid pharmacy and medical drug rebate program to track and manage quarterly rebates valued in hundreds of millions of dollars.
• Planned and coordinated both batch and online interface GUI testing in conjunction with ACS testing teams to ensure all new implementations and updates were thoroughly tested system wide.
• Leveraged SQL and SPUFI in DB2 based environments to create, maintain, and update keyed table hierarchies.
• Created business rules and decision tables for thousands of state healthcare programs and data structures as part of an ongoing massive effort to convert systems from legacy to enterprise platform for each state.
• Managed data warehousing functions via DSS for each state storing up to one to three years of readily accessible data in easy to access databases and up to 10 years of data backed up to tape.
• Balanced reports as part of meeting state and federal government audits that included tracking exact number of claims paid, numbers bypassed, reasons they were bypassed, and amount paid for each specific drug rebated.

Confidential- Tucker, GA
2006
Computer Programmer (Contractor)

Served as a UNIX COBOL Contract Programmer for a cooperative supporting more than 200 utility providers in 33 states. Extracted, sorted, and purged data in Access databases for electric and gas companies. Wrote and maintained embedded SQL code for the Oracle Database (HP9000) and Query language code for the TurboImage database (HP3000).

Selected Highlights

• Assisted in a project to migrate HP3000 systems to HP9000 systems via a UNIX platform for 170+ utility and electric distribution cooperatives across the United States.
• Tested batch report data, referencing back to original received client data as well as online changes via Java/.NET based server and batch changes in common batch environment.

Confidential- Searcy, AR
2003 - 2005
Developer / Programmer Analyst

Supported programming efforts for a system project to convert an Arkansas Blue Cross System (APASS) to the Fiscal Intermediary Share System (FISS). Reviewed and manually processed claim data received from various Blue Cross intermediaries. Conducted detailed research to identify and resolve various issues including tracing of data from Legacy mainframe reports to original excel spreadsheets. Documented and maintained provider data via Excel and Access tables and databases.

Selected Highlights

• Oversaw conversion of 10 years of historical Medicare A / B claims valued in the billions of dollars from APASS and FISS systems while maintaining audit compliance requirements per HIPAA federal mandate.
• Played key role in a project to migrate APASS to FISS system for Blue Cross Blue Shield of Arkansas - completing project within tight deadlines.
• Successfully converted data centers and fiscal intermediaries as well as developed and maintained mainframe COBOL and Easytrieve applications within IBM environment.
• Collaborated with business analysts to code and test modifications and resolve Customer Service Inquiries (CSI) in response to client issues.

Confidential- Columbus, GA
2000 - 2003
Developer / Programmer Analyst

Provided mainframe programming and development support for nation’s leading health benefits company. Developed applications and provided programming support for company’s Electronic Data Interchange (EDI) system serving as gateway for all data processed via Blue Cross systems. Created and maintained customer claim and provider data. Analyzed VSAM data files, creating documentation of field locations and job flow. Received an achievement award for completion of HIPAA Data Standardization.

Selected Highlights

• Developed and implemented a new EDI system supporting the computer-to-computer transfer of B2B document transactions and information sharing between trading partners.
• Led mapping and conversion of all transaction data via a GENTRAN translator into a government mandated format for use across various systems within Blue Cross.
• Rolled out HIPAA audit-compliant EDI processes to assist healthcare partners, payors, vendors, and fiscal intermediaries in tracking and managing outgoing transaction data.
• Partnered with independent contractors and business analysts to code, test, schedule, and implement HIPPA-related systems.

Confidential - Columbus, GA
1999 - 2000
Programmer Analyst I

Served as a Programmer Analyst responsible for tracking and managing Automated Credit Evaluation (ACE) systems and ongoing support to customers. Created mainframe processing programs based on client specifications. Leveraged embedded SQL to retrieve and maintain customer database information from DB2 databases within COBOL programs. Responded to client requests and resolved problems in collaboration with client representatives. Conducted analysis, debugging, and support of batch and online current systems.

• B.S. in Computer Science, Confidential, Columbus, GA
• Certification in Data Processing, State of Georgia ICAPP Program
• Professional Affiliations: Confidential