SUMMARY:

• Confidential Professional with over 25 years in application development, programming, Confidential, project management and leadership roles.
• A proven leader for the firm that wishes to successfully integrate electronic transactions with their applications systems, improve processes, increase reliability, pursue new trading partners and documents, achieve a more cost effective operation and improve communication between management, business departments, suppliers and customers.

TECHNICAL SKILLS:

Confidential, X12, HL7, HIPAA, ICD - 9 / ICD-10, EDIFACT, XML, MS SQL Server, T-SQL, PL/SQL, MySQL, AS2, Liaison Confidential & Confidential, GXS TLE, Gentran: Server, Oracle Apps (EBS) 11i including e-Commerce Gateway, SAP, IDOC, Windows, UNIX, HP-UX, AIX, OS/390, OS/VS2, IDMS, JCL, TOAD, Confidential SpecBuilder, EDISIM, MS Word, MS Excel, MS PowerPoint, MS Project, MS Outlook, Visio, SDLC, Agile & Waterfall.

EXPERIENCE:

Confidential, Glendora, CA

Responsibilities:

• Designed and implemented a unified facility for acquiring and disseminating data securely with outside business partners and within the client firm.
• Developed standards for unified interface formats and push for adoption.
• Developed and implemented standards for format, identification and retention of an ever-expanding scope of medical data across a growing organization.
• Guided firm in selection of Confidential and Confidential as Confidential platform.
• Utilized SQL Server and other SQL versions for updating and extracting data to and from application databases.
• Created maps for inbound/outbound data in multiple formats including Enrollment 834 X12 transactions, ADT Axx, HL7 transactions, and proprietary formats.

Confidential

Responsibilities:

• Installed, configured and mapped Confidential & Confidential software for manufacturing client in the fashion industry. Assisted in development of migration plan from outsourced Confidential processing to new in-house capability. Conducted training of client’s Confidential staff. Mapping POs, Invoices, Ship Notices etc. to and from DB2 (SQL).

Confidential

Responsibilities:

• Assisted experienced Confidential staff in upgrading transaction sets including 850, 860, 810, 855, and 856 for multiple clients using Confidential mapping software.
• Upgraded older version of Confidential software suite to current.
• Mapping, testing, consulting.

Confidential

Responsibilities:

• Converting outsourced Confidential operation to on-site for US division of global sporting goods manufacturer.
• Onboarding new trading partners.
• Mapping inbound 850, outbound 855, 856, & 810 et al transaction sets with Confidential to SQL database to support trade with nationally known retail trading partners.

Confidential

Responsibilities:

• Assisted experienced Confidential staff in implementing sophisticated Confidential Control System.
• Upgraded SSL signing algorithm to SHA2, facilitated testing, rolled out new trading partners, assisted client in recovering from a denial of service attack.
• Trained staff in use of Confidential & Confidential .

Confidential

Responsibilities:

• Trained client’s staff on the use and utilization of Confidential & Confidential suite for electrical products manufacturer in Michigan.
• Developed several maps as training projects with the help of the newly-trained resources.
• Assisted in testing and troubleshooting. Modeled and assisted in the development of Confidential business process flow. All work was completed remotely.

Confidential

Responsibilities:

• Stepped in to complete work on encounters (837) mapping and testing for several clients of a consulting company when their primary Confidential resource was physically unable to continue.
• All work was completed remotely using Confidential & Confidential .

Confidential, Tempe, AZ

Responsibilities:

• Participated in design of 3rd-Party Confidential interfaces for eligibility, claims/encounters and payment processing for new Affordable Care Act health plan. Sadly, before the work was well underway, the company was taken over by government officials and is now in receivership.

Confidential, Alpharetta, GA

Delivery Team Consultant / Contractor

Responsibilities:

• Provide support for customers of Confidential who have purchased Confidential and Confidential products.
• Activities include installing software & databases, configuring software, mapping Confidential and non- Confidential transactions, training customer staff, working with trading partners to develop implementation plans, assist customer in troubleshooting production problems.
• Work performed remotely and on-site at customer locations.
• Integrated with many different applications including Oracle EBS, SAP, and Confidential .
• Clients from industries including Supply Chain, Logistics, IT Services and Medical Billing.
• Key clients include:

Confidential, Irvine, CA

Confidential Applications Specialist

Responsibilities:

• Responsible for day-to-day processing electronic eligibility (834) for fast-growing dental plan.
• Set up new trading partners, conducted acceptance testing, negotiated for improved reporting of eligibility.
• Consulted with claims department in resolving claims Confidential issues (837).
• Developed SQL processes for preparation of data and auditing of database integrity.
• Worked with IT management to explore methods for improving file handling (MFT), Confidential translation, non- Confidential data transformation, data security, and archiving. Reduced manual processes by 40%.
• Presented a plan to implement changes which would further reduce manual processes, improve both security and reliability, provide better audit trails, and lower costs substantially.

Confidential, Alhambra, CA

Confidential Analyst

Responsibilities:

• Project Manager for conversion from various Confidential platforms to Softshare Confidential and Confidential . Extensive mapping of HIPAA Confidential transactions including 834, 835, and 837, setup of communications protocol, automating of manual processes, documentation of system processes and flows. Automated transmission of non-X12-format files. Implemented interfaces with SQL Server, MS Access and Oracle SQL databases. Implemented CMS reporting for Medicare eligible members.

Confidential, Carlsbad, CA

Confidential Consultant

Responsibilities:

• Project Manager with assignment to correct and streamline Oracle E-Business Suite implementation of Confidential for High-Tech manufacturing company which used offshore contract manufacturing.
• Used Sterling GIS - Windows, X12 and EDIFACT standards, Confidential SpecBuilder.

Confidential, Lisle, IL

Consultant

Responsibilities:

• Implemented Confidential in new SAP R/3 environment using Inovis TLE 6.1.1, Gentran: Server 6.1 and BizLink for newly-create company.
• Consulted on order-to-cash Confidential strategy change which allowed the company open for business on time.
• Used UNIX environment and created maps for 3PL applications including 940, 945, 943, 944 and 947 plus 820 and 856 for manufacturer in the food processing industry.

Confidential, Scottsdale, AZ

Consultant

Responsibilities:

• Consulted in the design for utilization of Softshare Confidential .
• Developed maps for POs, Invoices and ASNs using Oracle EBS and X12 using Softshare Confidential .

Confidential, Long Beach, CA

Consultant

Responsibilities:

• Conducted assessment of Confidential capability and developed RFQ for comprehensive replacement Confidential system to help mid-sized health insurance company manage file transfer within the company and between Confidential trading partners and other businesses, while improving their ability to add new HIPAA 837, 835, 834, 270 and 271 users in an IBM i-Series environment.