Summary of Experience:I have extensiveexperience as a Programmer Analyst developing, maintaining and supporting multiple on-line Data Base production systems. I have management, supervisory and technical leadership skills that provides interpersonal interaction and leadership as well as technical state-of-the-arts data processing support. I am a team player and a self-starter and available for an interview at the convenience of the client.

Technical Summary: IBM MAINFRAME z/OS 900, COBOL, COBOL II, COBOL 74, CICS/BMS, DB2/, SQL, SQL/DS SPUFI, QMF, VSAM, MVS JCL, TSO/ ISPF, IMS DB/DC, EASYTRIEVE, ORACLE 8i, SQL PLUS UNIX , IDMS, ENDEVOR, XPEDITER, INTERTEST, PANVALET, MS OFFICE EXCEL, WORD, ACCESS , OS/VSE, SAS, MICRO FOCUS COBOL, VISUAL BASIC 6.0, VIA SOFT, COPICS, MQ SERIES, VISIO, FILEAID, OWLLIB, ROSCOE ADW 1.6XX/2.7.01/2.7.02, FTP, NDM,UNIVAC, PL/1 1100/DMS, ECL, OMNICAID, POWERPOINT, CLEAR QUEST, METAVANCE, HIPAA, CA-7, CHANGEMAN, SDLC Methodology, Crystal Reports, STORED PROCEDURES, WEBSPHERE MQ,VISUAL BASIC.NET, HTML, Mercury Quality Center Test Director , XML, SOA, SYNCSORT, and EDI X12N TRANSACTION SETS 276, 277, 834, 837I, 837P and 837D .

Detailed Experience:

Confidential

As Programmer Analyst, I am responsible for maintaining a centralized claims history data base for the receipt and processing of all FEP claims for members that are received by all Plans throughout the United States and Overseas Claims that are processed by the Washington D.C. Plan utilizing Federal Intermediary Standard System FISS and the Multi-Carrier System MCS for Provider profile and payment information.

Environment: IBM MAINFRAME z/OS 900, ICCF, MS WINDOWS 7/XP, COBOL, MS OFFICE EXCEL, WORD , XCEL, EDTR Text Editor, COBOL, DB2/SQL IMS, SPUFI, TSO/ISPF, CICS and VISIO.

Confidential

As Technical Lead Programmer Analyst, I was responsible coordinating the implementation of the States ofIllinois Confidential for Centennial Care and Maximus enhancements and Related Groups DRG and apply HIPAA ICD-10 5010 modifications for Medicaid/MedicarePart A and B applicationsthen verifying the payment information via The Healthcare Integrated General Ledger Accounting System HIGLAS . I also created Provider Data Extract for Medicare Advantage and TANF, while mentoring junior staff and clients.

Environment: IBM MAINFRAME z/OS 900, ICCF, MS WINDOWS 7/XP, COBOL, MS OFFICE EXCEL, WORD , XCEL, EDTR Text Editor, COBOL, DB2/SQLIMS, SPUFI, TSO/ISPF, CICSand VISIO.

Confidential

As Programmer Analyst, I am responsible Maintaining and Modifying the Regulatory List Screening system for International sanctions. Utilizing various DB2 tables and utilities and routines to control and monitor the restrictions of financial accounts of organizations, nations and individuals involve in money laundering activities.

Environment: IBM MAINFRAME z/OS 900, ICCF, MS WINDOWS 7/XP, COBOL, MS OFFICE EXCEL, WORD , XCEL, EDTR Text Editor, COBOL, DB2/SQLSPUFI, TSO/ISPF, CICSand VISIO.

Confidential

As Programmer Analyst, I am responsible coordinating the implementation of the Diagnosis Related Groups DRG and apply HIPAA ICD-10 5010 modifications to various State Blue Cross/ Blue Shield facilities and hospital plans for Medicaid/Medicare applications.

Environment: IBM MAINFRAME z/OS 900, ICCF, MS WINDOWS 7/XP, COBOL, MS OFFICE EXCEL, WORD , XCEL, EDTR Text Editor, COBOL, DB2/SQL, IMS, SPUFI, TSO/ISPF, CICSand VISIO.

Confidential As Programmer Analyst, I am responsible for the implementation of the Secondary Payer Calculations and apply HIPAA ICD-10 5010 modifications to various State Blue Cross/ Blue Shield facilities and hospital plans for Medicaid/Medicare applications.

Environment: IBM MAINFRAME AS400, ICCF/VMS and z/OS 900, MS WINDOWS 7/XP, COBOL, MS OFFICE EXCEL, WORD , XCEL, EDTR Text Editor, CICSand VISIO.

Confidential

As Technical Lead Programmer Analyst for the State of North Carolina for the Health Insurance Portability and Accountability Act HIPAA for the Medicaid/Medicare System, I was responsible for the analysis of the rewrite for the legacy Medicaid MMIS to process transactions 276, 277 and 837 front end for COBOL DB2 CICS applications and apply HIPAA ICD-10 5010 modifications and updates to the Diagnosis Related Groups DRG .

Environment:IBM MAINFRAME z/OS 900, MVS, MS WINDOWS 2000/NT, COBOL, DB2/SQL, IMS, HTML DOCBUILDER, EDI, CICS, Stored Procedures El Segundo, XQMF, QMF, COBOL, SPUFI, TSO/ISPF, XPEDITER, MS OFFICE EXCEL, WORD , XCEL, CA-7, XML, ENDEVOR, EASYTREV, DB2 Stored Procedures, CICS and VISIO.

Confidential

As Business Systems Manager and Technical Lead Programmer Analyst, I was responsible for triaging medical claim processes from various carriers and providers to coordinate the integration and implement system changes while Testing and tracking defects in CLEAR QUEST to determine their causes and solutions in an effort to support the METAVANCE online Electronic Health Record EHR . I also participated in the HIPAA ICD-10 5010 conversion.

Environment: IBM MAINFRAME z/OS 900, MVS, MS WINDOWS 7/XP, COBOL, DB2/SQL, EDI, CICS/BMS, COBOL, SPUFI, TSO/ISPF, XPEDITER, MS OFFICE EXCEL, WORD , XCEL, CLEAR QUEST , METAVANCE, SYNCSORT, and VISIO.

Confidential

As Programmer Analyst, I created Cobol, CICS, DB2 programs to calculate Health Markets rates for the Batch and Online rating processes for Quoting, Verify/Issue, Billing, Rate Changes and Auto Adjustments. I created the High Level Design Documents HLD as well as the Detailed Design Document DLD . I also created the VISIO flow charts, XCEL spread sheets and other supporting documentation while implementing HIPAA ICD-10 5010 modifications. I also created and implemented test scripts prior to promoting/staging the component into production.

Environment: IBM MAINFRAME z/OS 900, MVS, MS WINDOWS 2000/XP, COBOL, DB2/SQL, EDI, CICS/BMS, COBOL, SPUFI, TSO/ISPF, XPEDITER, MS OFFICE EXCEL, WORD , XCEL, CHANGEMAN, EASYTREV, SYNCSORT, CICS and VISIO.

Confidential

Programmer Analyst, I was responsible for the conversion merging the Bergdorf Goodman IMS system to the Neiman Marcus DB2 accounts receivable/accounts payable systems. My duties consist of analyzing and mapping the financial data feeds, via transaction sets writing Design documents, writing COBOL/CICS/DB2 programs, training junior programmers and users on the systems functionalities, attending meetings and JAD sessions and supporting the management staff on request.

Environment: IBM MAINFRAME z/OS 900, MVS, MS WINDOWS 2000/NT, COBOL/390 Enterprise, COBOL/CICS/BMS /DB2 /SQL, VSAM, SPUFI, TSO/ISPF, XPEDITER, FTP,

MS OFFICE EXCEL, WORD, XCEL , MQ Series,XML,SYNCSORT, FILE-AID FOR DB2 and VISIO.

ConfidentialAs Technical Lead Programmer Analyst, I was responsible for the development of the Medicaid MMIS IAM Mainframe VSAM repository is used to medical claims from various vendors via Medical Warning Report. The repository also house CET Pharmacy claims, Provider PNF file. Medical claims, medical warning report, and Provider PNF files. BlueGateway produces CET Pharmacy claim file. These files are processed via IAM Mainframe as they are made available daily, weekly, monthly, ad hoc . The IAM Mainframe creates a flat file containing claims data for each of the input files. The flat files are transferred via FTP File Transfer Program to the Encounter Repository Database using Business Process Management BPM methodology.

Environment: IBM MAINFRAME z/OS 900, MVS, MS WINDOWS 2000/NT, COBOL/390 Enterprise, DB2/SQL, VSAM, SPUFI, TSO/ISPF, XPEDITER, MS OFFICE EXCEL, WORD , XCEL, FILE-AID FOR DB2, ENDEVOR, XML, ZEKE/ZEB SYNCSORT, CICS FTP and VISIO.

Confidential

As Programmer Analyst/Business Analyst, I was responsible for the State of Georgia Mental Health system. I am currently creating Systems Requirement Specifications and Detailed Design Documents utilizing MS OFFICE EXCEL, WORD and VISIO . From these documents, I created COBOL/CICS/BMS /DB2 programs. I performed the migration of programs, copybooks, Procs and control cards to the CHANGEMAN staging areas.

Environment: IBM MAINFRAME z/OS 900, MVS, MS WINDOWS 2000/NT, COBOL III Enterprise, DB2/SQL, SPUFI, TSO/ISPF, CHANGEMAN, MS OFFICE EXCEL, WORD , XCEL, FILE-AID FOR DB2, SYNCSORT, CICS and VISIO.

Confidential

As Business Analyst/Programmer Analyst, I was responsible for the bank merger/conversion of the Online Credit Card system. I mapped the MBNA IDMS data to DB2 tables and VSAM files to the Bank of America files to be processed via COBOL CICS/BMS programs. I performed the migration of programs, copybooks, Procs and control cards to the ENDEVOR staging areas and set up the skid ids in CA7. I worked the 2nd and 3rd shifts of a 24/7 testing and production support effort. Mercury Quality Center Test Director is used to track defects that were immediately resolved to facilitate the continuity of testing.

Environment: IBM MAINFRAME z/OS 900, MVS, MS WINDOWS 2000/NT, COBOL/390 Enterprise, DB2/SQL, Mercury Quality Center, Stored Procedures, SPUFI, TSO/ISPF, XPEDITER, MS OFFICE EXCEL, WORD , XCEL, FILE-AID FOR DB2, ENDEVOR, NDM, MQ Series, EASYTREV, HTML, XML, IDMS, SYNCSORT, PL/1 DB2 Stored Procedures, CICS and VISIO.

Confidential

As Programmer Analyst, I was responsible for the Medicaid MMIS Claims and Extended Web Features for the Explanation of Benefits EOB and Federal Employee Program FEP systems. I created COBOL CICS/BMS /DB2/IMS/MQ Series programs that captured screen input data from the Web and GET read MQ Series input files then PUT wrote MQ Series output files for the description of benefits by Line of Business. TSO via VISUAL BASIC.NET connectivity. Created and maintained Crystal Reports. My responsibilities include requirements gathering, design creation, development and testing and implementation. EDI transaction X12N sets were created and processed.

Environment: IBM MAINFRAME z/OS 900, MVS, MS WINDOWS 2000/XP, COBOL/390 Enterprise, DB2/SQL, CICS, IMS/DB, SPUFI, SO/ISPF, XPEDITER, MS OFFICE EXCEL, WORD , XCEL, VISUAL BASIC.NET ENDEVOR, EASYTREV, FTP, XPEDITER,SYNCSORT, CICS and VISIO.

Confidential

As Programmer Analyst/Business Analyst, I was responsible for the Deposits application Migration and conversion From CHANGEMAN to ENDEVOR. I also created and modified various COBOL CICS/DB2 programs while monitoring the APAR testing partition IN CA7 for various applications. Also, updated XCEL spread sheets from the Main-Frame TSO SVRS via VISUAL BASIC.NET connectivity. Environment: IBM MAINFRAME 3090, MVS, MS WINDOWS 2000/NT, COBOL, DB2/SQL, CICS, VAMMIS COBOL, SPUFI, TSO/ISPF, XPEDITER, MS OFFICE EXCEL, WORD , XCEL, VISUAL BASIC.NET, Stored Procedures, CICS and VISIO.

Confidential

As Programmer Analyst/Business Analyst, I analyzed the Claims Appeal Process and Fraud Statements System to create detailed program specifications, test scripts and the Technical Design Document. I also created and modified DB2/SQL programs and maintained Windows Forms in Visual Basic.net. I was responsible for system architecture, program design, technical team leadership, development, documentation, and full life cycle development. My areas of expertise included Provider, Claims, Forms management, and Eligibility. I used Cobol2, DB2, QMF, CICS, Stored Procedures, ENDEVOR, File-aide, Expediter, TSO, and JCL in online and Batch environments. Environment: IBM MAINFRAME z/OS 900, MVS, MS WINDOWS 2000/NT, COBOL, DB2/SQL, CICS, Stored Procedures, COBOL, SPUFI, TSO/ISPF, XPEDITER, MS OFFICE EXCEL, WORD, PROJECT , XML, XCEL, ENDEVOR, EASYTREV, DB2 Stored Procedures. CICS and VISIO.

ConfidentialAs Programmer Analyst for the State of New York for the Health Insurance Portability and Accountability Act HIPAA for the Medicaid/Medicare system I completed the analysis for the rewrite of the legacy Medicaid MMIS to process front end for COBOL DB2 CICS applications. Analysis consisted of frequent Joint Application Design sessions JADS with the users State of New York Personnel .

Environment: IBM MAINFRAME 3090, MVS, MS WINDOWS 2000/NT, COBOL, DB2/SQL, HTML SPECBUILDER, EDI, CICS, Stored Procedures El Segundo, XQMF, QMF, COBOL, SPUFI, TSO/ISPF, XPEDITER, MS OFFICE EXCEL, WORD, PROJECT , XCEL, CA-7, XML, ENDEVOR, EASYTREV, CICS and VISIO.

Confidential

As Programmer Analyst/Business Analyst for the State of Georgia Participated in the Health Insurance Portability and Accountability Act HIPAA Re-writing and testing several programs that process hospital Claims and Medicare Part A claims to accept the file formats for HIPAA for the 837 transaction set. I Analyzed the current system and documented all modifications make the system HIPAA compliant. I created and maintained programs for the Provider sub-system utilizing COBOL, DB2 and CICS in a legacy conversion effort. I documented and proposed all the requirements to produce and test transactions X12N while maintaining Medicare/Medicaid Claims systems and forms.

Environment: IBM MAINFRAME z/OS 900, MVS, MS WINDOWS 2000/NT, COBOL, DB2/SQL, ZEKE/ZEB, EDI, CICS, OWLLIB, TSO/ISPF, XPEDITER, CICS and MS OFFICE EXCEL, WORD .

Confidential

As Programmer Analyst I was responsible for technical support of claims processing for Medicare/Medicaid MMIS Year 2000 date conversions. I tested and analyzed the GUI front end that was created by EDS for MMIS claims processing to make sure the system is HCFA compliant. I designed, tested and implemented a series of COBOL programs for MMIS check distributions to establish security and verification of payments. I supported State of Alabama Child Support collections and Welfare using IDMS ADSO to DB2 CICS utilizing conversion tool FORCROSS.

Environment: IBM MAINFRAME 3090, MVS V1 R4.0, VISUAL BASIC, COBOL, COBOL II, IDMS, CICS, TSO, FORCROSS, ISPF, ZEKE/ZEB, SYNCSORT, CICS ENDEVOR and ROSCOE.

ConfidentialAs Programmer Analyst I was Responsible for Prior Carrier Payments Medicaid MMIS Claims and Year 2000 conversions. I was Liaison between prior carriers and BCBS-AL for quality assurance to populate DB2 claims tables with corresponding data from outside subscribers and vendors. I created reports and XCEL spread sheets for management for claims status and eligibility. I wrote COBOL programs to strip the information off of reports and files and program them into BCBS-AL format.

Environment: IBM MAINFRAME 3090, MS WINDOWS 95, MICRO FOCUS COBOL, COBOL II, SQL, DB2, IMS DB/DC, CICS, SAS, ZEKE/ZEB, SYNCSORT, EASYTREV, CICSand CHANGEMAN.