Summary:

• Extensive experience in Healthcare Integration, HIE, HL7 Interface Solutions Architecture, Middleware technology solutions, HIX, Healthcare Policy, Meaningful Use and Healthcare IT solutions based on Enterprise Service Oriented Architecture SOA .
• Worked with various private and public Healthcare Clients achieve meaningful use of the Healthcare data by enabling seamless connectivity with desperate internal and external systems and Healthcare Information Exchange HIE . Working with CXO's and Client Executives to design strategic solution offerings and develop market and need based Product strategies.
• Identify, present and deliver innovative and creative Product solutions. Possess excellent organizational skills, pay attention to details, and understand the needs of the customer and the Products. Vast knowledge of Healthcare domain including different EHR systems, LIS, Pharmacy, Claims, Eligibility, EDI X12, HL7 and Integration. Worked on different Healthcare programs in both institutional and community setup and on different service authorization and eligibility systems. Implemented EDI Healthcare transaction Interface with Managed Care Organizations MCO's
• Actively participated in HL7 working group activities and implemented the MITA Medicaid Eligibility Architecture based on HL7 v3. Played an instrumental role in successful adoption and certification of Meaningful Use Stage 2 compliant Patient engagement solutions.

HL7 Interface Migration and Integration:

• Extensively used JCAPS, Mirth, GE/IDX ConnectR, Orion Rhapsody and eGate SRE as HL7 Interface engine to integrated disparate Healthcare Systems with EMR/EHR and HIE.
• Migrated 400 plus HL7 v2.x Interfaces from legacy system to new Integration architecture.
• Designed and Configured HL7 Routes using various Communication Points and Filters to create a robust and flexible message flow.
• Used Interface Engine Mapper for reformatting structured data and data transformation. Standardized all the incoming HL7 v2.x messages to a standard HL7 v2.5 message.
• Used Standard, Conditional and JavaScript Connectors for the Message flow design and configuration.
• Define the Message structure and manipulate the message in the route XSD and S3D using custom Message Definition.
• Used Rhapsody Symphonia Composer wizard for EDI message Definitions and XML document definitions EDI Message Designer .
• Used different Rhapsody Filters like Mapper, JavaScript and Database Lookup to massage and translate the messages.
• Used NextGate MatchMetrix and IBM Initiate as the EMPI for Patient merge and MDM.
• Configured and implemented routes for ADT, ORM, ORU, MDM and VXU HL7 messages.
• C-CDA and CCD XSL transformation and publish using IHE XSD.b for Meaningful Use Stage 2.
• Built HL7 routes from scratch using GE/IDX ConnectR, Rhapsody IDE, Mirth Connect and InterSystems Ensemble Studio.
• Designed and Implemented Lab, Radiology and Pharmacy interfaces.

Healthcare IT

Prepared, designed and implemented several Healthcare IT system in field of Patient engagement, Healthcare Information Exchange HIE Systems, EHR, HL7 Interface engine migration, 4010/5010 HIPAA mandate and building MU-2 compliant systems. Led a team to build Healthcare IT EDI SOA based System maps 270/271 X12 request to MITA/HL7v3 as part of HIPAA mandates and better standardization and interoperability. Implemented Healthcare Insurance Exchange HIX using SOA architecture to build components for Out of Pocket Cost Summary, Enrollment and Eligibility.

• Designed and developed SOA based enterprise system using Oracle SOA Suite 11g and WebLogic 10g
• Migrated Medicaid Eligibility System from JCAPS/Glassfish to Oracle Fusion middleware.
• Used Oracle Fusion Middleware and JDeveloper 11g to implement Enterprise Healthcare IT Eligibility System for 5010 and MESAV.
• Integrated EDI message flow with Corepoint HL7 Analyzer as part of B2B integration and message processing.
• Mapped and implemented EDI transaction for Medicaid Eligibility Benefit request and response X12 270/271 and converted 4010 X12 Transactions to 5010 X12 Transactions
• Designed and implemented Medicaid EDI system based on MITA/HL7v3
• EJB 3.0 Enterprise JavaBeans used in the business layer and for Web Service implementation
• Interfaced with Portal frontend for interactive request processing using AJAX.
• Designed and developed SOA based system using Rhapsody, JCAPS, eGate SRE and Oracle SOA Suite.
• Organized and facilitated information discovery meetings with key business stakeholders and subject matter experts. Created and maintained business process documentation.

HL7 X12 Interfaces:

• Interface Analyst and Implementation consultant for HL v2, HL7 v3 and HL7 CDA/CCD/C-CDA.
• Mapped HL7 messages to application front-end functionality, code tables and databases.
• Migrated X12 4010 to X12 5010 and used Edifecs as B2B integration and validation engine.
• Mapped X12 5010 transactions to HL7 v3 IME interfaces.
• Oracle SOA Healthcare composite
• Used Designer, Dashboards and Report
• Oracle JDeveloper Healthcare Adapter binding component
• Oracle Document Editor
• Oracle SOA Suite for Healthcare Integration HL7
• Used Mirth Connect, Allscripts Interface Engine ConnectR , InterSystems Ensemble, Rhapsody and JCAPS as Development, Validation and deployment Interface engine for HL7.
• Defined HL7 transactions, messages, segments and fields.
• Solid hands-on exposure to HL7 Development Framework HDF and RIM.
• Conducted unit testing to confirm that HL7 messages from each application conformed to the HL7 interface specification.

Middleware Integration:

• Hands-on Middleware Integration experience using Oracle SOA Suite, Mirth Connect, JCAPS, IBM MQ and Oracle HL7 B2B adapters.
• Used IBM Initiate and NextGate EMPI products to integrate Healthcare solutions for MDM.
• Used BPEL and Oracle BPM to design and implement business flows and orchestrations.
• Used Oracle AIA Application Integration Architecture for Canonical data and reference models.
• Used IBM MQ and Oracle JMS for B2B integration and to design MOM based systems.
• Extensive experience of the Design/Build/Validate cycle using Oracle SOA B2B Adapters.
• Migrated 4010 X12 to 5010 X12 transactions for Eligibility Verification and request.
• Facilitated weekly client rollout meetings, bringing technical, business, and executive staff together.
• Developed mitigation plan for use in the event that technical issues inhibit rollout.
• Created a post-rollout follow-up plan.

Interoperability and IHE Profiles:

• XDS: Cross Enterprise Document Sharing
• PDQ: Patient Demographics Query
• PIX/PIXv3: Patient Identifier Cross Referencing
• PDQ/ PDQv3: Patient Demographics Query
• HITSP C32 HL7 CCD, CDA and C-CDA
• ATNA : Audit Trail and Node Authentication
• BPPC: Basic Patient Privacy Consents

Healthcare Product and Solutions Management:

• Managed all phases of multiple large and small development projects to ensure achievement of objectives, timetables, budget, and overall success.
• Identify the business and operational requirements based upon the business requirements objectives of each product.
• Display a high level of critical thinking in cross-functional process analysis and problem resolution for new and existing products.
• Coordinate and build strong working relations with various internal organizations including IT, Engineering, Sales, Marketing, Product Development, Operations.
• Lead the development, approval, training, and communication of new products/product changes and their associated customer, operational, system, process impacts to the various internal organizations.
• Develop conduct specialized training on new products launched and raise awareness application of relevant subject matter.
• Project management of all product integration/launches/changes throughout implementation.
• Responsible for the design, build, training and Go-Live schedule for LTC and Acute Care facility
• Liaised among clients and internal resources on customer technical concerns and issues.
• Became a contact person and a matter expert for analysts with the more technical questions.
• Created and implemented actions that reduced the response time and closure rate of customer issues.
• Led teams in daily technical support operations. Collaborated with Project Managers to create strategic plans to enhance customer satisfaction.
• Application expert and point of contact for up to three large healthcare organizations at a time.
• Provided implementation, build and post Go-Live support on a multimillion dollar project.
• Worked with end users in medical fields at 10 Go-Lives to help them learn how to use the software.
• Facilitated system design and process improvement discussions while proposing process flow optimizations and recommended system solutions.

Regulatory Compliance/Risk Management:

HIPAA Certified. Extensive product expertise for MU-2 compliance Meaningful Use Stage 2 . Designed and implemented Healthcare IT Systems and Healthcare Insurance Exchange HIX as part of ACA act.

Implemented several HIE's as part of ACO transformation using Enterprise service oriented architecture and IHE profiles. Built MITA system HL7v3 as part of HIPAA mandates and better interoperability.

Compliance Privacy and Security:

• HIPAA
• HITRUST
• NIST

System Implementation,

• Implemented registration, scheduling and billing software on community sites affiliated with the hospital.
• Identified and completed build required for upgrade of ambulatory EMR.
• Provided training and system support to client end users during multiple individual client organization Go-Lives.
• Acted as a single POC for implementation and continuous optimization/improvements for a variety of Healtcare applications.
• Provided support for multiple EpicCare Ambulatory and Inpatient Go-Lives and upgrades.