OBJECTIVE

To obtain a senior EDI IT position.

Confidential Contractor Application Developer

• Provided programming support for the Defense Information Technology Contracting Office DITCO for the Department of Information Systems Administration DISA for the United States government.
• Application tools included Visual Basic and PL/SQL for Oracle 11g using Toad and SQL Developer.
• Responsible for development updates to their master front end contracting application per user requests as well as creating stored procedures for their back end database structures.

Confidential Contractor Systems Engineer

• Provided daily support for business transportation for Department of Defense DoD on behalf of the United States Army for TRANSCOM, Surface Deployment Distribution Command SDDC and G6 division.
• Migrated processes and maps from a Unix/Linux platform through Gentran Integration Suite GIS 6.0 to Windows platform of Axway Simulator, B2Bi, Runtime Monitoring, and Mapping Services.
• Built new maps in Axway EDI Translator using the Defense Transportation Electronic Business DTEB for X12 transportation transaction sets: 858, 824, 220, 219, 601, 404, 214, 315, 300, 301, 303, 304, 810, 821, 859, and 997 in version 4010, 4030, and 5030 in conjunction with flat file User-Defined Data Files UDFs .
• Rewrote Unix scripts for crontab schedule jobs to email and write to logs for better production support.
• Followed and added validation per implementation guidelines from Federal and Defense organizations, private corporations, and various trading partners.

Confidential Senior Developer: Aug 09 Mar 12

• Build global data and mapping standards for our data warehouse for our outgoing ANSI X12 transaction sets for each of our claim systems Eldorado, Facets, QicLink, LuminX, and DG using translators Redix, Biztalk, and TrustedLink Enterprise TLE .
• Consolidate multiple stand alone apps for each of our claim systems to an enterprise solution using Biztalk to save on multiple processing and vendor support costs.
• Conduct corporate wide training sessions on HIPAA and EDI rules and standards.
• Prepare proper test requirements and procedures in conjunction with QA.
• Provide maintenance, support, and disaster recovery for applications.
• Lead, test, develop, train, and provide specs/rules for 5010, including addenda A1 and A2 from 4010 versions for all HIPAA transactions: 270, 271, 276, 277, 278, 837P, 837I, 837D, 820, 834 inbound and outbound, and 835.
• Implement new plans and groups as well as renewals.

ETL/EDI Technology Team Leader/Supervisor:

• Worked closely with Architecture and Database teams to ensure proper SDLC and design standards.
• Managed a small team of EDI members and work flow queue for incoming service requests.
• Assigned resource allocation to support Discretionary Maintenance Requests, Strategic Project Requests, and internal IT initiatives.
• Confidential Project-managed our largest client's IT needs, revenues exceeding three million dollars annually.
• Coordinated discretionary maintenance requests and change management requests.
• Facilitated downtime procedures with infrastructure, operations, DBA, and development teams.

Intermediate Developer

• Programmed outbound 835 and 834 files using the Redix mapping tool integrated with SQL Server.
• Mapped proprietary flat file Rx claims for Medco, Conagra, Express Scripts, and PharmaCare.
• Enhanced a VB program to identify 100 plus daily misrouted/lost claims due to rebranded company name
• for each of our claims offices in Indianapolis, Cleveland, St. Louis, and Amherst.
• Developed trading partner specific maps that eliminated the need for clearing houses McKesson, Emdeon that charged 35 cents per claim. Saved 3000 claims weekly or 51840 annually.
• Added HIPAA inbound validation 90 on all incoming HIPAA EDI files as well as outbound validation to converted HCFA NSF 3.1 and HCFA UB92 6.0 files.

EDI Coordinator

• Developed and implemented an overall design methodology for automation of the receipt, validation,
• conversion, and acknowledgment of 33,000 claims daily.
• Reduced paper cost with EDI checklists from 162 pages to one page with automation.
• Automated the daily manual workload of two full time employees down to 2 hours on error
• resolution. Initial annual savings: 80,000
• Implemented a standard naming convention for all EDI platforms -inbound/outbound files, directories,
• maps, and SFTP sites for all our vendors, clients, and clearing houses.
• Eliminated previous file name and size duplication issues with front-end automation checks.

Confidential Independent Contractor:

• Developed a complete automation process for their Medicaid Billing systems for state school districts.
• Established standards for file transfer, file and folder naming conventions, and file validations.
• Created mapping rules from CSV to X12 files for 270, 271, 837, and 835.
• Initiated a dynamic INI that allows for adds and modifications without making production changes.
• Wrote new maps and enhanced existing maps.

Confidential EDI Specialist:

• Ran EDI maps using Sybase EC Mapper and developed maps via EC Map training course.
• Wrote and maintained production scripts using HIPAA Gateway product by Trizetto.
• Managed the inbound/outbound standard X12 transactions including 277U and real time work flow which includes Sagent, SQL, and Oracle DBs and our host claim system Facets by Trizetto.
• Primary responsibilities included production support, full SDLC for ongoing projects, maintenance/autonomy of EDI specific servers and environments, and account administrating for file transfer protocols modem, internet, FTP between trading partners and clearinghouses.

Confidential Application Analyst:

• Facilitated installs, upgrades, and tech support for clients using the Redix product that converts one file
• format to another file format in a variety of combinations via XML, EDI, X12, Flat File, and CSV files.
• Tested, maintained, and debugged Redix enhancements for quality assurance.
• Instructed onsite client training on data conversion, mapping, security, auditing, and HIPAA infrastructure
• into an overall design that integrates with client's current system.
• Developed the first four levels of HIPAA validation per Confidential within the Redix HIPAA package for the transaction sets 270, 271, 276, 277, 278s, 820, 834, 835, and the 837s.