Technical Summary
With over 31 years experience in the computer industry, Applicant has completed interoperability projects and co-authoring the HL7 White Paper “Coming to Terms with Interoperability”. She was the first to crosswalk the HL7 EHR Interoperability principles with the Office of the National Coordinator Use Cases and led and consulted other workgroups to apply the principles. Today, the efforts have become national EHR standards. Her talent entails blending technical solutions with business functionality. She has participated in 10 State Medicaid system projects, 1 HIT/HIE system project, and accumulated over 19 years experience on MMIS, DSS, and HIT/HIE systems.

Technical

Languages / Software: Cognos, DataStage, TextPad, JCAPS eManager, Audit Studio, Oracle 11 g, JCAPS, FileDirector, CICS, COBOL, COBOL II, MVS JCL, DB2, IMS, SQL, IDMS, ADS, ASSEMBLER, Fortran, RPG, PL/1, Basic, CSP, Quality Micro System, Model 204, FOXPRO, Visual FoxPro, MS Access, HTML, JAVA, Mercator, EDISIM, Test Director, UltraEdit, Edifecs XEngine, Facets, Sharepoint, QXNT, Websphere.Hardware : IBM 3390, 3090, 3081, 370, 4331, 4361, NCR 9230, printers, Toshiba notebook, IBM PC compatibility, IBM notebook 360 and accessories, Acer Minitower and accessories, RISC 6000.Editor/Utilities: IBM Rational, TSO/ISPF, Roscoe, Syncsort, Intertest, Flasher, Endevor, Xpeditor, Savrs, VSAM, UCC7, Pergiene, Multitrack, File-Aid, IBM Mainframe Utilities, SMS, DADS, RACF, Lotus Notes, REXX editor, Fundtrac, SAR, SEI system, SmartSuite 4.0, Boole & Babbage Utilities, INFOPAC, TOP SECRET,ACF2, BMS, VISIO, Microsoft Office, Microsoft project, Project Workbench.Communications: FTP, SFTP, TCP/IP, HTTP, NDM, XCOM, NJE, NU ACCESS, 3270 emulation, Edgarlink, Supertracs, VPS, PC communications software, MS OUTLOOK/EXCHANGE, Netcom, Netscape, Infobuild, Connect Direct, Bulk Data Transfer.Operating Systems: Solaris, Windows, MVS, VM, MVS/ESA, CP/M, DOS/VSE, VSE/SP, OS/2, UNIX, PC DOS, Windows 95 and 98.Courses: SYBASE, Securities Processing, Funds Management, Trust Operations, Principle of Banking, Corporate Securities Services, Business of BankingSchool, Project Management and Control.

EducationCONFIDENTIAL UNIVERSITY Bachelor of Science in Business Administration
Major: Information Systems
CONFIDENTIAL UNIVERSITY Physics and Mathematics

Experience

Confidential - Information Technology Specialist

• Developing an enterprise data dictionary over 10 divisions.
• Facilitator for SDMedX Vendor Relations /Licenses/Contracts/Payments
• On-going review and approve the technical infrastructure.
• One of four members on the national Information Architecture Review Board for MITA 3.0
• Reviewer for the MITA 3.0 release
• Review and comment on 6020 version X12 transactions.
• Review Federal Mandates and assess system impacts such as 5010, ICD-10, Operating Rules, etc

Confidential - Information Technology Specialist

• Performed Facilitator duties between the Vendor, IV&V Vendor, and State.
• Performed Vendor onsite service evaluation.
• Lead the transition of new and current interfaces from a legacy mainframe system to a new Medicaid Management Information System (MMIS)
• Responsible for developing and reviewing the mapping between external data sources, files, databases and the new MMIS Oracle database.
• Ensuring MITA, RFP, and requirements are being integrated into the new MMIS system.
• Having the oversight for the Data Warehouse design and implementation.
• Skills: HEDIS, ETG/ERG, Websphere, Oracle SQL Developer, Project Management, Connet:Direct, CyberFusion, Integration Suite, Gen Tran, Tumbleweed, JCAPS, Oracle 11g, COGNOS, DOC1, Audio Studio

Confidential 10/94 – Present
Sr. Interoperability Consultant 
Sr. EDI Consultant

Client: Confidential, 
Strategic Health Information Partnerships Planning (ONC) 
Technology Upgrade / Migration and Transformation 08/10 – 12/10

• Integrating MITA methods into the Technology Upgrade and Migration and Transformation process.
• Assess current state ( AS-IS ) to identify assets which can be leveraged.
• Define future state (To Be) specifications.
• Assist development on the Action Plan.
• Assist development on the Planning Documents.

Client: Confidential 09/08 – 06/09

• Provide IV & V support services for the New MMIS System.
• Review and approve detail system designs and technical system specifications.
• Attend conference calls with State and Team members.
• Provide comments and make recommendations to technical system solutions.
• QXNT analysis, Unisys Solution

Client: Confidential 09/08 – 02/09

• Provided Sr. Analyst services for the New MMIS System
• Provided MITA, RFP, and requirements recommendations for creating the RFP.
• Reaserched pharmacy requirements for the new MMIS systems.
• Researched and analized EHR specifications and X12 5010 transactions.
• Unisys Solution

Confidential 07/06 – 04/08
Sr. EDI, EDMS, EVS/AVRS, Team Lead
Sr. Requirements Team Lead
Sr. Technical Architecture Lead

• ACS Solution and EDS legacy solution.
• Coordinate Business and Technical Team Leads meetings to collect Medicaid requirements.
• Completed data mining for crosswalks on all X12 transactions and NCPDP.
• Coordinate Project Managers meetings to collect Medicaid Requirements.
• Coordinate Divisions such as Mental Health and Public Health meetings with OMMISS Office.
• Prepare requirements for review and approval.
• Evaluate emerging technologies such as broadband.
• On-going evaluation of translators and TIER technology
• Attend HL7 SOA and EHR conference calls and many other HL7 activities.
• On-going review for architecture, security, and privacy issues relating to EDI processing.
• Review and evaluate EDI submission processes such as FTP, HTTP, and desktop software.
• Evaluate the ASC X12 5010 version of transactions such as 837I, 837P, 837D, 270/271,276/277, etc. and claims attachments.

Confidential 
Sr. Interoperability Consultant 10/94 – Present
Sr. EDI Consultant

Client: Confidential 11/04 – 07/06
EDI Team Lead

• Leading all ONC/AHIC/HITSP Use Case Alignment w/HL7 EHR/PHR Models projects
• Co-authoring the HL7 White Paper “Coming to Terms with Interoperability”.
• Performing data mining for Use Cases from various organizations such as X12, HL7, and CMS.
• Responsible for all EDI tasks associated with having the ANSI ASC X12N 4010A HIPAA
• transactions meet or exceed NCLeads requirements.
• (NCPDP 5.1, 1.1, 837s, 835, 270, 271, 276, 277, 820, 834, 277U)
• Attended all ONC community meetings to date and have kept current on all ONC activities.
• Member of the User Acceptance Team and responsible for integration testing.
• Member of the Architecture, Conversion, and Interfaces teams.
• Coordinate EDI solutions among the State of North Carolina divisions.
• Responsible for answering questions from the Provider community and other associations.
• Evaluate design and documentation from AVRS, Claims, Pharmacy, Managed Care, Financial and other Sub systems.
• Consult with the Security and Privacy consultants ensuring that HIPAA requirements are met.
• Member of the HL7 EHR Interoperability workgroup.
• Member of the HL7 claims attachment workgroup.
• Member of the NCPDP PA workgroup.
• Have participated in the NMEH workgroups over 4 years.
• Research EDI future developments and analyze the business impact.

Client: Confidential 01/03 – 10/04
Consultant

• Team member of the HIPAA Project Office.
• Expert on HIPAA procedures on the Medicare and Medicaid industry.
• Attended NMEH calls and participated in recommending solutions to other states.
• Responsible for launching 20 user acceptance testing work groups.
• Attended NCPDP and all HIPAA transactions work group meetings..
• Lead for Companion Guides on all transactions and providers.
• Evaluated other states solutions or recommendations on behalf of the State of Illinois.
• Evaluated EDISIM and Mercator products.

Client: Confidential 01/02 –12/02

• Sub-contractor for the CMS conversion.
• Expert on HIPAA procedures on the Medicare and Medicaid industry.
• Submit State RFP bids and submissions.
• Attend State procurement meetings and Federal bidding sessions.
• Knowledgeable and experienced on state SACWIS projects.
• Familiar with Federal funding procedures.
• Reading journals such as Federal Computer Week and other main stream journals.
• On-going reading technical manuals such as EDI, DB2, and other technical mainframe manuals.
• Creating databases in Visual Foxpro and Access for projects.
• Familiar with PMI’s Project Management Body of Knowledge.
• Continue to revitalize management skills by on-going reading for project manager skills and leadership skills in the computer industry.

Client: Confidential 08/02 – 09/02
Consultant

• Consultant for CMS Implementation Guides on all transaction codes and ASC X12N transaction standards.
• Attended CMS conference calls with all states involved.
• Worked directly with the National CMS Coordinator.
• Recommended testing techniques for manual entries and internal and external interfaces.
• Drafted answered FAQs on the behalf of the Bureau.
• Recommended Access databases for transaction codes and tracking test cases between the clients and technical departments.
• Collaborated with the Security and Privacy consultant and Legal consultant.
• Team member of the HIPAA Project Office.

Client: Confidential 08/01 – 01/02
Project Manager

• Developed a project plan to migrate to DB2 from a VSAM database.
• Developed a strategic plan to provide direction for the group.
• Used business and project methodologies to ensure correct documentation and scope of the business processes and system flows diagrams including evaluating HIPAA implementation, Medicare processing, claims processing, CHIP processing, TANF, and other business processing flows associated with Medicaid.
• Recommended web solutions and evaluated other state Medicaid web sites.
• Conducted JAD sessions with the team; Medicaid expert, associated technical director, system person and Medicaid Director.
• Designed and managed the MSACCESS database to show the logical relationships among the business flow process and system flow process.
• Designed Excel spreadsheets as a tool to collect and document business processes.
• Recommended the appropriate software training for the Medicaid expert.
• Utilized MICROSOFT OFFICE SUITE, DB2, MVS, TSO, ROSCOE, FILE-AID, FTP, SQL, QMF, CA7, COBOL, TELON, XPEDITER, CICS, VISIO, and VSAM.

Client: Confidential 02/01 – 07/01
Business Analyst/Project Lead

• Developed timeline for all projects including maintenance and development activities.
• Performed business analysis and project analysis for requests and project time estimates.
• Developed test cases to review code changes.
• Developed solutions for the client to improve process of the system, tracking and reporting projects.
• Utilized DB2, MVS, TSO, ROSCOE, FILE-AID, FTP, SQL, QMF, CA7, COBOL, TELON, Microsoft Office Suite, XPEDITER, CICS, VISIO, and VSAM.

Client: Confidential 01/00 – 02/01
Project Manager

• Performed project manager duties for 30 consultants on the development of the Medicaid system.
• Supported and resolved contract issues between the State of South Carolina and consulting firm.
• Supported and resolved consultant issues for understanding policies and performance.
• Evaluated status reports from the consultants on a weekly bases.
• Gave orientation to new consultants and acted as a mentor to the other consultants.
• Responsible for controlling and improving productivity utilization.
• Scheduled meetings to resolve consultant issues.
• Supported recruiters to supply additional consultants to the project or help with turnover on the project.
• Scheduled or attended client meetings on project performance issues.
• Maintained performance records and utilization records for the project.
• Tracked and reported contract compliance.
• Provided technical services by developing the State Data Exchange interface, which provides over 50 % of input to the new Medicaid system.
• Provided advice to areas such as eligibility on the relational design that SDX was based upon.
• SDX became the design to model after for the other areas such as eligibility.
• Provided technical advice to other consultants.
• Met with quality assurance area for discussion of the technical requirements and testing requirements for SDX.
• Implemented the standard reporting methods to SDX.
• Attended scheduled and nonscheduled client meetings to discuss changes or improves to the SDX system.
• Attend assigned training sessions including new reporting methods, and Medicaid methods.
• Attended brainstorm sessions for critical design features on the project such as shared data between the interfaces.
• Utilized IDMS, ADS, SQL, File-Aid, TSO, CHANGEMAN, INFOPAC, COBOL, VSAM, EURDORA, WINDOWS 2000, IOF, N-S DIAGRAMS by SIEMENS, VISIO, MEETING 
  MAKER, IBM MAINFRAME UTILITIES, and WINDOWS 95.

Client: Confidential 03/00 – 01/01
Consultant

• Responsible for all computer operations, networking and pc workstation stability.
• Evaluated new processing solutions and made recommendations for the new mergers with other agencies in the south.
• Utilized VISIO, MICROSOFT OFFICE, MICROSOFT PROJECT, NOVELL SERVER, NOVELL UTILITIES, WINDOWS 95/98, GENERAL LEDGER, PURCHASING, 
  ACCOUNTS RECEIVABLE SOFTWARE, ADVERTISING SOFTWARE and SCHEDULES  SOFTWARE.

Client: Confidential 07/97 – 10/99
Technical Consultant

• Performed technical services such as programming, client desk support, phone support, production support, development support, and Y2K defect team support for white box testing,  black box and LPAR testing.
• Developed projects that included implementing NSCC Trading, accounting projects, BMS modifications, develop BMS.
• Developed and modified different trails and statements.
• Performed maintenance on confirms, Legacy, and broker’s compensation systems.
• Utilized CICS, COBOL II, COBOL 370, TSO, XPEDITER, INTERTEST, IMS DB/DC, DB2,VSAM, REXX, TOP SECRET, DATE ROUTINES, MVS JCL, GROUPWISE, LOTUS  NOTES, MICROSOFT PROJECT, IBM MAINFRAME UTILITIES, OS/2, SQL,  ASSEMBLER, NUACCESS, MS ACCESS, MS OFFICE, INFOPAC, SYNSCORT, NDM,  XCOM, ENDEVOR, FILE-AID, SMS, DADS, and CEDF.

Client: Confidential 01/97 – 06/97
Project Manager

• Completed migration to CICS V 4.1 within 5 months when UHC was trying for over a year and a half to complete the migration to CICS V 4.1.
• Assigned to eliminate employees who were either not performing or hindering the progress of the migration to CICS V 4.1.
• Production environment was evaluated as unstable and was crashing on a daily bases.
• First objective was to stabilize the production environment.
• Stabilization of the production environment was monitored by daily logs and abend dumps.
• Fixes were performed through emergency changes.
• Second objective was to migrate to CICS V4.1 immediately. Because many upgrade operating system releases could not be implemented, it was urgent to migrate to CICS V 4.1. Becoming 
  Y2K readiness was a high priority for UHC
• Developed, designed, and implemented projects plan to migrate to CICS V 4.1.
• Responsible for scheduling and attending meetings with Applications Vice President, Systems Vice President, Systems Manager and other individuals assigned to the project.
• Generated status reports and distributed the reports to the CIO, Applications Vice President and Systems Vice President.
• Maintained daily production support logs in order to monitor the production environment.
• Post migration activities included employee evaluations and make recommendations for changes to the organizations.
• Utilized BOOLE & BABBAGE UTILITIES, MICROSOFT OFFICE, and PROJECT WORKBENCH.