• Mainframe Programmer having around 7 years of experience in IT Industry, including experience in analysis, design, development, and maintenance of projects under mainframe environment .
• Currently Working as a Sr. Software Developer with HUMANA as Client in HealthCare Domain.
• Proficient in Mainframe Technologies COBOL, DB2 , CICS, IDMS, JCL, ADSO, Easytrieve ,SQL .
• Hands on experience in working with Mainframe related tools such as TSO/ISPF, FILE-AID, XPEDITOR, PLATINUM , SPUFI , OLP , QMF and CA- 7, Panvalet, File Manager/DB2, IDCAMS , SORT ,DMLO ,ADSO, IDD .
• Excellent development and system testing skills in batch COBOL and online CICS programs using DB2 and ADSO.
• Enhancement of the existing ETL process which were developed in Cobol mainframe application.
• Experienced in documenting the detailed application specifications translate technical requirements into programmed application modules and develop/enhance application modules.
• Involved actively in all the phases of Development life cycle starting from requirements.
• Gathering and data analysis, low level and high level design, prototype development coding, testing, tuning and deployment working actively with business team and handling the offshore.
• Efficient to work with all clients, take a very high level issue, run with it, develop a system solution and support through the entire Project Lifecycle.
• Experience in project planning and resource allocation in addition to day-to-day management of technical development teams including progress tracking, issue resolution, escalation and status reporting.
• Experience in agile project management methodologies: Able to manage large project teams and deliver high-quality products that meet or exceed timeline and budgetary targets. Experienced in project management tools like Version One Scrum Agile .
• Able to communicate effectively with multifunctional teams, programmers,
• technical staff.
• Creating work request in service center, Creating HLD and LLD.
• Strong in Analytical, programming and presentation skills.
• Mentored multiple teams from onshore along with coordination with offshore team.
• Supported and responsible for all batch break / fix.
• Optimization of the critical batch process.
• Participated actively in meetings teleconferences with Users, Business Analyst teams, Development teams, QA team members and Managers.
• Fluent and Impressive Communication and Interpersonal Skills.
• Basic knowledge of Informatica.

o Recognized with multiple quarterly Valuable Contribution awards for critical deliveries made as developer and project lead.

o Team award and recognised in CEO connect .

o Team awarded with Syntel Synergy - Award .

o E1/E2 certification Fundamental of Healthcare .

About the Client - Confidential

Humana is one of the largest healthcare insurance companies in the US. Humana Inc, headquartered in Louisville, Kentucky, is one of the largest publicly traded health benefits companies in USA, with approximately 7 million medical members located primarily in 15 states and Puerto Rico. Humana offers coordinated health care through a variety of plans - health maintenance organizations, preferred provider organizations, point-of-service plans, and administrative services products - to employer groups, government-sponsored plans and individuals.

Sale Proposal:

• Humana's Account Installation team for a prospect will setup a group for the customer and SPC Sales Pricing Contracts system uses this group Information to define the Humana's major 9 Classifiers for the customer and generates a proposal demographic quote PDQ for the customer. Based on the answers to the 9 classifier questions, additional benefit questions will be pulled up by SPC which will help to create a customized product for the customer.
• A Sales Representative will get the information from the customer about the possible benefit options that might best meet their needs. Humana pre-sales team collects what products can be offered and generates a PSQ Pre-sales-Qualification with all the coverage's, benefits and their copay amounts needed for a prospect. This information is collected and entered into the SPC system

Contract Generation :

• After enrollment of members, Certificate are generated for the members in SPC. The batch jobs confirm the member enrollments by verifying whether the quote is approved for printing. If yes, SPC will generate member certificate, which is a legal document explaining all the benefits that the member is entitled to receive. This document typically runs 80-100 pages. For most of the states, the certificate is released to web so that members in that group can view their certificate of coverage online. Additionally, the certificates are also printed and delivered to the members
• The Certificate are generated using the DOCUMAKER/DOCUMERGE process.
• Summary of Benefit Documents are also created and delivered to the members as per Group plan to which the member belongs.
• As a Sr. Software Developer my responsibilities were: -
• Interaction with the clients for requirement gathering for the various maintenance and deployment activities in the project.
• Participating in Weekly Client Meetings and discussing about the project status
• Responsible for Coding, review and testing of the programs.
• Involved in designing and generating the Maps for online application.
• Creation of new JCL in test environment
• Developing new COBOL-IDMS program to extract the data from various sub systems
• Compile the COBOL programs and generate the LOAD Modules and place them on TEST Environment.
• Involved in requirement analysis and impact analysis
• Coordinating with Business users to understand the requirements and new enhancement request.
• Understand Business requirements and preparing the Technical High level and Low level design documents
• Preparation of test plan, test scenarios and test data for testing the application
• Ran on demand reports whenever asked by client.
• Involved in documentation on business functionality for various sub systems
• Carried out manual testing of application to ensure desired results are expected and also have done UAT testing.
• Performed unit testing of developed/modified code in test Region to cover various scenarios with respect to functionality.
• Good Communication skills and work with efficient planning in successful execution of the project.
• Motivated and provided knowledge transition to the new comers and trained them on required mainframes tools.

Environment: COBOL, JCL, IDMS, VSAM, TSO/ISPF, SPUFI, ADSO, DMLO, IDD, MQ-Series.

Pharmacy Eligibility is an enterprise pharmacy eligibility mainframe system. The XE process extracts/receives member/group data from multiple eligibility platforms, applies rules and logic to reformat it to Argus required layout. Once the data is extracted all the eligible members are send to the Argus through the File transmission process. Agrus is a third party vendor for Humana .

The member information are extracted from different Humana platforms.

Responsibilities:

• Monitor the daily transmission to Argus and meet the SLA timeline.
• Sending the daily status report after the transmission is completed on time.
• Monitor the root cause and update the business stake holders about the delay in transmission.
• Preparation of Daily and Weekly Status Reports .
• Supported and responsible for all batch break / fix , and provide root cause and immediate resolution .
• Interacting with Business stake holder on daily basis.
• Responsible for Verification of the documents, plans, requirements and specifications
• Coded New programs .
• Analyze user support tickets and resolve critical system problems
• Production support is one of the key responsibilities which include fixing the Sev-1 On-call and Sev-2 project issues reported by users.
• Preparing the process flow diagram and job flow diagram for the application
• Managing the team with excellent contact with each team member and team building activities are part of the corporate initiatives.
• Performance Tuning of existing programs and jobs.
• SIT, UAT, Regression Performance support - Analyze and fix the defects in case there are any.

Environment: COBOL, JCL, IDMS, DB2, VSAM, TSO/ISPF, SPUFI, NDM Sever ,FTP .

• Humana ODS Operational Data Support is Humana's Core Data Repository for Operational Data, which is designed to be a single storage point as part of Humana's Corporate Information Management initiative. ODS houses the Member, Customer, Plan, Provider, Claims and Pharmacy data of the whole Enterprise.
• The Operational Data Store ODS concept is an integral part of the data warehouse model. It is intended to be the first stop of data on its way to a data warehouse .The ODS collects and integrates the data, where it can enforce accuracy and completeness. In many implementations of an ODS, all transformations can't be completed until a full set of data is available. If the data rate is high, the data store can capture it without constantly changing the data in the warehouse.
• The ODS stores the following categories of data: accums, claims, code, enrollment member, customer, product , provider, sales. The ODS is a Mainframe application, using DB2 as its database.

Responsibilities:

• Interaction with client and business for specifications clarification.
• Presenting Functional Design to the client and creating technical design documentation.
• Enhancement/Development of the existing ETL process which were developed in Cobol mainframe application.
• Design applications to functional and technical programming standards.
• Work with Functional Architects to gather and interpret user requirements into design specifications.
• Designing and developing of new programs with COBOL, JCL, CICS ,DB2 , Eazytrieve and PS, PDS etc.
• Determine time estimates and schedule for work.
• Moderate functional and process knowledge and code reviews.
• Execution of all responsibilities with little direct supervision of Team Lead.
• Interaction with client and business for specifications clarification.
• Ensure that the work products are delivered to the client with quality.
• Creating work request in service center, Creating HLD and LLD.
• Performance tuning on programs and jobs.
• Building and updating the knowledge repository
• Mentoring and guiding the offshore team members.

Environment: COBOL, JCL, DB2/IDMS, TSO/ISPF, SPUFI.

• Mainframe Training from Techrel Technologies .
• Worked on in house project using IBM-Mainframe COBOL, JCL, DB2 .
• Involved in studying project feasibility, system design, program specifications, work estimations .
• Studying/Analyze the area where the performance tuning is required
• Involved in impact analysis
• Coding mainframe based batch and online programs.
• Analyze requirements and create Low level designs.
• Ensured that deliverables meet requirements.
• Read Design specification by using MS-WORD, MS-POWER POINT, MS-EXCEL and MS-VISIO.

Environment: COBOL, JCL, DB2/IDMS, TSO/ISPF, SPUFI.