We provide IT Staff Augmentation Services!

Senior Healthcare Practice Analyst Specialist Resume Profile

Summary of Qualifications:

  • Extensive years of experience in application development, re-engineering and implementation of IBM MVS/ESA and z/OS systems. Industries include health care, insurance, retail, utilities, manufacturing, aerospace, State government, distribution, banking and cellular communications. I have extensive experience as a technical project lead, senior systems analyst and senior programmer analyst within the consulting environment, and I have an excellent reputation as well.
  • Further education includes completion of the following classes as part of the Graduate Program in Management Information Systems at Benedictine University. Classes included Client/Server and the Internet, E-Commerce, Knowledge Based Systems, Object Oriented Programming, Rapid Application Development and Java Programming.

HARDWARE SYSTEMS: IBM 3090, IBM AIX UNIX

OPERATING SYSTEMS: MVS/XA, MVS/ESA, z/OS, WINDOWS

LANGUAGES: OS/VS COBOL, COBOL II, COBOL-370,

PRO COBOL, CICS, IMS-DC and PL/ SQL.

DATABASES: DB2, IMS, VSAM, ORACLE 7.X, MS ACCESS, TOTAL, IDEAL.

IDMS, DATA WAREHOUSING

RELATED SOFTWARE: TSO, JCL, QMF, SPUFI, FILE-AID, XPEDITER, INTERTEST,

SMARTTEST, SDFII, SQL PLUS 3.3, BRIO QUERY, ENDEVOR, PANVALET, LIBRARIAN, CHANGEMAN, IMS-XPERT,

KNOWLEDGE-WARE, MS WORD, MS EXCEL, MS POWER

POINT, MS PROJECT, FOCUS, SAS, APS, VISIO

Professional Experience:

Confidential

Senior Healthcare Practice Analyst Specialist

participated in the maintenance, enhancements, support and upgrades of the Healthquest Hospital Billing System. Primary functions were analysis, programming and testing of extract data provided to University Health System Consortium UHC . This data included patient data, CPT codes, procedure codes, diagnosis codes and physician data. UHC uses this data for various statistical reporting for Medical Center comparisons. In addition, I performed analysis, programming and testing of extract data for Core Measures Reporting to Center for Medicare Medicaid Services CMS . This involved extensive gathering of data from the users of the Quality and Accreditation Dept. Additionally, I worked with the Quality and Accreditation Dept to provide extract data for Radiology measures that CMS began monitoring for Medicare patients as of June 2010. I participated in an upgrade to the Hospital Billing System to accommodate ICD-10 and 5010 processing. Development tools included CICS, COBOL, VSAM, JCL, TSO, SQL, FTP Utility, File Manager, Fault Analyzer, IBM Debug, Tivoli and XML.

Confidential

Senior Associate

participated in three major Merchant projects. On all of these projects I was responsible for all the analysis required to write the Technical Design Document for each program as well as receiving approval from the department walkthrough committee. I was also responsible for coding and testing the enhancements to the existing Merchant Settlement Systems. The three projects were Settlement Format Redesign, Signature Debit and Interchange. Development tools included CICS, DB2, QMF, TSO, ENDEVOR, COBOL II, and COBOL-370.

Confidential

Senior Analyst Programmer

participated in the development of a new Medicaid system for the State of New York. The project involves writing both new CICS and batch programs as well as converting existing VSAM programs to use the new DB2 databases. Two second response time is a requirement of the State contract and thus all SQL statements must be very efficient. I am also responsible for writing a test plan, and documenting all unit test results. Tools include CICS, DB2, QMF, VSAM, FILEAID, XPEDITER and COBOL-370, TSO and ENDEVOR. The client is State of New York in Albany, NY.

Confidential

Senior Analyst Programmer

participated in the Plant Expansion Project. The project involved expanding the Plant Number as well as converting the programs to COBOL-370 along with testing of each program. These are manufacturing systems and included Batch, CICS, VSAM, DB2 and IMS modules. Tools include MHTRAN-2, CICS, DB2 Stored Procedures , IMS, VSAM, FILEAID, XPEDITER and COBOL-370. The client is Wallace in Lisle, IL.

Confidential

Senior Analyst Programmer

responsible for the testing and modifications required for a Pharmacy Claims System to become HIPAA compliant. This pharmacy system encompassed

Medicaid/Medicare/MMIS as well as private corporation contracts. Development tools included EDI, TSO/ISPF, CICS, VSAM, DB2, COBOL-370, SMARTTEST and FILEAID.

Confidential

Senior Analyst Programmer

participated in the conversion of mission critical manufacturing systems. This conversion project involved changing CICS modules from COBOL II to COBOL-370. I was responsible for converting the modules to COBOL-370 as well as testing and implementation. Development tools included MHTRAN-2, CICS, DB2 Stored Procedures , IMS, VSAM, FILEAID, XPEDITER and COBOL-370.

Confidential

Senior Analyst

responsible for writing program specifications, coding and testing enhancements to a Health Insurance Claims Processing System. These modifications include both Medicare Claims / MMIS as well as HIPAA modifications. Development tools included CICS, VSAM, DB2, COBOL, INTERTEST and FILEAID.

Confidential

Senior Analyst

responsible for setting up new customers and upgrading existing customers for the following transactions: purchase orders, invoices, advanced ship notices, purchase order changes and planning schedules. Development tools included CICS, DB2, COBOL and JCL. The ANSI X12 EDI version 4010 was utilized along with IBM's Data Interchange software for the mapping of transactions.

Confidential

Project Lead

responsible for setting up new vendors to use Electronic Data Interchange EDI for the following transactions: purchase orders, invoices and advanced ship notices. This involved contacting the vendors to determine their mapping requirements along with their testing requirements. I managed the mapping, testing and approval process for each vendor. The ANSI X12 EDI version 4010 was utilized along with Harbinger Trusted Link software for the mapping of transactions. I was also, involved coordinating with the client to place these new vendors into production utilizing these new EDI transactions. This EDI project allowed Enesco Corporation to sell Harry Potter figurines to these new vendors using EDI transactions.

Senior Analyst / Programmer participated in web-enabling a legacy Claims Registration System as part of implementing a Customer Relationship Management CRM System. Front-end of the system is a Siebel Call Center Package, the middleware is IBM's WebSphere Component Broker and MQ Series, and the back-end is an existing CICS, DB2 Claims Registration System. This project was for a large insurance company Zurich . I participated in designing, coding and testing new CICS, DB2, COBOL programs for claim registration. The client is Zurich Insurance in Schaumburg, IL.

Senior Analyst / Programmer participated in the conversion of a mainframe accounts receivable system to an Oracle accounts receivable package. I designed, coded and tested PRO COBOL programs related to the creation of invoices for customers of Motorola. These new invoices will be created using the Oracle accounts receivable package vs. the current mainframe system. Development tools included Oracle stored procedures , SQL Plus, Brio Query, TSO, COBOL, IMS, IMS D/C, DB2 stored procedures , and JCL

Hire Now