SUMMARY:

• Over 10 years in Healthcare IT, with extensive knowledge of IT tools in US HealthCare domain
• Expert in HL7/CDA interface setup between EMR and Hospital (LAB) applications and HIE integration with payers
• Good understanding of Facets and Facets Data Model, worked on Facets modules such as Membership modules, Medical/Dental Plan configuration, Billing, Provider and Claims
• Strong understanding of EDI Transactions 270/271, 278, 837I, 837P, 835, 834
• Experience with Medicare, Medicaid, Medsupp & commercial insurances
• Documented Non - functional requirement documents, Business Requirement Document BRD and Functional Requirement Document FRD
• Have experience in project management, stakeholder management, facilitating users meeting, conflict management, requirements gathering and analysis
• Experience in handling multiple projects & stake holders
• Able to work under work pressure and make critical decision
• Creative and aggressive self-starter with integrative thinking skills and leadership qualities, capable of forming and maintaining positive and productive working relationships in internal, external, independent, and team environments

TECHNICAL SKILLS:

Languages: HL7, JavaScript, Jython, Networking, SQL and PL/SQL.

Database: Microsoft SQL Server 2005, 2008, 2008 R2 and 2012, Oracle 8i and 9i.

Environment: s: Unix and Windows.

Domains: Healthcare IT, Supply Chain Management and Customer Service.

CRM Tools: Jira, Confluence, Clarity, Salesforce and Parature.

PROFESSIONAL EXPERIENCE:

Confidential

Project Lead

Key Deliverables:

• Manage a team of 13 members, assign tasks and ensure that project delivery timelines are adhered and team is utilized efficiently
• Participate in requirements meetings to understand the requirements from business. Perform requirement analysis, impact analysis and document the requirement
• Review Documentations, test plan, test cases and test results for the team
• Create test data in facets, using modules - Billing, Claims Dental/Medical Plan, FSA plan, Subscriber/Member, HRA/FSA and HSA plan setup
• Plans and Products configurations testing, Summary of Benefits, Benefit Summary and Schedule of Benefits validations. Products rules testing.
• Plan and co-ordinate requirements, design and implement vendor extracts from facets
• Vendor management, vendor file validations and test data setup for testing changes/enhancements to vendor extracts
• Keep a tab on project progress to ensure that delivery timelines for task closure, test case coverage, defect leakage, test cases, first pass etc. SLA’s are met. Prepare RCA’s for instances where SLA’s are in red.
• Submit Daily Project status reports and join meetings with the management to plan and showcase weekly updates/status

Confidential

Senior Software Engineer

Key Deliverables:

• Responsible and accountable for the coordinated management of multiple related projects.
• Translate all the business needs and requirements/change requests into technical terms, prepare detailed work breakdown structures.
• Based on the requirements gathered prepare the project scoping document and define the project scope.
• Act as a liaison between the Practice, EMR vendor and LAB to accomplish successful interface implementation.
• Understand Client’s products and data workflow and interact with various stakeholders like development team, application customization team to achieve project goals.
• Interact with data providers to understand integration need, and analyse sample data based on acceptance specification.
• Assess business implications for each project phase and monitor progress to meet deadlines.
• Develop and implement HL7 2.x, HL7 v3 and HL7 CDA interfaces for various data providers using technologies like XML, XSLT, Jython Scripting.
• Interface Implementation of Orders, Results and MDM messages, troubleshoot and fix interface issues, analyse log files.
• Develop test scenarios and implement test plan, report bugs to the development team. Maintain traceability Matrices for baseline documents. Coordinate with the UAT group to assist on issues.

Confidential

Senior Interface Engineer

Key Deliverables:

• Understand and translate business requirements into solution requirements.
• Build interfaces between client applications and partner hospitals using Mirth Connect (HL7 2.x message transformations).
• Implement data transformation logic using JavaScript on Mirth. Providing support assistance to clients for application and database related issues.
• Allocate tasks among the team member and keep a tab on the progress.
• Perform Unit testing/ Peer Review and UAT for Channels/Code implementations.
• Track project tasks using agile methodology for project implementations.
• Derive various reports like, Defect/Bug Tracker, Issue Tracker and Weekly Utilization.
• Represent the team for Monthly Accomplishments and Planning meetings to higher management.
• Drive the monthly dashboard call with the client.

Confidential

Software Engineer

Key Deliverables:

• Emptoris Contract Management Application Support.
• Implement Emptoris Contract Management Application on hosted servers and for on-premise customers
• Provide support assistance to clients for application and database related issues.
• Provide second level support and incident management including application support for Emptoris Contract Management (ECM) Application.
• Provide functional training to the administrators and end users. Ensure that the clients understands the upgrade process for the application.
• Determine the correct workflow of the Contract Management Application and escalate issues to Engineering Team for any bugs.
• Deriving Jira (Bug tracking tool), Cognos and Salesforce reports.
• Writing SQL server queries to update/modify database entries for bulk data modification requests.
• Scheduling database backup and restore jobs.

Confidential

Technical Consultant

Key Deliverables:

• Lead Implementation of Confidential ETL process, EMR/PM Ambulatory Product’s (Meaningful Use Compliance).
• Manage a team of 5-10 for Implementing Data Migration and Interface Migration Projects.
• Setup Interfaces for various Confidential products using HL7 standards.
• Manage Migration and Interface Migration Projects.
• Manage Data Migration for Misys EMR to Professional EHR and Misys Tiger to Professional PM (Database - Informix to SQL Server 2008, SQL Server 2008 R2).
• Perform upgrades of Pro EHR Application and support for Pro EHR after migration.
• Resource allocation to projects, and end to end process execution management.
• Derive Clarity and Salesforce reports for the company’s leadership.
• Generate and maintain reports like Resource Utilization, Weekly Schedules, Daily Status, weekly and monthly utilization and status report, Migration Tracker and Resource Feedback.
• Provide support for run time floor issues/errors and making appropriate technical/critical decisions
• Maintain SQL Server (Back up, optimization and clean up).
• Coordinate with Clients, Sales team, Relationship managers & third parties for analysis of application on the basis on HL7 protocols and their customizations.
• Manage Stimulus Set Patient Portal Installation. (Clinical Decision Support, Clinical Quality Measure, Syndromic Surveillance).
• Write/Modify complex queries and Stored Procedures, Functions, Triggers, Joins, Views, and fetching data from back end in customized pattern.
• Researching on possibility of implementing processes in the daily tasks and helping the team emerge with detailed documentations on the processes.