PROFESSIONAL EXPERIENCE:

Confidential

Project Manager, ITIL Certified

• Production support and management of all production support issues. SQL server, Java, reporting, EDI, Enterprise architecture.
• Problem management / Service requests.
• Project Manager for over 20 on - going projects, fixes and new requirements.
• Create necessary Change requests for deployments.
• Work with Production control, release management.
• Work with technical teams, Business and other external teams.
• Implementations, QNXT, OTVM tools, Biztalk health monitor solution.
• Footprints management of Production related tickets, break fixes.
• Create change release documents, attend CAB meetings.
• Coordination of evening production releases.
• Global interfaces, File exchanges and Sharepoint.
• ITIL Certification GR750218664JJ - I.T. Service Management.

Confidential, CA

Sr. EDI Programmer

• Responsible for CMS - CCIIO - 1095-A initiative / project
• Support Affordable Care Act / Obamacare project integrations, Error reconciliation, analyze healthcare data and resolve disputes.
• Work and Support CMS systems CERRS tech team, CALT, HICS, MIDAS, TM thru VPN.
• Production Support of all EDI interfaces, QNXT files and Optum (otvm) data validations management.
• Focus on FFM - Federal Facilitated exchange and SBM - State based data
• Analyze EDI Data, implementation guides and attend meetings with clients

Confidential

Senior EDI Manager/ Consultant

• Responsible for all Day to Day EDI operations.
• Hold weekly team meetings and responsible for EDI team.
• Development of all Healthcare HIPPA- EDI related transactions - 820, 834, 278, etc.
• Production Support and Training.
• Training and working with EDI Business Analysts - Training them in QA and testing of all development work - EDI
• Work with Humana, Cigna, Coventry, and all other Healthcare companies.
• Automate all manual daily processing of EDI files 837 claims.
• Upgrade to 5010 and HIPPA.
• Use Real-time transactions, SOAP UI, SFTP, AS2 communications protocols.
• Experience using Xtreme Translator and Biztalk - Development of all 5010 healthcare transactions and reporting to company Stakeholders.

Confidential, CA

Senior EDI Mapping Developer/Lead Project Consultant

• Responsible for Sterling Integrator (SI) mapping.
• Implementation of new clients.
• Legacy systems (AS400) Integration projects
• Map upgrades and new development.
• Onboarding of EDI partners.
• Testing and Analysis of new data and partner specifications

Confidential, CA

Senior EDI Developer / Project Manager

• Responsible for Gentran and GIS - Development.
• SAP EDI and IDOC configuration.
• Gentran mainframe
• Manage new partner implementations.
• Integration of legacy systems.
• Development of 837 Claim billing, 276 Status, 834 Enrollment, 835 Claim Payments, 829, 820, 834 and many other healthcare maps.
• ICD9 -ICD10 - CPT, HL7 Integration and knowledge.
• Testing and Production support.
• Manage team of 8 developers and work with the business on EDI B2B solutions.

Confidential, San Diego, CA

Senior EDI Application Developer

• JAVACAPS - (JCAPS)Netbeans, See Confidential Developer
• Object Oriented Programming/Development using JAVA, JCAPS, Web 2.0, Glassfish 2.0, Soap, PL/SQL, on UNIX AIX platforms.
• Create or update existing Java Code using JAVACAPS for EDI clients
• Develop EDI maps (JCD) for Workman’s Comp Group, Bill History, claims, EOR, 835, 837 and other healthcare related data.
• Development of 820, 834, 837 Claim billing, 276 Status, 834 Enrollment, 835 Claim Payments, 829 and many other healthcare maps.
• HL7 Development and File transfer support
• Analyze EDI mapping guidelines and Data validation
• Support EDI Production Workman’s Comp and Healthcare claims
• Maintain and deploy new or updated maps into Production GlassFish
• Create workflow and support documentation
• UAT and full cycle testing
• Created automatic Web service for Remedy ticketing process.
• Process Monitor for IT tickets, errors, failures and service desk

Confidential, CA

Senior SAP EDI Manager / Consultant

• Responsible for all SAP / EDI Implementations and Interfaces.
• EDI SAP Vendor / Customer Configurations, IDOC Development, Port Configurations, EDI Map Development, Function Module configurations.
• Configuration and testing on communication protocols (BizTalk) and GIS.
• Upgrade TLE Communication services - for AS2 protocol.
• Maintain and update BMPL using the GIS modeler
• EDI Vendor/Supplier On-Boarding management.
• Creation of Work Flow process to handle EDI exceptions.
• Create Error Handling processes.

Confidential, Torrance, CA

EDI Consultant / Project Manager - MFT Integrations

• Upgrade of GIS Business processes (over 100 BPML’s) Upgraded to support new Linux environment.
• Manage MFT project team and off-shore team.
• Responsible for new project implementations for Managed File Transfers, EDI, B2B, and using Connect Direct, FTP, SMTP, AS2 and other communication protocols.
• Create integration design documents and configurations to support new upgrades.
• Create, configure and Seed XML to update or implement changes.
• Raise Change requests for Production.
• Provide ongoing support to Business units, Development, production, trading partners and other Toyota teams.

Confidential, Irvine, CA

EDI Integration Engineer / Project Consultant

• HIPAA related EDI development for 837, EDPS, 835 and other EDI processes using Pervasive EDI translator.
• 5010 Upgrade mapping for new B2B and existing B2B clients.
• Building XML Schemas with Pervasive Mapping Designer.
• Development of 820, 834, 837 Claim billing, 276 Status, 834 Enrollment, 835 Claim Payments, 829 and many other healthcare maps.
• Create new Business Processes and Control jobs using Process Designer.
• Create related database tables using SQL Server Management Studio.
• Create and update new and existing maps for EDPS implementation.
• Configure and Implement IBM Connect Direct software.
• Create communications configurations for Network Map, Nodes and custom processes.

Confidential, Tempe, AZ

EDI Project Consultant

• Development of (SI) Sterling Integrator map V.5.1
• GIS map conversion to Seeburger BIS(6) application
• Manage EDI group and off-shore developers.
• Convert Seeburger BIS(5) to Seeburger BIS(6) and communication protocols.
• Mapping from IDOC to X12, XML, Flat file, Oracle Database, Inbound/Outbound.
• SAP configuration of EDI trading partners, B2B Partners, Customers, vendors, etc
• Full cycle testing and knowledge transfer, process documentation.
• Work and coordinate with offshore teams.

Confidential, Los Angeles, California

Sr. EDI Project Consultant (Short-term Project)

• Responsible for On-time Project Implementation of SAP IDOC Project.
• Implement new Banking transactions in SAP.
• Develop 820 and 824 IDOC transactions.
• Create ABAP Script to translate inbound/outbound data.
• Create Custom IDOCS to capture specialized data fields.
• Work with Basis and FI groups to test in all areas.
• Create communications protocols.
• Create and test payment transactions in all SAP environments.
• Work with Confidential and Confidential implementation teams.

Confidential, San Diego, California

EDI Administrator

• Project Management of multiple IT, SAP, EDI implementation projects, Worldwide.
• Responsible for day to day support and Development of all EDI - SAP and Microsoft Dynamics Interfaces
• ERP systems worldwide Implementations and support of new releases and support for new releases.
• SAP partner configurations of distribution models, vendors, customers.
• Future ERP enhancements and initiatives/ P2P support Global solutions for all SBU’s.
• Support EDI Subject expert using and supporting, Gentran, SAP, XI, EGATE, BizTalk, Webmethods and many other solutions..
• Develop and maintain multiple Business process, experience with BPML and GIS BP Modeler.
• Support and Configure Sterling Order Management solutions.
• Responsible for EGATE set up, error handling, control of EWAYS, testing, etc.
• Implementation of new EDI customers B2B partners and planning for Enterprise EDI
• Manage all EDI related implementation projects
• New upgrade to GIS from Gentran, responsible for all mapping and business process set up.
• Responsible for Gentran, INOVIS Trusted link, BizTalk mappings.
• Experience in Basic ABAP coding with RICEF
• TLi SAP module configuration.
• Experience with Business Objects
• Participated in LEAN and training events.
• Provide support to BASIS, FI, CRM, Supply chain and other enterprise groups.

Confidential, San Diego, California

Sr. EDI Project Manager and Programmer/Developer

• Responsible for EDI Project Management from Operations.
• Make improvements and support current EDI architecture, processes in SSIS.
• Make recommendations to CEO, COO and operations team for new generation and planning for Future EDI growth.
• Support any Day to Day EDI issues.
• Meet weekly with EDI team members and review current issues and resolve.
• Spec evaluation, trading partner issues, overall improvements in all parts such as mapping time to complete, map deployments, EDI issues turnaround time, etc.

Confidential, San Diego, California

EDI Sr. Programmer/Developer

• Responsible for New Worldwide GIS and SAP implementation.
• Project management and Implementation of GIS and all business process for Customers and B2B clients.
• GIS, Sterling Order Management and SAP configuration.
• Configuration of SAP Suite Adapter.
• Communications, AS2 configuration.
• Procure to Pay, SCM and other business unit support.
• Development of over 150 inbound and outbound maps using IDOC’s.
• Resolve day to day EDI issues.

Confidential

EDI Consultant/Technical writer

• Contracted to evaluate current EDI documentation and create and implement a new format for all applications supported by EDI for Confidential Company.
• Responsible for project management of the EDI group.
• Evaluate current EDI processes and make recommendations in the weak areas.
• Evaluate DR (Disaster recovery) processes.
• Review GIS 4.0, BP’s, maps, envelope setups, communication methods and make recommendations where needed.

Confidential

EDI Consultant/Sr. Developer

• Fashion apparel industry Current project responsible for Implementation of Gentran Intergrated Suite - GIS with SAP for 2 major corporations in South Florida area.
• Manage Project team, Developers and Off-shore support teams.
• Evaluation of current and propose EDI work flow.
• Evaluation of current systems including Trusted Link day to day operations.
• Upgrade from TLE to GIS.
• Responsible for development of all trading partner maps .4010 and .4030
• AS2 set up
• BPML and all trading partner set ups.
• Configure EDI to work with IDOC and new SAP implementation.
• Support and Configure Sterling Order Management solutions