Senior Technical Product Consultant. Resume
NewyorK
SUMMARY
- 14+ years of experience in managing consulting of various technological, agile projects for various prestigious clients with technical & managerial expertise for end to end implementation.
- 4 years' experience in leadership and project management activities.
- 9 years of experience in Health care in Facets and surrounding health care products.
- As a Scrum master having mentored organizational teams by utilizing agile values and best practices. focused and highly motivated professional in scrum master and project manager roles with a proven track record of success in implementing programs and projects.
- Servant leader capable of delivering projects on time and budget.
- Facilitate and coach teams through transition from waterfall to Agile development.
- Mentored teams, leading to be self - organized with strong accountability teams, decision making, conflict resolution and transparency.
- Strong problem solving & technical skills coupled with confident decision making for enabling effective solutions leading to high customer satisfaction and low operational costs. Strong knowledge on Health care and Banking domains
- Implemented LEAN ideas to minimize operation cost, coordinated offshore team and customer.
- Hands on experience as a Facets System Analyst, Facets Extensions, Internal/external Audits, provider configurations and Facets data modules like Claims, Providers, Subscriber/Member, Billing and Plan.
- Strong knowledge and experience on EDI, X12 / 834 / 837 formats for Enrollment, Claims and 270/271 transactions.
- Hands on experience in diverse technologies such as SQL Server 2008/2012, Oracle PL/SQL, Sybase 15.0 and Business objects Crystal reports XI.
- Expertise in Software development life cycle SDLC, verification and validation, quality control and process Implementation, Deployment, Customer support, Document management. Also have extensive programming experience of web technologies JavaScript, HTML, XML and web services.
- Hands on experience in working/managing different vendor products like Optum tools, TriZetto Facets, Security Management Toolkit (SMT), Configuration Migration Utility (CMU), Facets Enrollment Tool (FET), Test Data Generator (TDG) TruProvider and Tidal Cisco.
- Analytical, methodical, and resourceful approach to problem-solving, identifying and documenting root causes and corrective actions to meet short and long-term business and system requirements.
- A highly motivated team player with an ability to quickly adapt to new environments and technologies.
- Excellent communication, analytical, verbal, and writing skills along with strong management, organizational and mentoring skills.
PROFESSIONAL EXPERIENCE
Confidential, NewYork
Senior Technical Product Consultant.
Environment: FACETS 5.40 R3,Oracle 12.1,Truprovider and ServiceNow.
Responsibilities:
- Schedule meetings and Coordinate with the multiple departments for PROD Issues and gather the requirements in doc FSD and make sure they are completed in a timely manner.
- Worked on the TruProvider tool that manages provider data and Facets System Integration. monitor the day to day PROD batch job activities like loading providers data into Facets system, generation of data reports and share it to the client directors.
- Involved in the monthly Capitation activity, coordinate with batch and TP teams and fix the data issue that arose after synchronization of truprovider and Facets. worked on critical providers data on backdated profiles, fix them through a XPF0 resub batch job.
- Troubleshoot and fix the downstream systems issue that occurred by the Facets data.
- Offered Facets Application Triage and support for current production issues environments using Service now ticketing system.
- Managed offshore team, effectively coordinated day to day activities status meetings and close the issues.
- Worked on Facets custom /Core Batch jobs like XPF0 and MMS etc.
Confidential, Madison WI
Senior Lead Analyst
Environment: FACETS 5.30 R2, 5.40 R3, 5.50 R1, CES, EDI, TIBCO, SQL Server 2008/2012, MoveIt(9.6.0), Control+M, RateManager, WebStrat and ServiceNow.
Responsibilities:
- Managed and Implemented optimization tool named Test Data Generator TDG (v5.40.003), help team members to understand the tool, track the QA issues to coordinate with vendor to get the issue resolved in a timely manner based on priority.
- Successfully implemented Facets upgrade from v5.3027 to v5.40R2 and v5.40R2 to v5.50R1 involved in preparation of documents including code freeze, environment strategy, communication, resource, upgrade testing report, schedules, budgets, quality, mock go live, go live checklist and risk plan also presentation to the higher management also followed up with other teams to make sure their tasks completed and validate the completed tasks.
- Worked on POC for Facets on Azure Cloud project by installing Facets (v5.50 R2) for DEV, mounted batch jobs, troubleshoot, fixed/validated the functionality.
- Performed initial triage of the severity and business impact of system failures.
- Managed and successfully implemented the SMT Upgrade from v3.2 to v5.40 responsibility is to set up new SMT batch jobs, fix and troubleshoot the issue, installation and configuration of SMT application for multiple Environments (DEV, SIT, UAT, TRAINING, CONFIG and PROD).
- Successfully implemented the CMU Upgrade from v2.4 to v5.40 responsibility is to modify CMU batch jobs, installation and configuration of SMT application for multiple Environments (DEV, SIT, UAT, TRAINING, CONFIG and PROD).
- Responsible in setting up batch jobs for Archive project for Claims, Customer Service and Billing to improve performance of Facets application.
- Offered Facets Application Triage and support for current production issues and deploy custom components in development, test stage and production environments using Service now ticketing system.
- Worked on Facets Core Batch jobs like BINB, 837i, CLMU, CKMM, MMS and ELIG etc. And custom batch job also efficient in troubleshooting and fixing the issues.
Confidential, Cerritos CA
Project Manager
Environment: FACETS 5.50 R15, Optum, Networx, EDI,Clinical Editing (McKesson), Oracle10g, SQL Server 2008/2012, Tidal, ECMpro, Service Now, Rate Manager and Webstrat.
Responsibilities:
- Managed and Implemented IHealth/Cotiviti project on Facets claims module as per the business requirements, build and deploy Facets and in-house application code.
- Offered 24/7 Facets Operation and custom components support during all phases of development, QA/ UAT and production environments.
- Managed offshore team, effectively coordinated day to day activities and fix PROD issues.
- Managed vendor relationship with Trizetto, Cisco Tidal and Optum to address the existing product related defects and track/update business managers about its status.
- Actively involved in the Confidential Internal Audits for Member service department on Facets application access, provided solutions to address the reported issues by auditor and also track/updated issues status to different department managers and directors.
- Worked with the business analyst and development team to manage, projects day to day activities and deliverables.
- Facets security configuration in creating and updating user security groups in Facets 5.01 multiple environments.
- Worked on Facets Batch support on jobs such as BINB, 837i, CLMU, CKMM, MMS and ELIG etc. Also efficient in troubleshooting and fixing the issues.
- Actively involved, gained good knowledge CM HealthCare PROD operational activities.
- Worked on support and maintenance of Optum products like Webstrat, New Rate Manager, Easy Group during ICD10 Project implementations.
Confidential, Englewood CO
Project Manager
Environment: C#.Net, VB.Net, ADO.Net, Oracle PL/SQL, Facets Batch interface,FACETS 4.81,5.01.0015, HBA, Rapid SQL 7.6.4, JIRA
Responsibilities:
- Manage and coordinate with team members, provided query resolution and update daily project status reports to the client.
- Generate resource status reports from IQN Navigator Tool, PWA Time Card and shared to directors.
- Ensure the deliverables within the timeframe without affecting quality of work.
- Assisting, mentoring/ ramping up new team members.
- Coordinating and supervising offshore team and ensure quality deliverables.
- Daily interaction with onsite counterpart as well as with client’s in understanding the project requirements.
- Gathering requirements to prepare BRD or FD and prepared Technical Design documents.
- Developed Interfaces using XCOM and Embedded extensions also performed code review and Unit testing.
- Fixing defects rose during QA and Business validations.
- Given the training to the customers on the usage of the SMT and CMU products.
- Provided support on SMT of multiple clients during their Facets upgrade and any new environment setup.
Confidential
Scrum Master
Environment: Java/J2EE, UI Development, IBM Bluemix, Oracle.
Responsibilities:
- Scrum Master:
- Own and execute Scrums
- Facilitated Agile (Scrum) ceremonies
- Facilitate to Maintain Product Backlog and Release Planning.
- Facilitating in Product Backlog prioritization.
- Coaching team Members.
- Facilitate Sprint Planning meetings and Retrospective meetings for the team.
- Actions to improve velocity.
- Remove/ escalate impediments and protect team members from interruptions and distractions to maximize productivity.
- Responsible for creating Burndown Charts to assess the progress and success.
- Reflecting Agile and Scrum values to the team.
- Understand the requirement of resources from the organizations and support the requirements.
- Overall Planning, Execution, and Monitoring of Whirlpool Engagement activities
- Resource Management - Onsite & Offshore
- Manages requirements dependencies with other teams, negotiating and reprioritizing as appropriate.