Work Experience:

Confidential

Ensemble/HealthShare Foundation Developer

Developing medical application that communicate between smart appliances such as Heart monitors, Blood presser readers and scales with smart phone and personal computers to provide patients and physicians with real time monitoring.Intersystems Ensemble, HL7,X12 Mumps/Cache HSF.

Confidential

SME - Subject Matter Expert GE-Centricity/IDX/EMR

• Performs application architecture and design, development and maintenance programming, technology tool assessments, and associated tasks for application systems, including integrated software and hardware application configurations. Directs and participates in software/hardware releases and installation tasks. Performs as an expert technical resource to clients and development staff in all phases of major system and subsystem development, implementation, and post-implementation processes. Acts as a subject matter expert on IT technical and process capabilities. Provides guidance to staff on complex assignments.
• Ensemble, E-gate, MUMPS/CACHE, HL7.
• HealthShare Foundation 2012.1.3
• Member of the evaluation team and Pilot's project team of Intersystem HealthShare

Confidential

SME - Subject Matter Expert Cerner Millennium

• In a position to assist the local and remote technical personal in matters of conversion and implantation of the hospital lab. The legacy VA lab was converted to a Cerner Millennium.
• Installation of Millennium Billing
• Daily responsibilities: Performs application architecture and design.
• Development and maintenance of technology tool assessments.
• Performs as an expert technical resource to clients and development staff in all phases of major system and subsystem development, implementation, and post-implementation processes.
• MUMPS/CACHE, Cerner Open Engine, HL7,HLO,HLA, X12.
• Ensemble HealthShare Foundation 2012.1.3, eGate.

Confidential

Developer

• Part of the support and installation team for the new Cerner / LSRP.
• Support the Lab with testing and trouble shooting of HL7/HLO/Cerner Millennium/Vista
• Develop monitoring tools for HL7,HLO Ensemble, Cloverleaf error trapping
• Monitored Patch instillation.
• ClearQuest, ReqPro, ClearCase

Confidential

Contractor CHCS project

Senior developer on various projects to enhance and upgrade the current VA's Health Administration Center system.

Major projects:

• ICD-10 - Create the mechanism to convert the ICD-9 Procedures and Diagnostics to the new ICD-10 methodology, including new user interface utilizing intersystem's ZEN, CACHE CSP. Update the methods in which the AI rules are used and maintained. Upgrade the claims to be able to accept and process either ICD-9 or ICD-10 based on date of service. VA Vista, CSP/ZEN, SQL, CACHE
• 5010 Project - Prepare and adjust the Primary Bill Remittance Advice Transaction.
• This project converted the 837 Medical Bill 275 Medical Bill Attachment 277 Pre Adjudication bill status / ADR 835 Medical Bill EOR/EOB/ Remittance Advice 810 Non Medical Bill and 820 Non medical Bill Remittance Advice in addition to 270/271 276/277 from4010 to the new requirements of 5010
• Service Line Level Adjudication - Update the revenue cycle section of the HAC to comply with the new mandated X12 5010 TR3. This update in addition to the changes in claim calculation involved a major re write of the system user interface including migrating the user interface to the GUI based ZEN, converting the system of API calls and mumps routines to the system of class and methods utilizing VA VISTA,Cache, CSP,SQL,Ensemble and ZEN.
• CITI. Developed ZEN/CSP application that for the first time allowed satellite facilities CITI to access the main Claim processing center Denver's HAC via the intranet and submit/receive/process their claims, EOB's, DTA's in real time. VA VISTA MUMPS/CACHE/ZEN/HTML/XML/SQL/Ensemble.

Confidential

Senior Development and implementation developer. CHCS Project

Major projects:

• GIS Generic Interface System .
• As part of this project we enhance the following functionality:
• Screens. Converting the screens From WindowMan to ScreenMan so it would better communicate with RPMS.
• Adjusting the user interface to work better with ScreenMan.
• Background process security control
• Interface statistics generator.
• Interface error statistics generator.
• RPMS Resource and Patient management System .
• Major upgrade of the 2003 version to a ScreenMan driven 2006 version.
• Among the most important items where the implementation of Intranet based MPI that for the first time allowed tribe members to get requested care outside of the Blood Group territories.
• VA VISTA MUMPS, ENSAMBLE, HTML/XML,SQL,HL7.

Confidential

Contractor

• Senior member of the implementation group at the CareConnect project.

• This group was responsible for implementing updating and maintaining the conversion of Meditec Magic to Meditec 6.0 client server.

• Configured hospitals' medical systems and assessed information analytics usage within diverse organizations and across regions of this complex health system. Executed build responsibilities for patient and professional billing, inpatient orders, clinical documentation, pharmacy, ASAP, OpTime, Radiant, Resolute HB, web eHealth physician access and self service, Prelude, and Bridges interfaces.

Confidential

Integration project Manager

• In addition I provided Support to the Project Management Office PMO development in the definition and utilization of standard project delivery methodology PMBOK , framework PDF process standards, documentation repository, guidance, enterprise project management system, resource planning, project management execution metrics and dashboard reporting, executive governance and project portfolio management PPM .
• I was part of the team CareConect that is responsible for integrating new hospitals with the existing company wide system when possible. If integration is not possible there was evaluation method to decide if upgrading of the existing systems is a better option.
• The project involved 5 major hospitals with multiple locations, multiple configurations, and over 420 interfaces. I had hands-on responsibilities with the following interfaces: Cerner Millennium, IDX extend Cloverleaf, Intersystem Ensemble, Epic Bridges, and Epic Resolute HB PB, HL7, X12, MUMPS/Cache, HCO Health Care Objects
• Management duties: Hiring and coordinating resources, updating management on progressandissues, communicating with outside vendors as well as different group within the organization.
• The project involved multiple locations, 5 hospitals, multiple configurations and over 420 interfaces.

• Interfaces: Cerner Millennium, IDX extend Cloverleaf, Intersystem Ensemble, Epic Bridges, and Epic Resolute HB. PB HL7, X12 MUMPS/Cache, HCO Health Care Objects

Confidential

Contractor

• Responsible for the redesign and business evaluation of updating and rewriting the Claims, Authorization, Management reports and the Physician Database among numerous other smaller projects.
• Authorization: This system collects patient information such as diagnosis, symptoms and medical history combines it with government guidelines and regulations and business rules and presents the case manager with action options which includes issuing authorizations or notice of actions to the physicians and family.
• Claims: This system issues authorization to medical providers, tracks patient medical progress, trucks financial and medical eligibility, process claims and issues payments. As a result of my work the county went from processing -1500 claims a day to 4500 claims a day. Application time went down from 45 days to 7 days and user satisfaction went from 150 complaints a day to