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Project Lead Resume Profile

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Humana, KY

SKILLS SUMMARY

  • 13 years of experience in analysis, design, development, maintenance, testing and implementation on challenging projects on Mainframe in Finance, Manufacturing and Utilities Industry.
  • Communicate effectively in a professional business environment with other technical staff members as well as non-technical users.
  • Good analytical and problem-solving skills.
  • Good Communication Skills verbal Written
  • Experience in Developing/maintaining Application Systems.
  • Organizational and analytical ability to analyze existing systems and provide problem solutions and system enhancements.
  • Good Ability to learn business and systems quickly.
  • Self motivated with ability to work independently and in the team environment.

SYSTEMS PROFICIENCY

Programming Skills

Operating Systems:

  • MVS, OS/390, z/OS

Databases:

  • DB2, SQL, IDMS, Oracle, VSAM

Mainframe :

  • COBOL 390 for Z/OS, Rational Developer for Z/OS, JCL, CA-7 UCC7 , Abend-Aid
  • ADSO, CICS, CEMT, CECI, SDF II, TMON
  • File-aid, SyncSort, IDCAMS, DB2 stored procedures, QMF, SPUFI, Strobe, PL/SQL
  • Endevor, Panvalet
  • Intertst, Adsalive, Xpediator
  • REXX, CLIST

Transaction flow :

  • MQ Series, Merva Messaging, SWIFT

Web -based technologies :

  • C , ASP.net,
  • Desktop Skills
  • MS-Office, VBA, MS Project
  • Methodologies
  • CMM, Six Sigma, Lean

EXPERIENCE

Confidential

Project Lead

  • Confidential is third largest Insurance carrier in Confidential. It offers various Health Insurance plans to its members. Many providers have tied with Humana for their service.
  • Once a member get their service Provider/member will submit claims for processing, Claims will come to CAS system Through Electronic or paper. Based on the rules within the CAS system Claims will be processed. A claim can be paid, pended, or denied. If a claim has been paid check will be sent the member/provider. If claim has been pended, respective compliance letter will be sent member/provider by explaining reason for claim pending. If the member is not eligible respective claims will be denied.

Projects :

  • Developed reports for Confidential members in Confidential. Used COBOL, Infopac, JCL, PROC.
  • Enhanced the Medical History screen for additional Modifier. These are complex Blue Cross CICS programs. Used CICS, COBOL.
  • Enhanced Electronically submitted claims batch upload functionality for external provider. Used Confidential.
  • Enhanced the Present on Admission indicators for Medicare claims. Used SDF-II, CICS, COBOL.
  • Enhanced Medical Policy information screen and File. Expanded the file to add some new fields on VSAM and IDMS policy records. Used SDF-II, CICS, COBOL, VSAM, IDCAMS for development.
  • Developed Prepay Audit control screens and Claims Prepay Logic. It caused business to pend and suspend claims to help in understanding the claims payment process for new and existing business area. Used SDF-II, CICS, COBOL, Infopac, JCL, PROC, VSAM, IDCAMS.
  • Lead a project 'Field Expansion'. This involves the expansion of EX code field used in claim processing. This involves interaction with vendors and non-CAS systems. Using COBOL, DB2, CICS, IDMS, ADSO, VSAM, MQ Series, JCL, File-Aid, Endevor and Xpeditor.
  • Listed below are some more projects in which I played various roles, from technical SME to Junior architect.
  • Also worked on some other projects as mentioned below

Confidential

  • Worked on the health care reform projects like adding sequestration tax to the provider remittance
  • Also done Production Support - Job monitoring, solving abends, root cause analysis, fixing the bug.
  • Lead small to medium group of developers.
  • Also Supported applications on rotate beeper 24x7.

Environment:

Mainframe on Z/OS, COBOL, DB2, CICS, IDMS, ADSO, VSAM, MQ Series, JCL, File-Aid, Strobe, i-Strobe, Endevor and Xpeditor

Confidential

Senior Consultant

Confidential is a Confidential bank holding company that engages in investment banking, securities services, and investment management. Trading and Principal Investments is the largest of the Confidential segments, and is the company's profit center. The segment is divided into three divisions and includes Fixed Income, Currency and Commodities. Treasury Department handles the inflow and outflow of money into the firm from these segments.

Projects :

  • Developed Automated Clearing House ACH functionality Project for payment transmission. This included extraction of Confidential credits and Debits, transmission to agent bank, Reconciliation of acknowledgement from agent bank. Used REXX, IDMS, DB2, DB2 stored procedures, NDM, JCL, COBOL.
  • Developed and enhanced the payment transmission link software. The payment link types were FED, Citi and European Union. Used Merva, Swift, MQ series, COBOL, CICS, MINT.
  • Developed secrecy system project for Chinese and Australian business Users. This was named Dragon Project. It separated Chinese and Australian business users system access from other Users. Used COBOL, DB2, CICS, SDF II . Received Business value award and recognition from client.
  • Developed Auto match functionality project for payments reconciliation. This reduced 80 manual reconciliations helping business to automate the process. Used COBOL, IDMS .
  • Developed OFAC False Positive approval system. OFAC was highly critical system in the firm. Worked as SME for this system and helped business users in understanding the system. Used COBOL, DB2, DB2 stored procedures, CICS and VSAM . Received Core Value award and recognition from the client.
  • Developed many functions to scan the payments against OFAC, TPY, HIGH RISK database. Used DB2, VSAM, COBOL .
  • Developed IBAN International Bank Account Number functionality on Mainframe and distributed system to keep processing European funds transfer. This included expansion of IDMS, VSAM and DB2 records. Used COBOL, CICS, DB2, DB2 stored procedures, IDMS, IDCAMS, VSAM, SDF-II.
  • Developed DB2 database system to store the payment Instructions.
  • Developed Positive Pay Cheque reconciliation system. Used COBOL, IDMS, DB2 .
  • Excluding the above major projects also worked on over 90 small and medium sized projects involving the technologies listed below.
  • In addition to this worked on many Firm wide User Acceptance Testing for new financial products and Books Records.
  • Still to add enhanced many existing functionalities on Mainframe to stabilize the system and improve the business.
  • Also done Production Support - Job monitoring, solving abends, root cause analysis, fixing the bug.
  • Worked on systematically shifting the mainframe functions into distributed world.
  • Lead small to medium group of developers.
  • Handled Business critical high priority tasks.
  • Also Supported applications on rotate beeper 24x7.
  • Resolved many User support tickets working in SLA guidelines.
  • Solve abends and provide permanent solution for many system problems.

Environment:

MVS, JCL, PROC, FILE-AID, OLQ, ADSC, MAPC, OS/390, ADSALIVE, ADSA, FTP, TSO/ISPF, ENDEVOR, INTERTST, CEDF, MQSeries, Merva, Guaranteed Delivery, SWIFT, TMON Transaction Monitor , MQMON MQ Monitor

Confidential

Software Engineer

  • Confidential is the top supplier of aircraft engines in the world and offers engines for the majority of commercial aircraft. Confidential is part of Confidential, itself a major part of the conglomerate General Electric, one of the world's largest corporations.
  • Confidential has been developed using IDMS/R, ADS/O, and COBOL etc. It comprises various modules such as Bill Of Material BOM , Customer Order Entry COE , Material Resources Planning MRP , and Inventory INV etc.
  • Develop and Modify COBOL, JCL, IDMS, DB2 programs, ADSO screens maintenance of existing programs.
  • Write several IDMS Batch / Online programs, to retrieve billing data from IDMS for uploading into Oracle Financials.
  • Developed Shipping Label printing program in COBOL and ADSO for Air Craft Engine Parts plant to plant transfer.
  • Developed various report programs for Business reporting using IDMS and CULPRIT.
  • Developed Bill of Materials program for Air Craft Engine using IDMS.
  • Perform modifications of technical designs and create, design, develop and or re-engineer the applications working with the client.
  • Lead small to medium group of developers.
  • Handled Business critical high priority tasks.
  • Supported applications on rotate beeper 24x7.
  • Done Production Support - Job monitoring, solving abends, root cause analysis, fixing the bug.
  • Resolved help desk support P1 4 hrs. and P2 1 business day tickets working in SLA guidelines.
  • Solve abends and provide permanent solution for many system problems.

Environment:

DB2, CICS, IDMS, ADSO, Cobol, MVS/JCL, VSAM, OLQ, ADSC, MAPC, OS/390, ADSALIVE, ADSA, FTP, TSO/ISPF, UCC7

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