SUMMARY:

• Technology Lead and Manager with more than 16 years of extensive experience in handling Application Design & Development, System Analysis, Testing and Implementation & Support.
• Led teams to reduce the Percentage of Errors in Real Time Transactions at Confidential from 33% to 1.6% in 2013 and again from 4.8 % to 0.003 % in 2015 - 16.
• Specialized in all Hipaa X12 Transactions and with multiple data formats like HIPAA 837 Institutional, Professional and Dental Claims, HL7, 835, 834, 276, 277,270, 271, 278-11 and 278-13, 820, 997, 999, NSF, UB92, STAR, and ACORD XML.
• Worked extensively in Health Insurance companies such as Confidential.
• Experienced in Implementation of SOA Architecture. Successfully Implemented SOA Canonical Schema Design Pattern with JCAPS 5.x
• Have the ability to manage multiple projects concurrently, managing the team on the one hand and providing assessment reviews and reports to the senior management.
• Excellent communication skills and proven ability to work with vendors, customers, business end user’s business users and technical staff for accomplishment of project targets.
• Completed major product releases meeting very passionately, extremely tight timelines and handled migration of various applications.
• Hardworking, efficient and highly committed for organizations growth while maintaining strong integrity and work ethics.
• Masters in Computer Science with 3.941/4.0 GPA.

TECHNICAL SKILLS:

EAI & Middleware: IBM Message Broker 6.1 and 8.0, Edifecs 6.8, 7.07, 7.08, IBM Websphere Transformation Extender 8.2 and 8.4, IBM MQ 7.0, SeeBeyond EBI Suite (e*Gate 4.5.x, ICAN 5.x), JCAPS 5.x, JCAPS 6.x, JMS, Datapower Administration

Java Technologies: Java, J2EE, Enterprise Java Beans 1.1, JSP1.2, Servlets, XML, XSLT, XSD, RESTFUL API JSON.

Application Servers: Tomcat, Weblogic 7.x, 8.x, JBoss 3.x

Web Servers: Apache 1.3, IIS

Databases: Oracle 8i, 9.x, 11.x, SQL Server 7.0 / 2000

Languages: Java 1.3.1 & 1.4, Monk, PL/SQL, ASP, HTML, JavaScript, VBScript.

Operating Systems: UNIX, AIX, Linux, Solaris, Windows 2003, 2000, XP, Windows 7.

Hipaa X12 Validation: Faciledi, EDIFECS Transaction Manager, Edifecs XEngine, Edifecs ETL.

Source Control: Subversion, Jira, Clear Case, Star Team and PVCS, SVN.

Data Analytics: Splunk Implementation using JSON.

WORK EXPERIENCE:

Confidential, California

EDI Technical Lead

Responsibilities:

• Responsible for managing teams within Blue Shield and the vendors. Specifically focusing on project implementation, technical designs, quality control and team management.
• Closely working with senior management team for strategy formulation of the EDI team in line with the overall mission of the organization.
• Gathered, analyzed, and prioritized the business customer needs and synthesized into logical mapping and technical design specification documents.
• Analyzed Business Requirements, Software Requirements and determined the feasibility of design within Time and Cost Constraints and Performance Constraints.
• Worked closely with EDI programming team (Websphere Message Broker, Websphere MQ, Websphere Transformation Extender, Java and Edifecs) to coordinate project task scoping, estimation, planning, and monitoring activities.
• Proactively communicated with the Project Owners and the Business on all issues related to development.
• Coordinated and ensured system setup to support EDI requirements before programming is started.
• Troubleshoot issues in Production and Project Development in multiple environments.
• Worked with the System Analysts to identify the changes required to implement various Health Care Mandates and create Technical Designs to implement them.
• Extensively involved with setting up recurring status meetings with the business and Technical Architects, reviews of the designs with the business and the Architects.
• Reviewed the work of others team members and contractors.
• Responsible for design, code and Unit tests of Projects in Websphere Message Broker, Websphere Transformation Extender, Edifecs, MQ, Java, Javascript and databases.

Project Manager and Project Lead

Responsibilities:

• As Project Manager: Extensively worked with the senior management of Mphasis EDI division to find new areas in which we could target for a new contract from the customer. One of the result for the pursuit was the contract to migrate applications from Seebeyond to Websphere Message Broker and was involved in developing the Proof of Concept for the RFE all the way to the successful implementation of the Project in Production.
• Provide Project Management for multiple EDI implementation projects for EDI Level 3 Support
• Analyze project needs related to customer’s requirements and in relation to operational commitment.
• Manage the project plan timelines and resource availability.
• As Project Lead,Handled Offshore and Onsite team Coordination and Coordination with Project managers, Business Users and Testing Teams for accomplishment of project deliverables.
• Implemented 5010 Hipaa Projects and ICD 10 Project for the following transactions: Hipaa 270,271, 276, 277, 277 CA, 278, 999, 820, 834, 835, 837 Professional, Institutional and Dental and NCPDP changes.

Project Lead

Responsibilities:

• Defining the Functional and Technical Specifications of the new Business Requirements.
• Designing the eWays and BOB’s and the ETD’s.
• Developing the mapping documents for these interfaces as per the Client Requirements.
• Development of the Collaboration Rules and the ETD’s.

Project Lead and Application Developer

Responsibilities:

• Study of existing eGate 4.5.3 Interfaces for implementing the various Business Processes.
• Defining the Functional and Technical Specifications of the new Service Interfaces.
• Developing the mapping documents for these interfaces as per the Canonical XML and the Cargo Imp format.
• Create Mapping Specifications for each of the services.
• Facilitate development of the JCD’s and the OTD’s.
• Development of Business Processes using e*Insight BPM to handle the message flow across the services and handle the exceptions through the common exception handling CSF framework.
• Installation of Security Certificates & standardizing the procedures.
• Design and Development of ETD’s for Oracle ERP database, Blue Martini and SFO Databases.
• Conversion of data from Oracle ERP databases into XML messages in JMS IQ’s.
• Creation of Blue Martini Load files as per the Blue Martini formats.
• Testing to analyze and optimize the schema and documented the test cases.
• Development of a common Error Handling Schema to handle all the errors and exceptions.

Application Developer

Responsibilities:

• Creation of test scripts; execute and document the tests necessary to ensure that an application or technical environment meets performance requirements.
• Configuration of HTTPS’s to connect to AS400 system & Oracle e*ways.
• Configuration of Trading Partner Profiles in e*Xchange Partner Manager.
• Preparation of test plans to test 270/271 and 276/277 Transaction sets.
• Creation of test transactions and ran tests to confirm to the specifications for 834 & 837 transactions.
• Designing and developing a tracking system that will track every incoming and outgoing orders/results from Exam One, Inc.
• Creating HL7 ETD to generate HL7 flat files from the Oracle database so that the results could be communicated back to the clients.
• Integration with Blue Exchange using MQ*Series and Initiate for NPI Cross walk.
• Development of ETD’s for NSF and UB92 data Formats. Used java collaboration rules to meet parse the 837 input claims in to 837 Institutional and Professional Claims. Imported built in Java classes such as GNU Regular Expression class for pattern matching and Decimal Format class for message formatting.
• Segments worked on include special handling of COB claims for NSF and UB92.
• A special design was developed to handle the large Institutional claims with more than 100 Service line segments to be into 98 UB92 segments each.

Java /J2EE Developer

Responsibilities:

• Used J2EE Design Patterns for Application development.
• Developed user interface screens with JavaScript and JSP.
• Log4j was used to log both User interface and Domain Level Messages and also used to debug the application.
• Development of Enterprise Java Beans for various Projects.
• Wrote Ant scripts to build and create EAR and to deploy into JBoss.
• Wrote PL/SQL scripts to automate certain operations.
• Optimizing PL/SQL Scripts and Performance Optimization of all Database Interactions.