SUMMARY:

• Worked on the initial implementation of the Pegasystems Smart Claims Engine (SCE) framework as a solution for a government agency looking to handle an increasing healthcare claim adjudication backlog. As part of this, I implemented and customized functionality in member searching, authorizations, authorization matching, duplicate claim determination, claim pricing logic and pend management. I also resolved class hierarchy issues related to the SCE framework and implementation layers that allowed for more efficient code inheritance and reuse.
• Implemented and customized the PegaCALL Computer Telephony Integration (CTI) component of a customer service desk application for a healthcare provider. Implemented integration and associated HTTP webservice connector to retrieve IVR call information. Effort included manually constructing XSDs that were not available and resolving installation and environment issues that had stalled the previous development effort for five months prior to my onboarding.
• Developed Pegasystems PegaRULEs applications for large healthcare provider as part of project to replace their legacy claims management and inventory system. Applications included command center administrative portal and client data inquiry portals. In one application, after mainframe changes forced a redesign of the 4 supporting services three weeks before delivery to test, I was responsible for the redesign and implementation of over 100 properties from the back - end Integration classes, the conversion activities to port the data to the front-end data classes (providing a layer of abstraction) and ultimately to the properties referenced within the sections. Used soapUI application to validate the WSDL requests and responses for both the payloads and base messages for property mapping in 5 different services. My contributions directly resulted in a first pass Functional System Test pass rate of 100% and efforts were lauded by both the Tech Arch lead and senior project managers at successful completion of Performance Test.
• Created reports management component for a state government social services web application using PL SQL and Oracle Report Builder. Created the associated JSP interface and controller.
• Implemented batch processing components using PL SQL for a publication and mail routing and tracking web application used by a government client involved in bulk mail delivery.
• Designed and created webflows using Spring framework for a federal contract tracking and management web application. Also created pages associated with file storage and retrieval using JSP and MVC.
• Designed and created page components related to shipment and tracking for a federal government intranet application using a company created development framework based on Spring MVC. I designed and implemented several controllers and views related to tracking and routing.
• Proposed and managed the implementation of the Cisco AVVID phone system as a replacement to an aging AT&T PBX system. This solution not only replaced the PBX but upgraded the infrastructure and security of the existing data network. This was accomplished at one third the cost of replacing only the PBX with a newer PBX system, a savings of $90,000.
• Designed and established secure VPN access to internal corporate network allowing offsite Project Managers and Engineers secure access to company resources while at remote project locations.
• Devised and installed a comprehensive business continuity program including Checkpoint® firewall upgrades, implementing automated server and network backups, enterprise-wide virus protection, and offsite storage of all business critical electronic records and data.
• Assumed management of a network for a computer training company experiencing excessive slowdowns, timeouts and connection losses at random times throughout the workday. Redesigned the network and implemented those revisions, eliminating all congestion on the internal network.

WORK EXPERIENCE:

Pega Senior System Architect

Confidential, Austin, Texas

Responsibilities:

• Design, implement and code Pegasystems Confidential frameworks to meet customized customer requirements.
• With a focus on health care frameworks, I designed and coded modules as part of the creation of a healthcare system to support health care services acquired from non-government sources.
• I worked on specific functionality related to the implementation of a claims adjudication engine and applications implementing referral and authorization processes.

Senior Java Development Analyst

Confidential, San Antonio, Texas

Responsibilities:

• Design, coding, and testing of software applications to meet business process requirements.
• Use functional knowledge and technical expertise in the development of Java and Pega Confidential software applications.
• Experience with Java, J2EE, Spring MVC and Webflow, Junits, JSPs, Javascript, Eclipse, Websphere, IBM Rational Development Suite, Software testing, Pegasystems PegaRULES.
• Network and computer consulting, design, sale and installation computer networks, specializing in the small to medium sized business and SOHOs.

Computer Network Systems Associate

Confidential, San Antonio, Texas

Responsibilities:

• Managed curriculum development projects for both Network and Electronic degree programs - evaluated course content, planned and implemented improvements to ensure support of degree objectives and state requirements and provide quality education to students.
• Supervised 16 full time and part time instructors.
• Evaluated and developed instructor skills through one on one coaching and team training meetings.
• Scheduled program courses, students, and instructors.
• Developed fiscal budgets and FTE's for both programs.
• Resolved student concerns, performance and ensured a high retention rate.
• Served as point of contact for affiliated education programs.

Information Systems Manager

Confidential, San Antonio, Texas

Responsibilities:

• Designed the network for more efficient use of resources as measured by network response time.
• Managed 7 technical staff members supporting the delivery of data and voice services.
• Ensured required network and computer resources were in place for computer classes.
• Acted as a Liaison with vendors and property management to ensure that all facilities were kept to the highest standards.

Senior Network Engineer

Confidential, Dallas, Texas

Responsibilities:

• Managed corporate LAN/WAN. Windows, Novell and HP-UX System Administration.
• Planned and directed network upgrades and configuration changes including decommission of Netware servers and migration to Windows NT/2000 servers and implementation of the Cisco AVVID system to migrate, combine and upgrade the legacy voice and data network systems
• Implemented a corporate helpdesk and managed technicians supporting company computer users.
• Provided third level support for all corporate and local network administrators.

Network Support Analyst

Confidential, Brigham City, Utah

Responsibilities:

• Administration and support of Novell NetWare 3.11/4/5 and Windows NT 4.0/2000 servers, provided technical support to users of distributed software and computer hardware.
• Developed and led training for NT 4 Workstation MCP certification for Confidential Desktop Support team resulting in a certification rate of 100%.
• Security administrator for Confidential ’s connection to the TRW Defense Contractor’s SIINet network.

Programmer Analyst

Confidential

Responsibilities:

• Coded and debugged TCPIP library subroutines for integer and floating point data conversion and network transfer between PC, VAX and VMS binary formats.
• Developed subroutines in the Sherpa Document Management system using C, C++ and Visual Basic to import data from VAX and VMS based data storage to generate Microsoft Word format documents.
• Prepared documentation in support of in-house developed systems.