SUMMARY

• Over 7+ years of progressive IT experience as C & UNIX Developer in design, implementation, and testing production environments.
• Excellent knowledge in all phases of Software Testing Life Cycle (STLC), Worked in Waterfall model and Agile Model
• Design & development lead on Claims & Reference - Adjudication, Edits-Audits, and Pricing& Rules Engine modules. This effort involved Pro*C, C, C++, Unix, PL/SQL
• Experience in developing C/C++, Pro*C/Batch programs using Multithreading Programming for handling.
• Involved in development and testing of several batch programs written in C and C++.
• Designed and implemented an Emulator which helped in testing/development using Qt/C++.
• Strong Knowledge with HIPPA EDI Transactions such as 835, 837(P, D, I) 276, 277, 278 and experienced in creating maps in inbound and outbound EDI interfaces for 810, 850, 855 etc.
• Expert in preparing Test Cases based on business requirements and rules for HIPPA EDI Transaction.
• Experience using an industry standard RDBMS (Oracle, Teradata, Sybase, DB2 and Informix), including strong SQL skills.
• As a SME, involved in the design, development and testing of the Metadata Manager application using Agile Methodology.
• Distribute EDI policies and procedures, set-up EDI accounts, to include testing and maintenance
• Experience with Medicare, Medicaid, & insurances in HIPAA ANSI X12 4010, 5010 formats including 270/271, 276/277, 835, 837, 999, ICD 9, ICD 10.
• Design and develop solutions using C, C++, Multi-Threaded, Shell Scripting.
• Verified the Inbound and Outbound 834 generated for CHIP, Medicaid, APTC and QHP flavors scenarios.
• Extensive knowledge of writing SQL queries, working with back end tools for data validation and verification.
• Extensive experience with EDI ANSI X12, XML, EDIFACT, HIPAA, and other XML based standards.
• Strong experience in using FACETS which includes the Membership, Product, Provider, components Billing, Claims Processing, Commissions, Claims Processing, Customer Service, Utilization Management, Electronic Data Interchange (EDI)
• Have solid hands-on experience in UNIX systems administration, hardware and software troubleshooting, and systems installation.
• Experience using global temporary tables and SQL query optimizer Hints for SQL performance tuning

TECHNICAL SKILLS

Databases: My SQL Server 2012/2008R2/2005, Oracle 12c/11g/10g/9i/8i

Programming Languages: PL/SQL, UNIX shell scripting, PERL, C, C++, Java, HTML, XML

Applications: MS Office Suite, MS Project, Visio

Operating Systems: UNIX, AIX, Linux, Red Hat, and Windows Vista/XP/2003

Scripting Languages: VBScript, JavaScript, UNIX Shell Script.

Tools: MS-Office suite (Word, Excel, MS Project and Outlook

PROFESSIONAL EXPERIENCE

Confidential, El Paso, TX

C/SQL/UNIX Developer

Responsibilities:

• Involved in design, coding, developing and testing various modules using C, C++, Pro*C, UNIX and SQL.
• Worked for subsystems Interchange, Encounters, Claims, TMSIS, Prior Authorization and MMIS Healthcare.
• Involved in product research, design and writing the technical documentation (SOW) as a SME.
• Created and processed new JIL requests and ensuring that jobs are scheduled properly and have run according to schedule using Autosys.
• Worked on resolving production issues being the primary production contact for Interchange PA Batch/Extract, Prior Authorization, Interchange PA - Letters and TMSIS.
• Involved in the current production support meeting where key issues are discussed with cross-functional teams.
• Worked on shell scripting in writing new Job scripts and updating the current scripts.
• Worked on debugging the code using GDB in Unix/Linux environment.
• Analyzed data using complex SQL queries across various databases and created queries to match the fields proposed by customer.
• Working on code changes, identifying maximum test cases required, writing the test strategy, executing and performing the unit testing.
• Worked on Encounters Claims Engine in generating 837 Encounter Claim Response Files and cross checking them with the MCOs.
• Created a completely new process to generate and send Notice of Decision Letters for the Rendering providers.
• Worked on writing the technical documents for Recycles in Legacy-MMIS.
• Worked on code management activities (TFS) in Visual Studio version controls.
• Defining scope, plans and deliverables for assigned projects.
• Participated in the monthly release calls to understand the types of changes planned and begin to plan for pre and post release support.
• Coordinating and collaborating with team members in analyzing collected requirements to ensure plans and identified solutions to meet customer needs and expectations.
• Created designs and hold internal team reviews on any new or updated scripts and participated on project work product reviews when requested.
• Provide after-hours application support as needed.
• Involved in knowledge transfer to the Team.
• Submit weekly status reports on the deliverables completed during the week and activities planned for next week.

Environment: C, C++, UNIX/LINUX, Oracle DB, C/Batch, Perl, MMIS, Shell Scripting, PL/SQL, SQL, XML/HTML

Confidential, Woodlawn, MD

C/SQL/UNIX Developer

Responsibilities:

• Developed scripts in C on UNIX platform to contribute to the software project, which automated customized design process.
• Wrote a program in C, which converted programmer's interface between two different types of database.
• Supported the integration of the core technology libraries into other user-friendly front-end applications
• Wrote SQL statements in conjunction with embedded database library to use SYBASE relational database.
• Wrote a program in C, which parses computer logs and then displays the summary in automatically generated HTML files.
• Wrote a script in Perl, which in conjunction with version control system built a particular version of application.
• Contributed to make file project, which standardized all UNIX make files on the project.
• Verified the Inbound and Outbound 834 generated for CHIP, Medicaid, APTC and QHP flavors scenarios.
• Experience in enrolling with commercial managed care coverage are excluded from enrollment in Medicaid MCOs, while TPL for other enrollees with private health insurance or Medicare coverage.
• Strong experience in using FACETS which includes the Membership, Product Provider, components Billing, Claims Processing, Commissions, Claims Processing, Customer Service, Utilization Management, Electronic Data Interchange (EDI).
• Good experience in manipulating EDI X 12 837(Health care claim), 835(Payment/remittance advice), 834(Benefit enrolment), 270/ 271(inquire/response health care benefits), 276/277(Claim status) transaction files as per HIPAA guidelines.
• Review critical errors from EDI submissions, research and correct data in system
• Worked on various Active Template Libraries (ATL) in various code optimization techniques.
• I was trained on the job in Agile software practices and I am familiar with fundamental ideas of Agile practice.
• Support System Testing, Acceptance (UAT) Testing and Production changes.

Environment: Oracle, SQL Server, UNIX shell scripting, Java, HTML, UNIX, Quality Center, UNIX, C Programming, EDI, Claims, XML

Confidential, San Francisco, CA

C/C++, UNIX Developer

Responsibilities:

• Understand the Business Requirements and Solution Design Document for the Impact Analysis.
• Involve in coding, unit testing, troubleshooting and debugging the application.
• Used Scrum Agile methodology that included iterative application development, weekly Sprints, stand up meetings and customer reporting backlogs.
• Experience in writing Stored Procedures, Functions, Packages, PL/SQL routines, Database triggers, Shell-Scripting.
• Designed the Web application layout and forms using HTML, CSS, and JavaScript .
• Involved in developing Taxes module in C++, using inheritance, STL's and Design patterns.
• Analyzing the input/output XML message logs in fixing certain defects and monitoring the system performance.
• Developed and implemented the middleware services using C, Pro*C and C++
• Worked on third party vendor interface files and generated reports for vendors using C++ and shell scripting.
• Developed UNIX shells/scripts to support and maintain the application.
• Responsible for fixing problems wherever they are: product functionality, reliability, performance of product installation and update network protocols.
• Created many batch scripts using UNIX bash scripting and scheduled in Cron Tab.
• Involved in development and testing of several batch programs written in C and C++.
• Executed C programming, software package support and LINUX shell scripting.
• Understand complex product architecture involving many patented design patterns.
• Performed T-SQL tuning and optimization of queries for Claims Hub reports that take longer execution time using MS SQL Profiler and Database Engine Tuning Advisor.
• Supported QA team in various testing environments and involved in production support and defects fixing.
• Developed and Executed the Module Test Cases on Unit and Integration Testing environments.

Environment: Oracle, SQL Server, UNIX shell scripting, Java, HTML, UNIX, Quality Center, UNIX, C Programming, XML

Confidential

C/C++, UNIX developer

Responsibilities:

• Work as a product client team developer on a variety of platforms including Windows, UNIX and Linux distribution using C.
• Actively Participated in different phases of SDLC.
• Extensively worked towards optimizing the Queries to enhance the performance.
• Analyzed Indexes on regular basis.
• Created Stored Procedures, Functions, and Triggers to maintain various business rules.
• Created and modified the complex queries according to client requirements
• Analyzed Functional Specifications and Business Requirements.
• Worked on the Low Level and High-Level Design Documents.
• Installation, Configuration and Administration of Web Logic, Websphere and Apache Servers in Linux and Solaris Servers.
• Setup and Configure UNIX Test Servers
• Designed, Implemented, Tested and supported the application using C, SAS programming on UNIX, Multi-Threading, DB2 (V7.1) and AIX 5.3.
• Developed and Executed the Module Test Cases on Unit and Integration Testing environments.
• Created Unit Test Cases for UNIX and Unit Testing
• Supported System Testing, Acceptance (UAT) Testing and Production changes.
• Extensively used SQL PROFILE to force the optimizer to choose better execution plan.
• Used Bulk Collect for better performance and easy retrieval of data, by reducing context switching between SQL and PL/SQL engines

Environment: C, UNIX /LINUX, PL/SQL, Procedure, Packages, Functions, Shell script, SQL, Loader, Oracle10g, 11g, Siebel 8.1

Confidential

C/C++ Developer

Responsibilities:

• Work as a product client team developer on a variety of platforms including Windows, UNIX and Linux distribution using C.
• Implemented the business logic in back end with Pro-C and C++.
• Used import/export utilities and SQL Loader extensively.
• Oracle Installation 8.1.5 on Solaris 2.6 & Red Hat Linux Enterprise 3.
• Developed PL/SQL programs based on the client needs for any adhoc reports, statistics.
• Enhanced the exposure reports that explain in detail the exposure involved at various levels in a trade (security, counterparty, currency etc.) Utilized C++ and Oracle. GIT was used as the Source Control tool.
• Peer reviews of the Design and Source Code (C, C++, and Korn Shell).
• Support System Testing, Acceptance (UAT) Testing and Production changes.
• Experience using an industry standard RDBMS (Oracle, Teradata, Sybase, DB2 and Informix), including strong SQL skills.

Environment: C, C++, STL, QT Framework, OOPS, Linux, SQL Server 2005, Windows Services, Boost C++ Library.