Lead developer Resume Valencia, California - Hire IT People

SUMMARY:

18+ years experience in IBM System i development with an emphasis on data driven applications, research, maintenance and troubleshooting.
Demonstrated experience with database programming on the IBM System i using DB2 SQL, including embedded SQL.
Demonstrated programming experience using RPG ( all varieties *III, IV, ILE and Free)
Experience with ILE programming concepts such as modules, binding directories, service programs and activation groups.
Strong analytic and research skills
Experience with performance tuning applications for large database
Participates in on - call rotation for after hour support.
Great problem solving, multi-tasking skills and Leadership
In-depth experience in product based applications
In-depth experience on creating Implementation plan. Coordinating implementation plan across multiple system groups.

TECHNICAL SKILLS:

Hardware: - iSeries AS/400

Operating systems: - OS/400, Windows

Languages: - ILE RPG, RPG, ILECL, CL, SQL, RPG Free, Embedded SQL, Stored Procedures, Binding Directories, Service Programs.

RDBMS: - DB2/400

Utilities: - PROFOUNDUI (iSeries web UI), SDA, RLU, DFU, SEU, DBU, QUERY/400, OPNQRY, HAWKEYE, EZVIEW, ROBOT, RDI, MKS Implementer, Aldon and Turnover.

PROFESSIONAL EXPERIENCE:

Confidential, Valencia, California

Lead developer

Responsibilities:

Occupational Health care industry project used by Clinics Front Desk and Providers to manage scheduling Confidential t appointments. System is developed using Profound UI (graphical, browser-based framework), RPGILE, embedded SQL and SQLRPGLE.
Occupational Health care insurance industry project used for entering and managing referrals. Doctors/Providers and Referral Coordinators utilize the application. System is developed using Profound UI (graphical, browser-based framework), RPGILE and SQLRPGLE
Occupational Health care industry project to manage Referral work flow using SDA, Profound UI, RPGLE and SQLRPGLE.

Confidential, Teaneck, NJ

Responsibilities:

Worked on Projects to add new edits to Claims Adjudication system for Authorizations based on CPT
Project is to addresses the critical business requirement of supplying the necessary authorization data elements to continue to pay claims for Northeast and Arizona members on the MC400 Claims System. Receives authorizations and notes files from vendor Carecore, these files will be processed on a real-time, this enables the claims adjudication appropriately.

Environment: DB2, RPG- Free, ILE RPG, RPG, ILECL, CL, SQL, Stored Procedures, OPNQRY, SDA, RLU and SEU

Confidential, Woodland Hills, CA

Responsibilities:

Developed a daily batch job to extract paid/un-paid claims based on the week of the day using complex criteria; self purges dynamically due to the data intensive nature of extract.
HealthNet received re-priced claims through in-bound process. From these in-bound files generates reconciliation reports of in- Confidential t, out- Confidential t and DME claims which are paid during a month. This is used for paying the claims processed by iHealth.
Confidential contract with OrthoNet to implement a post-adjudication/pre-payment Focused Claim Review on targeted physician claims and high-dollar surgical claims. Before Confidential makes a payment on certain surgical claims, OrthoNet will compare the billed CPT codes to the surgeon’s operative report to ensure that all billed codes are documented in the surgical record. If a code is not supported by the record, then Confidential will not pay for that code unless/until the surgeon amends the Operative note to validate that the service was in fact performed and properly payable.

Environment: DB2, RPG- Free, ILE RPG, RPG, ILECL, CL, SQL, Stored Procedures, OPNQRY, SDA, RLU and SEU

Confidential, Santa Ana, California

Responsibilities:

Worked on day to day Production Support tickets on Claims System.
Worked on Claims System Enhancement Project
Worked on Claims Letter System project.

Environment: DB2, ILE RPG, RPG, ILECL, CL, SQL, Stored Procedures, OPNQRY, SDA, RLU and SEU

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Lead Developer Resume

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