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Strong knowledge about USA health care domain and worked in Payor,
Provider, Clinical IT,Pharmacy benefits, Member and Claims related
projects
Experience in
capturing requirements, developing functional design/specifications
withthe help of technical knowledge and business knowledge acquired.
Ability to write
Complex SQL queries
with strong knowledge of DB2.
Received
several accolades from Clients
Involved in
all the stages of the development
like analysis, design, build, test anddeployment of code.
Experience in research and implementation of automation
tools and techniques toincrease the efficiency of the product
and to decrease the turnaround time for tedious tasks
Hardware
Client Server and IBM Mainframe
Programming Languages
COBOL, C, C++, Java
Front End
CICS, IMS
Operating systems
MVS, Windows, UNIX.1 of 4
Other utilities
Rational Clear Quest, Rational Requisite Pro, JCL, QTP,
File aid, , QMF,DB2 File aid, Easytrieve, Rexx, SAS, Xpeditor,
Endevor, Abend-Aid, , FTP, NDM, MS-office(Word, Excel,
Powerpoint, Visio, outlook, Access) & MQ Series.
Work E x p er ience:Company: Cognizant Technology solutions
Project 4:Blue Cross Blue Shield of Michigan Michigan
Operation System Project
Role: Mainframe Developer
(Jun 2008 - Mar 2010)
Project Description:
Michigan Operating System Project (MOSP) is a Migration
Project. To position BCBSM for thefuture, Executive Leadership
decided to move to a single operating platform by migrating
Localbusiness to the Michigan Operating System on the NASCO
platform. The benefits from thisinitiative include greater flexibility
and speed-to-market, reduced administrative cost etc., In order to
achieve the Single Operating Platform objective, all membership
and billing content that iscurrently interfaced to data sources
within the LOCAL platform and other system interfaces(external
and internal) must be redirected and interface to comparable
sources within the NASCOplatform.
Job Summary:
I have been involved in
Analyzing the
business requirements
and transforming the requirements to Functionaldesign
specifications
Worked on
ANSI EDI 834, 835, 837, 997
formats for Membership Enrollment as well asAgent Commissions
system (Membership & Billing area)2 of 4
Worked on Various
web portals
like Connecture (IBU enrollments), Agent and groupportal, Benefit
focus eBilling Portal
REXX
to minimize the routine/redundant activities.Example: FTP tool for
Parm verification and Job scheduler tool
Environment:
COBOL, JCL, DB2, IMS, REXX, Endevor, FTP, NDM, SAS,
TSO/ISPF, Rational Clear Quest,Rational Manual Tester, Rational
Requisite Pro, Web services, MQ Series.
Project 3:UnitedHealth Group - Consolidated Eligibility System
Role: Mainframe developer/Systems Analyst
(Nov 2005 - May 2008)
Project Description:
Consolidated Eligibility System (CES) is an application
enhancement and maintenance project.The eligibility system
houses a broad spectrum of information such as Customer level,
Member Eligibility, Member Demographics and Benefit Plan level
information. The system undergoes acycle of enhancement and
maintenance changes defined by the business needs of
UnitedHealthGroup (Uniprise account). This eligibility system
plays a critical a role in Clients business as theinformation
stored in the systems is considered as source of truth. The
system also providesfeed to the other external systems. The
availability of CES is crucial for Clients Business. Thesystem
maintains all the member and plan level information for all
the customers of Uniprise.
Job Summary:
I have been involved in:
Developed
High complex SQL queries
to fetch data from database to validate the datafor testing
Capturing
Business requirements, transforming requirements into
functionaldesign specifications.