Project Insurance
Resume:
Anuradha Chivukula
www.linkedin.com/in/anuradhachivukula
Summary of Qualifications:
** + years of experience in IT industry.
** *** ** ******** ********** in BPM Product Pega.
Cerified DCO Architect (CDA) V 7.1
Pega Certified Business Architect (CBA)
Querying with Transact-SQL
Managing Project Risks and Changes by University of California
Initiating and Planning Projects by University of California
Initiating and Planning Projects by University of California
Certified Scrum Master (CSM)
Certified Professional Scrum Master 1 (PSM 1)
Pega Certified System Architect V 6.2
Experience working in multiple domains
US onsite experience includes Care First Blue Cross Blue Shield – Owings Mills- MD, American Express – Phoenix AZ, Medco Franklin Lakes, NJ, Harleysville Insurance--Harleysville, PA, AIG -- New Jersey, Huntington Bank, Columbus, Ohio
Technical Skills:
BPM Tool: PRPC (V6 /V7)
Agile Methodoligies
Domain: Healthcare, Auto Insurance
Tools: HP ALM, Serena Business Manager (SBM), Magic Ticket System
Employer: Cognizant Technology Solutions,
Location: U.S.A
Duration: Feb 2012 – April 2016
Significant Engagements:
Project: Client Letter Automation, Relicc
Duration: May 2014 to Till Date.
Client: CareFirst Blue Cross Blue Shield, Owings Mills, MD
Team Size: 6
Environment: Windows, PRPC V 6.1 sp2, DCO 6.1, Websphere, Oracle,
Role: Lead Business Analyst
The Client Letter Autoamtion Project ehnahces the communication between CD Workflow Application, CDW, HP Extreme and other down Stream Applications. This allows the creation of letters in CDWorkflow and reduce the need for Manual letter creation.
CDWorkflow shall provide the ability to select the Templates corresponding to the Letter Type along with the ability to upload additional documentation by the Users. New Outbound Crrespondence shall be created and sent to downsteam applications.
The Relicc Project is a Carefirst Corporate Initiative to implement a Maryland State Legislation to collect a member’s race, ethinicity and language data for reporting purposes to the Maryland Health Care Commission.
ROLES AND RESPONSIBILITIES:
Anuradha Chivukula’s Role is to Participate in Business meetings with end Users and gather Requirements specific to the Client Letter Automation and Relicc Project. Capture the Requirements and Use cases using DCO . Establish the relation between the Use Cases and the corresponding Flows. Establishes liaison relationship with Stake holders to provide technical solutions.
Partipate in JAD sessions and present the business cases developed.
Participated in the discussions and also brain storming sessions which helped in finding gaps and also providing a common architecture, that helps in accomodting additional new letters in future.Established the mapping between the 40 Templates, Work Object Statuses and also created the XML mapping for CDW. Identified the variables, standard field values to be sent in the XML for CDW.
Co-ordinate with offshore on a day to day basis and help them the requirements and the functionality of the application. Identify functionality gaps in the existing system and discuss with Business on the same to get clarifications.
Project: ACA, New Plan and Products
Duration: August 2013 To May 2014.
Client: CareFirst Blue Cross Blue Shield, Owings Mills, MD
Team Size: 8
Environment: Windows, PRPC V 6.1 sp2, DCO 6.1, Websphere, Oracle,
Role: Lead Business Analyst
The Consumer Direct Quote to Bill Platform is the suite of applications. The platform is designed to guide Prospects through online shopping, filling out an electronic insurance application or accepting a paper application. It automates underwriting, decisioning and application enrollment into facets.
In support of the Affordable Care Act (ACA), this project will enhance the CD Workflow platform component needed to achieve a corporate goal to determine the eligibility of new business Off Exchange applications while providing EAB, MU and customer Services with one system to support their respective business function.
ROLES AND RESPONSIBILITIES:
Anuradha Chivukula’s Role is to Participate in Business meetings with end Users and gather Requirements specific to the New Requirements of ACA Products, and enrollment eligibility for new ACA applications. Break the requirements into high Level Use Cases and derive Atomic Use Cases form the High level Use Cases created. Co-ordinate with offshore on a day to day basis and help them the requirements and the functionality of the application. Identify functionality gaps in the existing system and discuss with Business on the same to get clarifications.
Update the requirements and Use cases using the DCO and also establish the mapping between the rules and flows.
Configure the New ACA products into Product Configurator, a cental repository to store all the Product information within CareFirst.
Designed Wireframes for UI and New Process Flow
Validate the functionality against the requirements before deploying the Code into Test Environment, by minimizing the defects and delivering Quality code on Time.
Project: CD Automation of Subsequent
Duration: Febuary 2013 To July 2013.
Client: CareFirst Blue Cross Blue Shield, Owings Mills, MD
Team Size: 15
Role: Lead Business Analyst
The Objective of this Project is to deploy enhancements needed to achieve aggressive sales goals and improve the member’s experience. The Consumer Direct ASU will reduce calls to customer service and increase use of technical self-service capabilities by enabling common member transactions to be completed via self-service.
The Subscriber can Submit the Change Request either Online or Paper Form. CD WorkFlow shall perform the validations and determine the Types of Change Requests. The Subscriber shall be intimated to submit an Application form, if the Change Request requires Medical Underwriting. Other wise the Request shall be routed to an Enrollment and Billing Technician to Enroll Manually in Facets.
For Requests received from Online, CD Work Flow shall determine the Form Number and integrate with File Net / HPX STEAM, an External System which Generates a PDF of the Online Form. File Net shall send a Document ID back to CD Work Flow, which shall be stored for Future references.
ROLES AND RESPONSIBILITIES:
Anuradha Chivukula’s Role is to Participate in Requirement Meeting with End Users and gather Requirements specif to Automation of Subsequent Functionality. Break the requirements into high Level Use Cases and derive Atomic Use Cases form the High level Use Cases created. Identify functionality gaps in the existing system and discuss with Business on the same to get clarifications.
Worked with the Development team to define new schema for Automation of Subsequent.
Designed Wireframes for UI
Validate the functionality against the requirements before deploying the Code into Test Environment, by minimizing the defects and delivering Quality code on Time.
Co-ordinate with offshore on a day to day basis and help them the requirements and the functionality of the application.
Project: CD Ancillary
Duration: December 2012 To March 2013
Client: CareFirst Blue Cross Blue Shield, Owings Mills, MD
Team Size: 10
Role: Lead Business Analyst
The objective of the Ancillary Product integration component of the larger Consumer Direct Quote to Bill project, is to produce an increase in enrollment, and improved efficiency of enrollment and billing service delivery for the ancillary products. This also includes the integration of the Dental coverage into the existing automated CD workflow and offer ‘one stop shopping’ for prospective consumers
A Dental Application received in CD WorkFlow, will be validated as per the Business Rules defined, Registered in SMARTS (Sales and Marketing Activity Reports Tracking System) and sent for Light Underwriting. The Dental Applications shall be Auto Approved, and do not require Medical Under Writing.
They will be enrolled in Facets and a Successful or Failure Message shall be sent back to Pega.
ROLES AND RESPONSIBILITIES:
Anuradha Chivukula’s Role is to Participate in Business meetings with end Users and gather Requirements specif to the New Changes around Dental Applications. Break the requirements into high Level Use Cases and derive Atomic Use Cases form the High level Use Cases created. Co-ordinate with offshore on a day to day basis and help them the requirements and the functionality of the application. Identify functionality gaps in the existing system and discuss with Business on the same to get clarifications.
Validate the functionality against the requirements before deploying the Code into Test Environment, by minimizing the defects and delivering Quality code on Time.
Also validate the existing functionality for Medical products, ensuring that the new changes have not broken the working functionality.
Configure the New Dental products into Product Configurator, a cental repository to store all the Product information within CareFirst.
Project: IMD Enrollment
Duration: Feb 2012 To December 2012
Client: CareFirst Blue Cross Blue Shield, Owings Mills, MD
Team Size: 25
Role: Lead Business Analyst
IMD project is the Sales and Enrollment Domain application, which spans most CareFirst business functions from the customer sale through the generation of the group/member contract and ongoing maintenance for all components of the customers’ membership.
The platform is designed to guide Prospects through online shopping, filling out an electronic insurance application or accepting a paper application
Primary business functions include group and individual sales, medical and financial underwriting, account installation, enrollment, billing, contract generation, finance, and broker commissions.
This project is to rewrite the application to PRPC V6.1 SP2 from PRPC V5.4 SP1. The advanced features in the latest Version helps in improving Class Structures and GUI. Any outstanding performance issues faced also are addressed
ROLES AND RESPONSIBILITIES:
Anuradha Chivukula’s Role is to Participate in Business meetings with end Users and gather Requirements. Break the requirements into high Level Use Cases and derive Atomic Use Cases form the High level Use Cases created. Co-ordinate with offshore on a day to day basis and help them the requirements and the functionality of the application. Identify functionality gaps in the existing system and discuss with Business on the same to get clarifications.Analyze the existing CUT Numbers hard coding and identify a solution for the removal of hard coding from PCF. Participate in the client meetings daily and provide them the status update. Understand the upcoming CUT Numbers and new functionalities to be introduced.
Employer: Prime Technology Group Inc,
Location: Philadelphia, U.S.A
Duration: Jan 2011 – Nov 2011
Project: Systems Assurance UAT
Duration: Jan 2011 To Dec 2011
Client: American Express, Phoenix
Team Size: 7
Role: Test Manager
Systems Assurance is the software quality group for the Service Delivery Network and Product Development. Responsible for representing Business Operations to ensure that designated systems, products and enhancements are fully tested and validated, for ensuring a reliable and stable production environment for the Employees who service them.
Requirements Analysis of New International Projects related to Card Disputes.
Test planning, test execution management, keeping track of the defects reported in Track Record.
Participate in discussions with Business Users for any clarifications in UAT.
Coordinate with the offshore team to ensure that the deliverables are given on time to the client
Participate in Scrum meetings with client on a daily basis.
Send daily and weekly project update to client and team.
Employer: Prime Technology Group Inc,
Location: Philadelphia, U.S.A
Duration: August 2008 – Dec 2010
Significant Engagements:
Project: Liberty Prospect Management
Duration: July 2010 – Dec 2010
Client: Medco, NJ
Team Size: 8
Role: Developer
Liberty is undertaking an effort to replace IMA with a Pegasystems PRPC implementation. The resulting application known as “Liberty Prospect Management” will include CTI functionalty to support advanced call handlng and improved sales and service interatons. Leveraging the existing Liberty work at home technology, many work at home users will be utilizing Avaya IP Telesets connected. The home users will need to login nto CTI usng LBS GUI
Requirements Analysis
Implemention of the Inbound & Outbound, Transfer Calls using the CTI funcationality.
Implemention new functionality “Click to Dial”, arranged for the Liberty CSR
Implentation of Schedule Call back functionality, which facilitates Prospects to be called back by the Customer Reps.
Customizing the Liberty User Portals .
Project: CWS (Claims Work Flow System)
Duration: October 2009 – Feb 2010
Client: Xchanging Insurance Services
Team Size: 8
Role: Project Leader
Project Details:
Claims Workflow Service (CWS) is an Xchanging hosted web-based application that will be available to subscribing customers. It will be driven from data extracted from the CLASS mainframe system based on the occurrence of various business events that will trigger the data extracts. The data extract builds upon the existing daily claims extract of new transactions file that is provided to Carriers, but will provide a richer data set at more regular intervals and most notably to include status related information to drive CWS. This extract will also drive an additional Claims Workflow Trigger (CWT) service that will be offered separately to those organisations that already have their own workflow systems.
Responsibilities:
Setting up of Standards for Pega Development for the customer, who were doing their first ever Pega project
Leading a joint team of resources from the customer and Prime
Requirements Analysis
Discussions with On-site BA’s and Business regarding the modified FR.
Training the Team on Pega
Helping the PFT team to fix Pega Bugs
Project: Auto Insurance, accessHarleysville//PL
Duration: May 2009 – September 2009
Client: Harleysville Insurance, PA
Team Size: 11
Role: Consultant
Project Details:
The Access Harleysville web portal is developed on Duck Creek which is used by the Agents and Internal Users, which is designed on a technology platform that enables the flexibility in managing products across multiple business lines including personal and commercial. A user can process New Business Quotes, Renewal, Endorsement and Cancellation of the policies.
Responsibilities:
Creation of Functional logs for testing from the requirements
Expertise on Rating for different states using the rating algorithm.
Functional and Regression testing, by creating quotes and processing NB for different states.
Test for endorsements ensuring that no functionality is broken.
Keep track of the defects reported in Track Record.
Integration Services testing where the information from MRB, RMV is retrieved using the web serviceslike POLK, Proxix and Melisa Data.
Executing scripts of Test Partner.
Update to the client by participating in the status meetings.
Project: Claims Processing Application (POC)
Duration: November 2008 – March 2009
Client: Internal
Team Size: 5
Role: Technical Lead
Environment: PRPC, Tomcat 5.5.16, Oracle 10g
POC Details:
Whenever any mishap happens, a claimant raises a claim to receive the insurance. The process deals with investigation whether the claim raised is a fraud and the further action taken when found to a fraud. If the claim is genuine, then it is routed to different managers based on the type of incident and then the proposal amount is sent to the claimant for negotiations. On approval from the claimant, the Final Settlement is done. On challenging, the claimant has to continue with Court proceedings and the final settlement is done later.
Responsibilities in the POC
Involved in the design of the application, where the PRPC guardials must be adhered to.
Developed the application using PRPC V(5.2). Sending external mail to the claimant using Directed WebAccess feature was implemented.
External authentication using LDAP was also implemented.
Reviewed the entire testing Process followed by other teams in the POC and ensured that the modifictions suggested were implemented
Done the performance testing for the application using Load Runner.
Employer: Virtusa (INDIA) Pvt Ltd, Hyderabad
Duration: September 2003 – July 2008
Significant projects:
Project: Pega Off Shore Test Engineering (Execution) –Lead
Duration: May 2007- July 2008
Client: Pega Systems, Cambridge (U.S.A)
Team Size: 22
Role: QA Lead
Environment: PRPC, Tomcat 5.5.16, Web Sphere 6.0.2, Oracle 10g
Project Details:
It pertains to the Business Process Management (BPM), based on work of flows and as such is RULES based Engine, on which applications can be built. The aim of PRPC Rules Engine is to enable a user who is conversant with BPM Domain and possessing minimum programming knowledge, to develop business applications such as Health care, Insurance Etc, with the knowledge of BPM domain.
Responsibilities in the Project
Team Lead for a team of 20 members, who test the Core PRPC engine and Rules.
Update to the client and onsite team by participating in the mid week check, next week goal and closure meeting calls
Responsible in collecting the new feature requirements for testing and participating in the Tech Kick offMeetings with onsite developers.
Responsible for helping the Frameworks team to understand the New Framework TMF (Test Management Framework) and create Automated tests / scenarios using the Auto Test Suite.
Responsible for not only getting tested New features, but also in getting scenarios developed which emulate the real time Vertical Frame works, using the rules and make sure that the existing rules and functionality is not broken because of the New features.
Responsible for the deployment of the weekly builds on different platforms like AIX/WebSphere/DB2, Windows/Tomcat/Oracle
Responsible for getting tested the Upgrade functionality of lower PRPC version to the current version.
Conduct KT sessions in PRPC for the entire team, where every one is benefited and new learners are groomed
Continuously monitor the performance of the team periodically in a day.
Delivered the latest PRPC release 5.3 and currently testing on Version 5.4, to be released by end of year
Project: Pega PLG Services (AIG-North America)
Duration: November 2006 – April 2007
Client: AIG, Parsippany, New Jersey (U.S.A)
Team Size: 5
Role: Senior System Architect
Environment: PRPC, Web Sphere 5.0, Web Sphere 6.0.2, Oracle 10g, Sun Solaris
Project Details:
American International Group (AIG), world leaders in insurance and financial services, has their application OMEGA, built using PRPC. Also, the application has external configurations like LDAP and an interface BRICS which was developed by them. To overcome the performance issues with the product, to gain the benefit of PRPC 5.X version features and get rid of the lower versions the application is using, they decided to Upgrade the product in all the environments (Dev/QA/Staging/Model Office/Production) from 4.2 (SP4) to 5.1
(SP2). Remediation and bug fixing of the Rules after the upgrade also had to be done in all the environments.
Responsibilities in the Project
Responsible for the complete module “upgrade of the product from PRPC Version 4.2 (SP4) to Version 4.2 (SP6) and then migration to PRPC Version 5.1 (SP2)”.
Upgraded and migrated the product initially on a test environment where all the problems during upgrade were identified and correct measures taken so that process is completed and the deadlines are met.
Daily update to the client in person on the progress done.
Remediated and fixed the bugs in the application which occur after the upgrade and migration.
Contacted Pega Support by raising Service Requests (SR) for any internal code related bug fixes and also Hot Fixes if needed were requested, which were to be applied with immediate effect.
Upgraded the remaining environments (Dev/QA/Staging/Model Office/Production) and applied the remediation RuleSet Version created in all of them
Simultaneously worked with other team members for the redesign of the application for improving the performance of the product, where the new features of PRPC were implemented in the application.
Project: Pega PLG Services (Huntington)
Duration: September 2006 – November 2006
Client: Huntington Bank, Columbus, Ohio (U.S.A)
Team Size: 4
Role: Senior System Architect
Environment: PRPC, Web Logic, Oracle 10g, Sun Solaris
Project Details:
The business rules, workflows, and portal integration framework will be built within PRPC. PRPC generates a WAR containing JSR-168 compliant portlet classes based on the portal rules. This war will manage the rudimentary communications between the portal and the PRPC server to acquire the fully constructed HTML stream from PRPC. This WAR must be deployed on the ESS portal server. PRPC will use the service listeners and working connectors to the MQ services to connect to ESS. The architecture will use the MQ, Relational DB, and SOAP connectors for the POC.
Responsibilities in the Project
Responsible for developing POC1, which provides the Banker with the ability to quickly view all available products classified as checking, short-term savings, long-term savings, short-term borrowing, and long term borrowing products that a customer can open using PRPC.
Responsible for developing POC2 which provides the Banker with a non-procedural, flexible guided selling interaction process that provides meaningful product, where if the user does not answer any questions, the system will display the relevant product catalog of items, that would be available based on the customer type and if all questions are answered only one product will be recommended.
Responsible for developing POC3, provides the Banker with the ability to capture customer needs with out using the guided selling tool so that a meaningful product recommendation will be available to offer the customer.
Project: Pega Off Shore Test Engineering (Automation) –Engineer
Duration: January 2005- September 2006
Client: Pega Systems, Cambridge (U.S.A)
Team Size: 6
Role: Senior Engineer
Environment: PRPC, Tomcat 5.5.16, Oracle 10g, Winrunner
Project Details:
The aim of this project is to eliminate manual testing in the areas which can be automated using Winrunner.
Responsibilities in the Project
Automated the areas identified by writing Winrunner script.
Written activities for testing the Methods and also functions in PRPC and automated them, where the script ran the entire night to generate a report by the next morning.
Written script for 150 Operator ID’s who can login into system and display the pass and fail criteria based on the HTML stream specified.
Project: Pega QACC – Engineer
Duration: October 2003 – December 2004
Project Details:
Working together with Process Commander, PegaRULES offers a sophisticated common object model to deliver the power of process and practice integration without the expense and resources associated with maintaining separate business process and rules databases, user interfaces, test and production environments. It is basically both a development environment and Runtime environment. Can be used to build BPM and BRE applications.
Provides tools for developing, deploying, executing and evolving simply smart business process applications and is build in java
Responsibilities in the Project:
Worked with a new testing system called SBTM ( Session Based Test Management)
Is conversant with 3 versions of PRPC, starting from 03-02 to the latest release 5.4
Performed different kinds of Test techniques like Claims, Functional, Domain, Stress, Negative, Boundary, Risk, Flow, Automated, Installation, User Testing, Scenario in Session Based Test Management
Documented test cases based on corresponding business /user requirements documents & technical specification and other operating conditions.
Assisted in writing test plans, which detailed the testing scope, strategy, test requirements, and necessary resources
Attend meetings, document user change requests. Analyze user change requirements, and to make necessary amendments to the test requirements.
Closely worked with respective personnel to nail down the bugs.
Tested the application compatibility in various platforms like Windows 9x/2000/NT/XP; Linux, AIX, HP-UX, Solaris using VMWare.
Saved many hours of potential productivity losses and circumvented project delays by initiating after-hour online communications via email, chat, and teleconferences to staff.
Boosted the quality of team information exchanges and avoided budding misunderstandings within staff by reinforcing the nuances of cultural diversity and the need for respectful, focused, and concise communications.
Have got a recognition as a vital player in the Project and also appreciation from the client
Educational Profile:
Master in Computer Science (MSc.Computer Science) in First Class from Osmania University in 2002.
BSc (Computer Science), in First Class from Osmania University in 2000.
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