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Project Manager Analyst

Location:
Salem, NH, 03079
Salary:
Open
Posted:
July 31, 2013

Contact this candidate

Resume:

ROBERT W. WILLIAMS

** * ******** ****** - #* Salem, NH

03079

Cell 978-***-**** ab262m@r.postjobfree.com

E-Business Analyst / EDI Specialist

Experienced, results oriented EDI/E-Business Professional with proven

success directing a broad range of initiatives in healthcare,

manufacturing/distribution systems applications. Extensive

hands on experience leading all stages of system development efforts.

Proven success in all phases of the Systems Development Life Cycle.

Recognized by peers for dependability, creativity, communication skills,

and problem-solving abilities.

Technical Proficiencies

Platforms: Oracle 11g,SQL Server2005/2008, Windows NT/2000/XP, Microsoft

BizTalk 2002/2006/2010, HP3000 MPE IX, SAP, IBM DOS/VSE, AS400,

UNIX (HP-UX)

EDI Software: Gentran Integration Suite, Gentran Server/Unix/NT/AS400,

Harbinger TLE/TLW, Premenos EDI Open

Languages: SAP ABAP, XML, COBOL, SQL Server, PERL Scripting, UNIX Shell

Scripting, Windows NT Scripting, FTP/SFTP Scripting, HP ASK

MANMAN

Tools: NEHEN, NEHEN Net software, Microsoft Office Suite, Visual

Studio, VB SourceSafe, Ipswitch SFTP Server, IBM Clear Quest,

Oracle Toad SQL

Professional Experience

MultiPlan Inc, Waltham, MA

EDI Analyst II/Project Lead/Business Analyst 9/2011 -

Present

Responsible for the Business Analysis/Project Management efforts related to

the implementation of complex Trading Partners into MultiPlan and Viant

claims processing systems.

. Project Manager/Lead for the migration of 100+ Viant Trading Partners

from 4010 to 5010 X12 Standards.

. Business Analyst/Project Lead for testing new lines of business for

MultiPlan. These new lines include Workers Compensation and Automobile

Medical.

. Assist in the creation and publication of new Implementation Guides

for Workers Compensation and Automobile Medical clients.

. Production Support for Key Production Trading Partners. Tasks include

monitoring of

Inbound/Outbound processes for MultiPlan key clients (United

Healthcare, Aetna Healthcare and Coventry Healthcare).

. Transaction sets include, 277, 834, 837, 997, and 999

ROBERT W. WILLIAMS

Network Health, Medford, MA 5/2008 - 9/2011

E-Business Analyst 3/2009 - 9/2011

Responsible for eliciting and evaluating user requirements from

stakeholders, defining and translating these requirements into detailed

functional/technical specifications for E-Business development team.

. Migration of 125+ direct claim submitters from (VPN based) system to

Ipswitch SFTP web-based solution.

. Collaborate with IT team members on any HIPAA 4010/5010 related

compliance issues.

. Lead Business Analysis and Project Planning efforts for EDI Claims

repository project.

. Project Lead for all HIPAA v5010 Gap Analysis and Implementation

efforts.

. Install/Upgrade NEHEN/NEHEN Net software (v 2011.1) on both Test/Prod

servers.

. Configuration of Partners/Workflows/Adapters/Actions into new NEHEN

software

. Create 5010 Trading Partner Setups/Agreements for all existing/ new

Trading Partners

. Transactions include 270,271,276,277,u277,820,834,835,837P,837I,997

and 999

EDI Specialist 5/2008 - 3/2009

Responsible for accurate, timely and efficient transfer of

Membership/Eligibility, Electronic

Remittance and Medical Claim files through the organizations electronic

data interchange portals.

. Oversee all EDI transaction activities, troubleshoot connectivity

issues with claim submitters/ claim submission portals when necessary.

. Coordinate, test and setup new trading partners (providers/hospitals).

. Level 1 Help Desk support to internal/external users and provider

community.

. Research and resolution of all EDI related issues and problems.

. Work with clearinghouses, direct submitters and other channels to

resolve any EDI

processing issues.

. Maintain and improve comprehensive file control mechanisms for all

batch processing.

. Monitor the integrity of all EDI files sent/received.

. Develop and enhance documentation of new and future business process

flows.

BBB Hydronics,Salem, NH 8/2003 - 5/2008

Owner-Oil Heat Technician /Subcontractor

Experienced in all aspects of Oil Heat + Hydronics Technology, and

incorporating energy efficient technology options into day to day customer

service operations.

* Installation of new high efficiency oil heat and hydronic systems.

* Retrofitting of older systems with newer higher efficiency components.

* Performing modifications and adjustments to improve the performance of

existing equipment.

Contract (Assigned to Newbury Comics of Allston, MA)

EDI Consultant 8/2003 - 8/2003

* Streamlined EDI scripts and processes into more efficient tasks, and

improved responsiveness of data flows.

* Added new Trading Partners, setup "interconnects" between Value Added

Networks, tested transaction data, and implemented new partners.

Contract (Assigned to World Kitchens Inc. of Bethlehem, PA)

EDI Consultant 1/2003 - 2/2003

* Remapped transactions to incorporate SAP version upgrade and

input/output file modifications.

* Transaction sets include 810, 850, 856, 860 and 997.

ROBERT W. WILLIAMS

Contract (Assigned to Parlex Corporation of Methuen, MA)

EDI Consultant 12/2002 - 1/2003

* Re-engineered data mappings to parse data more efficiently, resulting

in decreased

translation errors.

* Developed automated processes to import/export data from AS400

mainframe,

improving reliability and efficiency of data transfers.

Contract (Assigned to Stride Rite Corp. of Lexington, MA)

EDI Consultant 5/2002 - 8/2002

Responsible for providing EDI mapping, implementation, installation,

production support and coordination for a large shoe manufacturer (Stride

Rite Corporation) with distribution channels to many large retailers (May

Co, Dillard's, J C Penney, Sears, Federated Stores).

Key Achievements:

* Developed data mappings using Premenos EDI Open software, ANSI X12 and

VICS standards.

* Transaction sets included 810, 820, 832, 846, 850, 852, 856, 860, and

997.

* Performed business/gap analysis with Accounts Receivable department to

determine best methods for implementing 820 transaction.

Education

Bachelor of Science in Computers and Management

Franklin Pierce College, Rindge, New Hampshire

Associates Degree in Computer Science

Franklin Pierce College, Rindge, New Hampshire

Project Management Professional Certification

2.1 CEU's toward certification 6/2010

Boston University Corporate Education Center

Business Analyst Professional Certification

1.4 CEU's toward certification 6/2010

Boston University Corporate Education Center

Microsoft Biztalk 2010 Developer Immersion

2.1 CEU's 8/2011

Quick Learn Training Centers, Redmond WA



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