Project Manager Analyst

Jeffrey Held

Interface Analyst Eden, North Carolina

336-***-**** (Home)

336-***-**** (Cell)

********@**********.***

Objective To obtain a position within the Health Care industry that

utilizes my skills and experiences to benefit the company

and team for which I work.

Experience March 2006 - April 2010 Spectrum Laboratory Network

Greensboro, NC

Programmer/Analyst - Interface Group

Implemented Demographic Bridges and Lab Results Interfaces

working with OMS/PMS and EMR vendors.

Provided connectivity for bridges and interfaces between

the clients/vendors servers and Spectrum's LIS system.

Connectivity methods included SFTP, VPN Tunnels and Mapped

drives (shared folders). Responsible for setting up of

Hypersend accounts, Scheduled Tasks and associated

scripting to move the files.

Worked with tables and scripting, using TCL programming,

within Quovadx (Cloverleaf) to process the and/or create

the HL7 messages for Inbound Demographic Bridge files

Supported bridges and interfaces when problems were

reported by clients.

October 2005 - January 2006 KFORCE Consultants

Cincinnati, OH

EDI Analyst - Consultant (Luxottica Retail - EyeMed Group)

Implemented the 834 HIPAA 2006 Open Enrollment for EyeMed

Vision Insurance Clients.

Utilized AS400 Unix System using LEECH Package to set up

and capture FTP files

Used extensively SQL Navigator (Oracle Data Base) to track

and proof testing of new HIPAA 834 files from clients

Worked directly with the clients and EyeMed Account

Managers to set up client profiles on the AS400 test

system, MERCATOR's Trading Partners package and check test

results

Maintained daily status reports of activities during tests

and movement into the production environment

Worked closely with the data mapping group to define and

test changes required by clients

April 1997-August 2005 Laboratory Corporation of

America Burlington, NC

EDI Coordinator

Executed analysis for Interfaces into EDI Systems working

with internal and external clients, Performed complete

SDLC for projects.

Developed Production JCL and Utility Programs for

Electronic Submissions and Remittance using HIPAA

Standards.

MVS JCL for large Mainframe Computer using IBM Operating

System.

Used MVS COBOL and QUIKJOB for programming interfaces.

Supported with the following HIPAA X12 transactions: 837,

835, UB92, HL7, 270, 271, 277 and 278.

Supported Trading Partners E-Commerce package. This

package was used to verify and prep data before and after

mapping.

Analyzed rejected files and formulated corrections.

Rejected HIPAA transaction files were analyzed using an

Internet HIPAA certification site and

both the implementation guide and carrier's guide to find

the error. Corrections were made so that the remittance

posting process could be completed.

Performed minor Data Mapping corrections using Mercator.

QA Analyst-Software

Supervised Quarterly Production Software Releases for new

systems and revisions to existing systems.

Selected critical path for the testing of the release

components as it related to the various systems within the

billing and remittance area.

Gained extensive knowledge of the company's billing system

and an understanding of changes that were being submitted

for testing.

Created testing scenarios and scheduling testing

environments for module testing and regression testing for

both Batch and CICS Systems.

Wrote test scenarios that ensured that both modified and

unmodified portions of the model worked correctly.

Responsible for generating test data to accomplish the

testing scenarios. Worked with MVS JCL, SAM files, VSAM

files and DB2 database tables.

Senior Programmer Analyst

Performed Analyses and Design for major HealthCare

systems.

Using SDLC techniques, developed and programmed medium to

large systems. The analyses included investigation and

justification for the project as well as the creation of

functional and detailed specifications. Programmed in

CICS, MVS COBOL (MicroFocus tools) using SAM files, VSAM

files and DB2 database tables. Also responsible for

extensive unit testing.

Developed the ABN (Medicare) data entry and record keeping

system.

Developed a system that would notify the Physician when

the ordered medical tests would not support the diagnosis

provided by the Physician.

March 1996- April 1997 Integon Insurance

Winston-Salem, NC

Systems Analyst

Developed support systems for a purchased Insurance system

(PMSC).

Wrote specifications for the interfaces or enhancements to

the system and was responsible for the programming and

testing of these changes

- Completed all work following SDLC guidelines.

May 1990-March 1996 Fieldcrest-Cannon, Inc Kannapolis,

NC

Systems Analyst/Project Manager

Developed interfaces, which included the Functional and

Technical Specifications, for the purchased MRP II system

for Shop Floor Management and Inventory Control for the

Columbus, GA towel plant.

Performed the same functions for the Fieldale, VA towel

plant and also developed a forecasting system for use by

Production Control.

Automated several manual processes within the Production

Control Department.

Accomplishments Taught Computer Science courses for ten years at community

colleges in the North Carolina System.

Served U.S. Army 1968-1970.

Put four children through college.

1975 and 1977 Palm Beach Community College Lake Worth. FL

Education A.S. Data Processing-Computer Science (1975)

A.A. Business Management (1977)

Last revised: 05/26/2010

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