System Health

Ronald Kent Wallace

Email: abmdct@r.postjobfree.com

Telephone: 425-***-****

SUMMARY

• BizTalk 2002, 2004 2006 R2, 2009, 2010, 2013 R2.

• Installed BizTalk 2009, 2010 across multiple servers.

• BizTalk BAM(Business activity monitor)

• Proficient in the X12 EDI, 270/271, 276/277, 834, 278, 834,837, 999.

• Experience migrating BizTalk 2002, 2004, 20009 processes to BizTalk 2010.

• Experience with Microsoft HIPAA accelerator 3.3.

• Microsoft SQL Server 2008 R2.

• Extensive use of MS SQL Stored Procedures, Stored Functions and Views.

• ETL (Extract Transport and Load (SSIS)).

• Microsoft Visual Studio(2010) .NET environment using Visual Basic, C#, ASP.NET, SQL Reports,

Crystal Reports, ADO,.NET and ODBC

• Proficient in writing C# pipeline components for decrypting and encrypting files using GNU

encryption.

• Proficient in C#.

EDUCATION

• Bachelor of Science in Finance, Brigham Young University, June 1980.

• Mt Rainier High School Seattle Washington USA

Language

English- First language written and spoken.

Spanish – Studied for 4 years in high school, written and spoken skills are poor.

Arabic – Lived in Saudi for 2 years, I can shop, ask directions. No written skills.

EXPERIENCE

Direct Technology January 2012 – August 2012

• Analysis of Northgate Grocery stores BizTalk System.

• BAM implementation to BizTalk System.

Health Management Administrators.

BizTalk developer April 2008 – Present

BizTalk 2009, 2010, mapping, BAM, orchestrations.

Install BizTalk servers 2009, 2010.

• Implementations of EDI 270/271 benefit information for Blue Exchange reporting for Blue

consortium.

• Implementations of EDI 276/277 claim information for Blue Exchange reporting for Blue

consortium.

Implementation of BizTalk EDI 837 Claim transport internal and external. Attached BizTalk

BAM to 837 processes.

Implement EDI 834 transport and load of membership information.

MS SQL 2005,2008, 2008R2 and SQL Reports

ETL using SSIS.

Extensive use of stored procedures and stored functions in MS SQL.

• Large C# project to interact with Microsoft SQL.

• EDI X12 transactions X12 EDI, 270/271, 276/277, 834, 278, 834,837, 999.

Primary Health, Inc. June 2001 – February 2008

IT Technical Manager

• Responsible for EDI system and implementation of HIPPA X12 EDI (837 and 834) using BizTalk

Server and SQL Server in a .NET environment.

• Migrate from AMISYS release 11 to release 3.0 and new platform is UNIX and Oracle.

• Work as System Administrator on the HP9000 UNIX.

• Work as Database Administrator for the Image Database on the HP3000.

• Work as a COBOL programmer on the HP9000, HP3000, and .NET, VB and C# programmer on a

Microsoft 2003 Server.

• Responsible for data warehouse for Primary Health. The Data Warehouse is MS SQL.

• Work as Administrator for LAN and Active Directories on MS Server 2003 and use Veritas for system

backup.

Hardware purchasing:

• Performed the analysis and purchase of the HP9000.

• Responsible for the purchase, assemble and software load of the personal computers.

• Purchase and implement the backup solutions for the UNIX, HP3000 and Microsoft systems.

• Responsible for the HP9000, HP3000 and Microsoft Server hardware.

• Upgraded AMISYS from 9.43 to 11.01 and write the EDI system for claim interface to AMISYS and

regeneration of re-priced claims.

ACS March 1998 - August 2000

ACS, Senior Programmer at Priority Health in Fresno California/Amisys System Administrator

• Programmed in COBOL, VESOFT products Security 3000, (STREAMX), Adager, FTP, Cognos

Powerhouse, SUPRTOOL and SPEEDWARE for the HP3000 using MPEIX.

• Performed maintenance programming on the claims processing system.

• Generated data for external organizations and programmed system feeds from AMISYS to the

accounting system.

• Maintained the check process and bank feeds and solved pended claim problems.

• Resolved daily job failures and worked as part of the team to upgrade AMISYS 9.3 software to 9.42.

• Controlled Priority Health services changes to AMISYS software.

• Maintained EDI data feeds for EDI data editing and performed HEDIS reporting.

• Took over the System Administrator functions on October 1999.

• Performed Image Database administration, including system patches, data dictionaries, backup,

Security 3000, job scheduling, software upgrades and LUND performance solutions.

Non-disclosure August 2000 - September 2000

Consultant

• Worked on this project while at Priority Health.

• Restored Image Databases using ORDIT software.

• Wrote SUPRTOOL extract using Robelle Export and converted data from an Image Database for use

by an SQL Server system and taught users about the data.

Community Care Network of San Diego July 1999 - September 1999

Contractor

• Worked on this project while at Priority Health.

• Converted from AMISYS to a UNIX based Health care system.

• Worked on this project while at Priority Health.

Priority Health August 2000 - June 2001

Senior Programmer

• Was hired as an employee to Priority Health and continued until Priority Health went out of business

in June of 2001.

Philips BTS May 1997 - March 1998

Senior Programmer Analyst

• Wrote the RF scanner process in Delphi and performed maintenance work on MANMAN system.

• Completed HP3000 System Manager class and responsible for OpenView upgrades and maintenance.

• Used PASCAL, SPEEDWARE, Image, Delphi and OLE and managed Image Databases and HP3000

system tuning.

BDM International April 1995 - April 1997

Senior Programmer Analyst

• Performed maintenance programming on an aircraft maintenance system for the Royal Saudi Air

Force in Riyadh, Saudi Arabia using PROTOS, COBOL, Image, View and SUPRTOOL on an

HP3000.

• Developed Y2K solutions for the Supply and Maintenance system.

• Responsible for base code field expansion and implementation of performance measurement parts

transfer between laboratories and used Windows 95.

Deseret Mutual Benefit Administrators May 1991 - April 1995

Programmer Analyst

• Worked on the membership and membership billing systems.

• Implemented health care system writing dynamic subroutines to communicate between purchased

health care software (American International Healthcare AMISYS) and existing systems.

• Performed maintenance programming on dental and health systems.

• Maintained enrollment and billing system in health care software. This involved extensive use of

Cognos products, Image, Query, COBOL, Cognos products, SUPERTOOL, QEDIT, Reflections and

MPEX and was on the team that originally implemented AMSIYS at DMBA.

• Supported the membership and billing processes and added rates for the actuaries.

• Performed extensive work on the enrollment and billing processes to ensure data accuracy on a on

going bases.

• Extensively used AMISYS batch processing. DMBA had life and other insurance in the billing

process.

• Performed maintenance work on the MEDICARE data exchange system.

• Supported the dental systems (non-AMISYS).

Martin Marietta August 1990 - May 1991

Senior Programmer Analyst

• Developed quality parts system for the rocket division and system was developed in COBOL using

VIEW 3000, Image, SPEEDWARE and OMIDEX on an HP3000.

Boeing Commercial Airplane March 1982 - August 1990

Senior Programmer Analyst

• Developed and maintained property accounting system for six commercial divisions of Boeing.

• Developed jet fuel inventory and accountability system.

• Performed maintenance work on Accounts Receivable and Accounts Payable for the commercial

airplane division.

• Performed migration from HP series 48 to HP XL machine.

• Converted SPL routines to C. System was developed and maintained on HP 935 XL using COBOL,

Image, Cognos and View.

• Limited use of TSO on IBM Mainframe and performed HP3000 system tuning.

Boeing Commercial Airplane June 1980 - March 1982

Accountant

• Performed property accounting functions.

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