Chandramouli Pottu E-Mail abmicp@r.postjobfree.com Cell # (909) 518

5294

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Profile

9+ years of Professional experience in Insurance and Health care business

domain, six months of professional experience as Web Designer coupled with

project management skills.

Summary

9+ years of combined experience in analysis, design, development,

maintenance, testing and implementation (Complete SDLC cycle).

Extensive experience in Healthcare domain with Business Analysis,

development and QA testing.

AHM 250 Certified (Academy for Healthcare Management's)

o EPIC Certified Prelude Administrator

Kaiser Permanente Certified EPIC EMR Resolute Hospital billing

Kaiser Permanente Certified EPIC EMR Resolute Professional billing

Kaiser Permanente Certified EPIC EMR Clarity reports

PMP workshop/pre requirements completed, due on certification.

Strong understanding and experience of Healthcare Membership systems and

development experience of Healthcare Sale and Marketing systems.

Strong understanding and testing experience in EPIC EMR system and ETL

technologies.

EPIC Professional experience working with EPIC systems on REVENUE Cycle

(Hospital billing and Professional billing) and Benefits Engine.

Strong experience in Account, charge review, Claim Edit, Charge Capture

and ED workqueues.

Strong understanding of Tapestry, ADT, Prelude, Cadence, HIM's Coding, HB

Claims and Remittance process.

Project lead for Mega projects like Home Health, Medicare and Self

funding/CSI, current project leads for bad debt remediation, inter

regional credit remediation, Home health MLA & Coverage manager.

Project lead/Team player with strong technical skills in EPIC Resolute

HB, EPIC Resolute PB, Crystal reports, Citrix, Hyperspace, CICS, COBOL,

DB2, DATACOM, EASYTRIEVE, MVS/JCL, OS/390 and VSAM programming.

o Expert in analysis, understanding business requirements, providing

Quality Assurance by performing Manual & Automated Testing, System

testing, Functional testing, IST and Regression Testing of

Client/Server, Web based and Mainframe applications

o Performed GUI Testing, Functionality Testing, Regression, Back-end

Testing (using SQL), Unit Testing/Integrated Testing, Web services,

Defect Tracking, Business Process Testing (BPT) using Test Director/ HP

Quality Center and knowledge on Automated Testing Tools like QTP and

modified and Created JCL jobs to extract Test data and analyze the test

data required for Testing the application

o Actively involved in Black box testing & white box testing, System

Integration testing, user acceptance testing, Functional testing,

Performance testing, Database integrity & testing to ensure disaster

recovery

Excellent oral and written communication skills. Has good understanding

with e-commerce technologies like HTML, ASP, JAVASCRIPT and VBSCRIPT.

Professional Skills

Operating Systems MVS/ESA, MVS/XA, VSE, OS/390, Z/OS, UNIX, Win

95/98/NT/2000

Languages COBOL, CICS, SAS, REXX, MVS/JCL, Pascal, Visual

Fortran, EASYTRIVE, DATACOM, VSAM

Tools TSO/ISPF, SDSF, XPEDITOR, FILE AID, CHANGE-MAN, CLIST,

HIPERSTATION, CA/ENDEAVOR,SPUFI,QMF,EDI,ABEND-

AID,CA-7, FTP, SYNCSORT, MS-VISIO, TELON, COOL:GEN,

Test Director, MS-OFFICE, EPIC

Database DB2, SQL, PL/SQL, CRONICALS

Internet Java Script, HTML, DHTML, ASP, VBSCRIPT

Technologies

Others Flash, Dream Weaver, Front page

Specialization: METAFRAME, EPIC, TEXT, CRYSTAL REPORTS, EPIC REVENUE CYCLE

(HB & PB), COBOL, CICS, DB2, VSAM, MVS, OS/390, Z/OS, MVS/JCL, IDEAL,

DATACOM, CHANGEMAN, FILE-AID, XPEDITOR & MERCURY QUALITY CENTER.

Education : Bachelor of Engineering (BE), EPIC Certified, AHM

Certified.

Project Summary

1. KAISER PERMANENTE, Pasadena, CA Sr. Business

Analyst Sep 09 to till date.

Sr. Functional Tester June 05

to August 08.

Kaiser Permanente Inc. Kaiser Permanente is America's largest not-for-

profit health maintenance organization, serving 8.6 million members in 8

regions. An integrated health delivery system, Kaiser Permanente organizes

and provides or coordinates members' care, including preventive care such

as well-baby and prenatal care, immunizations, and screening diagnostics;

hospital and medical services; Health Insurance and pharmacy services.

KP Health Connect is a highly-sophisticated information management and care

delivery system designed to enhance the patient care. KP Health Connect

integrates the electronic medical record with appointments, registration

and billing. The system will also link KP facilities across the nation and

provide members, physicians and other authorized health care providers with

online access to clinical information 24/7.

o Involved in Business analysis for EPIC - Tapestry, Prelude and

Resolute billing HB & PB.

o Specialized in EPIC Tapestry and Prelude, Handling all production

tickets in Tapestry and coverage issues.

o Used Crystal Reports and Terradata to validate EPIC reports.

o As Sr. business analyst, will interact with user and business partners

to develop tech proj requirements.

o Handling production tickets in EPIC Tapestry/Prelude for all coverage

related issues.

o Involved in analysis and design, written specifications for on-line

and batch programs.

o Involved in production problem, developed and deployed of fixes and

handling the crisis.

o Documented the analysis and designing part of mega projects.

Interacted closely with users.

o Worked with Membership, Benefits, HB, PB, Extracts and contracts.

o Worked extensively with DB2 tables, SPUFI and QMF.

o Developed Project plans, Test plans and Exit summary documents.

o Black Box - Positive and Negative Testing was performed extensively

for Health Connect application.

o Worked in the white box and black box testing for application and

functionality testing.

o Worked with XPEDITOR and CEDF to debug the COBOL and CICS application

programs.

o Involved in unit testing, system testing, and regression testing and

user acceptance testing (UAT).

o Used WINRUNNER to automate the scripts in QA testing.

o Used TEST DIRECTOR for creating the test plans, test case execution,

and defect management.

o Proficient in Remedy on all stages of RFC (Request for change).

2. KAISER PERMANENTE, Pasadena, CA Functional Tester

July'2003 to May 2005

Health plan Operations is one of the major applications in Kaiser. Sales

and marketing systems of KP maintain records and forecast per member/per

month ratios for critical business decision. FS is the system of membership

records for members in the California region. Foundation Systems deals with

Membership, Medicare, Benefits, Contracts and finance. There are regular

developments and enhancements for this application. I was involved in the

projects like DHMO Upgrade/Downgrade, Benefit Offering Sequence Number and

HDHP.

o Involved in production problem fixing. Written JCL Procs.

o Worked with JCL utilities like IDCAMS, IEBGENER and IEBCOPY.

o Developed new programs in COBOL, CICS, DB2, VSAM and MVS/JCL.

o Used COOL:GEN for GUI interface. Used MS-Office and VISIO for

documentation.

o Used CODE-1 for address validations according to USPS standards.

o Used SYNCSORT for sorting and merging files. Used FTP for file

transfers to CRM group.

o Documented the analysis and designing part of the project. Interacted

closely with users.

o Worked with Membership, Benefits, Extracts and contracts BSI's.

o Worked extensively with DB2 tables, SPUFI and QMF.

o Extensively worked on CA Changeman production version control tool.

o Developed test plans and test scripts in the process of testing.

o Positive and Negative Testing was performed for this application.

o Worked in the white box and black box testing for application and

functionality testing.

o Worked with XPEDITOR and CEDF to debug the COBOL and CICS application

programs.

o Used FILE-AID, CHANGE MAN, LIBRARIAN and TSO/ISPF to allocate,

manipulate, and browse files.

o Involved in unit testing, system testing, and regression testing and

user acceptance testing (UAT).

o Used TEST DIRECTOR for creating the test plans, test case execution,

and defect management.

Environment: METAFRAME, EPIC HYPERSPACE, TEXT, CRYSTAL REPORTS, FILE-AID,

WINRUNNER, RESOLUTE HB & PB, VISIO, RATIONAL CLEARCASE, XPEDITOR, CHANGE

MAN, LIBRARIAN, USECASE and MERCURY QUALITY CENTER.

3. Prudential Financial Inc, NJ. Programmer Feb'

2001 to June' 2003.

Prudential Financial Inc. is one of the largest diversified financial

services institutions in the world and, based

on total assets, the largest insurance company in North America. It offers

full range of insurance, investment,

real estate products and services to individuals and institutions

worldwide.

The Prudential Compensation Systems perform all the calculations for

compensating the agents, brokers

and their managers. Apart from compensation calculations the system

perform the recognition functions

such as persistency calculations and recommendations. The project involves

Onsite & Offshore co-ordination for

Providing maintenance support to ADB and Compensation systems.

o Involved in analysis and designing. Written specifications for on-line

and batch programs.

o Involved in production problem fixing. Written JCL Procs.

o Worked with JCL utilities like IDCAMS, IEBGENER and IEBCOPY.

o Developed new programs in COBOL, CICS, DB2, VSAM and MVS/JCL.

o Used MS-Office and VISIO for documentation.

o Used CODE-1 for address validations according to USPS standards.

o Used SYNCSORT for sorting and merging files. Used FTP for file

transfers to CRM group.

o Documented the analysis and designing part of the project. Interacted

closely with users.

o Worked extensively with DB2 tables, SPUFI and QMF.

o Developed test plans and test scripts in the process of testing.

o Code to tests and build management features including mainframe

connectors.

o Used RATIONAL ROSE to accelerate the database design and sophisticated

modeling environment.

o Worked in the white box and black box testing for application and

functionality testing.

o Worked with XPEDITOR and CEDF to debug the COBOL and CICS application

programs.

o Used FILE-AID, CHANGE MAN, LIBRARIAN and TSO/ISPF to allocate,

manipulate, and browse files.

o Involved in unit testing, system testing, and regression testing and

user acceptance testing (UAT).

Environment: COBOL I/II, CICS, DB2, VSAM, OS/390, MVS/JCL, TSO/ISPF,

XPEDITOR, CHANGE MAN, LIBRARIAN, TEST DIRECTOR, FILE-AID, WINRUNNER,

ENDEAVOR, COOL:GEN, VISIO, RATIONAL CLEARCASE.

4. Navo InfoTech Ltd, Chennai, India. Web Admin

Aug' 2000 to Jan' 2001

Navo InfoTech, is one of the largest web services institutions in the

India, based on total assets, the largest

Web based company in South India. It offers full range of web services to

individuals and institutions worldwide.

The objective of this project is to develop a complete interactive web

site for the clients, which gives

You complete information about the client and their business areas, with

enquiry report, feedback form, and a search engine, with a mild design and

color.

o Developed the following web sites www.navoinfotech.com,

www.dasanudas.com, www.comprosinc.com

o Involved in analysis and designing. Written specifications for on-line

web based screens and functions.

o Involved in designing the logos, screens layouts and pictures using

Flash

o Developed new tool to load the changed modules to the online, all at a

time using Cute-FTP

** Reference, Project details and more experience will be shared on

request.

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