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Sr. EDI Analyst

Location:
New Port Richey, FL
Posted:
May 27, 2017

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Resume:

PROFESSIONAL SUMMARY

Senior EDI Analyst with over 20 years of application development experience. Proficient in all areas of the software development life cycle with focus on providing cost effective EDI solutions. Has enthusiasm and insight for automating tedious, manual tasks to optimize productivity and improve team morale. Thrives on open communication, knowledge sharing and maintaining focus on customers’ needs. Recipient of peer-nominated performance awards for delivering projects that meet or exceed customers’ expectations.

SKILL SETS

IBM WebSphere TX/WTX v8.02

Ascential DataStage TX

Mercator 6.5/Event Server

SEEBURGER BIS5/BIS6

TriZetto/Facets HIPAA Gateway

SYBASE ECMAP

IBM Data Interchange WDI

SAP ABAP Programming

HTML, XML, C++

WinBatch Scripting

COBOL, JCL, VSAM

SQL Server 2012

SSIS/SSMS/T-SQL

Javelina (benefits platform)

Sterling Connect/NDM

PROFESSIONAL EXPERIENCE

Mission Consulting Services, Odessa, FL 10/2016- Present

EDI/Middleware Consultant

Development And Support

Responsible for analysis and support of over 300 XML, EDI claims, and HL7 application interfaces. Tasks includes performing gap analysis between interfacing applications and providing code enhancement specifications to the development team. I conduct software installations and configurations, provide Windows software exception support and resolve workstation/server connectivity issues for thousands of clients nationwide.

Tech Data Corporation, Clearwater, FL 06/2016-09/2016

Value Added Reseller- Supply Chain Retail Project

EDI Consultant

Design And Development

Responsible for performing the analysis of shipping/routing guides, packing label requirements and EDI mapping specifications. Developed, tested, and implemented EDI mappings along with configuration of necessary AS/2 connectivity to handle processing of inbound orders totaling several million dollars in annual revenue. IBM Websphere Data Interchange transactions developed included 810,820,846,850,855,856 and 997s.

WellSystems LLC, Tampa, FL 2013 – 04/ 2016

HealthCare Third Party Administration

Manager of EDI/Electronic Commerce

Management

Managed the creation of the EDI infrastructure with system & network administrators, and worked with BizTalk developers and database programmers in the defining the EDI Architecture. Through several scrum sessions, designed the data transformation strategies and data archival strategies while managing the database developers to provide exception reporting solutions to keep stakeholders’ apprised of enrollment/eligibility issues.

Managed concurrent on-boarding of over 30 business use cases, including 10 inbound and 5 outbound trading partner implementations exchanging 900 EDI files per week and a weekly throughput of over 3 million enrollment transmissions.

Led or attended trading partner requirements gathering sessions, served as trading partner liaison for claims and enrollment questions, communications setup, file handling and application enhancements.

Responsible for impact analysis during critical enrollment functions: “Term by Absence”, benefit software upgrades, network/data security patches, etc.

Composed 834 inbound companion guides, provided data migration crosswalks, and performed gap analyses for all inbound and outbound enrollment feeds which included flat-file, CSV, XML and 834.

WellSystems LLC, (continued)

Led EDI knowledge sharing sessions across technical team, business analysts and enrollment coordinators.

First point of contact for 24x7 EDI Operations support.

EDI Developer/Analyst

Design And Development

Developed EDI 834 inbound and outbound scripting applications that transform over 2 million enrollments monthly.

Designed and developed an enrollment change/comparison utility, eliminating the need for loading “full” eligibility files. This reduced total enrollments loaded from over a million weekly to a few thousand, further reducing the latency of enrollment posting to the member benefits portal.

Worked with database team on design/development of SSIS solution to parse EDI enrollment, termination, and declination transactions into tables for Affordable Care Act reporting.

Created Transact-SQL queries to monitor data integrity of enrollment processes and to provide reports for business analysts and trading partners.

Created flat-file to XML mapping applications that facilitated the loading of millions of enrollment transactions as part of a data migration/client on-boarding project.

Designed and developed a script to parse file data for based data file archival/reporting application that dynamically catalogs over 100,000 EDI files annually

Served as Subject Matter Expert for mapping healthcare transactions into Javelina including 834, 837, and 835.

Responsible for setup, stress testing, quality assurance testing, maintenance, and production support of EDI translation and communication processes.

Verizon communications, Temple Terrace, FL 2011 – 2013

Telecommunications - Supply Chain

Contractor (Infovision)/Middleware Analyst

Design And Development

For a convergence project involving the merging of several SAP systems within Verizon, we implemented internal and external communication interfaces using protocols (SFTP, FTPS, NDM, AS/2) within SEEBURGER BIS v5 and v6.3.5.

Served as the team lead for transactional and statistical reporting using Jasper Reports comprising over 40 separate business use cases with reporting solutions that account for millions of transactions annually.

To determine proper hardware allocation and configuration, team was responsible for developing SEEBURGER stress testing strategies and providing results analysis to executive management.

For all EDI mappings (810,820,824,850,846,855,856,860) we performed the IDoc and X12 standards analysis needed for testing the convergence of two separate SAP installations which process over 120,000 transactions monthly.

Responsible for setup, maintenance, and production support of EDI processes including establishing connectivity and cryptography (protocols used: SFTP, FTPS, AS2, Sterling NDM, PGP).

HealthPlan Services, Tampa, FL 2009 – 2011

HealthCare Third Party Administration

EDI Developer/Analyst

Design And Development

Eliminated over 2000 hours annually by developing a job scheduling application to execute EDI processes, monitor file activity, provide alerts and statistics reports.

Developed an EDI claims tracking application to provide status and location information for more than 250,000 claims monthly, reducing customer service response time by 80%.

As Became the lead EDI analyst for requirements gathering, implementation guide management, data mapping/application development, quality assurance testing and production support. Currently leading the X12 4010 to 5010 migration for the 837, 835, 277 and 834 transactions using Sybase ECMap and the TriZetto HIPAA Gateway.

Maintains key elements of EDI infrastructure including: EDI enterprise software upgrades, patches, disaster recovery planning, metrics and statistics reporting, data archiving, T-SQL queries for stored procedures, capacity planning etc.

Verizon communications, Temple Terrace, FL 2000 – 2008

Telecommunications - Supply Chain

Sr. EDI Software Engineer/ SAP R/3 ABAP Programmer

Design And Development

Created EDI mapping applications during several scrum sessions for Supply Chain/Logistics Services including: 850, 860, 810, 855, 856, 820, 824 and 997s that enabled the exchange of millions of transactions monthly and reduced manual labor of 11 headcount. Tasks spanned all phases of project development life cycle including revision to EDI implementation guides.

Developed several end user reports (purchase order, invoice, inventory) using ABAP within SAP version 4.3.

Developed EDI to SAP IDoc code changes for three supply chain applications including: purchase orders, advance shipment notices, purchase order acknowledgments and invoices.

automation of manual tasks

Developed a reporting application to reconcile purchase order and invoice data sent between internal applications which reduced several hours weekly in locating missing transactions.

System Software, Conversions and Maintenance:

Performed upgrade from Mercator 6.5 to Ascential DataStage TX 7.5, and WebSphere TX (WTX) 8.2.0.2.

Created COBOL and ABAP programs to complete conversion of legacy system data and modules to SAP.

Communications and Maintenance:

Created, maintained and provided production support for internal/external communications using Connect: Direct/NDM, Secure FTP & PGP. Led the disaster recovery planning exercises for all EDI applications.

Project Leadership

Project lead for Corporate Real Estate EDI invoicing project, lead team meetings, created design documentation, communications requirements, and trading partner implementation guides.

Talbots Inc., Tampa, FL 1998 - 2000

Retail Clothing - Supply Chain

Sr. Programmer Analyst

Design And Development

Developed all EDI data translation modules for the ANSI/X12 electronic documents: 211,810,850,852,855,856,864 using Mercator and Trading Partner EC. Created JCL streams and developed interfacing programs (COBOL) for the warehouse and Supply Chain systems.

System Software, Conversions and Maintenance

Led the conversion of the Harbinger to Mercator 1.4.3 EDI software by identifying system limitations and ensuring compliance with external communication requirements.

Identified and helped resolve application interface constraints, completed installation, coding and testing of Mercator modules in the parallel environment.

Communications and Maintenance

Managed communications interfaces (FTP, dial up, VPN tunnel) with Value Added Networks and trading partners.

Project Leadership

Led ten EDI Projects, created implementation guides and assisted vendors in meeting EDI guidelines.

Tech Data Corporation, Clearwater, FL 1998

Value Added Reseller - Supply Chain

Sr. Programmer Analyst

Design And Development

Using IBM Data Interchange/WDI, JCL, COBOL, CICS, and DB2, I designed and developed validation and reporting programs for over 20 systems that exchange millions of transactions monthly with the EDI infrastructure.

Kemper Insurance Companies, Long Grove, IL 1993 – 1997

Property and Casualty Insurance

Programmer Analyst

Design And Development

Developed the 820, 824 and 811 invoice mapping application for automobile liability insurance reporting (ALIR), meeting the State of Illinois deadline, helping Kemper to avoid non-compliance fines.

Developed the Workers Compensation 837 claim transaction, satisfying HIPAA compliance guidelines.

System Software, Conversions and Maintenance

Responsible for testing the MVS installation/configuration and upgrades to IBM Data Interchange/WDI.

AWARDS

2007 - Verizon Performance Excellence Award – Supply Chain SAP Conversion Team

2001 - Verizon Performance Excellence Award – TDS Project

1996 - Kemper Excellence In Action Award – EDI Automobile Liability Insurance Reporting EDI

EDUCATION

B.S. Computer Science Northern Illinois University, DeKalb, IL



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