C#, ASP.NET SQL Server Oracle

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ANU GOPINADHAN PILLAI

SENIOR .NET DEVELOPER WITH 10+ YEARS OF EXPERIENCE

With 10+ years of experience in Information Technology in Healthcare domains working on .net web application development and support. A focused thinker with a good understanding of the business needs, having radical problem-solving approaches, excellent communication and analytical skills. Ability to absorb, comprehend and apply new concepts quickly.

TECHNICAL SKILLS

Customer-Focused IT professional having proven experience in all phases of Software Development Life Cycle (SDLC) for implementing Microsoft .NET web based applications.

Specialized in design & development of Website with micro specialization in Sample Design Prototype.

Extensive experience in implementing .Net Web applications with complex database

UI development experience using HTML5, CSS3, JQuery, JavaScript & Ajax

Strong Experience in Microsoft .Net 4.0, ASP.net, Web Services, MVC3, MVC4 frameworks

Strong hands on experience in ADO.net, Entity framework, LINQ and WCF

Strong database experience in SQL Server, PL/SQL, Oracle & sqldbx

Experience in .Net migration Project from Vb/Vb.net to C#.Net

Expertise in version control tools VSS, SVN, Clear Case & Harvest SCM

Expertise in Project management tools & techniques using MS Project

Working experience in Agile methodology development.

Hands on experience in Core Java and Unix.

Hands on experience in Groovy & Grails(MVC) Web Application framework for the JVM

Expertise in Estimation, Design and Tracking Project Development Process.

Result oriented team player with excellent communication, IPR and multidisciplinary approach enhancing the value of every member thus being the driving force to success.

Strong analytical skills and ability to identify and resolve issues quickly.

Highly dedicated, committed and has strong passion for updating of professional knowledge and aspires for an exponential career growth.

Skilled in troubleshooting, testing there by quality assurance.

Equally strong project leadership experience - introduces out-of-the box thinking and problem-solving analysis that improve processes, systems, and methodologies currently in place and exceed business goals and customer expectations.

SKILL SET

UI : HTML5, CSS3, Bootstrap, JQuery, JavaScript, Ajax

Programming Languages : C#.Net, VB.Net, ASP.Net, .NET Framework 4.0, ADO.net, Entity framework, LINQ, WCF, Web services, C# Windows & Console Application, Core Java & Groovy Grails

RDBMS : SQL Server 2005 & 2008, Oracle 12i, Sybase, PL/SQL & sqldbx

Reporting Tools : SSIS (SQL Server Integration Services), Crystal Reports

Other Tools : Visual Studio 2005, 2008 and 2013, Visual Source Safe, SVN, Clear Case & Harvest SCM, WinSCP, Putti & Script in DOS(.bat), batch jobs (by using FTP & SFTP), Unix

QUALIFICATION

Bachelor Degree in Computer science & Engineering from Cochin University Kerala, India

CERTIFICATION

Microsoft Certification for Microsoft.NET Framework - Web-based Client Development

C# (Windows-based Applications) from Cognizant

Certified in SQL Server 2000 from Cognizant

Certified in Introduction to Managed Healthcare from Cognizant

Certified in Academy for Healthcare Management (AHM 250 – External Certification)

PROFESSIONAL EXPERIENCE

Working in Cognizant Technology Solutions from February 5th 2007

SIGNIFICANT PROJECTS

1. PCS & CA

Project Title

: Patient Clinical Summary(PCS), Care Advance(CA) & SMS (Solution Mapping System)

Duration

: Dec 2012 – Till date

Location

: Southfield, MI, United States

Programming Languages & tools

: Microsoft Visual Studio – 2010 & 2015, Asp.net 4.0, C#.net, html, CSS3, Ajax, JQuery, Web Service, Oracle12i & SQL Server & PL/SQL, sqldbx & Script in DOS(.bat), Windows Scheduler Task. Core Java Groovy & Grails (GGTS – 3.0.0 Release) MVC web application framework for the JVM built on top of Spring Boot. Eclipse neon.3

Project Description:

PCS & CA is a .net web application developed using .NET framework 4.0, HTML5, JQuery, CSS3.0, Ajax, WCF and Oracle & SQL server. SMS is a web based application to support WCM (Wellness Care Management System) developed in Groovy & Grails with Oracle as backend. A care management system that BCN & BCBSM implemented to perform case management, disease management, wellness management and utilization management to ensure members are properly using their health benefits and maintaining a good state of health. PCS is an intranet application is designed to measure health plans on quality and appropriateness of care in a standardized way. Providers, Insurers, Employers and Individuals have access to HEDIS information from which they can make better informed healthcare decisions. BCN users can access the Patient Clinical Summary (PCS), information regarding the Healthy Blue Living program, Incentive program participation, Health e Blue statistics, Medicare HRA questionnaire and BCBSM MAPPO.

Client Name: Blue Cross Blue Shield of Michigan & Blue Care Network (BCBSM & BCN)

Roles and responsibilities in the project:

Gather functional requirements from client business team and translate the functional requirements into detailed technical specification.

Implement new features and functionalities in the application.

Analyze and provide resolution for the application issues.

Design, develop and support the Web application & batch jobs.

Design sample application Prototype before starting the actual development.

UI development.

Supporting & resolving high priority tickets (Incident Management tickets) from business users.

QA defect fixing and deployment & Production support.

2. HNFS

Project Title

: Health Net Federal Services (HNFS)

Duration

: Jul 2012 – December 2012

Location

: Rancho Cordova, CA, United States

Programming Languages & tools

: Microsoft Visual Studio – 2008 & 2010, Asp.net 3.5, C#.net, JQuery, SQL Server 2008, SQL Server Reporting Services 2008.

Project Description:

The HNFS Web Applications provides both an Intranet and Internet environments through which users can perform self service transactions and obtain both general and individualized, specific information on a real-time basis. There are authenticated and non-authenticated services on HNFS; authenticated services are restricted to registered Beneficiaries, Providers, Government users and HNFS Associates including National Agency Check with Local Agency Check and Credit Check (NACLC) contractors and sub-contractor users supporting the HNFS ITG department. HNFS has both an external (DMZ) and internal (Secure Core) implementation. Following are the applications which come under the purview of HNFS Web.

Search Provider Directory

TRICARE Prime and PCM Selection GUIDE

Report Viewer.

Military Treatment Facility/TRICARE Service center locator.

Online Authorization and Referral Submission (OLARS).

Appeals & Grievance.

Client Name: Health Net, Inc.

Roles and responsibilities in the project:

As an associate of Cognizant, the various responsibilities I hold are

Gather functional requirements from client business team and translate the functional requirements into detailed technical specification.

Provide technical support at the client location for the Project MAPS which comes under HNFS Projects, which is built using .Net 3.5, SQL Server 2008 R2, and SSRS 2008

Coordinate the estimation, development and maintenance activities with the Cognizant as well as client support teams.

As part of system implementation, the responsibilities include server and environment set-up, system testing, rolling out the system in to the production environment and providing warranty support.

Preparation of the following technical and functional documents: Requirement document, High Level Analysis and Approach document, High Level Design Document, Detailed Design Document and implementation plans.

Track and collect project metrics, and report project status on weekly basis to client management.

Understand the client processes, anticipate business issues and changes in advance and deliver solutions in accordance with Cognizant quality control standards, business practices and procedures.

3. SRQ

Project Title

: Aetna Sales Rating and Quoting(SRQ)

Duration

: Dec 2008 – Jul 2012

Location

: Blue Bell, PA, United States, Coimbatore- India

Programming Languages & tools

: Microsoft Visual Studio – 2005 & 2008, Asp.net 2.0, C#.net, VB.Net, CSS, Ajax, JQuery, SQL Server 2008, SSIS, Clear Case & VSS

Project Description:

SRQ (Sales Rating and Quoting) system is a suite of applications and sub-applications that supports rating and quoting of new and existing business for the HMO product. The sales process starts with approaching a prospective client, then understanding the need of the client and based on the requirement offer the best possible option. SRQ Business Process includes market products & services, assess quality & customer needs, asses risk & quote business, generate proposal and prepare new business. Typical SRQ users are broker & employees for middle markets & national accounts, providers, sales executive underwriters, actuaries and senior executive.

GUIDE stands for the Group Underwriting and Integrated Development Effort system. It is one of Aetna’s Rating and Quoting Systems for HMO-based line of products.

Guide System is broadly classified into two categories:

Rating and quoting application which deals with Quote creation and Product inquiry.

Product and benefit application which deals with data setup for QRS and AQC.

GUIDE is the Rating and Quoting System for HMO-based line of products which Cognizant has developed to setup benefits and products for HMO plans of the Client. It comprises of 25 subsystems that generate the premium quotes for the employers buying health insurance for their employees from Client. GUIDE is the entry point in the Healthcare system for Aetna and generates the premium quotes for the employers buying health insurance for their employees from Aetna.

Client Name: Aetna, Inc.

Roles and responsibilities in the project:

As an associate of Cognizant, the various responsibilities I hold are

Gather functional requirements from client business team and translate the functional requirements into detailed technical specification.

Coordinate the estimation, development and maintenance activities with the Cognizant as well as client support teams.

As part of system implementation, the responsibilities include server and environment set-up, system testing, rolling out the system in to the production environment and providing warranty support.

Preparation of the following technical and functional documents: Requirement document, High Level Analysis and Approach document, High Level Design Document, Detailed Design Document and implementation plans.

Track and collect project metrics, and report project status on weekly basis to client management.

Understand the client processes, anticipate business issues and changes in advance and deliver solutions in accordance with Cognizant quality control standards, business practices and procedures.

Supporting & resolving high priority tickets (Incident Management tickets) from business users.

QA defect fixing and deployment & Production support.

4. APMCAS

Project Title

: APMCAS Pharmacy suite of applications

Duration

: Feb 2008 – Dec 2008

Location

: Blue Bell, PA, United States; Coimbatore-India

Programming Languages & tools

: Microsoft Visual Studio – 2002 & 2005, ASP.Net 2.0, Asp.net 3.5, VB.Net, C#.net, JavaScript, SQL Server 2000, SQL Server Reporting Services, DTS, IBM Clear Case & Clear Quest

Project Description:

APMCAS Pharmacy suite of applications is claim adjudication application for one of the top three US health insurance companies, which is geared for the following

Check the eligibility of Member, Provider and Group

Quote for plan benefits

Claim processing like confirm existing (account) authorization, and verify contractual information

GUI system to view claim details

The application consists of the following:

Claim adjudication system: Used to view all the Customers, Clients, Members, Member Claim Information, Plans, Drug information, etc. and all the plan level information can be created and updated. And used to manage the entire pharmacy claim including Plan & Benefit level.

Manual claim adjudication system: For manual feed of claims

Financial application: Where the pharmacists submit the Claim details

System to validate and verify the claims details.

The scope of the project is to migrate the existing legacy VB application to VB .Net application

Client Name: Aetna Inc.

Roles and responsibilities in the project:

As an associate of Cognizant, the various responsibilities were:

Attained the complete application knowledge and became the Subject Matter Expert for APMCAS & SRQ application

Analyzing the legacy VB application/ Extract the business rules/ New Requirements.

Shouldering overall responsibilities to understand client processes and to work efficiently to meet targets and deliver solutions in accordance with Cognizant quality control standards and business practices and procedures.

Coordinating the estimation, development and maintenance activities

As part of rollout type of works, the responsibilities include gathering the requirements from the clients, performing analysis on the business requirements and development of high level and detailed system design, test environment set-up, system testing, implement the system in to the production environment and providing warranty support.

Preparation of the following various technical and functional documents (where applicable depending on the request types) Requirement Specification document, High Level Analysis and Approach document, High Level Design Document, Detailed Design Document, System test plan and test procedure document and implementation plans.

Further responsibilities also comprise of ensuring top quality deliverables from Cognizant to client and collection of project metrics.

5. TMG & AIS WAVE III

Project Title

: TMG & AIS WAVE III .Net Migration

Duration

: October 2007 to Feb 2008

Location

: Blue Bell, PA, United States; Coimbatore-India

Programming Languages & tools

: ASP.Net 2.0, VB.Net, SQL Server 2005, DB2

Project Description:

AIS WAVE III is a VB6.0 application used by Aetna Provider Services group which allows Aetna to create contracts with the providers and negotiate the terms and conditions. Since Microsoft had withdrawn active support for VB6.0 from March 2008, SCM VB6.0 was re-written into .NET with C# as a scripting language. It comprises four important modules such as Code Table Maintenance, PADU Manager, Template Manager and Contract Manager which is used by 3500 users actively for their local market to create contracts for the negotiation of the cost-effective payment rates for their providers. This project also successfully accommodated strategically important businesses in parallel. Due to expertise and in-depth application knowledge gathered during the entire life cycle of re-write enabled us to quickly take up new business requirements in within budget and on time delivery. This application interacts with other systems such as EPDB and SCSR. Technologies involved are C#, MS Access and DB2.

The application maintains:

The workflow of the contract like Creation of the contract, Amendment, Approval/Rejection and termination of the contract.

Manages a single source of rate information that is used to generate provider contracting documents and is read by the claim engine for claim payment

Retrieves the current version of agreements, participation criterion, and schedules (by state) for a contract. Generates the documents for the contracts with rates.

Client Name: Aetna, Inc.

Roles and responsibilities in the project:

As a programmer analyst, the various responsibilities I hold are

Analyzing the legacy VB application/ Business Rules extraction, New Requirements.

Creation of mockup in .NET, UML design

Construction, unit testing, Integration Testing

User Acceptance Testing, Bug Fixing and production support

5. BMCHP

PROJECT TITLE

: BMCHP Facets 4.41 up gradation

Duration

: May 2007 – September 2007

Location

: Boston, United States; Coimbatore

Programming Languages & tools

: ASP.Net 2.0, VB.Net, SQL Server & DB2

Project Description:

Facets is a basically Health care domain product and it’s consists all kind of information’s about health care domain which provide claim details, Membership details. There are 13 applications are used in this project and main objective of this project is migrate the entire VB application to VB.Net and executing all the application without VB compatibility. This application uses Sybase and DB2 as backend.

Client Name: Boston Medical.

Roles and responsibilities in the project:

As a programmer analyst, the various responsibilities were:

Analyzing the legacy VB application/ Extract the business rules/ New Requirements.

Performance Tuning.

Migration / Development with Layering approach such as UI, Business, Data Access Layer

Unit testing.

Integration & QA Testing and Bug Fixing.

PERSONAL DETAILS

Visa : H1-B Visa valid till June, 2019

Nationality : Indian

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