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Developer Health

Location:
Chanda Nagar, Telangana, India
Posted:
October 12, 2018

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Resume:

SAIKIRAN KUNA

EMAIL ID: ac7c3k@r.postjobfree.com

Mobile No: 994-***-****

SUMMARY

Have 2 years of experience in IT industry with 1 year of relevant experience in BPM and in the development of solutions using PRPC.

Work experience encompasses the areas of BPM, BRE.

Good knowledge in designing class structure, workflows, Ruleset management in Pega PRPC.

Domain knowledge in the areas of Healthcare.

WORK EXPERIENCE

Working for Datum Cybertech India Pvt. Ltd. from September 2016 to till date

CARREER ACHIEVEMENTS

LARGE GROUP ENROLLMENT JAN 2018 - TILL DATE

PEGA DEVELOPER

Large Group Enrollment

Client : Datum Pega Solutions

Skills Used : PRPC V7.x

Role : Pega Developer

Servers : Apache Tomcat

Description :

Large groups – companies that have over 150(could be 200–varies by health insurance company) employees can select a healthcareplan. Respective organization negotiates the price and the benefits (services covered, copays,coinsurance, provider networks) covered under the policy purchased by the company.

Enrollment forms collect information about members ( age, gender, weight,smoking, diseases,druguse,health related information,long list of disease and condition questions, family history, operation history) to determine how healthy /un healthy the member is. They also want to know if you are already enrolled in a different policy (COB

coordination of benefits)-as this will limit the contribution, because another insurer is covering the cost stoo.The data on the enrollment forms is not always filled in or could be wrong so the enrollment form data is ”scrubbed”.Thismeans the members are contacted for additional information. They may even contact the doctor listed as the primary doctor to compare notes on health information.When the data is corrected, the member is added into the membership system.The membership system creates the id card and maintains the membership history.

Roles & Responsibilities:

Involved in writing Activities, data transforms, creating properties.

Designing UI screens.

Coding in PegaRULES Process Commander V7.x

Attending daily status calls with onsite-coordinator

MEDSUPP DEC 2016 – AUG 2017

SOFTWARE DEVELOPER

Client : Datum Pega Solutions

Skills Used : Filenet

Role : Admin

Servers : Apache Tomcat

Description :

MedSupp:The US Government offers health insurance coverage through the Medicare plan to citizens over the age of 65 that have contributed to Medicare tax. This Medicare Plan does not apply to anyone that may be covered by any employer group plan, which is offered by some corporations in the US.

The Medicare Plan coverage is largely for inpatient and outpatient medical coverage and for other health providers such as doctor visits, skilled nursing facilities, and home health aides. For the Medicare plan, each type of provider and service has limitations around the copayments, coinsurance, the services that are covered and the duration of the coverage for the medical occurrence. Because of this, many health insurers offer a Medicare Supplemental insurance coverage that can be purchased by individuals that provides coverage for additional health costs. The Medicare Supplemental insurance is also referred to as a Medi-gap plan because it helps to cover the gaps in costs paid by Medicare for health care.

Roles & Responsibilities:

• Supporting Development teams with filenet environment support

• Installation and configuration of filenet P8 software

• Installation of Fix Packs, application deployement in Websphere Application server

• Creating OS users. DB schema, data sources, object store, isolated region, component manager, connection points, file storage area

• Configure property template, document class and folder class creations.

SKILLS SUMMARY

BPM

PEGA PRPCV7.x, Filenet

Programming Languagesand

Tools

Java, XML, JSP, C, HTML, Webservices(SOAP)

RDBMS

MS SQL Server,Oracle

Application/WebServers

Tomcat,Weblogic

WebTechnologies

JDBC, JSP andServlets

ScriptingLanguages

HTML andJAVASCRIPT

IDE

Eclipse

EDUCATION

B. Tech (Computer science) in Vagdevi college, Warangal in 2016.

ACHIEVEMENTS

Participated in paper presentation at Kakatiya Institute of Technology and Science, Warangal.

Participated in paper presentation at SR College, Warangal.

CONTACT

Email ID: ac7c3k@r.postjobfree.com

Mobile No: 994-***-****



Contact this candidate