Senior iSeries system analyst.

Result oriented information technology professional with proven track

record in delivering effective solutions to meet business needs. Carrying

around 7 years of experience in IT Industry, with hands on experience in

all the stages of software development life cycle in product design,

development, maintenance and production support on IBM AS/400(IBM I Series)

applications with proficient understanding of ILE Concepts, COBOL, RPG, CL,

DB2/400 and SQL/400.

Profound experience in capturing business requirements and translating them

into solution models in the US healthcare insurance domain. Well versed

with PMHS and PSTEPP, the health care applications developed by CSC. Has

the ability to bring in a fresh perspective; generate new and imaginative

ideas/approaches. Specialized in producing quality software documentation

and has proficient programming skills and is adept at debugging complex

application problems.

Technically Strong. AS/400 application Business/Systems

design and Analysis & Design

development.

Architecture Project Documentation System Workflow &

Presentation

Knowledge Transition Estimation and System User

Analysis Documentation

Leadership Inter-personal skills Issue Tracking and

Resolution

Technical Skills:

> Programming Languages - CL, COBOL, RPG, QUERY400, Embedded SQL and

ILE

Concepts.

> Other Programming

Languages - Core JAVA.

> Databases - DB2 Universal database for iSeries

> Middleware Architecture - MQ Series.

> Tools and Utilities - Test Director, Hawkeye, ACMS, AS/400-RLU,

AS/400-

DFU, AS/400-SEU, and Microsoft-Office.

> Operating System - I5/OS, Windows XP, VISTA and Windows 7.

> Certifications - AHM-250(Healthcare Management: An Introduction)

> Domain Knowledge - US Healthcare Insurance. Power MHS and Power

Stepp

applications (US health care claim engines

Developed by CSC).

Appreciation Awards:

1. I have got very prestigious CIGNA champ award for the year 2009 from

client at CGI.

2. Achieved PAT ON BACK award at Satyam Computer Services Limited for the

excellent work done for the critical deliverables.

3. Received appreciation from client designers for the active

participation in making design perfect.

4. Achieved Star Performer Award as the Project Excellency of the year

Award at Satyam Computer Services Limited.

5. Nominated for Employee of the Quarter in DST Worldwide services for

determined support in critical project deliveries.

Professional Experience:

SecureApp Technologies:

Senior iSeries(AS400) Application Developer for Blue Cross and Blue

Shield of North Carolina BNC, U.S.A from Nov 2013 to till Date.

DST Health Solutions:

Senior Software Engineer for DST Health Solutions, U.S.A. from Oct 2010 -

Nov 2013

United Health Group:

Senior Software Engineer for United Healthcare, U.S.A. from March 2010 -

Oct 2010.

CGI Information Systems and Management Consultants Pvt Ltd:

Software Engineer for CIGNA Health Care, U.S.A. from April 2009 - March

2010.

Satyam Computer Services Limited:

Software Engineer for CIGNA Health Care, U.S.A. from May 2007 - April

2009.

Software Trainee at Satyam Learning Center from December 2006 - May 2007.

.

Project Profile:

Blue Cross and Blue Shield of North Carolina - COMMISSIONS:

Blue Cross and Blue Shield of North Carolina (BCBSNC) offers a high quality

health insurance. BCBSNC is a fully taxed, not-for-profit North Carolina

company.

COMMISSIONS is a project built on iSeries machine which extracts the

financial data and sends the extract to third party vendor to calculate

commissions for independent insurance agents and consultants (collectively

referred to as "producers") who presents BCBSNCs products to the customers.

. Worked on following main functionalities in the project.

o Health Care Claim Engine Financial data extraction.

o Group, Agency and Producer relationships.

o Experienced Agile Software Model.

Technology: IBM AS400(IBM iSeries), COBOL, CL, RPG, ILE, DB2, Query 400,

Embedded SQLs and Core Java.

Duration: Nov 2013 to till date.

Location: Durham-NorthCarolina- USA.

Roles & Responsibilities:

Working as an AS400 application analyst and developer for BNCs commissions

project, I had responsibilities for

> Analyze the application, understand the requirements, design and

prepare the estimates for the same

> Prepare Program Specifications, Test Cases, Coding and Unit Testing

> Coordinate in preparation of Program Specifications, Test Cases, Coding

and Unit Testing

> Provide support to the team

> Conduct reviews of Codes and Unit Test results developed by other team

members

> Work in association with the offshore and onsite module leads.

DST Health Solutions - PowerSTEPP:

DST Health Solutions offers an unrivaled, single-source consumer-directed

healthcare solution for health plans, consumers, employers, and financial

institutions.

PowerSTEPP is a Claim processing engine which has a processing ability of

end to end claims processing. The Core PSTEPP system handles Claims &

Capitation functionalities.

. Worked on following main functionalities in the project.

o Adjudication of Claims.

o Third party interfaces to claim engine such as Mckessons

Claimcheck, Optums Claim editing system, Optums Easy Group and

3Ms Grouper plus system.

Technology: IBM AS400(IBM iSeries), COBOL, CL, RPG, ILE, DB2, Query 400,

Embedded SQLs and Core Java.

Duration: Oct 2010 to till date.

Location: Hyderabad- INDIA and Birmingham-Alabama- USA.

Roles & Responsibilities:

Working as a module designer for PSTEPP project, I had responsibilities for

> Module overall execution and mainly preparing design for product

enhancements.

> Understand the requirements and design and prepare the estimates for

the same

> Prepare Program Specifications, Test Cases, Coding and Unit Testing

> Coordinate in preparation of Program Specifications, Test Cases, Coding

and Unit Testing

> Provide support to the team

> Conduct reviews of Codes and Unit Test results developed by other team

members

> Work in association with the offshore and onsite module leads.

United Healthcare - Rx Prescription Solutions (Pharmacy Benefit Manager).

United Healthcare is an operating division of UnitedHealth Group, the

largest single health carrier in the United States. UHC offers healthcare

solutions to health plans, consumers, employers and financial institutions.

Rx Prescription Solutions A pharmacy benefit management leader in

service, affordability and clinical quality. Rx Prescription solutions

specialize in the delivery, clinical management, affordability of

prescription medications and consumer health products.

.

Technology: IBM AS400(IBM iSeries), COBOL, CL, RPG, ILE, DB2, Query 400,

SQL 400.

Duration: March 2010 - October 2010.

Location: Hyderabad, INDIA.

. Worked on following main functionalities in the project.

o Adjudication of Pharmacy Claims.

o Reporting.

Roles & Responsibilities:

Worked as a module lead for Prescription Solutions project, I had

responsibilities for

> Module overall execution

> Understand the requirements and design and prepare the estimates for

the same

> Prepare Program Specifications, Test Cases, Coding and Unit Testing

> Coordinate in preparation of Program Specifications, Test Cases, Coding

and Unit Testing

> Provide support to the team

> Conduct reviews of Codes and Unit Test results developed by other team

members

> Work in association with the offshore and onsite module leads.

CIGNA - Power Managed Healthcare System (PMHS).

CIGNA Corporation and its subsidiaries are leading providers of

employee benefits in the United States. Their products and services

include managed and indemnity health care coverage; group life, accident

and disability insurance; retirement services; and investment management.

They also offer life insurance and employee benefits in selected

international markets. CIGNA's business is group health insurance. Group

insurance is an agreement between an insurer (CIGNA) and a policy holder

that insures a group of persons, usually employees and their dependents.

CIGNA PMHS project is about Development, Maintenance and Production Support

of key components of CIGNA Claims, CIGNA's healthcare claim processing

system.

Power MHS is a Claim processing engine which has different wrappers

attached to it. The Core Power MHS system handles Claims & Capitation

functionalities. The main wrappers attached to Power MHS are CED for

Eligibility/Enrollment, CDB for Group Structure, CPF for Provider data,

ICMS for Utilization Management, CHIRPS for Banking, General Ledger, Front-

End Paper/Electronic Claims entry and IM for Information Management.

. Worked on following main functionalities in the project.

o EDI Claims load.

o Adjudication of Claims.

o RAA - Refunds and Adjustments of claims.

o EOB - Explanation of benefits.

.

Technology: IBM AS400(IBM iSeries), COBOL, CL, RPG, ILE, DB2, Query 400,

SQL 400.

Duration: May 2007 - March 2010.

Location: Hyderabad, INDIA.

Roles & Responsibilities:

Worked as a module lead for PMHS project, I had responsibilities for

> Module overall execution

> Understand the requirements and design and prepare the estimates for

the same

> Prepare Program Specifications, Test Cases, Coding and Unit Testing

> Coordinate in preparation of Program Specifications, Test Cases, Coding

and Unit Testing

> Provide support to the team

> Conduct reviews of Codes and Unit Test results developed by other team

members

> Work in association with the offshore and onsite module leads.

Educational Qualification:

> Bachelor of Engineering from Anna University, India.

Work Authorization:

> Valid H1B work permit is available to work in US, H1B Visa transfer is

required.

Contact me at:

Email: *************.******@*****.***

Mobile: 919-***-****

References:

> Available on request.

Contact this candidate