Project Developer

Swati Narayanan

Email: *****.**********@*****.*** Contact: 630-

***-****

Experience Summary

7+ Years' of experience as an IT Professional with more than 5 years'

experience in performing the role of IT Business Analyst and Project

Coordinator.

3+ Years' of experience using BizTalk in design, development and

implementations in Web/Desktop/Client Server Applications.

Experience in the core areas like EDI / XML and BizTalk / EDI

Configuration, HIPAA 2.0/3.0.

Provided BizTalk and Administration services.

Worked on Production Support of BizTalk

Thorough knowledge of implementation guides 837

(Instutional,Professional,Dental,Pharmacy)

Communicated with application teams and business analysts to collect

requirements and determine system constraints.

Created technical requirements document (mapping documents) for the

developers.

Co-ordinated with internal and external business partners to discuss the

technical solution to business problems and opportunities which are cost

effective and value added.

Co-ordinated with Business users to document test scripts and review

acceptance criteria to meet project goals.

Experience with creating user reference manual.

Extensive knowledge with reading EDI files.

Excellent interpersonal, communication skills and a very good team player

willing to take on new and varied projects and an ability to handle

changing priorities and deadlines.

Technical Skills

Integration Tools BizTalk 2006R2 /2009

Databases Oracle, SQL Server, MS Access

Programming Java Script, HTML,ASP, .net

Languages

Environment Windows server 2008/ 2003, Virtual PC 2004/2007 and

Virtual Server 2005

Data Formats EDI, ANSI ASC X12, HIPAA, Flat File, XSLT,XML

Web Servers Amazon EC2, Cloud era, Ambari Cloud, Microsoft Azure

Microsoft Office Visual Studio 2008, Excel, PowerPoint, Visio 2010,Word

Tools

Operating System Red-Hat Linux, Ubuntu 13.02 and Windows

EDI Transactions 277CA,837I,837P,837D,NCPDP,997,999,TA1(Version 5010)

Methodology Certified in Agile Scrum Master

Certification:

Certified Scrum Master: [pic]

Professional Experience

Emblem Health, New York March 2013-

Present

Role: BizTalk Developer/Business Analyst

NYC Minimum Premium Project:

This project aligns with the NYC fiscal calendar. All claims paid for NYC

employees and covered lives in the PPO environment will be drawn off of

newly established bank accounts. The accounts are being deployed

internally as well as with the affected financial institutions including

BoNY and PNC. There are implications for claims payment, electronic funds

transfer, financial reporting, accounting and reconciliation. New check

registers must be built to be specific to the NYC bank accounts and

associated claim payments.

Roles:

As a lead, I was involved in designing, development and implementation of

Orchestration, Mapping, Web Services, Adapters, Schema.

Consuming WCF services in BizTalk Server.

Responsible to Estimate effort involved in developing and testing the

application.

Responsible for application deployment to all environments

Coordinated with business and IT team to meet the business and system

requirements.

Worked with Business users to document Test Scripts and User stories.

Extended 837 for COB (Coordination of Benefits):

This Project mainly focused on members with Dual membership. Both benefits

need to be adjudicated prior to sending 835 transactions back to submitter.

Roles:

As a lead, I was responsible for Designing, Developing and implementing

Orchestration, Mapping, Web Services, Adapters, Schema.

Consuming WCF services in BizTalk Server

Coordinated with business and IT team to meet the business and system

requirements.

Designed process flow diagrams for the business user for better

understanding of IT solution.

Setup meeting with business for walkthrough of process flow and technical

requirement document.

Responsible to Estimate effort involved in developing and testing the

application.

Created Technical Requirements document for IT team and provided guidance

during development.

Estimated effort involved in developing and testing the application

Responsible for application deployment to all environments

All Payers Database:

This project focuses on The Medicaid Encounter Data System (MEDS) risk

adjustment system used by the NY State Department of Health (SDOH) in order

to establish the risk profile of Medicaid, Child Health Plus and Family

Health Plus membership is transitioning to leverage the HIPAA x12 ANSI

formats for claims into the APD (All Payer Database) and to require

submission of most Encounter data elements via the HIPAA version 5010 837-X

Format. In this process, APD mandates submission of all adjudicated claims

and encounters from all current encounter types and sources.

Roles:

Extensive analysis and knowledge of Implementation guide of

Institutional/Professional/Dental and Pharmacy.

Created Technical Requirement documents for IT team.

Created mapping document for IT team for integration into BizTalk.

Coordinated with business and IT teams for better understanding of the

process flow and solutions to the project.

Created presentations for business for understanding of Business Activity

Monitoring.

Created User Reference Manual for business for Business Activity

Monitoring.

Created Traceability Matrix.

Reviewed 837 institutional and Professional Maps for this project and made

corrections according to the mapping document.

Hands on experience in the core areas like EDI/ XML, skilled in Inbound &

Outbound Interfaces, BizTalk / EDI Configuration, BizTalk Data Mapping

using ANSI ASC X12, HIPAA Standards.

Reviewed and Made changes to the existing 837 Institutional/Professional

schema.

Using Shapes While Creating Orchestrations.

Preparing custom pipeline components.

Deploying the Application in UAT and PROD environments.

Working on Change Request and work requests for existing interfaces.

Set up trading partners.

Created custom pipelines for processing 277CA acknowledgement to Flat

File documents.

Generated 277CA Acknowledgements for Inbound Claims encapsulating

information on rejects

Effective use of BAM to have insight in to project and keep track of status

of the messages

ICD 10 Vendor management:

This project focuses ICD-10 Remediation Program that Identifies, analyzes,

documents and implements all changes necessary to ensure that the vendor

transactions and the related business processes are successfully accepted,

processed, loaded, generated, transmitted and converted to handle ICD-10

compliance readiness as outlined in the capable strategy adopted by

EmblemHealth.

Roles:

Worked closely with QA team to fix the ICD 10 defects.

Experience with setting up Trading partner for Receiver and Sender ID's

Used advanced functoids like Looping, Value Mapping,

Scripting, Logical, and created complex maps for message transformation.

Documented and transferred the knowledge to use and deploy the solution

efficiently.

Hands on experience in the core areas like EDI/ XML, skilled in Inbound &

Outbound Interfaces, BizTalk / EDI Configuration, BizTalk Data Mapping

using ANSI ASC X12, HIPAA Standards

Experience in developing custom pipelines and

deploying Schemas, and maps for BizTalk 2009 solutions.

Environment:

Operating System Windows Server 2008

Languages/Database Microsoft BizTalkServer2006/2009, WCF

3.0,XML,.net

Microsoft Tools Visual Studio 2008, Visio 2010, Excel

2010,Word 2010

Avon / Mark, New York July 2012 - Feb 2013

Role: BizTalk Developer/System Analyst

This project mainly focused on the retail cosmetic market primarily

focusing women as their customer.

Using Microsoft Visual Studio .NET Avon cost-effectively automated its

manual Profit Protection program. Using XML and Microsoft BizTalk Server

the company more easily and effectively integrates data into existing back-

end systems, thus providing near real-time analytics for improved store

management. Avon's anticipation that its new Profit Protection system will

have paid for itself before the entire project is complete was successful.

Roles:

Created Technical Requirements document for IT team.

Estimated effort involved in developing and testing the application

Configured Trading partner agreement between parties.

Designed Mapping, Web Services, Adapters, Schema.

Consuming WCF services in BizTalk Server.

Designed and developed orchestrations, creating transactions, and

integrating services into Orchestration Implementation.

Created receive ports, receive locations and send ports and send port

groups. Used FTP, HTTP, FILE adapters.

Experience in creating custom pipelines.

Application deployment to all environments

Environment:

Operating System Windows Server 2008

Languages/Database Microsoft BizTalkServer2006/2009, WCF

3.0, XML,.net

Microsoft Tools Visual Studio 2008

Adapters FTP, HTTP, FILE

Compulearn Jun 2009 - Jun 2012

Role: Developer

Location: Chicago, IL

This was developed for a company that specializes in resource management

and providing professional training. Comprehensive software developed with

the objective of connecting all major centers in United States of America

and Canada and providing immediate online information and services.

Roles:

Analyzed functional specifications.

Responsible to manage data coming from different sources.

Worked on Contacts Relations Management, Human resources Management, Sales

and Profit Logistics.

Communications Module and Inventory Management System.

Environment:

Java, ASP and SQL

Tauraweb Technologies June 2001-June 2002

Role: Team Lead

Location: Hyderabad, India

Description:

Worked at Technical Service Desk. Responsible for hardware and software

queries for desktop, laptops and printers.

Environment:

Windows NT, Windows XP.

Education:

Bachelor of Science from Osmania University, Andhra Pradesh - India

Post-Graduation Diploma in Management Information System and Computer

Applications from Osmania University, AP - India

Diploma in Web programing from National institute of Information

Technology.

Contact this candidate