Richard Hippert, US Navy Veteran

407-***-****

acrnr6@r.postjobfree.com

Career Summary

Sr. Level Information Technology Professional with experience in Manufacturing, Distribution, Insurance, Finance, Marketing, Commercial Software Development, Communications and Healthcare.

Overview

Project Manager

Business, Data Analyst

Software Architect

Developer, Team Lead

Database Administrator

Application Development Manager

Professional Highlights

Drove system design and process improvement of applications managing inbound, outbound and ETL transactions in the X.12 HIPAA transaction set.

Responsible for database design, data partitioning, and query optimization required to process inputs from multiple sources in volumes exceeding one billion transactions per month.

Acquired expertise in building and using data analysis tools for claim error and reconciliation processing and other Business Intelligence applications.

Technical Proficiency

Project Management: MS Project/Excel, VPMI, Project One, Cap Gemini Proprietary Methodology.

Software Development:

Methodologies – Waterfall and Agile

UML

Languages – IBM Assembler, COBOL, DELPHI, C/C++

HP Quality Center

Change Control – Librarian, ChangeMan, CVS

EDI: HIPAA X12 Transaction Set, Translators – BizTalk, EXTOL, Extreme Translator, WTX, DTS/SSIS

Database: Informix, Interbase,DB2. Microsoft SQL Server. DELL Data Modeler (TOAD)

Web: LAMP, Microsoft IIS

Scripting – JavaScript, PHP, HTML5, CSS3

Frameworks – Adobe Creative Cloud (Muse and Animate)

Operating Environments

IBM Series – iSeries, Enterprise 9000, z/OS

Microsoft – Windows Server and Networking

Sun Micro (web)

Digital Equipment – RT11, RSTS/E, RSX-11M

HP UX

Richard Hippert, Page 2 of 3

Professional Experience

2013-2014 Healthplan Services Tampa, FL

Application Development Manager

Mainframe development team upgrade of HIPAA Enrollment transaction processing for inbound, outbound and Data Warehouse extract files delivered to carrier clients.

Data mapping of transaction data into and out of a standard canonical format was critical to the project's success.

Enhancements supported the company's implementation of the Affordable Care Act (ACA) new enrollment processing mandated by CMS.

The new service offering processed 20% of all initial enrollments nationally for the ACA enrollment period in 2013.

Managed internal and off-shore support staff to resolve problems and implement required enhancements.

2004-2013 Comprehensive Behavioral Care Tampa, FL

Senior Analyst

Implementation of a third-party EDI solution for processing HIPAA electronic claims.

Established relationship with major claim clearinghouse delivering electronic claims from a nationwide (including Puerto Rico) provider network.

Executed installation testing, quality assurance and acceptance testing of the final implementation, giving the company its first opportunity to receive claims electronically.

The submission of paper claims transitioned from 100% paper to 80% electronic within four years.

Designed and built a Windows/Mainframe integrated solution to process Maximum Out-of-Pocket costs to members based on correlation of paid claim data from clients and internal services. Solution made it possible to accurately manage member out of pocket costs in a near real time mode without any manual intervention.

Researched and implemented third-party HIPAA transaction transformation solutions that included BizTalk, EXTOL, and Extreme Translator.

Created eCommerce presence for consumer healthcare products using HTML, JavaScript, PHP and SQL Server on a Microsoft IIS platform.

1999-2003 Horizon Behavioral Services Lake Mary, FL

Software Development Manager

Design, implementation and support of an in-house developed behavioral healthcare system: enrollment, benefit plan maintenance, paper claims processing, case management, member services, provider services, and internal and external reporting.

Systems were implemented on SQL Server using an object oriented programming language to create the end user experience.

All source objects were managed through a Microsoft product for source code control and management.

Architect of a corporate Intranet built on Microsoft IIS platform using MS Frontpage.

Richard Hippert, Page 3 of 3

1997-1999 John H. Harland. Orlando, FL

Senior Developer/Architect

Led the development team responsible for the presentation subsystem of a large scale commercial CRM product from a major financial services company.

Used best practices in SDLC methodologies to develop comprehensive outputs that ranged from traditional print to interactive multimedia presentations stored in a database.

Database administrator for the development team of local resources and remote developers across the continental United States.

Source code control and management was implemented through CVS on UNIX.

1985–1994 Cap Gemini America Maitland, FL

Consultant

Architect/Designer of a new catalog direct mail campaign for a global plastic container company. Project integrated mainframe sales databases with Windows based analytics and map generation for sales analysis and reporting.

Responsible for a disaster recovery project to replace an entire computer operation for a leisure time resort. Legacy system failed to produce auditable financials and the company faced stiff fines for delays in legal reporting requirements.

Served as technical administrator for a commercial software product from an industry leading supplier of high volume printing and advanced technology. The product was designed to compete directly with the IBM AFPA printing products.

Education

University of Wisconsin - Madison, WI – B.S. Computer Science

Indiana University - Bloomington, IN - Major in Music Performance.

Certifications

Lean Six Sigma Green Belt

Military Service

US Navy – 4-yrs Active Duty – Musician 2nd Class – Honorable Discharge

Contact this candidate