Senior Programmer Analyst

PROGRAMMER/BUSINESS ANALYST

SUMMARY

About ** years of experience in mainframe environment, with full life cycle development.

Over 13 years of experience in Medicaid management information system (MMIS)

Extensive knowledge of Provider, Recipient, Claims, and Reference MMIS systems

Extensive mainframe experience where programming encompassed COBOL, DB2, CICS, JCL, Xpediter, Change man, Endevor, Spufi, QMF, SDSF, Panvalet, Librarian

Experienced in Programmer, Data Analyst, Business Analyst, Testing Manager, and Systems Architect roles

SKILL SETS

Technical Skills

Proficient

Working Knowledge

Basic Familiarity

Cobol

DB2

CICS

JCL

MS Office

Changeman

Xpediter

Spufi

QMF

BMC

Endevor

Viasoft

MQ Series,

MS Office,

IBM Rational

Jackson Cobol

C,

Websphere,

Data Studio

Business Skills

MMIS Subject Areas: Claims, TPL, Reference,Recipient, Eligibility Determination, Provider Maintenance, Fraud Control, Testing Team Management, Data Analysis

Methodologies: Agile, Scrum

Phases: Requirements Definition, Business Design, Technical Design, System Test Planning, Unit testing and documentation, Regression testing

Tools & Standards: Rational Suite, BMC, Use Cases, Changeman, Endevor, MS Project, Sharepoint

Leadership / Management Skills

Team Size: Lead teams of up to 25 business analysts and developers

Project Experience: Managed projects of up to 130 resources and project budgets of more than $280,000,000. Provided services in Programmer, Business Analyst, Testing Manager, and Environment Architect roles.

PMI Disciplines: Schedule Management, Risk Management, Issues Management, etc.

Industry Standards: ISO

EMPLOYER EXPERIENCE SUMMARY

Employer

From

To

Position

S2 Tech

Mar 2015

Present

Programmer Analyst

Go Smart Technology

Jan 2011

Mar 2015

Programmer/Business Analyst

Tek Systems

Jun 2007

Jun 2011

Lead Programmer/Business Analyst

ACS

Jun 2005

Jun 2007

Environmental Architect/QA Lead

CSC

Jun 2003

Apr 2005

Lead Programmer/ Business Analyst

Duke Energy

Jun 1998

Apr 2003

Technical lead

BCBS

Nov 1996

Jun 1998

Senior programmer Analyst

LCA

Aug 1995

Nov 1996

Programmer Analyst

Royal Insurance

Apr 1995

Aug 1995

Intern

EDUCATION

Registered Nurse

CPCC Charlotte, NC

PROFESSIONAL DEVELOPMENT / CERTIFICATIONS / COURSES

Training Program

Computer Programmer Training Charlotte, NC

PROJECT DETAILS

S2 Tech (Xerox VA MMIS) Jan 2011- Mar 2015

Programmer/Business Analyst

Client is Xerox for the Virginia MMMIS.

Assigned to the Recipient team and utilized for multiple projects.

Implemented Provider paperless solutions resulting in large cost savings for State client.

Responsible for providing support for development efforts of large scale releases.

Identified, designed, and implementing solutions for production issues.

Go Smart Technology (Marriott International) Jan 2011- Mar 2015

Programmer/Business Analyst

Located at Marriott International Headquarters in Bethesda, Md.

Part of an elite team that supports multiple applications.

Performed system changes to the Rewards, Bonus, Stays, and Data Transformation systems.

Responsible for providing support for development projects that are in danger of missing implementation deadlines.

Worked with Cobol2, DB2, Panvalet, Jackson, IBM Rational Clear-Case, IBM Rational Clear-Quest, JCL, Stored procedures, IBM Data Studio, and CICS on a daily basis.

Utilized Business Analyst experience to research and document several business processes, to create detailed design specifications to ensure smooth transitions when implementing major modifications to existing system architecture.

Tek Systems Jun 2007 – Jun 2011

Lead Programmer/Business Analyst

Lead Programmer/Business Analyst for the Claims team for the state of Maryland’s MMIS system.

Worked with system users to analyze, document the legacy system, create design specifications, and implement NPI inquiry and Exam Entry into the online system.

Designed, documented, and developed NPI reporting for batch Claims processing.

Researched and developed a reporting system for Illegal Alien claims that facilitated tracking and payment of these claims.

Incorporated NDC regulations into the current system.

Worked extensively with state auditors to facilitate the tracking and usage of specific drugs related to their allowed diagnosis codes.

Used COBOL, DB2, Xpediter, Librarian, and CICS to facilitate my programming efforts.

Work with several X12 EDI formats on a daily basis, and am familiar with full SDLC development

Affiliated Computer Services (Mississippi) Jun 2006 – Apr 2007

Environmental Architect

Employed as an Environmental Architect for the revitalization effort for the Mississippi MMIS system.

Facilitated and participated in Joint Application Review sessions with current staff, to gather requirements, establish use cases, and ensure overall quality of system enhancements.

Responsible for analyzing, designing, documenting, and testing of enhancements for Reference, Provider, TPL, and Claims subsystems.

Designed and implemented twelve new test environments to support client implementation of enhancements to fifteen subsystems which includes Platinum Utilities, Detector, DB2 Commands, fast unload, backup and recovery procedures using Image Copy, Quiesce, Restore, DSNTEP2, database refresh processing and Spufi.

Provided CICS support utilizing working knowledge of FCT, PCT, PPT and RCT processing including set up and modification of these structures.

Developed X12 interfaces for 837, 835 and 834 transactions.

Developed systems documentation to support the new code being implemented into the MMIS applications.

Incorporated efficiency techniques learned from the Georgia project; into the new MMIS system I used MS Project, Visio, Endeavor, MQ Series, COBOL, DB2, and CICS on a daily basis.

Affiliated Computer Services (Georgia) Jun 2005 – May 2006

QA Lead

I was employed as a contract consultant for the Georgia MMIS system.

Responsibilities included coding new programs from high level design specifications, unit testing, system testing, and implementation of new code.

Became Test Team Manager, established testing procedures, and worked with team leaders to ensure the overall functionality of systems changes.

Heavily involved in the efficiency project, reducing the cost of claims processing by 40 percent in a three-month period.

Worked with Cobol2, DB2, Platinum, Endeavor, JCL, and CICS on a daily basis.

Computer Sciences Corporation Jun 2003 – Apr 2005

Lead Programmer/ Business Analyst

Lead programmer and Business analyst, for the EmedNy project.

This project was a complete re-design of the New York State Medicaid and Medicare system.

Responsible for Provider system design, program design, technical team leadership, development, documentation, and full life cycle development.

Supervised a development team of 25 developers from an offsite location, providing expert technical analysis, and mentoring junior developers during full life cycle project development.

Areas of expertise included Provider, Claims, Forms management, and Eligibility.

Used Cobol2, DB2, QMF, CICS, Endeavor, File-aide, Expediter, TSO, and JCL in online and Batch environments.

Responsible for code review, QA testing, Systems integration testing, and Production Simulation testing.

Duke Energy Jun 1998 – Apr 2003

Technical lead

Responsibilities included being Technical lead for two new systems, documentation, code review, QA testing, Systems integration testing, and Production Simulation testing, unit testing, tree maintenance, JCL, performance tuning, developing functional designs from high-level concepts, and full lifecycle system development.

Helped to design, test, and implement, Voice recognition, Billing, meter readings and usage, payment and delinquency, charge off, and customer support systems.

Used File-aide, COBOL2, SQL, DB2, SQR, Process Scheduler, CICS, and Expediter extensively.

Developed a batch memory manager program used for DB2 processing that saved the client an average of $65,000 a month by eliminating DB2 restart processing.

While implementing the latest release of ‘FMIS’, Duke’s new financial management system.

Completed PeopleSoft certification in People Tools 1& 2, SQR, Application Engine, and People Code.

Blue Cross Blue Shield of Georgia Nov 1996 – Jun 1998

Sr. Programmer Analyst

Employed as a contract consultant with Eagle Systems Technology.

Part of a team that was responsible for implementing the latest release of QCARE, a batch and on-line system for insurance claims, billing, and collection processing.

Responsibilities included making modifications to an existing system, creation of new programs, correcting discrepancies in a production environment, QA testing, Code review, and system testing.

Worked extensively with Expediter, DB2, JCL, COBOL2, VSAM, MVS/TSO, CICS, and File-aide.

Laboratory Corporation of America Aug 1995 – Nov 1996

Programmer Analyst

Employed as a contract Consultant with at Laboratory Corporation of America.

Responsible for implementing and maintaining a system to handle insurance eligibility membership.

This included system documentation, program creation, adding new members and their respective JCL to the system, DB2 table maintenance for claims processing, and system testing.

Reduced an eligibility backlog by 85%, in only 3 months, and developed strong skills in Excel, Access, Word, PFE, Ms Mail, and QMF.

Royal Insurance Apr 1995 – Aug 1995

Internship

As part of an internship sponsored by the Business Advisory Council of Charlotte, I was involved in a project to incorporate several new companies into an existing system as a result of a merger between Royal Insurance and Sun Alliance.

This included program modification, documentation, and testing.

Worked extensively with File-aide, Endeavor, Easytrieve, and VSAM, JCL, and MS Office products.

Made modifications to an entire system of JCL to ensure consistency among processing procedures.

Contact this candidate