acxuef@r.postjobfree.com

239-***-****

Naples, Florida

Professional Summary

Over 15 years of extensive experience in Healthcare Information Technology progressing from a Revenue Cycle focus (IDX) to HIPAA EDI, and most recently EHR HL7 interchange expertise

Extensive detailed experience in leading, planning and overseeing the development, implementation and operations of end-to-end data interchanges. This experience includes business requirements, technical specifications, development, connectivity, unit testing, integration testing, user test plans and user sign-off

Integration Analyst/Developer, SAS ETL Data Mining (BI), Quality Analytics, Java Developer, Mumps Cache Developer

Strong knowledge of Quality Analytics (HEDIS, CMS Star, PQRS, NCQA, Big Data), HIPAA Privacy PHI and IT Security

Full Life Cycle Development (SDLC), Project Manager, SQA Testing, Business Analyst, Requirements Management

Provider data exchange design and implementations includes EHR Quality Analytics (QRDA ETL loads), HL7 V3: CCD/CDA and HL7 V2: ADT, Transcriptions, Orders, Results and Charge interfaces

Payer-provider data exchanges design and implementation includes QRDA, X12N and retail pharmacy (NCPDP)

Technical Skills: Intersystems Ensemble, Healthshare and Mumps Cache Certified, Java Certified

Certified HL7 V2 & V3, CCD (SOA), Epic Bridges Certified, Cloverleaf Certified, Certified Hadoop Big Data Developer, Java Developer, Agile/Scrum Project Manager

Core Competencies

Technical Competencies

Public Trust Clearance (Secret)

Full SDLC, Business and Technical Requirements expert

Healthcare Workflow Analysis

Quality Analysis, Business Intelligence Dashboard

Cloud Systems Admin and Operation Management

Pre-sales RFI/RFP, Architecture, IT Planning, Development, Design, and Testing for Healthcare interfaces, software applications, and portals.

Member of ASC X12N HIPAA EDI and HL7 EHR and PHR-Supportive Functional Model Team (CCHIT)

IT Project Management and Development for:

Revenue Cycle: 12 yrs GE Centricity,

2 yrs EPIC HB/PB Billing, MPI

EHR – EPIC, Allscripts, GE EMR

Lab – Sunquest, Quest, LabCorp

Radiology/Oncology – GE Muse, Aria/Mosaic

Pharmacy Hospital/Ambulatory (NCPDP, HL7, CCD)

8 years Interface Engines and HL7 messages: JCAPS, Cloverleaf, Rhapsody, Mirth, EPIC Bridges, Ensemble (5 yrs), and Healthshare HIE (3 yrs)

Healthcare Quality Analytics: 1 yr Custom ETL loads and V3 NQF QRDA message analysis

Healthcare message expertise: 10 years HL7 V3, CCD, CDA, XDS, XDR, PIX, PDQ, NQF QRDA HL7 V2: ADT, ORM/ORU, MDM, MFN, DFT, VXU, ELR, Syndromic, 837, 835, 834, 270/271

Languages: 13 yrs Mumps Cache, 9 yrs COBOL, 7 yrs SQL, 3 yrs Java, SOAP, XML

Developer Tools: Altova, SOAPUI, OxygenXML, NetBeans, Eclipse IDE, IntelliJ, SAS ETL, SQL MS/Oracle, Linux, AIX

Security Connectivity: VPN, SSH, TCPIP

Secure messaging: SOAP, HTTPS, SSL, create and manage Security Certificates

Professional History

Company: InSys Role: Stars PRQS Hedis Clinical Quality HIE Integration Engineer (HL7 V2 and V3 CCD) 4/2016 to 10/2016

Client: United Health Group, Integration Services http://www.optum.com

A national healthcare insurance payer

Implemented Stars Measure reporting systems for a large number of providers sending a wide variety of EHR vendor source XML messages such as GE Centricity, Greenway, Allscripts, EPIC into payer systems for HEDIS using daily scrums for a new prototype project.

Design, Develop and Test Stars HEDIS Implementations of EHR Flat file Input data loads using Ensemble DTL maps into Stars Data Mart warehouse for Patient Hedis Measures

Create custom Mumps/Cache Ensemble classes for Stars HEDIS PQRS Analytics

Design, Develop and Test the necessary Intersystems Ensemble Connections, translations, and routes to import CCDs to be loaded into Quality Analytics Data warehouse

Develop complex scripts for processing CCDs into Stars Data Mart tables for QA comparison of Input records .vs. output records

Completed CCD imports for several provider integration and provisioning projects within the first months of this assignment

Write detailed business and technical requirements for receiving inbound CCDs XML messages (DIRECT and others) for loading into Stars/HEDIS measures warehouse including Diagnosis codes using ICD9, ICD10, SNOMED Procedures and Observation Codes using CPT, ICD9, ICD10, SNOMED, LOINC codes.

Create custom Mumps/Cache Ensemble classes for Patient Consents and MPI processing

Company: Stowe Group (rehire) Role: Quality Measure HIE Integration Engineer 6/2015 to 1/2016

Client: GE Healthcare, Payer Connect Analytics Project http://www.gehealthcare.com

Design and Develop Prototype for GE NQF PQRS Quality Analytics and Population Health Integration Software Product

Design and development new GE Application using Intersystem Ensemble and Healthshare community exchange big data tools to support quality measure data exchanges between providers and payers (CMS) for both EMR and Revenue Cycle applications. Used Story boards and daily scrums for this prototype project.

Write detailed business and technical requirements for all of the following project tasks

Develop custom code for Master Patient Index, Provider tier rollups, Quality Measure Gap Analyzer, Cost Analyzer and EMR QM Dashboards for HEDIS, RAF, and QPRS quality measure based on inbound V3 CCD messages from providers

Complete complex data mapping from the V3 CCD messages to ISC Healthcare Analytics and custom tables

Design, develop xml xsd schema and xslt transformation for inbound V3 CCD xml messages to support custom MPI

Design SQL tables supporting all the current V3 CCD coding standards such as LOINC, SNOMED, ICD, CPT, CPTII

Develop SQL procedures to link multiple tables to be used for NQF Quality Measure Dashboards

Design and Develop ETL data loads for each provider partner data configuration and provisioning

Create custom Mumps/Cache Ensemble classes for PQRS Analytics

Company: Excite Health Partners Role: Interface Developer 1/2015 to 6/2015

Client: Valley Health Hospital http://www.valleyhealth.com/

Single New Jersey Hospital – Meditech Upgrade and Cloverleaf Interface Engine Upgrade

Cloverleaf Interface developer (short term turn around engagement)

Meet with team daily to discuss testing results and plan agile product releases

Cloverleaf HL7 Interface design and development for Lab Orders (ORM) and Result (ORU) messages

Responsible for all aspects of Unit, System, message validation, and Integration testing of all interface testing

Technical lead for ADT, SIU, ORU, ORM, and DFT messages using Cloverleaf Interface Engine upgrade from 57 to 61

Interfaces architectural and operations support for Meditech Hospital EHR applications

Investigate, resolve and document issues in both production and testing environments

Company: ACL Lab http://www.acllaboratories.com/ Role: Interface Developer 6/2014 to 1/2015

Centralized Reference Lab for Chicago Based Advocate and Aurora Hospital Networks

Oracle JCAPS eGate SeeBeyond Interface developer (short term engagement)

JCAPS HL7 Interface design and development using Java for Lab Orders (ORM) and Result (ORU) messages flow and transformations for applications such as Sunquest

Meet with team daily to discuss testing results and plan scrum product releases

Responsible for all aspects of Unit, System, message validation, and Integration testing of all interface testing

Technical lead for ADT, ORU, ORM, and DFT messages using Oracle JCAPS Interface Engine

Interfaces architectural and operations support for EPIC and Meditech Hospital EHR applications

Investigate, resolve and document issues in both production and testing environments

Create custom Java code for HL7 message translations

Stowe Group client: InterSystems http://www.intersystems.com Role: HIE Developer 6/2013 to 4/2014

Intersystems is the international software vendor located in Harvard/MIT hub of Boston, who sells and supports Mumps Cache, Ensemble HL7 Interface Engine, and Healthshare HIE V3 CCD XML systems Mumps Cache is used by GE and EPIC EHR for their programming language and database The End client for this project was Missouri Health Connection (HIE)

HIE Healthshare and Ensemble Mumps Cache developer for an HIE Population Health Vendor

Documented design decision during Missouri Health Connection Executive team in high level product design meetings

Assisted in architectural design, development, testing, validation and implementation of ISC Healthshare HIE

Design, develop test Mumps Cache HIE Interfaces for numerous hospitals and clinics exchanging HL7, V3 CCD, and CDA

Design, develop and implement Healthshare HL7 messages including ADT, ORM, ORM, VXU, ELR, RDE, RDX, and Syndromic messages

Create custom Mumps/Cache Ensemble classes for Patient Consents and MPI processing

Leidos, formerly SAIC and MaxIT http://www.leidos.com Role: Various roles on Integration projects 8/2012 to 6/2013

Client: University of Kansas, Integration Project Manager, Certified EPIC Bridges Interface developer

Cloverleaf Level 2 Certification, Java Developer Certification

Write project charter, project plan, approve business requirements, support work flow designs

Interface team requirements manager for business-technical requirements, and test plans

Responsible for Interface Team Lead (PM) responsible for mentoring, training and support of five interface engineers

Lead Engineer for the EPIC Interface team responsible for conversion from Siemens eLink to JCAPS/eGate to Epic Bridges

Implement Epic web service library and engine, Interconnect, allowing for simpler and more useful orchestrations

Design, develop and test HL7 message ADT,SIU, and DFT messages flow and transformations for 50 applications such as Dietary (CBORD), Oncology (ARIA, MOSIAC), Radiology (Sygno), Professional Billing (IDX, Athena), Lab (Sunquest, Orchard), and Phillips Bedside Biometric Monitor (BMD) Messages

Design, develop and test X12N EDI Messages US Bank 834 Enrollments, 837 claims, 835 remittance, patient online credit card payments, patient refund checks, and Payer lock box interfaces

Interfaces issue resolution support of the implementation team

Coddington Group - Deloitte Consulting http://www.deloitte.com/ Role: Various Integration projects 2/2012-7/2012

St Anthony’s Hospital – HL7/HIE Interfaces Architect/Consultant (5 member team)

Support customer Interface Engine evaluation and selection of Intersystems Ensemble.

Lead Engineer for the EPIC Interface team responsible for conversion from Siemens eLink to Ensemble

Lead Engineer for the EPIC Interface team responsible for EPIC Prelude, Cadence, ASAP, Resolute interfaces with 50 ancillary applications for EPIC EHR HL7 ADT, Orders, Results

Lead Engineer tasks included project scope and charter, resource management, status reporting, issue tracking, risk mediation, test planning, issue resolution tracking, and vendor communications

Requirements management for current state/future state, business and technical requirements

Meet with integration team daily to discuss testing results and plan agile product releases

Design and develop Ensemble HL7 messages including Sunquest and Quest lab, GE PAC radiology, GE MUSE cardiology, GE Centricity, ECW, McKesson, NexGen and many more hospital applications

Create custom Mumps/Cache Ensemble as needed for Intersystems HIE community

Create test comprehensive interface test plans

HDSMyWay Allscripts MyWay Reseller htttp://www.hdsmyway.com Role: Integration Management 1/2011 to 1/2012

Cloud Based Ambulatory Electronic Health Records and Practice Management Vendor

HL7/HIE Interfaces Development and Implementation, Interface Operation, and SQL Developer

Responsible for Sales RFP Support, Budget and Resource Planning, Interviewing and Hiring

Interface Engine Selection and Evaluation

Meet with executives to develop overall integration product plan based on corporate strategy

Implemented complete agile product releases supporting the overall integration strategy

Client Interface planning and interchange connectivity implementations

HIE Interface Development and Operations Management

Project Management for all HL7 and EDI X12N interfaces for over 1000 medical practices in a Private Cloud environment

Radiology PACs interfaces Interface Design, Development and implementation duties included DICOM and HL7 development for Candellis “Cloud” PACs system

Design and configure network architecture for Bridges/Ensemble and Rhapsody servers using TCPIP and SSH

Interface Server Admin Management

Daily Interface Operations support for issue tracking, resolution, and documentation

Java and SQL Developer as needed. For example, wrote SQL extract of PDF attachments (EKGs and Lab Results) translate into bytestream blob data for transmitting to a Personal Health Record (PHR)

Quadramed, formerly NCR Healthcare http://www.quadramed.com/ Role: Informatics Analyst 4/2010 to 11/2011

EHR and PACs HL7 Interfaces

Served as Healthcare Informatics Analyst for nation's largest touch screen and clipboard vendor with partnerships including various EMRs, GE PACs, GE Centricity, Radiology

Gathered customer registration, billing, and clinical patient work flow requirements

Design user screens using Human Factor Engineering to simplify clinical processes

Defined electronic payment requirements for card swipe devices used for healthcare provider payment portals

Created electronic clinical forms based on customer storyboards using forms builder

Define HL7 registration (ADT), scheduling (SCH) and ordering (ORM) requirements

Assisted client with configuration for Kiosks, PC, mobile electronic clipboards, and signature pads

Planned Systems International http://www;plan-sys.com Role: Senior Healthcare Architect 10/2009 to 2/2010

Client: VA Hospital National Software Testing Center

Defined Software Testing Services Quality Management Program based on Risk Management

Facilitated technical work sessions for a variety of requirements for Software Configuration and Deployment Management Plan, Integration Testing Plan, Gap Analysis, testing issue tracking and documentation

Supported Agile, Scrum, ITIL, and CMMI methodologies

Rotech Healthcare, National DME Supplier http://www.rotech.com/ Role: Technical Analyst 9/2008 to 4/2009

Responsible for writing SDLC Business/Technical Requirements

Overall Project Management for EmDeon Claim Master portal application

Collaborate with programmers and business owners to business/technical requirements and test plans

Beacon Partners http://www.beaconpartners.com Role: Software Developer 5/2007 to 9/2008

Clients: University of Minnesota Healthcare, GE Centricity

Project Management, Business Requirements Analysis and Mumps Cache Web based Software Developer projects included: A GE/IDX Mumps Cache conversion project for the University Of Minnesota Medical School

Design and develop HL7 messages for a 40 hospital network EHR for Lab Corp, Quest Diagnostics lab, Meditech Lab, Radiology, Pathology, Order Entry, and Pharmacy integration projects using Cloverleaf HL7 interface engine

Design and develop a variety customized GE Centricity for Physicians, Hospitals, Clinics, and other clients

Education and Professional Development

Master of Business Administration, Quality Management University of Miami – Miami, FL

Bachelor of Science, Computer Science Metropolitan State College – Denver, COs

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