Curriculum Vitae

Bhaskar Pal

Louisville, KY, USA

Phone – 502-***-****

Email: ad26f7@r.postjobfree.com

Page 1 of 9 Dated: 01/14/24

Objective

To secure a challenging position where I can effectively contribute my skills as a Software Professional, possessing competent Technical, Interpersonal and Communication Skills driving Technology & Innovation. To obtain a position as a team leader in your Information Technology team that leverages my skills, work ethics, strategic thinking and leadership abilities which enable me to consistently excel in this rapidly expanding arena of industry and exceed delivery goals. Personal Details:

NAME : Bhaskar Pal

ADDRESS : 5842 Waveland Cir, Prospect, KY - 40059. MARITAL STATUS : Married

NATIONALITY : Indian

CURRENT DESIGNATION : Technology Lead

EDUCATIONAL BACKGROUND : Post-Graduation:- M.S. in Software Systems, BITS Pilani, India.

Graduation: -Bachelors in Engineering, VTU,

Bangalore, India.

School: - B.G.K.V, Kolkata, WB, India.

Class XII – 2001

Class X - 1999

PASSPORT VALID UPTO : 27-Jan-2029

VISA : Valid H1B US Visa (Till June 2026).

I-140 approved by Humana.

TOTAL EXPERIENCE : 18+ years of total experience.

• Humana Inc. (Aug,2014 - Till date)

• 8.5 years in Infosys Ltd (Feb, 2006 - Aug, 2014) as Technology Lead and Manager (Over 50+

people – Multiple locations – Bangalore, Pune,

Chennai, Hyderabad, Shanghai, USA).

AWARDS & RECOGNITIONS : Mitzi Silliman Award Nominated, Earn Your Wings, Most Valuable Player (MVP), STAR Award, Spot Award,

INSTA Award.

Curriculum Vitae

Bhaskar Pal

Louisville, KY, USA

Phone – 502-***-****

Email: ad26f7@r.postjobfree.com

Page 2 of 9 Dated: 01/14/24

Technical Skills:

TECHNOLOGY SKILLSET : Cloud technologies, Mainframe - MVS, OS/390, COBOL, Stored Procedures, CICS, JCL, MQ Series, REXX,

Eazytrieve.

DATABASE & FILE MGMT. : DB2, Oracle, SQL, XML, VSAM, MS Access. TOOLS USED : iServer, Zos Connect, File AID, File Manager, SPUFI, TOAD, DB2 Connect, Princeton, Expeditor for online and Batch, InterTest for Batch,QMF, Debug Tool, DB2 Explain, SORT, Syncsort, Icetool, IEBGENER,

Changeman, Endevor, CList, CA7, FTP, Connect Direct, NDM, HP Service manager, CA Service desk, SOAP UI, Autosys, ServiceNow, Workday.

OTHER TECHNOLOGIES WORKED ON : Informatica, .NET,C#, VB.net, XML Handler, Webservices, JScript, Core Java with MDM,

Microservices, Teradata, UNIX, SAS, HTML, Power

Builder, 1099 Forms and Reporting, AS/400, Web

Services, BizTalk, MQ Series, SSRS and OBIEE.

CERTIFICATIONS & TRAINING : Artificial Intelligence, MIT (2023), SAFe Architect, LOMA Certified (280 and 290), AHIP Certified (Title - Information Technology Professional).

Banking, Cards, DB2 Tuning, Mainframe all levels, Data Warehouses: Modeling and Design, SEEC server, SDLC and Agile modeling.

DOMAIN EXPERTISE : Healthcare, Insurance, Core Banking, Cards (Credit, Debit, Reporting).

CLIENTS WORKED FOR : Humana, Bank of America, MetLife, North Western Mutual, First Data Corp, Long Term Care Partners.

DIFFERENT ROLES PLAYED : Program/Project Mgmt., Application Consultant, Technology Lead, Data Mining & Data Science,

Architect (Application & Data), Technical Consultant, Data Modeling, Developer, Data Analyst, KM Anchor, Configuration Controller, Implementation and Onsite coordinator.

Curriculum Vitae

Bhaskar Pal

Louisville, KY, USA

Phone – 502-***-****

Email: ad26f7@r.postjobfree.com

Page 3 of 9 Dated: 01/14/24

Relevant Project Experience:

Projects – Humana Inc., Louisville

Domain: - Health Insurance (Medicare and Medicaid) Description of the project:

I (Bhaskar Pal) am working as a Full-Time Associate in Humana Inc. designated as Lead Technology Leadership Professional in Enrollment - Customer Interface (CI) team. The IT projects and the Domain expertise revolve around Medicare, Medicaid and Duals Experience with enrollment, billing, and reconciliation processes. Major projects delivered includes Eligibility Feed to External Vendors - ILS and Beacon, Continuity of Care (COC), Patient Pay, Prior Authorization, Special Need Plan (SNP), Data Mart, 820 and 834 file processing from IL, VA and FL states, TRR from CMS, Implement Kentucky (KY), Louisiana (LA) Medicaid, South Carolina (SC), Ohio (OH) Medicaid and Dual Demo States at Org. level, SSNRI project from CMS, Cost Share Protection Project from CMS. Successfully enabled teams to move away from traditional methodologies and adopt software development & delivery models such as Agile, Rapid Force & DevOps. Implemented cloud migration on Cloud Data Fabric platform, and best-in-class cloud native solutions in GCP and Azure platforms. Key deliverables in Humana (Enrollment Domain):

Medicare

1. Interface with CMS for Eligibility verification, Enrollment / Disenrollment & maintenance of members, Coordination of Benefits.

2. Exchange 6 daily, 2 biweekly, 24 monthly files and other files quarterly/annually 3. Trigger EOC (Evidence of Coverage), ID Cards, Welcome kits, Welcome Letters and other communications to members

4. Determine the cost share protection of 3+ Million Dual members and send to downstream systems 5. 8.7 Million Medicare Eligibility per year, 6.8 Million Duals Eligibility per year 6. Around 5.3 Million Enrollment/Maintenance Transmissions to CMS, 51 Million TRRs processed per year, 9 Million Letters generated per year [Notifications for Enrollment, Dis-enrollment, Reinstatement, Confirmation of Enrollment, confirmation of Dis enrollment, Termination, Part D Opt Out, LEP letters]

Medicaid

1. Administering members for fulfillment processing like Welcome kit, Id card triggers & letter communication for members for Medicaid and Dual Demo States which includes Florida, Illinois, Virginia, Kentucky, South Carolina, Wisconsin, Indiana, Oklahoma, Louisiana and Ohio. 2. Maintaining Dual member’s pharmacy records for pharmacy claims 3. Administering Member COB information for Medical claims processing 4. Process State Daily/Monthly 834 enrollment, Supplemental and 820 capitation files for PARIS Reconciliation application and enrollment platform. 5. Administering member LTSS information like Waiver, Patient Liability Amount for Clinical, Claims, Curriculum Vitae

Bhaskar Pal

Louisville, KY, USA

Phone – 502-***-****

Email: ad26f7@r.postjobfree.com

Page 4 of 9 Dated: 01/14/24

Vendor and EDW.

Reconciliation and Tracking

1. Provide E2E Enrollment tracking with various processes writing milestones that helps to track the journey of member enrollment, ID card request notification letters, welcome kits etc. 2. Capitation and Member Reconciliation for both Medicare and Medicaid o Medicare Reconciliation is managed my MedHok vendor. We do approx. 65 Billion Dollars of reconciliation a year. They help manage Membership Reconciliation between Humana and MMR (Monthly Membership Report) provided by CMS

o Medicaid Reconciliation is managed in house with PARIS application. 345 Millions of Member and Capitation payment recons a year.

Current Role : Technology Lead

Responsibility : Consulting, SME, Data Analyst, Data Management, Data Modeling, Team Lead, Requirement Analysis, Documentation, Design, Enhancement, Overall Project Lead and Management, Working within a global sourcing model with onshore and offshore teams, Database design, and performance tuning.

Duration : Aug 2014 – Till now.

Software : Azure, Cloud Technologies, COBOL, DB2, VSAM, SQL, JCL and TSO/ISPF, Eazytrieve, SharePoint, Platinum/SPUFI, File-aid, CICS, DB2 stored procedures, .NET, C#, JScript, SQLserver, XML.

Tools : File Aid, File Manager, Panvalet, CA view, CA7, CA Service desk, Microsoft Project, Visio, Topaz, Access, PowerPoint, and Excel.

Project – Merchant Services Card processing

Client: First Data Corp, Louisville

Description of the project:

The project involves rehosting, development and maintenance of ThoroughBred (Tbred) reporting application from Bank of America merchant services (BAMS) to First Data Corp (FD). This includes moving and replicating Jobs, procedures, card members, programs as per FD standard and testing them till they go live in production. After rehosting warranty, changing business needs require changes in the existing Tbred application which includes development and maintenance like changes for Mandates, new merchant addition and so on. This is an end-to-end application development project involving requirements elaboration, design, build, testing, rehosting, implementation and support. The system will be developed in multiple releases using the staged waterfall and agile development methodology. Currently Smart Routing project and PAN masking is in initial phase of development. Oracle upgrade testing project is also in progress. Role : Technology Lead

Responsibility : Team Lead, Requirement Analysis, Documentation, Meeting SME’s, Design, Build, Curriculum Vitae

Bhaskar Pal

Louisville, KY, USA

Phone – 502-***-****

Email: ad26f7@r.postjobfree.com

Page 5 of 9 Dated: 01/14/24

Testing, Defect fixing, Enhancement, Overall Project Lead, Onsite coordinator Duration : Nov 2012 – Aug, 2014.

Software : COBOL, DB2, VSAM, Oracle, JCL, Informatica and TSO/ISPF, Eazytrieve, SAS, SharePoint, 1099 form generations.

Tools : File Aid, File Manager, Endevor, CA InterTest for Batch, File Master, CA view, CA7, CA Service desk.

Project – Customer Information System

Client: Bank of America, Charlotte

Description of the project:

The goal of this project is to enhance the existing Customer Information system. Bank of America (Bofa) has developed a new mobile phone application - mWallet. These projects have created services for Bofa customers through their online id like mWallet and Remote online deposit by which they can deposit checks and do transactions. It was a development project which used DB2 database of the existing application. The responsibility was to lead the team, review work, code modules, testing, resolve business issues, design documents, defect prevention, configuration controller for every release. The projects also included conversions to load DB2 tables from different systems.

Role : Technology Lead

Responsibility : Team Lead, Analysis, Design, Build, Testing, Defect fixing, Enhancement, Production and Warranty Support

Duration : Jul 2011 - Oct 2012.

Software : COBOL, DB2, JCL and TSO/ISPF, Eazytrieve, XML, Webservices, Core Java with MDM Tools : DCLGEN, SPUFI, Princeton, DB2 Connect, File Aid, File Manager, DB2 Explain, Change man, Debug tool, Soap UI.

Project – Insurance Investments (New Variable Fund) Client; Northwestern Mutual, Milwaukee

Description of the project:

The goal of this project is to enhance the existing Mutual Fund Accounting system with a new variable fund. Northwestern Mutual offers Variable Annuities and Variable Life products to its clients. There is a range of asset allocation choices for the annuity clients. Several of the Series Funds are Sub-Advised and several are managed by Mason Street Advisors (MSA). The New variable Fund project is to make all the necessary changes within the NM systems and Business areas to accommodate this. This project deals with the changes that are needed to both systems to support the business requirements. For MFA, there are enhancements in both Batch and Online part. Curriculum Vitae

Bhaskar Pal

Louisville, KY, USA

Phone – 502-***-****

Email: ad26f7@r.postjobfree.com

Page 6 of 9 Dated: 01/14/24

Role : Technology Analyst

Responsibility : Analysis, Documentation, Meeting SME’s, Design, Build, Testing, Defect fixing, Enhancement, Overall Deployment Lead, Onsite Co-coordinator Duration : Jan 2011 – Jun 2011.

Hardware : MVS, OS/390.

Software : COBOL, CICS,SAS, JCL and TSO/ISPF, DB2, WSF2, UNIX SAS& Scripts, .net Tools : SPUFI, Debug Tool (Batch and Online), File Manager, TCMS, PVCS, Changeman, Autosys, Rapid SQL, HP Service Manager

Project – Policy Owner Services

Client: Northwestern Mutual, Milwaukee

Description of the project:

The project involves supporting the Insurance Online and Contract Change systems. These systems are made up of several applications which are critical to the Insurance Operations area of Northwestern Mutual. This project deals with minor and major enhancements to the application software, bug fixes and support for the critical online and batch applications.

The Policy Owner Services includes support for Beneficiary & Title, Measurements, insurance Online and Contract Change applications.

Role : Technology Analyst

Responsibility : Analysis, Design, Build, Testing, Defect fixing, Enhancement, Onsite Co-coordinator, Production and Warranty Support

Duration : Feb 2010 - Dec 2010.

Hardware : MVS, OS/390.

Software : COBOL, SCOPE, JCL and TSO/ISPF, DB2, WSF2, VB, VB.net, SAS, MQ Series Tools : SPUFI, Debug Tool (Batch and Online), File Manager, XDC,PDSMAN, TCMS, PVCS Project - Mainframe Tooling Strategy Project

Client: Northwestern Mutual, Milwaukee

Description of the project:

The goal of this project is to document the current state of NM Mainframe environment and identify to what extent the customization of the Z/OS environment and the use of custom developed or unique tooling may affect the ability to maximize NM’s investment in Mainframe environment. It will include a roadmap for where NM should be going in the next 3-5 years.

This project researches and document various language components (e.g. BMI, Routine, Host SCOPE) used in the Mainframe environment (including purchased and customized) and assess NM’s existing technologies on the Curriculum Vitae

Bhaskar Pal

Louisville, KY, USA

Phone – 502-***-****

Email: ad26f7@r.postjobfree.com

Page 7 of 9 Dated: 01/14/24

productivity of mainframe developers for both the support of existing systems and project implementation. It also prepared an inventory of the Cobol, PL/I and other language tooling used in mainframe environment

(including training and documentation available, tool usage, trained people, licenses costs, version and age of tool, etc.).

Role : Application Consultant

Responsibility : Analysis, Documentation, Meetings, Interviewing SME’s, Learning New Tool usage, Providing alternate strategies

Duration : Oct 2009 - Jan 2010.

Hardware : MVS, OS/390.

Software : PL/I, CICS, SCOPE, JCL and TSO/ISPF, DB2, WSF2 Tools : SPUFI, Debug Tool (Batch and Online), File Manager, XDC,PDSMAN, REXX, TCMS Project – New business & Enrollment for Long Term Insurance Client: LTCP, Portsmouth

Description of the project

The goal of this project is to enhance the existing Care System for Long Term Care Partners. This system provides the long term care to all the Federal Government employees. Infosys has developed the whole system in 2005. We are presently maintaining it and coming up with new business requirements to enhance the system. This project deals with the changes that are needed to support the business requirements. We worked on AS400 system. For Batch side, there are enhancements in both Backend and Online part. Batch has COBOL, CL and DB2. Online part has JAVA and PowerBuilder (PB). We worked on PB platform also. Role : Technology Analyst

Responsibility : Analysis, Design, Build, Testing, Defect fixing, Enhancement Duration : May 2009 - Sept 2009.

Hardware : AS400, OS/400.

Software : COBOL, CL, and DB2

Tools : PowerBuilder

Project – Group Insurance and US Closeout

Client: METLIFE, Alpharetta

Description of the project

The goal of this project is to enhance the existing Pension Closeout Tracking System. MetLife’s focus on the US Closeouts market has created unique opportunities for the Pricing, Administration and Operation Support units within Corporate Benefit Funding, and has resulted in new requirements for the applications and processes supporting the Closeouts business. The Pensions Workbench Closeout Pricing application was deployed in 2006. Curriculum Vitae

Bhaskar Pal

Louisville, KY, USA

Phone – 502-***-****

Email: ad26f7@r.postjobfree.com

Page 8 of 9 Dated: 01/14/24

It was a conversion of the existing TSO pricing application. Gaps still remain between closeout pricing and TSO pricing. The Pensions Closeout Tracking System (PCTS) provides for the operational support of the Closeout business.

This project deals with the changes that are needed to both systems to support the business requirements. For PCTS, there were enhancements in both Batch and Online part. Batch has COBOL, XML and DB2. Online part has CICS, COBOL and DB2.

Role : Software Engineer

Responsibility : Analysis, Design, Build, Testing, Defect fixing Duration : Mar 2008-Apr 2009.

Hardware : MVS, OS/390.

Software : COBOL, CICS, XML, JCL and TSO/ISPF, DB2 Tools : SPUFI,QMF, EXPEDITOR (Batch and Online), File-Aid, SAR,CLIST Project – Billing & Collection and Annuity

Client: METLIFE, Hartford

Description of the project:

The goal of this project is to test all application component and its modules in different regions before there is a version release for production. Integration testing is done with other systems with different applications. This is a cycle testing project which deals with requirement changes, new enhancements, new developments of applications/components, infrastructure changes to improve application performances. It also tracks the functionality of shared application management services. This project deals with tools for defect tracking, defect prevention activities, testing of applications under different conditions, generating test cases and more. Role : Software Engineer

Responsibility : Analyzing, Error fixing Integration Testing in different regions Duration : Jun 2007-Feb 2008.

Hardware : MVS, OS/390.

Software : COBOL, JCL and TSO/ISPF, DB2, IMS, REXX Tools : OPC, QAMENU, SPUFI, SAR,CLIST

Project – Insurance Enterprise Fund Administration Client: METLIFE, Hartford

Description of the project:

The goal of this project is to enhance the current EFA system to integrate the unit validation, trading, wiring, accounting, financial/regulatory reporting, and performance reporting functions, into one integrated system, Curriculum Vitae

Bhaskar Pal

Louisville, KY, USA

Phone – 502-***-****

Email: ad26f7@r.postjobfree.com

Page 9 of 9 Dated: 01/14/24

similar to the current Travelers’ PARIS system.

This project initially focused on migrating the above functions for all Travelers variable products, currently processed on PARIS & Trading, to the new enhanced EFA 2 system. A sub-goal of this project is to ensure that the new enhanced system can easily incorporate the accounting, financial/regulatory reporting, and performance reporting functions for all existing Met variable products at a later date. Role : Software Engineer

Responsibility : Analyzing, Designing, Coding, Unit and integration Testing modules Duration : Jun 2006 – May 2007

Hardware : MVS, OS/390.

Software : COBOL, DB2, JCL, Stored Procedure, TSO/ISPF, IMS. Tools : DCLGEN, SPUFI, Princeton, MS access, DB2 Connect, File Aid, SQL Server. Declaration:

I hereby declare that all the information and facts stated above are true and correct to the best of my knowledge and belief. I will take the entire responsibility if any discrepancy is found. Date: Signature

Place: Louisville,KY (Bhaskar Pal)

Contact this candidate