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Quality Assurance Health Insurance

Location:
Clifton Park, NY
Salary:
$134,400
Posted:
February 26, 2024

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Resume:

** **** ** *, *** *, Menands

Albany, NY *****

Email:ad3xjm@r.postjobfree.com

Home: +1-518-***-****

Cell: +1-518-***-****

FNU Munikrishnaiah

Profile

** ***** ** ** ******** experience encompassing a wide range of skill set, roles and industry verticals. I have worked for reputed clients like American Express, Elevance Health inc.

Experience in Healthcare domain by handling critical projects like, Electronic Fund Transfer project, 835, EDI, Explanation of Benefits (EOB) enhancements, Federal Employee Program and New York State Health Insurance Program (NYSHIP).

Experience in capturing Business Process Requirements for enhancements and studying existing systems.

Proposing the possible enhancements based on above study, preparing Low level Design documents, generating codes/software, executing Unit and Volume testing.

Design and Development in mainframes using COBOL, PL1, IMS DB/DC, DB2, IDMS, JCL, VTAM, REXX, VSAM, File-AID, IBM Debugger, Expeditor & CICS

Resolving the Production (Severity 1) issues effectively and helping the team members in following the Processes and Procedures.

Coordinating the reviews and Code Walk Through with Internal Quality Assurance, External Quality Assurance and Final Inspection to meet the standards & guidelines specified by end users.

Developing tools using Visual Basic and REXX to reduce the manual work and increase productivity.

Developing Compuset configuration tools for EOB changes (AFP/ACIFF).

As Salesforce Certified Platform Developer supported Elevance Health CRM projects.

Skill Set

Languages:

COBOL, JCL, CICS, PL1, Python, Java,SQL

Databases:

DB2, MS Access, IMS DB/DC, IDMS

Awareness:

C, C++, Visual Basic, UNIX, AWS, Devops tools – Ansible, Jenkins, GIT, Kubernetes, IBM Websphere Application Server, Java Messaging Service, HTML, CSS, Javascript, XML, Linux, jira etc,.

Mainframe Tools

File Aid, ISPF, Changeman, Expeditor, IMS UTIL, CA7, Jobtrac, SPUFI, File Manager, Catalog Manager, QMF, Endevor, DeltaIMS, Xpeditor, IBM Debug, Eazytrieve etc.

Certification & Awards

AWS Cloud Practitioner

Azure Data Fundamentals

Azure Cloud Fundamentals

Redhat Openshift Containerization of applications

IBM DB2 Fundamentals certification

IBM Certified Professional Cloud Architect

IBM Certified Advanced Cloud Architect

IBM Certified DevSecOps Speciality

IBM Excellence Award – 2014

Manager Choice Award – 2017-2022

Certified SAFe – Agile Practitioner

Certified SAFe- Devops Practitioner

Operation System

IBM z/OS

Windows XP, Windows Vista, Windows 7, Windows 10

Education:

Bachelor’s in Electronics and Communications Engineering - 2008, Visvesvaraya Technological University (Dr AIT), India,

Embedded Systems Programming Advanced Diploma – 2006, MS Ramaiah School of Advanced Studies, Bangalore, India

12th – 2004, MES Kishora Kendra Composite Pre-University College, Bangalore, India

10th – 2002, Sri Basaveshwara English High School, Bangalore, India

Professional Experience

19 Nov 2010 – Till date, Team Lead in Elevance Health – IBM Corporation

Anthem is the largest health plan company in the Blue Cross and Blue Shield Association. Blue card is a collection of programs and policies that enable members to receive healthcare services while traveling or living in another Plan’s service area. It links participating providers and the independent BCBS Plans across United States through a single electronic network for claims processing and reimbursement. Empire is the largest health insurer in New York State, are licensees of the Blue Cross and Blue Shield (BCBS). As Team lead supported Financial Disbursement Processing system, Federal Employee Program system and New York State Health Insurance Program(NYSHIP).

Role & Responsibilities:

Built the different Codes for different applications. These programs were Batch.

Responsible for Understanding Client Requirements, propose integration solution, help business/clients in preparing the Business Requirement Docs (BRDs), Prepare Functional Specifications (FSD).

Gather requirements and write specification and functional design documents for enhancements and customization; Analyze product impact

Developing Compuset configuration tools for EOB(Explanation of Benefits) prints.

Responsible for managing scope, planning, tracking, aspects of the project.

Present and defend product designs and architecture to clients

Coordinate and communicate tasks with developers

Ensure that development is performed as per requirements

Responsible for Off Shore team knowledge building for the Customer Area which

helps individual and Anthem both in delivering the quick and appropriate solution.

Work with QA to create test scripts and scenarios for enhancements and customizations to the core product

Communicate activities/progress to project managers, business development, business analysts and clients

Responsible for getting daily query resolution between offshore and Onsite either

on telephonic conversations or through e-mails.

Job data set up for testing the components independently.

Unit testing of the modules.

Integration testing of the different programs under the same application.

Handling production support for the application and providing solutions during issues

Developing tools to minimize manual efforts and increase efficiency of team members using Rexx and Visual Basic

Developing processes which will enable high customer satisfaction and reduce CPU utilization of Z/os

Environment: COBOL, JCL, DB2, CICS, IMS DB/DC, IBM Debugger, etc.

Team Size : 35 to 40

15 Dec 2008 – 22 Oct 2010, JAPA- American Express, Assistant System Engineer, Tata Consultancy Services

Tata Consultancy Services is one of the leading software company, In TCS I worked for American express bank. American express bank works majorly for Charge cards and Credit cards.

Role & Responsibilities:

Developing solution for banking domain client

Responsible for delivering services to American express charge cards customers.

Discuss with the customers and get an understanding of their business requirements for the projects.

Responsible for design, code, unit testing, code review and deployment of components.

Responsible for analysis of the existing system to find the improvement areas and to discuss with clients to explain the solutions for improvement.

Involved in various aspects of the project life cycle such as Requirement Understanding, High Level Design, Detail Design, Coding, Test planning test case preparation and execution, Integration testing etc.

Responsible for conduction Internal and External reviews with in the team.

Responsible for test Process Review (TPR) change requests by business which involved Problem analysis, Design and code changes and unit testing.

Utilizing in-depth knowledge of functional and Technical experience in IMS/COBOL/CICS/JCL/DB2 and other leading-edge products and technology in conjunction with industry and business skills to deliver solutions to customer.

Providing the solution for the system to avoid any kind of repetition work.

Environment: COBOL, JCL, DB2, CICS, IMS, VSAM, EXPEDITOR, FileAid, File Manager, etc.

Team Size : 20 to 25



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