Jayson A. Apaga

Mechanicsburg, PA

Cellphone No. : 808-***-****

Email: adbmsu@r.postjobfree.com

LinkedIn: https://www.linkedin.com/in/jayson-apaga-06a230b8

PROFESSIONAL SUMMARY

Highly skilled IT Team Manager in IT solutions and software development technologies. Solid leadership and technical experience in various application platforms, both in Mainframe and Open Systems. Lead numerous cross functional projects & teams by developing work plans within guidelines and monitoring progress on project milestones aligned with enterprise strategic roadmaps.

Solid understanding and proven track record in leveraging IT industry best practices and standards including, modern architecture and development practices, ALM, ITIL and SDLC – all phases like analysis, design, development, implementation, maintenance, debugging, quality assurance testing (unit, system, stress, Integration & UAT), and software documentation processes. Well experienced in Project Management and Application Lifecycle Management multi-disciplinary methodologies best practices such as AGILE-SCRUM, AGILE-SAFE, KanBan, LEAN and Waterfall using different ALM tools such as Microsoft Team Foundation Services(TFS), IBM rational tools (RTC, Clarity, ClearQuest, RQM, ReqPro), HP Service Center/manager and Serena SBM. Highly proficient across the breadth of ITIL service management across multi-domain systems and applications.

Proficient and strong IT experience in Healthcare Industry applications such as Claims Adjudications and Processing system, Enrollment and Membership system, EDI application, Group and Billing system, Federal Employee Program (FEP) and Interplan Teleprocessing System (ITS), Medicare/Medicaid/QUEST/Affordable Care Act/HIPAA. Had extensive application knowledge in Telecoms, Billing and Order Support system, Retailing, Banking and Finance, Logistics, Asset and Investment, and Time & Attendance Management system.

TECHNICAL SKILLS

Certifications: Certified AGILE Scrum Master, Certified LEAN – Six Sigma Green Belt

Mainframe Applications: VS COBOL II, COBOL, PL1, FORTRAN, CICS, JCL, VSAM, Easytrieve, CLIST, REXX

Open System Applications: IBM Webspehere Transformation Extender (Electronic Data Interface/EDI), Microsoft SQL Server(2005/2008) SSIS and Reposting Services, Microsoft Sharepoint 2003, ETL - Informatica (8.0/9.0/9.1), PrintNet, TIDAL, Visual Basic Scripting and Microsoft Biztalk 2006/2009, HTML, XML.

Database: DB2, IMS, Natural/Adabas, Microsoft SQL, Microsoft Access, Oracle

Mainframe Tools & Utilities: TSO/ISPF, Spool Display Facility (SDSF), IBM Macro Tools, BMPUtils, IBM MQ, Splunk, Connect/Direct Data Transfer (NDM), VANTIVE, Change Management Facility (CHANGEMAN), ENDEVOR, Panagon FileNet, Query Management Facility (QMF), SPUFI, FILEAID IMS, FILE-AID VSAM/DB2, Quick Reference/Book Manager, INSYNC, SUPERCE, STAR TOOL, Expediter (Online & Batch), Abend Aid, CA-7, ESP, CLIST/REXX, IDCAMS, PANVALET, DFSORT/Syncsort, IBM DISPATCH

Operating Systems: MVS, Z/OS, Extended Architecture (XA), Enterprise (E), UNIX, Windows 2000/2003, XP, VISTA

Software Documentation, Methods & Project Repository: AGILE, SCRUM, CMMI, Microsoft TFS, Service center, EXPRESS Tool, Panagon, CHANGEMAN Serena, TeamTrack Serena, Adobe Acrobat Professional, Documentum/ ASR, Service Center, Vantive

PROFESSIONAL EXPERIENCE

Highmark Health Solutions (HMHS) – Camp Hill, Pennsylvania.

Team Manager - IT Claims Adjudication

August 17, 2015 to November 20, 2019

Responsibilities & Accomplishments:

Managed Claims IT Adjudication team, composed of both onshore and offshore developers. Conducts performance reviews, promote and grow direct reports in terms of building their skillset and individual strengths. Perform talent acquisition interview and manage staff training and mentorship. Promotes continuous improvement of processes and delivery of results within my team and across domains, to ensure that standards are followed and software deliverables are compliant.

Managed project schedules and budgets. Tracks key project milestones and manage project plans, budget and/or resources to meet the needs of stakeholders based on agreed requirements and scope, using defined change control processes (Bi-Modal Implementation Release). Monitors program/project actual costs vs. program/project budget. Worked closely with Business Analysts, Developers, Product owner and Stakeholders to determine high level technical designs and optimal estimates. Optimize the utilization of resources by applying appropriate demand and capacity concepts, technologies and workflows such as IBM rational tools (ClearQuest, Service Manager, RTC, etc), Clarity, MS Project. Provide subject-matter direction and guidance to staff. Provide technical leadership in first-line resolution of complex technical problems.

Lead the team in supporting both project and production maintenance work under the Highmark Claims Legacy system called OSCAR. Provided technical leadership in first-line resolution of complex technical problems for claims adjudications in batch and real-time process. Had extensive knowledge in application support and business process claims adjudication in Federal Employee Program claims (FEP) – submission and disposition, Interplan Teleprocessing System (ITS), HIPAA regulations, Pharmacy Benefit Management (Vendor Integration for benefit accums and cost sharing), and multiple domain integration processes (Group, Membership, Enrollment, Benefits Area, and EDI/DTS).

Worked as Scrum Master and managed projects via Agile methodology. Facilitated daily scrum meetings, sprint review and planning, retrospective review, and release planning using iterative sprint cadence. Incorporated LEAN Six sigma methods and principles (SMART Elements) to ensure high quality software deliverables.

Collaborates with domain application leads to ensure a successful Release Implementation. Ensure that software artifacts are documented properly, code review standards are followed, integration and functional testing are executed with expected results met and aligns with overall project schedule. Provided overall Claims domain implementation oversight and status including cross domain coordination before/during/post monthly and quarterly Release Implementations.

Successfully lead and implemented numerous projects to onboard multiple clients (Highmark Health, BCBS of Minnesota and Independence Blue Cross (Philadelphia), BCBS of N.Dakota, BCBS of Wyoming into the Legacy application platform. Achieved outstanding team performance recognition for implementing several application improvement projects resulting into high dollar savings and system improve efficiency.

Application and software used:

-IBM Mainframe (COBOL/IMS/DB2/JCL), BlueDevel, ENDEVOR, Websphere MQ series, Tracemastser, NDM, TSO ISPF, IBM Macro tools (Abend Dump, Insync, etc) ESP, sFTP, IBM Rational tools (Clearquest, RTC, Clarity), Service Manager

Hawaii Medical Services Association (HMSA)

Team Lead - Membership & Enrollment Team

February 20, 2007 – June 30, 2015

Responsibilities & Accomplishments:

Manage and lead Membership team (size of 15 FTE’s comprising both onsite and offshore resources) in terms of maintenance and support for both Mainframe based and Open systems applications. Responsible for the overall stability and health of all team applications. Manage the maintenance and production support of assigned application system(s) for business continuity.

Lead high visibility projects and made effective recommendations to aid Leadership and IT directors in terms approval and prioritizations.

Provided SME technical expertise for Membership/Billing/Enrollment applications and other domains. Also provided subject matter expertise (SME) to multiple projects which involves coordination from other IS and Business units. Communicate and maintain effective coordination.

Mainframe and EDI technical lead for HMSA 834 Enrollment Processing System (EPS). This is one of HMSA’s core systems to process electronic 834 enrollment file using combination of applied software technologies such as Microsoft Biztalk 2006/2009, IBM Websphere Transformation Extender (Mercator), ETL – Informatica, Mircosoft SQL, Oracle 10g, Tumbleweed, Instream, COBOL, Easytrieve, IMS, DB2.

Implemented open systems software solutions using Printnet to support business continuity projects and BAU implementations. Created functional workflows and jobs via GMC Process Automation to generate durable member ID cards (DMC). Developed workflows for mass generations of letters using multi-platform data source (SQL, ORACLE, MS Excel, Flat File, Mainframe).

Developed/tested/implemented numerous software and maintenance applications, performance tuning/optimization (MIPS and CPU usage), using Mainframe Programming Languages and tools (COBOL II, Easytrieve, JCL, Abend-Aid, File-Aid, VSAM, IMS, DB2, CA-7, TIDAL, UNIX, SSIS, SSRS, etc.) under IBM Z/OS environment.

Performed quality assurance implementation processes such us peer review (unit test plans), system test and integration test review and user acceptance testing (UAT). Conducted problem resolution and analysis using effective debugging techniques in mainframe, used utilities such as SDSF, Abend Aid, Fileaid, Expediter and QMF.

Application and software used:

-IBM Mainframe (COBOL/IMS/DB2/JCL), BlueDevel, ENDEVOR, VSAM, Jobtrac, TIDAL, GMC – Printnet, IBM WTX, Informatica, Service Center, Microsoft SQL Server(2005/2008) SSIS and Reposting Services, Microsoft Sharepoint 2003,

Fujistsu Weserv

Senior Systems Analyst/Technical Lead Developer

October 26, 2004 – December 1, 2006

Responsibilities & Accomplishments:

Lead mainframe developers for maintenance of BOSS software programs (PL1, COBOL/DB2, COBOL/CICS, PL1/IMS & PL1/DB2). Performed technical analysis, detailed application designs, project documentation (Requirements, HLAD, Technical Design, Detail Designs) using the EXPRESS tool (Excellence in Process for Enterprise Software).Provided technical solutions and support to SBC/AT&T users of dashboard legacy system. Created High Level Application Design (HLAD) using EXPRESS process tools as tailored to Capability Maturity Model (CMM Certification).

Handled peer reviews and quality control monitoring standards for all developers within the team.

Application and software used:

-IBM Mainframe (COBOL/IMS/DB2/JCL), PL1, VSAM, sFTP, Changeman, Expediter, Vantive, Startool

Accenture

Software Engineer

November 3, 2003 to October 16, 2004

Responsibilities & Accomplishments:

Technical Lead Developer for Interfaces, Subsystems, & Other Reporting (ISO) project of SEI Investments using FORTRAN & COBOL/DB2/CICS language.

Developed batch extract and report generation programs used in processing portfolios and stock investment reporting.

Efficiently provided support in asset and investment solutions for banks in the US such as Bank of America, Fleet Bank, Union Bank of California, Melon Bank, Wachovia Bank and Bank of New York.

Performed program enhancement and project documentation for Requirements, functional design, technical design and detail designs using the PANAGON tool.

Performed root cause analysis (RCA) and promoted solutions using PANVALET

Application and software used:

-IBM Mainframe (COBOL/IMS/DB2/JCL), Fortran, Changeman, Expediter, PANVALET, PANAGON

Software Ventures International

Mainframe Developer

July 31, 2001 – October 01, 2003

Responsibilities & Accomplishments:

Developed COBOL programs and Test JCL’s to support multiple projects using COBOL/JCL/DB2/VSAM. Responsible for both systems maintenance & application enhancements. Performed code conversion from EASYTRIEVE to COBOL to increase application efficiency and improve Batch/Online processing response time. Performed program documentation and consolidated job schedules using CA-7 for CCS programs. Created Visio Diagrams for job and program flows used in project impact and integration analysis.

Application and software used:

-IBM Mainframe (COBOL/DB2/JCL), PL1,VSAM, ENDEVOR, Expediter, CA-7

EDUCATIONAL BACKGROUND

Graduate - Bachelor of Science in Electronics and Communications Engineering (BSECE)

1996 -2000

Mapua Institute of Technology (Manila, Philippines)

ECE Professional License acquired/passed on April, 2001.

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