Education

Indira Gandhi National Open University, New Delhi, India

Master of Computer Applications (MCA) June 2007

Diploma in National Institute of Information Technology Certification (DNIIT) Sep 2005

Summary of Experience

●13+ years of experience in consulting various technological, agile projects for various prestigious clients with technical & managerial expertise for end to end implementation.

●9 years of experience in Health Care products such as Facets starting from version 4.81 and up.

●3 years of experience in Banking and Finance domain.

●4 years of experience in leadership and project management activities.

●Hands on experience as a Facets System Analyst/Developer/QA/Administration, Facets upgrade & implementation and Facets production support activities, custom Extensions, Internal/external Audits, Provider configurations and Facets modules like Claims, Providers, Subscriber/Member and Billing.

●Hands on experience in diverse technologies such as C#, .NET, SQL Server 2008/2012, Oracle, PL/SQL, Sybase 15.0 and Business objects Crystal reports XI.

●As a Scrum master, monitored grooming user stories and delivering the user stories with acceptance criteria. Servant leader capable of delivering projects on time and budget.

●Facilitate and coach teams through transition from waterfall to Agile development.

●Mentored teams, leading to be self-organized with strong accountability teams, decision making, conflict resolution and transparency.

●Strong problem solving & technical skills coupled with confident decision making for enabling effective solutions leading to high customer satisfaction and low operational costs.

●Strong knowledge on Health care and Banking domains.

●Implemented LEAN ideas to minimize operational costs, coordinated offshore teams and customers with immediate attention.

●Strong knowledge and experience in X12 formats such as 834 EDI format for Enrollment, 837 EDI format for Claims and 270/271 eligibility verification transactions.

●Expertise in Software development life cycle SDLC, verification and validation, quality control and process Implementation, Deployment, Customer support, Document management. Also have extensive programming experience of web technologies such as JavaScript, XML and web services.

●Hands on experience in working/managing different vendor products like Optum pricing tools (Webstrat, Rate Manager and ECM Pro), TriZetto Facets, Security Management Toolkit (SMT), Configuration Migration Utility (CMU), Facets Enrollment Tool (FET), Test Data Generator (TDG), TruProvider and Tidal Cisco.

●Analytical, methodical, and resourceful approach in problem-solving, identifying and documenting root causes and corrective actions to meet short and long-term business and system requirements.

●A highly motivated team player with an ability to quickly adapt to new environments and technologies.

●Excellent communication, analytical, verbal, and writing skills along with strong management, organizational and mentoring skills.

Employer History:

Sharpedge Inc from 2016- current.

Cognizant Technology Solutions from 2015-2016.

Syntel Ltd from 2007-2015.

Projects Details

1.Project Name Facets Implementation Project

Client Name EmblemHealth, NewYork

Role Senior Technical Product Consultant.

Domain Health Care

Duration Apr 2019 to Jan 2020

Environment FACETS 5.40 R3, C#, Net,Oracle 12.1,Truprovider and ServiceNow.

Description:

Emblem Health plan products cover a wide variety of options for customers. It serves as a not-for-profit and provides quality, affordable health insurance for all. It uses Facets, optimization tools and other in-built applications to make their day to day IT activities easier.

Responsibilities:

●Schedule meetings and Coordinates with the multiple departments for production issues and gather requirements. Write a solution in FSD document and coordinate with offshore development to make sure they are completed in a timely manner.

●Worked on the TruProvider tool that manages provider data and integrates Facets System.

●Monitor the day to day production batch job activities like loading provider’s data into Facets system, generation of data reports and share the reports to the client directors.

●Involved in the monthly Capitation activity, coordinated with production batch scheduling teams and True provider teams and fix the data issues that arise after synchronization of Truprovider and Facets systems.

●Worked on critical provider data on backdated profiles, fix them through XPF0 resubmission batch job.

●Troubleshoot and fix the downstream systems issues that occurred by the Facets data.

●Offering Facets Application Triage and support for current production environment issues using Service now ticketing system.

●Managed offshore team, effectively coordinated day to day activities, status meetings and closed the issues promptly.

●Worked on Facets custom /Core Batch jobs like XPF0 and MMS etc.

2.Project Name Facets Upgrade and Enhancements Project

Client Name WPS, Madison WI

Role Senior Lead

Domain Health Care

Duration Jun 2016 to Mar 2019

Environment FACETS 5.30 R2, 5.40 R3, 5.50 R1, CES, EDI, TIBCO, SQL Server 2008/2012, MoveIt(9.6.0), Control+M, RateManager, WebStrat and ServiceNow.

Description:

WPS provides services in Health insurance and multiple lines of business. It uses Facets and other inbuilt

applications to make their day to day activities easier. WPS is Wisconsin's leading not-for-profit health

insurer, offering affordable individual health insurance, family health insurance, and deductible health

plans, as well as flexible and affordable group health plans and cost-effective benefit plan administration

for businesses.

Responsibilities:

●Managed and Implemented optimization tool named Test Data Generator TDG (v5.40.003), help team members to understand the tool, track the QA issues to coordinate with vendor to get the issue resolved in a timely manner based on priority.

●Successfully implemented Facets upgrade from v5.3027 to v5.40R2 and v5.40R2 to v5.50R1 involved in preparation of documents including code freeze, environment strategy, communication, resource, upgrade testing report, schedules, budgets, quality, mock go live, go live checklist and risk plan also presentation to the higher management also followed up with other teams to make sure their tasks completed and validate the completed tasks.

●Worked on POC for Facets on Azure Cloud project by installing Facets (v5.50 R2) for DEV, mounted batch jobs, troubleshoot, fixed/validated the functionality.

●Performed initial triage of the severity and business impact of system failures.

●Managed and successfully implemented the SMT Upgrade from v3.2 to v5.40 responsibility is to set up new SMT batch jobs, fix and troubleshoot the issue, installation and configuration of SMT application for multiple Environments (DEV, SIT, UAT, TRAINING, CONFIG and PROD).

●Successfully implemented the CMU Upgrade from v2.4 to v5.40 responsibility is to modify CMU batch jobs, installation and configuration of SMT application for multiple Environments (DEV, SIT, UAT, TRAINING, CONFIG and PROD).

●Responsible for setting up batch jobs for Archive projects for Claims, Customer Service and Billing to improve performance of Facets application.

●Offering Facets Application Triage and support for current production issues and deploy custom components in development, test stage and production environments using Service now ticketing system.

●Worked on Facets Core Batch jobs like BINB, 837i, CLMU, CKMM, MMS and ELIG etc. And custom batch jobs are efficient in troubleshooting and fixing the issues.

2. Project Name Facets Support Project

Client Name CareMore, Cerritos CA and Anthem Inc, VA

Domain Health Care

Role Project Manager

Duration Feb 2015 to May 2016

Environment FACETS 5.50 R15, Optum, Networx, EDI,Clinical Editing (McKesson), Oracle10g, SQL Server 2008/2012, Tidal, ECMpro, Service Now, Rate Manager and Webstrat.

Description:

CareMore is a Medicare healthcare company which provides Medicare Advantage plans to members. It uses Facets and other inbuilt applications to make their day to day activities easier. It has integrated their system with acquired WellPoint's system on phase by phase along with current system maintenance. Anthem, Inc. affiliated health plans have created a variety of PPOs, HMOs, various hybrid and specialty products, network-based dental products and health plan services that combine the attributes consumers find attractive with effective cost control techniques. Employer groups and individual members can select from basic as well as comprehensive plans to meet their specific needs. Also available are a wide range of related specialty products and other services including flexible spending accounts and COBRA administration.

Responsibilities:

●Managed and Implemented IHealth/Cotiviti project on Facets claims module as per the business requirements, build and deploy Facets and in-house application code.

●Work under 24/7 Facets Productions support and custom components development and support during all phases of development, QA/ UAT and PROD environments.

●Managed offshore team, effectively coordinated day to day activities and fix PROD issues.

●Managed vendor relationship with Trizetto, Cisco Tidal and Optum to address the existing product related defects and track/update business managers about its status.

●Worked as Facets SA side in configuring new and existing application settingslike Benefit configuration application.

●Actively involved in the Caremore Internal Audits for Member service department on Facets application access, provided solutions to address the reported issues by auditor and also track/updated issues status to different department managers and directors.

●Worked with the business analyst and development team to manage, projects day to day activities and deliverables.

●Facets security configuration in creating and updating user security groups in Facets 5.01 multiple environments.

●Worked on Facets Batch support on jobs such as BINB, 837i, CLMU, CKMM, MMS and ELIG etc. Also efficient in troubleshooting and fixing the issues.

●Actively involved, gained good knowledge CM HealthCare PROD operational activities.

●Worked on support and maintenance of Optum products like Webstrat, New Rate Manager, Easy Group during ICD10 Project implementations.

3. Project Name Facets System Integration

Client TriZetto Corporation, Englewood CO

Domain Health Care

Role Project Manager

Duration Jan 2011 to Feb2015

Environment C#.Net, VB.Net, ADO.Net, Oracle PL/SQL, Facets Batch interface, FACETS 4.81,5.01.0015, HBA, Rapid SQL 7.6.4, JIRA

Description:

Facets is a Trizetto solution to assist payer organizations in staying ahead of trends in the employer

benefits market. Facets encompass sophisticated technology that automates work processes, reduce

costs, and simplifies the process of navigating through a health care delivery system. Base Facets modules

include: security, accounting, application support, customer service, medical and hospital Claim

processing, provider agreements, provider, and subscriber/member.

Responsibilities:

●Manage and coordinate with team members, provided query resolution and update daily project status reports to the client.

●Generate resource status reports from IQNavigator Tool, PWA Time Card and shared to directors.

●Ensure the deliverables within the timeframe without affecting quality of work.

●Assisting, mentoring/ ramping up new team members.

●Coordinating and supervising offshore teams and ensuring quality deliverables.

●Daily interaction with onsite counterpart as well as with client’s in understanding the project requirements.

●Gathering requirements to prepare BRD or FD and prepared Technical Design documents.

●Developed Interfaces using XCOM and Embedded extensions also performed code review and Unit testing.

●Fixing defects rose during QA and Business validations.

●Given the training to the customers on the usage of the SMT and CMU products.

●Provided support on SMT of multiple clients during their Facets upgrade and any new environment setup.

4. Project Name Whirlpool-Novo-Commercial Laundry

Client Name Whirlpool Corporation, USA.

Role Scrum Master

Environment Java/J2EE, UI Development, IBM Bluemix, Oracle.

Description:

Whirlpool builds a range of appliances e.g. Washers, Dryers, Stacked Washer/Dryer etc. for

residential as well as commercial use. While residential appliances are used by end consumers at

home, there are a bunch of product lines which serves the commercial business needs. Whirlpool is

going to launch a new commercial laundry product line called NOVO. These new product line offers

both OPL as well as Vended machines. Novo machines offer program setup at very granular level

and have very specific requirements for producing financial, productivity and maintenance reports. In

order to meet the requirements of Business, Whirlpool offers a suite of apps and portals to manage

and control the connected laundry machines.

1. Trade partner portal (Connect360)

2. Consumer portal (MC360)

These portals are already developed for Legacy range of appliances. As part of this project Novo

Product line appliances will be supported on the same portals.

This project will be executed as part of Modernize Stream of Whirlpool IoT Projects.

Responsibilities:

●Scrum Master:

●Own and execute Scrums

●Facilitated Agile (Scrum) ceremonies

●Facilitate to Maintain Product Backlog and Release Planning.

●Facilitating Product Backlog prioritization.

●Coaching team Members.

●Facilitate Sprint Planning meetings and Retrospective meetings for the team.

●Actions to improve velocity.

●Remove/ escalate impediments and protect team members from interruptions and

distractions to maximize productivity.

●Responsible for creating Burndown Charts to assess progress and success.

●Reflecting Agile and Scrum values to the team.

●Understand the requirement of resources from the organizations and support the

requirements.

●Overall Planning, Execution, and Monitoring of Whirlpool Engagement activities

●Resource Management– Onsite & Offshore

●Manages requirements dependencies with other teams, negotiating and reprioritizing as

appropriate.

5. Project Name DTD and BAM PROD Support

Client Name Wells Fargo Bank, San Francisco, CA

Domain Banking & Financial Services

Role Project Lead

Environment ASP.NET (3.5), WCF, C#.NET and Oracle9i

Duration Aug2010 –Dec2010

Description:

Wells Fargo’s patented Desktop Deposit® is the online desktop-based application that is designed to help

Customers reap the benefits of Check 21 legislation. It provides customers with a way to capture a check

image and perform a deposit on a mobile device by saving the time which takes the customer to physically

transport the check to any location beyond where it was given to the customer. The web service based on

incoming call will provide IQUA results for images and perform Operations like interrogating and scrubbing

images using Lead tools API, ACH perfect parsing, interacting with APS, save data to DTD database and

sending a response back. The benefits to customers include improved cash flow and receiving information

more quickly while reducing the time, costs, risks, and waste resulting from physically transporting check

deposits.

Responsibilities:

●Coding and developing programs as per client requirements.

●Attending the customer calls, to fix the issues while they are facing any problem during scanning the checks etc.

●Performed performance tuning by analyzing indexes, queries, table sizes, etc. with utilization of SQLProfiler.

●Creating and modifying the SQL queries.

●Involved in creating a work request for moving systems into UAT and PROD Environment.

●Coordinating with other team members in the deployment of WCF Service in UAT, pre-Prod and prod environment.

6. Project Name ClientLine

Client Name First Data Commercial Services

Domain Banking & Financial Services

Role Project Lead

Environment ASP.NET and C#.NET Framework 2.0 and Oracle9i

Tools Business Objects Crystal Reports XI

Duration Dec2007 –Jul2010

Description:

ClientLine is a comprehensive multilingual web merchant reporting tool i.e. used by all enrolled merchants of FIRSTDATA across the globe. This web application currently supports three languages English, French and Spanish. ClientLine is an offline batch transaction loading system where transaction files are loaded into the system. ClientLine populates detail as well as summary of all transaction hierarchy. ClientLine is a very huge application with 52 modules like credit, debit, fuel and phone transactions. ClientLine maintains business hierarchy and populates all rollup locations for high level business hierarchy. Tool is also powered by customized and schedule reporting for daily, weekly or monthly reports. Client line gives option to flick the language among the English, French Canadian and Mexican

Responsibilities:

●Analysis, Design of the web application.

●Developed Stored Procedures, triggers, functions, views using TSQL.

● Implemented AJAX for most client end scripting.

●Extensively used ADO.Net in accessing Database using various Data Controls.

●Coding and developing programs as per requirements.

●Fixing defects identified during QA, UAT testing and Production support.

●Involved in creating a change request for moving system into QA and Production via CA unicenter integrated tool of IBM clear case.

●Developed multiple crystal reports that support three different languages Spanish, French and English.

●Coordinating with a team to accomplish the given requirement is completed.

Community Service

Volunteer at United Way of DaneNet to provide IT support to non-profits in the Madison area. Apr2018 –Apr2019

Hobbies and Interests

Hobbies include cooking, playing cricket and hanging out with friends. Interests include helping senior citizens and community service.

Accomplishments Honored by Stretch award for extending work hours in 2008

As a captain of the cricket sports team, I was awarded the championship trophy for my outstanding performance at the annual college fest celebration.

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