ANJALI THOMAS

Email: adh3er@r.postjobfree.com

Mobile: +91-703*******

+91-808*******

Experience

7.7 Years of experience in IT industry emphasizing on software development

and supporting mainframe applications with UST Global India private Ltd,EIT Services India private limited(former HPE ) and Deloitte

Summary

7+ years’ experience of developing, testing and supporting Mainframe applications

Experience in developing maintainable code with unit test coverage with Cobol, JCL

Good exposure to Cobol-IMS DB programming and debugging in healthcare domain.

Good knowledge in Cobol- DB2 programming

Good domain knowledge in healthcare industry

Exposure to various aspects of software life cycle. Experience in requirement gathering, analysis,design,coding,peer reviews, group coordination,training programs,implementation of application in mainframe

Ability to deliver the work with good quality and exposure to quality related activities like defect prevention and root cause analysis

Experience in Anthem WGS Provider system- Provider claims interface IO,CFF,Extracts, WGSP Lights on

Experience in Anthem WGS-Capitation

Part of Anthem WGS membership & enrollment, reports and letters team.

Experience in Anthem digital - broker portal end to end manual testing

Exposure to production support tools (CA-7,CTM,TWS,CA-SYSVIEW)

Experience in batch as well as online production/UAT/SIT support

Experience in CICS online production support

Experience in production support for below major US clients

Blue cross/Blue shield of Arizona

Blue cross/Blue shield of Massachusetts(Claims & RTMS)

Blue cross/Blue shield of California

Massachusetts Corporate Systems

Blue cross/Blue shield of Wellmark(Claims &RTMS)

NASCO MetaVance

Trained in Mainframe by UST Global GAMA Training academy

SKILLS SUMMARY

Programming Languages : COBOL, JCL,SQL

Domain : Healthcare

Mainframe Tools: : TSO/ISPF, SPUFI, SAR, IOF, Table-base, Control M,

File Manager (IMS,DB2), SDSF,CA-7,TWS/OPC,PSI

SUPERC, PROJCL,CA-VIEW,CA-SYSVIEW,Sort

Cards, Fault Analyzer,ICETOOL

Databases : IMS DB,DB2

Configuration Management : Endevor, Change Man

Testing tools : JIRA,Postman, TOAD

Operating Systems: : MVS/OS390

Ticketing Tools : HP ALM, Clear Quest

EXPERIENCE HIGHLIGHTS

Organization : UST Global Inc.

Designation : System Analyst

Duration : May 29th, 2018 – Till date

Organization : Agen Global

Client : Deloitte

Designation : Software developer

Duration : Jan 23rd, 2018 – May22nd,2018

Organization : EIT SERVICES INDIA PRIVATE LIMITED

Designation : Svc Info Developer 1

Duration : Jul 27th, 2016 – January 12th,2018

Organization : UST Global Inc.

Designation : Software Developer

Duration : Apr 08th, 2015 – 18th July 2016

Organization : UST Global Inc.

Designation : Software Developer

Duration : Feb 23rd, 2012 –June 20th, 2014

Project

Provider and Pricing

Customer

Anthem

Period

June 2019 – Till date

Description &

Releases worked

Anthem Medicaid Entity Capability Integration :Provider migration project where GBD legacy system to WGS .Worked in claims- provider- pricing interface module to ensure right GBD provider is selected for NY HIX Medicaid claims processing

BDC :To identify the address relation for BDC providers to apply Blue Distinction Pricing and Benefits in claim processing.

Worked in claims provider pricing interface module

Nasco migration: Onsite clinic indicator population for ITS home claims

Responsibilities

Involved in the various stages of development of application

Preparing Impact Analysis document

Designing and Coding programs

Unit and System testing in test Environments

Preparing Test plans, conducting testing, delivering test results

System and Business knowledge build

Debugging COBOL and DB2 applications

Conducting post implementation reviews and support during implementations

Independent support in SIT,STC and UAT batch cycles/tesing

create new JCL, PROC, Control cards and Copy books

Helping and guiding the new team members

Fixing PROD CQs

Project

Digital - Broker portal

Customer

Anthem

Period

May 2018 – Till date

Description &

Releases worked

Broker portal end to end testing team : End to end production testing for newly developed Reimagined Broker Portal (RBP) which is migrated from previous portal, Producer Tool Box (PTB ) which includes checking different mainframe and non-mainframe source systems like WGS/ISG, FACETS,CS90,NY, NASCO,ACES for different LOBs

Responsibilities

Involved in end to end production testing

Preparing test plans, test cases, test results using JIRA and logging test executions

Running and executing APIs using Postman tool

Accessing different source systems like WGS/ISG, FACETS,CS90,NY, NASCO,ACES for different LOBs

Running SQL query using TOAD

Helping and guiding the team members on various mainframe and non mainframe legacy systems and online screens

Project

Membership,reports and letters

Customer

Anthem

Period

January 2018 – Till date

Description &

Releases worked

Letters track :

1. OPT-OUT suppression changes: Letter suppression for specific groups based on opt out indicator in group level

2. Mewa group warning letter: 9 states letter process is suppressed specific to Mewa groups and new letter file creation.

Responsibilities

Involved in the various stages of development of application

Preparing Impact Analysis document

Designing and Coding programs

Unit and System testing in test Environments

Preparing Test plans, conducting testing, delivering test results

Update/create new JCL, PROC, Control cards,Copy books and PSBs

Helping and guiding the new team members

Project

Camp hill PST Production support

Customer

Blue cross/Blue shield of Arizona, Blue cross/Blue shield of Massachusetts(Claims RTMS), Blue cross/Blue shield of California, Massachusetts Corporate Systems, Blue cross/Blue shield of Wellmark Claims, NASCO MetaVance

Period

July 2016 – Jan 12 2018

Description

Camp hill PST L1 Production support : PST team provides the production support for batch as well as online systems for five different clients.

Responsibilities

Supporting production environment independently

Monitoring the batch as well as online systems and working on SLAs

Handling and fixing batch failures immediately

Working on Incidents or service requests raised for various production defects /adhoc activities from clients

Pro-active approach and initiative to resolve problems and working with less supervision and direction

Tracking the checklists,process documents, alerts

Performing root cause analysis for critical events and proactively monitor applications systems to identify issues

Working with immediate response to the emails/request/alerts to produce effective and quality

Performing CICS online monitoring including morning checkout(prod/test regions), checking alerts

Project

Provider Shutdown

Customer

ANTHEM

Period

April 2015 – July 2016

Description &

Releases worked

LO Track: Lights On support team provides support for the production issues that are reported from different Anthem provider area.

CFF Track: WGP Load Process / CFF Load process is a batch load process that aims to sync the source system specific Provider data from different source systems through consolidated and standardized feeds from intermediate system generated Outbound files.

Extracts Track: Database Extract track that deals with Extracting and sending the data from IMS DB to multiple systems. The track also handles Database updates for few subsystems.

Responsibilities

Involved in the various stages of development of application

Preparing Impact Analysis document

Designing and Coding programs

Unit and System testing in test Environments

Preparing Test plans, conducting testing, delivering test results

System and Business knowledge build

Debugging COBOL and DB2 applications

Conducting post implementation reviews and support during implementations

Independent support in SIT and UAT batch cycles

create new JCL, PROC, Control cards and Copy books

Helping and guiding the new team members

Fixing PROD CQs

Project

WGS - Capitation

Customer

ANTHEM

Period

Nov 2012- June 2014

Description &

Releases worked

Anthem is a Blue Cross or Blue Cross Blue Shield licensee in 14 states in USA which offer a broad range of medical and specialty products for the American citizens

Membership deals with enrollment of members or subscribers. Capitation is an amount paid to provider on Per Member Per Month basis based on negotiated base rate.

1.PC2-DAY2:This program augments traditional fee-for-service and provides primary care physicians with an enhanced fee schedule, care management fees. As part of this, worked in interim, outbound tracks.

2.HIX As part of the Affordable Care Act law starting in 2014, all Americans and other nationals legally residing in the USA, must have a minimum amount of health insurance or will have to pay a penalty. The law also mandated each state to have a health insurance exchange where people can buy health insurance coverage and the health insurance providers had to enhance their system to cater to this need.

Independent support in SIT and UAT batch cycle execution.

Project

WGS - RATE ACTION

Customer

ANTHEM

Period

Feb 2013-March 2013

Project

Description

SSCR: new rate that is used to calculate premium amount is loaded into the system, the corresponding changes in the adjustment, refund, and reversal processing was implemented.

I was involved in the UTP creation and testing of Impact list creation.

Achievements:

Won RnR in Anthem Provider, UST Global in 2020

Won RnR for Q3 in Anthem digital, UST Global in 2018

Won the RNR for 2014 Q1 in Anthem Capitation,UST Global

Got ‘Excellent rating’ (Grade E) for the performance in 2014.

Got client/onsite appreciation.

Personal Profile

Date of Birth : 12.6.1989

Age : 31

Sex : Female

Marital Status : Married

Languages Known : English, Malayalam.

Nationality : Indian

Religion & Caste : Christian,RC

Declaration

I hereby declare that the particulars furnished above are true, complete and correct to the best of my knowledge and belief and will be supported by original document when required for.

Place: Bangalore Anjali Thomas Anjali Tho

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