Developer Software

JOE QUIROZ

San Antonio, TX ***** – 210-***-**** – adjkkc@r.postjobfree.com – Joe-Quiroz

IT Mainframe Developer

Systems Development Life Cycle - IT Service Delivery – Project Planning & Execution

Business & IT Operations

HIPAA EDI Standard Transactions

COBOL Programming

Requirement Gathering/Analysis

Team Building & Leadership

Agile & Scrum Methodology

Change Management

Process/ System Improvement

CR & Technology Implementation

Technical Troubleshooting

Transition System Knowledge

Analytical professional with extensive experience in developing, testing, modifying, and executing COBOL, PL/1, Assembler, C, C++ and, SQL programs for mainframe systems and maintaining healthcare applications for multiple business clients.

Track record of designing, analyzing, and executing various production applications, software, and translating user requirements into technical specifications, design, documentation, and enhancement functions.

Strong experience in full SDLC (Systems Development Life Cycle) Methodology, programming and designing mainframe information systems using COBOL.

Adept at building strong relations with stakeholders to improve service standards and providing technology-based solutions to resolve complex technical issues.

Skilled in strategic planning, analyzing, and forecasting application project activities and ensuring project completion against tight deadlines and budgets. Possess excellent communication, problem solving, and technical skills.

PROFESSIONAL EXPERIENCE

Signify Technology Group Inc Austin, TX Aug 2020-Nov 2020

IT Mainframe Developer – Remote

Provided comprehensive assistance to the agency’s HEB Grocery Store client as a Mainframe COBOL Developer. Engaged with product teams and engineering managers for strategic planning and to establish project priorities according to schedule. Held accountability for documenting mainframe processes, code, and making changes based on business requirements.

Gained strong expertise in CI/CD GitLab, JIRA, Confluence, ChangeMan, and Agile/Scrum Environment.

Facilitated project to modernize and transform a 30-year-old mainframe system into languages such as Java, Python, and Haskell.

Overture Partners Newton, MA 2017-2019

LeapFrog Systems Boston, MA 2016

IT Mainframe Developer – Remote

Delivered full support to BCBSMA (Blue Cross and Blue Shield of Massachusetts) healthcare account while executing major BSA roles across several projects. Coordinated design sessions with the implementation team to define proactive solutions. Provided technical services in a CI/CD GitLab, JIRA, Confluence, ChangeMan, and Agile/Scrum Environment.

Assessed business processes and determined technical, financial, and operational feasibility of the project concept through business analysis and guidance.

Developed, evaluated, and validated detailed functional specifications by negotiating with key stakeholders.

Delivered elements of systems design, business rules, and other deliverables in a professional manner.

Hewlett Packard Enterprise (HPE) Plano, TX 1984-2016

IT Services Information Developer III – Remote

Enabled various healthcare and BCBS (Blue Cross and Blue Shield) membership and claims related business clients on legacy platforms. Utilized COBOL, PL/1, and assembler for ETL & mainframe software developer as well as claims batch legacy and transaction processing legacy systems (batch and online). Acted as a subject matter expert, leading KT (knowledge transfer) team to transition system knowledge. Oversaw the delivery of on-call support for Test, UAT/Stage, and Production regions. Designed and implemented large-scale data integration projects for Informatica, Data Warehouse, and NASCO systems. Rendered excellent IT services in a CI/CD Jenkins, ServiceNow, CA Endevor, SDLC waterfall environment while using the system development life cycle methodology.

Drove process or system improvement by assessing and resolving complex production issues.

Spearheaded various projects including legacy enterprise systems modernization and replacement as well as software maintenance, enhancement, and implementation.

Established effective claims EDI systems with HIPAA EDI X12 standard transactions.

Key Projects:

Client: Pennsylvania’s MMIS (Medicaid Management Information Systems) PROMISe (Provider Reimbursement & Operations Management Information System) Account • Time Period: 2014 - 2016

Facilitated a robust claims processing and management information system with COBOL and assembler.

Created, tested, and executed several ACA (affordable care act)-related changes by providing technical assistance to the application’s claims and provider sub-systems.

Client: BSC (Blue Shield of California) Account • Time Period: 2013 - 2014

Gathered Operations Requirements and Single Source of Truth (SSoT) Admin Mapping by implementing best practices.

Conducted changes related to the ACO Stanford Phase 2 – RTMS Service Area ADMIN Screen project.

Ensured the assessment and resolution of diverse RTMS application issues in the financial sub-system area with strong attention to details.

Client: BSC (Blue Shield of California), Cigna, & the Wellmark BCBS (Blue Cross and Blue Shield) Accounts • Time Period: 2010 - 2013

Reinforced in upgrading and following HIPAA EDI X12 transactions on BSC’s new and existing Edifecs processing platforms indulging 820 premium payment, 834 Enrollment, 270 eligibility request / 271 eligibility reply.

Accomplished project goals through system development, defect resolution, and CR implementation.

Successfully performed a short-term assignment to leverage the RTMS (Real Time Membership System) Re-architect Healthcare Membership Screens effort and application experience.

Directed the Intake service implementation project as a developer while providing full range of support in the EDI transactions component.

Contributed to the troubleshooting of many defects through close collaboration with the IB837 Defect Tower.

Coordinated the Cigna project which included Unix/Linux Operating System, Oracle PL/SQL, HIPAA EDI X12 transactions 834, inbound 837 Institutional/Professional/Dental, 276/277. CCSR (Claim Status Request) transaction, development using Edifecs SpecBuilder, and EAM (profiles and routes).

Client: BCBSMA (Blue Cross and Blue Shield of Massachusetts) Account• Time Period: 2007 - 2010

Led a high-performing MetaVance implementation integration team to attain organizational goals and contributed to the development of several MetaVance surround applications.

Designed, tested, and executed various MetaVance surround applications such as auto upload Manual Invoice adjustments, ICG, Mellon Bank Lockbox Interface, and Great Data Zip Code Load Interface.

Served as an SME, participated in all the Knowledge Transfer (KT) phases as the BCBSMA MetaVance system for new third-party vendor (IBM) support team.

Client: BCBSMA (Blue Cross and Blue Shield of Massachusetts) Account• Time Period: 2005 - 2007

Converted the BCBSMA (Blue Cross and Blue Shield of Massachusetts) RTMS (Real Time Membership System) healthcare data to the EDS (Electronic Data Systems) MetaVance application.

Supervised the design, assessment, and implementation of several healthcare membership conversion programs.

Generated service requirements and conversion mappings, designed, coded, and tested reverse mapping (MetaVance to RTMS) and Membership Synchronization (RTMS to MetaVance) processes.

Client: Wellmark BCBS (Blue Cross and Blue Shield) Account • Time Period: 2004 - 2005

Held fully responsible for creating, developed, testing, and implementing pieces of the Balance Phase 2 project.

Contributed to the PLOG (Problem Log) inventory reduction effort by researching and resolving RTMS (Real Time Membership System) application issues.

Client: BCBSMA (Blue Cross and Blue Shield of Massachusetts) Account • Time Period: 1992 - 2004

Supported BCBSMA account from a remote site while developing and implementing the successful RTMS (real time membership system) application and project.

Executed modifications and resolved several Problem Logs in subscriber, financial, group and HMO sub-systems.

Led and completed the Blue Care 65, MEDCO, ESI (Express Scripts) Pharmacy Group conversion, and HMO New England projects; implemented the FEP POS conversion and Corporate Form projects.

Recognized as a Key contributor to the RTMS PLOG inventory reduction effort during first and second quarters of 1998.

Earned title of subject matter expert in the RTMS systems’ enrollment and financial areas while delivering support in the HLE (High Level Estimate) project process.

Key Project & Employer: NASCO Healthcare Membership, Iowa BCBS (Blue Cross & Blue Shield), RTMS (Real Time Membership System) application development, Iowa Regular Business Systems (IRBS) • Time Period: 1984 - 2004

TECHNICAL PROFICIENCIES

Software:

COBOL (Batch & Online), PACBASE, PL/1, Assembler, Easytrieve, JCL/Procs, CA-7 & Control-M Batch Schedulers, TSO/ISPF, FTP/SFTP, Direct Connect (NDM), CICS, JAVA, C/C++, SQL, Mainframe Utilities, Oracle PL/SQL.

Tools:

VSAM, IDMS, IDCAMS, File-AID, Abend-AID, Xpeditor, InterTest, Syncsort, Tortoise SVN, CA Endevor, ChangeMan, SDLC Waterfall Environment, CI/CD Jenkins & GitLab Tools, ServiceNow, JIRA, Agile/Scrum Environment.

Database & Systems:

IBM IDMS, DB2, IMS DB/DC, Oracle, IBM S/360, OS/390, z/OS

EDI Tools:

EDIFECS SpecBuilder (SpecGenerator & MapBuilder),

EDIFECS Transaction Manager

MS-Office Suite:

MS Office, MS-Outlook, MS-Word, MS-Excel, MS-PowerPoint, MS-Visio

EDUCATION AND CREDENTIALS

TEXAS A&M UNIVERSITY, Kingsville, TX

BBA in Information Technology

Training: EDS (Electronic Data Systems) Systems Engineer Development Program

Memberships

Member of a HLE (High-Level Estimating) Team Member of a Technical Change Review Team

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