Ramesh Varma Cherevuru

Philadelphia, PA ***** 215-***-**** adjknr@r.postjobfree.com

Professional Summary

Over 16 years of diversified experience as an EDI (Electronic data interchange) analyst for Healthcare, Logistics and Manufacturing domains

Responsible for providing architecture leadership and strategy for the integration, middleware, monitoring, and application domains. Created project implementation designs against corporate standards and verified implementation meets the corporate architecture standards.

Good understanding in EDI standards and HIPAA X12 and EDIFACT transactions like 834,837,835,820, 270/271 276/277,850,856, 810,210,214, 204, DESADV, ORDERS.ORDRSP and INVOIC transactions.

Worked with business and functional teams to assist in the development, documentation, and analysis of functional and technical requirements with prime focus on Enrollment, Claims Adjudication for Medicaid and Medicare Programs, Logistics, Manufacturing and Pharmaceutical industries.

Extensive knowledge of Software Development Life Cycle SDLC including Enterprise Analysis, Requirements Planning, Elicitation, Analysis, Communication, Solution Assessment and Validation of Projects.

Certified AWS Certified Solutions Architect, SAFe 5 Agilist and Business Analyst

Create, Review and Analysis of Business Requirement Documents BRDs, Functional Specification Documents FSDs, Use Case Documents, Business Rules Spreadsheets BRS and Standard Operating Procedures SOPs

Excellent knowledge of Health Insurance Portability Accountability Act HIPAA standards, Electronic Data Interchange EDI, Implementation of HIPAA code sets, ICD-9, ICD-10 coding and HL7.

Architecture and design work for specific EDI Mapping Projects, Mapping and implementing message translations for connecting trading partners to each other and to the applications

Worked on design and analysis of Medicaid and Medicare projects with the stakeholders, for the state of Delaware, New Hampshire, Pennsylvania, Florida and IOWA on the Eligibility request and response generations based on the extracted details from the back end Facets adjudication systems.

Strong knowledge on mapping applications like Websphere Transformation Extender (WTX/ITX), Websphere Message broker, Web methods Gentran, WDI, Mercator and Item field.

Performed development of Translation maps, Trading Partner's setup, SAP Configuration, and testing of X12 EDI maps.

Strong experience in working on SAP IDOC Structures and executing SAP Transactions.

Notable clients include AmeriHealth, Panasonic, DHL, BCBSM, Kohler, AstraZeneca & Sara lee etc.

Extensive management experience and abilities, including forecasting, budgeting, estimation, auditing, staffing, project management, and risk control.

Experienced in testing & integrating transactions from EDI to SAP/Main Frames/Oracle in Supply Chain Management and Warehouse Management Process.

Certifications

AWS Certified Solutions Architect - Associate

SAFe 5 Agilist

Business Analyst IQBBA Certification

Operations and Supply chain Management

WTX 8.4

SIX sigma green belt

Macro Economics.

Technical Skills

EDI Mapping and other Tools: ITX, WDI, Sterling Integrator 5.0, Gentran Integration suite (GIS) 4.0, Cyclone, Item Field, IBM WebSphere Messaging Queues (MQ), Message Broker (MB), VSS,SVN,, Web methods, Message Broker, MQ, SFG,Tidal,Mercator and Cyclone

Languages: Core Java, J2EE, C++, C, HTML, SQL, PL/SQL

Database: MS Access, Oracle 10g, SQL Server

Industry Standards: HIPAA, EDIFACT, X12, HL7& SWIFT

Other Applications: XML, CSV ULTRA EDIT, EDIT Plus, SQL Tools, Toad, Beyond Compare

Reporting Tools: Remedy 8.1, HP Quality Center.

TRAINING’s:

Cloud computing with Amazon web services (AWS)

Microsoft Azure

Blueprint

Work History

EDI and Facets Business Analyst, 08/2015 to Current

Client Name: Amerihealth Caritas – Philadelphia, PA

Working as EDI and Facets Business System analyst for 834,837,835, 820,270/271 and 276/277 EDI Transactions.

Worked on EDI 834 enrollment and reconciliation implementations based on Medicaid, Medicare and CMS compatible companion guides.

Prepared Business requirement Document BRD and functional requirement document FRD for enhancement of existing services.

Worked with business/functional unit to assist in development, documentation, and analysis of functional and technical requirements within FACETS

Involved in managing New Medicaid Business Implementation in planning, Design and Implementation phases.

Interfaced with technical staff, trading partners, Clearinghouses and internal staff including programmers on all HIPAA related information and changes.

Did gap analysis for HIPAA5010 834, 837P, 837I, 835 and 820 transactions.

Extensively involved in membership and provider module applications.

Extensively involved in SIT and UAT phase of application.

Tested and verified functionality of EDI data maps using ITX.

Reviewed files, records, and other documents to obtain business information and key data informing responses to development requests.

Mapped process activities to identify shortfalls and propose options to rectify operational inefficiencies.

Worked closely with software development and testing team members to design and develop robust solutions to meet client requirements for functionality, scalability, and performance.

Electronic Data Interchange Analyst, 05/2012 to 07/2015

Client Name: AstraZeneca

End to end management of project Incident, problem, and change management for AZIA, USIG, Cyclone service and Data power Teams.

Implemented and enabled secure file transfer connection with combination of IBM Websphere Message Queue and Transformation Extender as EDI B2B solution to receive and deliver files between client's internal departments and customers.

Worked as EDI business analyst for EDI procurement transactions (850, 855 and 855) and payment transactions (820 and 810).

Closed worked with SAP ERP Modules like FICO and SD to keep track of IDOCs which keeps transformed between various departments after translation.

Performed EDI technical and operational customer support to trading partners and customers related to their operational and business needs, requirements, and issues

On boarded several trading partners to do secure FTP with its customers

Ensuring High Availability of MQ and WTX based applications 24*7 through standard System Health Checks and Automated Monitoring tools such as BAM (Business Automated Monitoring)

Instrumental if moving AZ Landscape architecture from Version 2.0 to Version 3.0 and Emerald Migrations of moving entire landscape from one Data Centre to another Data Centre. This also ensured modifications to existing design and architecture in landscape and was carried out efficiently

Analyzing Mapping Specification Document and base lining customer requirement with analyst.

Raised WTX PMRs with IBM team.

Focusing client on SOX Process and value add provided by team.

EDI Developer, 04/2009 to 04/2012

Client Name: Kohler Co

Trade links and EDI Setups in Partner manager and SAP

Created electronic data interchange maps including 850, 855, 856, 810,DESADV, ORDERS.ORDRSP and INVOIC.

Developed and implemented testing scenarios in conjunction with business requirements.

Involved in project billing and resource management.

EDI Developer, 04/2008 to 03/2009

Client Name : DHL

Involved in Type Tree design & Map development.

Involved in Hub Integration Testing and user acceptance testing.

Prepared production deployment scripts for APAC assignments

Review maps as per development standards & guidelines

Prepared templates to improve process.

Handled multiple instances of WTX Launchers in UNIX.

Derived conceptual designs from business objectives to deliver software and applications according to specifications for usability, performance, and functionality.

EDI Developer, 06/2005 to 11/2007

Client Name: Panasonic

Ensured successful integration of EDI data with SAP system.

Developed Mercator maps for translating X12 formats to SAP IDOC and vice versa for 850, 856 and 810 transactions

Conducting different POC as per project requirement for understanding of Mercator framework.

Worked on Mercator FTP/EMAIL/MQ/SINK adapters

Interfacing with CRM team for designing of Sales and Cancellation related CRM activities.

EDI Developer, 07/2004 to 06/2005

Client Name: Laboratory Corporation of America

Development of Mercator type trees for COBOL Copy book and Maps.

EDI analysis, Develop and deploy new EDI transactions related healthcare – 837P, 835, 270/271 and 276/277 etc., confirming to HIPAA, X12 standards. Also handled TA1 and 997 Acknowledge documents from clearing house

Creation and execution of test data and test plans.

Testing EDI files for all EDI syntax errors and HIPAA regulations.

Resolved issues pertaining to COBOL copybook in order to make data format target system compliant.

Adapting new technologies with regard to developer tools and productivity aids.

Education

Master of Computer Science - Andhra University, India

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