David Finkenbinder

**** ***** **

West Coxsackie, NY 12192

970-***-****

adlgtb@r.postjobfree.com

EDI Analyst / Programmer

Professional experience

Apex Systems – contract with Spectrum Health 12-2020 to Current

EDI Business Analyst

Responsible for managing a range of EDI transactions including enrollment, claims, financial, and eligibility transactions using ANSI X12 HIPAA compliant formats.

Provides technical support for the implementation of EDI connections with external parties

Responds to inquiries related to EDI transactions; conducts analysis of EDI transactions; and provides issue resolution when necessary

Handles multiple enhancement requests and projects

TEKsystems – contract with Change Healthcare 10-2020 to 12-2020

EDI Analyst

Help with migrating X12 270 & 271 from a legacy system to a new system.

Verify the XML data for the X12 271 is accurate based on the X12 270

Report discrepancies in the XML data. Do analysis using the X12 270 and JSON files to determine what information is being requested

TEKsystems – contract with Optum 09-2019 to 08-2020

EDI Business Analyst

Work with 837–(D,I,P,R), 834, NCPDP

PHP coding for custom edits

Work closely with internal and external customers to gather business requirements and translate requirements clearly into accurate specifications

Analyze and design specifications used for enhancements and extensions in EDI applications, interfaces, and mappings

Establish, document, and maintain EDI procedures/processes

Diagnose problems with EDI processes, working with other technical and/or business resources as necessary

Develop EDI and batch process monitoring to track levels of activity, compiling and tracking metrics

Support the development of technical EDI implementation documentation, technical reports and payer companion guides

Prepare and/or review deliverables and enforce the approval process of deliverables to ensure adherence to EDI standards

Possess excellent communication and presentation skills with the ability to communicate complex technical concepts to business users in a clear and concise manner.

Facilitate technical meetings, as needed

Collaborate with ETL developers, other Business Analysts and Project Manager (PM) to ensure project requirements/requests for changes are understood and within standards

Provide guidance/assistance to team members where needed to help ensure issues are resolved by assigned due date. Escalate concerns with ability to meet due dates to PM

Research issues and cases to determine root cause and provide impact analysis for ongoing issues, changes, and requests for new functionality

Versant Health / HVHC, Inc / DavisVision 03-2013 to 09-2019

EDI Analyst / Programmer

Responsible for design, coding, documentation of processes for DavisVision’s EDI system.

Includes partner setup, communications setup, creating and modifying EDI maps utilizing the Gentran Application Integration software, testing and moving into production environment.

ANSI X12 maps (Inbound/Outbound): 277, 834, 835, 837

Transferring data between the Claims Systems - Mainframe and Server Based - and EDI Server - Gentran.

Gentran Server for Window (Oracle and SQL Server databases)

SQL – create / run queries to validate Encounters – 837 EDI data

Run 837 data through Optum and/or EDIFECTS for HIPAA compliancy. If 837 is not compliant notify business of errors and to make appropriate corrections

Mainframe – create/maintain run programs to create or process EDI data and test new partners

MS Office

SFTP to send/receive data B2B

Periodic review of client Compliance Guides

Create EDI specs (X12 5010)

Review Inbound 277’s. If encounters were rejected determine cause and let business know what corrections are needed to resubmit the corrected encounters – 837.

Spyder Active Sports 10-2007 to 02-2013

EDI Programmer / Analyst

Manage EDI team and operations. Responsible for design, coding, documentation of processes for Spyder’s EDI system.

Includes partner setup, communications setup, creating and modifying EDI maps utilizing the Gentran Application Integration software, testing and moving into production environment.

Transferring data between the J.D. Edwards system and Gentran system.

Gentran Server for Window (Oracle and SQL Server databases)

SQL – create / run queries to validate EDI data

J.D. Edwards – run programs to import/export EDI data and test new partners

MS Office

BarTender – create UCC label templates

RF Smart (bar code system)

MAC systems and software

FTP to send/receive data B2B

Periodic review of Vendor Compliance manuals

ANSI X12, EDIFACT maps (810, 850, 855, 856)

Create EDI specs ( X12 4010 & 4010VICS)

FedEx Freight contract through Cook Systems International 05-2005 to 10-2007

SR. EDI Programmer / Analyst

Responsible for design, coding and maintaining COBOL programs and for documentation of processes for FedEx Freight (FXF) EDI Technical services. This initiative pilots the Managed Capacity model internal to FXF which allows the organization to define the templates, guidelines, SOW, SLA and best practices for governing these types of solutions under SOX (Sarbanes-Oxley). Using COBOL, MVS

Lextron, INC. Greeley, CO 06-1993 to 09-2004

EDI Manager – Programmer/Analyst

Create & Design, EDI system. Helping to maintain the company’s distributorship with major manufacturers of animal health products

Manage EDI system and EDI personnel

Evaluate and recommend software and hardware

Create partner profiles and extensive maps in Gentran

Write COBOL & 4GL code to extract data needed for the EDI system

Write 4GL & COBOL code for order-entry and warehousing systems

Write SQL code to create reports and/or update tables

Create ACCESS database to help reconcile daily/monthly EDI transactions

Create bridge program/process to transfer data from mainframe to EDI system

Verify EDI data to ensure all rebates will be paid to Lextron

Write DCL code to run programs in batch mode overnight

Main Q/A tester of programs to ensure quality and reliability

Document system processes

Train users as needed

Aims Community College, Greeley, CO 09-1984 to 06-1993

Systems Programmer – Programmer Analyst

Install and maintain software systems (patches from IBM)

Install and maintain hardware, CPU’s, tape drives

System security

System backup and recovery

Programmer training

Operational support

System documentation

Application programming, UFO, COBOL, JCL, batch and online. Write the student registration and add/drop system

Design and test program code

Operational support as needed

Supervise 15 employees in computer lab

Evaluate and recommend software

Part-time instructor for micro computer applications

Technical skills and experience

Hardware

MAC PC’s

Windows based PC’s

Unix servers

DEC/Alpha

DEC/Vax

IBM Mainframe

Software

OTVM – OPTUM Transaction Validation Manager

PHP

EDI – Gentran, Application Integration

oANSI X12:

o 277, 834, 835, 837–(D,I,P,R)

o 816, 832, 867

o 210, 214

o 810, 850, 855, 856

o 997, 999

oNCPDP files

oEDIFACT:

o INVOIC, ORDERS, DESADV

EDIFECTS – SpecBuilder – HIPAA compliance

OTVM – OPTUM Transaction Validation Manager

OTTS – OPTUM Transaction Testing Service

PHP

XML, FTP, sFTP, AS2, GEIS EDI translator with Application Integration (AI)

SQL, SSIS, Unix, Informix-4gl, MySQL-Putty, RDC

EasyTrieve Plus, COBOL-II, COBOL/XE, COBOL, CICS, DCL, JCL, DECforms, ICCF, UFO-(User Files Online), BIM-Edit

DB2, VMS, VSE/ESA, VM/CMS, VSAM, RMS, DL/I, MVS, TSO, OS-390,

BarTender Label design aid, Citrix

JDE Oneworld - Peoplesoft

Mocha terminal emulator

Windows (10, 8, 7, 98, NT, XP, 2000), MAC-OS

Anti-Virus software (Norton’s, McAfee, Trend Micro)

MS-Office (Word, Excel, Outlook, PowerPoint, Access)

Monarch V6

CA/DYNAMT, DITTO, DSF, SORT/MERGE, POWER/RJE

RAPS, EPIC, RAMIS-II, PSF, 3270-emulation, VTAM,

Extra! Personal Client, SWITCH, REFLECTION4

DOCULINK

Education - training

Aims Community College, Greeley, CO 1982-1984

A.A.S. Business Information Systems

President’s list 1982-1984 3.9 GPA

Dallas, TX 2003

Gentran EDI translator training

UCI Corporation, Lakewood, CO 1999

SQL & Relational Database Design Denver, CO

Fundamentals of Unix HP-UX

Administering Windows-NT

Introduction to SQL using MS-SQL Server 6.5

Aims College, Greeley, CO 1987

OPL/4 training

Martin Marietta, Denver, CO 1986

RAMIS-II training

Certificates

Greeley, CO 2013

Career Ready Colorado (WorkKeys) – GOLD

Applied Mathematics – Platinum

Reading for Information – Platinum

Locating Information - Gold

References upon request

Contact this candidate