consultant
Resume:
IBM Mainframe JCL IBM Utilities TSO EDI X12
File-AID TriZetto Facets Networx Pricer/Modeler Oracle
Teradata SQL Assistant/Web Edition ETL ERWIN Teradata Warehouse
Xpress Claim Test Pro Business Objects 6.5 SQL Server Citrix HP QC Cisco Tidal QNXT
Technical Skill
Years of Experience
Mainframe
15
Micro Focus COBOL
2.5
MVS COBOL
15
JCL
15
CICS
10
DB2
10
IMS/DL1
10
VSAM
10
Univac/Unisys Mainframe
1.5
IBM ASSEMBLER
5.0
Professional Summary:
Over 20 years of extensive hands on experience as mainframe developer and Quality Assurance with Project Life Cycle management, Documentation, Interface analyst
Methodologies, User acceptance testing, system testing, functional testing implementation of RUP software quality. Mainframe Programmer Analyst and Mainframe technical analyst
Proven experience in QA Audits, Impact Analysis, Risk Analysis, Root Cause Analysis, Defect Management, Technical Architecture, Design, Development, and Delivery experience.
Extensive Experience as a Mainframe Tester Mainframe Programmer Analyst and Mainframe technical analyst
using mainframe technologies IBM Mainframe, JCL, IBM Utilities, TSO, COBOL, ASSEMBLER. CICS, DB2 TRON, IBM, DB2, Oracle Teradata Warehouse, Basic Teradata Query (BTEQ), Teradata SQL Assistant/Web Edition, ETL, IRWIN, Web, Business Objects.
Proven experience in the creation of HL7 Interfaces and Design Document for multiple hospital systems.
Recognized for creativity and innovation in the resolution of difficult and complex situations. Exceptional interpersonal and communication skills, a creative problem solver and enjoy complex difficult challenges. A highly experienced QA Architect, SQA Analyst, Interface Analyst, Business Analysts and Senior Programmer Analyst Professional with more than fifteen years of IT experience.
Diversified skills including design, coding, debugging, analysis and testing of the mainframe, client/server and web based applications in the financial, government, insurance, communications, and healthcare industries.
Extensive business domain knowledge and experience in Healthcare, Banking, Pharmaceutical, Insurance, and Engineering industries, Web/Internet based businesses, EDI/back-end integration, Client/Server Internet, application development, testing and delivery experience.
Expert knowledge in mainframe programming unit testing s creating of plans, test cases, test scripts, regression, interface, integration, performance and load testing.
Expert knowledge in design coding of mainframe application testing including debugging, technical design and system design. Led a team of more than 15 testers both nationwide and offshore.
Great knowledge of Data Warehouse/data mart and the loading of it data from multiple source systems.
Expert knowledge in development methodologies (Waterfall, RUP, SDLC and TAF (Test Architecture Framework) and hybrid).
Proven experience as system analysts in the creation of user requirements, procedures, and problems to automate or improve existing systems and review computer system capabilities, Workflow, and scheduling limitations.
Hands on experience in all types of testing such as Black Box, White Box, Sand Box, Regression, Integration, Load, Stress, Performance and User Acceptance testing, Model creation, Use case development and Business Case Validation. Developed Test plans, Test Templates, and Test cases.
Excelled in solving technical issues and communicate the results to the appropriate member. Recognized for creativity and innovation in the resolution of difficult and complex situations.
Training:
·Temple Computer Institute (CICS command) Philadelphia, PA
·Certificate from IBM global Services Philadelphia, PA
·Certificate in ADVANCED DB2 SQL Command
·Certificate in ADS Language Programming, Philadelphia, PA
·Certificate in Processing of VSAM files, Philadelphia, PA
·Certificate in ASSEMBLER Language Programming
·Certificate in IMS DL/I Data base
·Certificate in DP testing fundamentals Philadelphia, PA
·Certificate in HL7 Messaging Chicago, IL
·Epic Bridges in house training
·Certificate in ADS Language Programming, Philadelphia, PA
·NASCO in House Training
·SAS in House Training
·Federal Employee Health Benefit Program
·IBM in-house training on NASCO Model Office transactions (i.e. HIQK, HROK, HEHK)
Technical Skills:
Quality Assurance Software Tools: File-AID, File-AID/DataAger, File-AID/DB2, File-AID/RDX,
XPEDITER/EXCHANGE,SQA,Suite,Comparex,ClearQuest, Test
Director/Quality Center, PVCS, SQA/IBM/Rational Suite Clearquest,
Hyperstation, Compuware QA Tools and Peregrine center.
Operating Systems: MS DOS, MVS/OS 390, UNIX, Windows 2000 Pro, and XP Pro.
Network: Windows NT, UNIX, Lotus Notes, Novel, Rumba, SQL*Net
Software Languages: Micro Focus COBOL, System/370 ASSEMBLER (ALC), COBOLII,
EASYTRIEVE, SAS, Visual basic 6.0, C++, Java Scripts and ADS+ 7.0.
Window application: MS Excel, MS Access, MS Word, Visio and PowerPoint.
Databases: Oracle 10.0, VSAM, IDMS/ADSO, SYBASE, IMS DB/DC, DB2,
IAM, SQL Server 2000 and DAF.
Middleware: IBM MQSERIES
Interface Engine: E-Gate, Neon, Cloverleaf and Vitria.
Utilities: OS/JCL, CICS MANTIS, ENDEAVOR, CHANGEMAN, ISPF/TSO,
LIBRARIAN, SYNCSORT, SAR, ABEND-AID, LU 6.2, SPUFI,
DB2/QMF, HUMMINBIRD, ATTACHMATE, SQL ADVANTAGE
IDCAMS, IEBGENER, IEBCOPY and Toad.
Vendor products: Medipac, Healthquest, COMLINK, Flexilab, Flexirad Sunquest,
Vantage QA IBM, Powerscribe, CERNER clinical system, Facets
Trizetto 5.xx, Trizetto CareAdvance Enterprise, ITS and ECLIPSYS
Clinical system.
Other: Mercator 6.7, GENTRAN, ECMAP, Claredi, Trizetto HIPAA
GATEWAY, XML, HL7 2.5, EDI, WSF2 and Business object.
Methodologies: RUP, Hybrid, Waterfall and Agile
MAJOR CLIENTS: IBM, Kaiser Permanente, Ameravoice Agilent Technologies, US Government,
CareFirst, Excellus, Vanguard, US government, Wyeth Ayerst, BCBSM, BCBSNC,BCBSLA Trizetto and VPHP.
MAJOR CLIENTS: IBM, Kaiser Permanente, Caresource,Ameravoice,Ameracash,Agilent Technologies,CareFirst, Excellus, Vanguard, US government, BCBSM, BCBSNC, BCBSLA,Trizetto and VPHP.
Professional Experience:
Emids Philadelphia, PA March 2022 -Present
Sr. Senior Configuration QA
Served as a Sr. QA and participated in testing for Regression and SIT testing.
Environment: QNXT 5.9, CCA 5:9, CAE. ALM, SharePoint, and office 2019.
Ascension Sterling Heights, MI November 2020 - November 2021
Sr. Senior QA
Served as a Sr. QA and participated in the writing of test Scripts for UAT and SIT testing.
Environment: Facets 5.7, Microsoft sql,Mainframe Luminex, Jira, SharePoint, BizTalk, HIPAA Gateway and office 2019.
Capital Blue Cross BlueShield of Harrisburg, PA December 2019 - March 2020
Facets IT support lead
•Verifying that the offshore developers and lead is coding and deploying their code for the Bundled for claims, and eligibility in a timely fashion using SharePoint
Environment: Facets 5.7, Oracle, Informatica Power Center, Service Now, Linux ALM and SharePoint
South Carolina Department of Health Human Resources April 2019 - August 2019
Senior SQA/BA
Wrote test scripts for Medicare and Medicaid members (Medicare Modernization Act)
Wrote and execute test scripts for Medicaid Buy-in
Wrote and execute test scripts for member enrollment interfaces testing
Wrote test scripts for member enrollment interfaces testing (SDX
Wrote test scripts for PCAT 80
Validated JCL for error messages before execution using Xsub
Wrote test scripts for Medicaid Eligibility Determination
Environment: Curam, Mainframe, IDMS, JCL, COBOL, FILE-AID, l Jira, Tiger tracking and SharePoint
Alabama A&M University April 2019 - August 2019
Senior Prog/Analyst
As a senior Technical/Analyst pull 38 years for data from a (IMS/DLI databases in a VSE environment) also data from VSAM files.
Pull Data from IMS/DLI and load them to into a text file
Pull Data from VSAM files and load them to into a text file.
Copy data to an FTP SERVER
Wrote utility jobs to the pull the data
Environment: Mainframe, IMS/DLI DOS COBOLVSAM, and ASSEMBLER.
Blue cross BlueShield of Louisiana, Baton Rouge August 2018 – February 2019
Senior Configuration Analyst
Environment: Web, Facets 5.XX, Microsoft office, Mainframe, client server, Optum Pricer, Ingenix
Blue cross BlueShield of Louisiana, Baton Rouge August 2018- October 2018
Senior configuration Analyst
Created Business flow document for NetworX Pricer ITS Host claims for MA
Environment: Web, Facets 5.XX, Microsoft office, Mainframe, client server, Optum Pricer, Ingenix.
AMERAVOICE, Delaware September 2017 - July 18
implementation analyst and BA
TIPS Is the only payment processing solution that offers a method of property verification when online transactions are carried out. When a buyer is making a purchase online and is ready to pay,
Environment: Web, PHP, Microsoft office.
Virginia Premier Health Plan, Richmond VA February 2017- Aug2017
Senior QA
·Served as a Sr.QA in the writing test strategy for regression testing.
Environment: QNXT, (IDX Mainframe Mumps),Payspan, Macess, Vital, Pivotal, ETL, DW, Trapeze, UFT, Data-warehouse and Microsoft office.
DST Systems, Philadelphia, PA July 2016 - December 2016
Senior QA
Served as a Sr. QA participated in the writing of test Scripts for SIT testing.
Environment: XP, ALM, QC, AMISYS MARKET PROMINENCE, AXIOM TransSend, EXETER, DOVETAIL Oracle and Microsoft office.
Ramtech, inc Fort Washington, PA August 2014 - July 2016
Sr. program analyst
·Wrote SQL statement for to extract providers, claims and member information for user validation
·Wrote Cobol programs for r ICD10 claims, enrollment and providers
·Debug COBOL DB2 programs and report my finding to the.
Environment: XP, Parature, Pervasive, HealthSuite, Microfocus COBOL, CICS Mainframe, Java, ETL, Unix, IBM Websphere, DB2 and Microsoft office. developer manager
Blue cross BlueShield of North Carolina Raleigh, NC October 2013- August 2014
Senior configuration Analyst
As a Sr configuration QA in the writing of test Script and give recommendation to client to improve process and the creation of test cases and scenarios and the execution of these scripts for the Facets or 5.01 Implementation. Wrote test scripts for group Life insurance via Connecture, for large and small sgroup
Environment: XP, TriZetto Facets 5.01 Networx, Pricer/Modeler, Mysql, X12, Web, Mainframe, Cobol, CICS, DB2,jcl, IBM utilities. HIPAA Gateway,Citrix. Salesforce, Connecture, ITS, Quality Center and HP ALM.
WPS, Madison, WI June 2012 - August 2013
Sr. Senior QA
As a Sr. QA participated in the writing of test Script and give recommendation to client to improve process and the creation of test cases and scenarios and the execution of theses scripts for the Facets or 4.81 implementation
Environment: XP, TriZetto Facets 4.81 Networx Pricer/Modeler, Mysql, X12, Web, McKesson ClaimsXten, McKesson ClaimCheck Data Warehouse, HIPAA Gateway, Citrix, Xpress Claim Test Pro, (Trizetto CareAdvance Enterprise on Microsoft online transaction processing (OLTP)) and HP Quality Center.
CareSource, Dayton, OH ` May 2011 - March 2012
Sr. Senior QA
As Senior QA in the writing of test Scripts for Facets upgrade from 4.61 to 4.71. This was for the state of OH Medicaid system.
Wrote test script for more than one hundred TriZetto Facets patches and enhancements. Those patches included all of the major TriZetto Facets modules (claims processing, UM, Membership, provider, billing, NetworX, Pricer/Modeler, EDI, application support and accounting)
Environment: XP, TriZetto Facets 4.71 Networx, Pricer/Modeler, Oracle, X12,Web, Business Objects 6.5, SQL Server, Citrix and HP Quality Center, Cisco Tidal and Xpress Claim Test Pro
PerformRx, Philadelphia, PA November 2010 - April 2011
Senior QA
As a Senior QA and system analyst in the creation of test plan and scripts for PerformRX reports and data warehouse testing.
Advised client of the best method for integration testing in a Data Warehouse environment.
Environment: IKAsystems, Data Warehouse, ArgusHealth, X12,Facets 4.7.1 HP quality center, Oracle, RxFocus,SAS, COGNOS, MS SQL server 8.0.
Medicare y Mucho Más San Juan, Puerto Rico March 2010 - October 2010
Senior QA
As a Senior QA and system analyst in the creation of the test plan for ACT V finance and membership module of the project.
Environment: XP, Trizetto QNXT 4.64, PORTICO,EZCAP,Great X12, plain Accounting,DHI (data warehouse),COGNOS, MS SQL server 8.0.
California Southern Edison, Los Angeles, CA June 2009 – February 2010
Lead QA ARCHITECT
As a Lead QA ARCHITECT Senior Design, plan, execute, monitor, and improve the testing process for a testing engagement.
Advised client of the best method of integration testing in a data warehouse environment.
Environment: Windows XP, IBM Mainframe,JCL,IBM Utilities,TSO, COBOL, CICS,DB2 TRON, IBM, DB2, Oracle, Teradata Warehouse, Basic Teradata Query (BTEQ), Teradata SQL Assistant/Web Edition, ETL, IRWIN, Web, Business Objects.
Trizetto, Schenectady, NY June 2008 - May 2009
Sr. QA
As a Sr. QA participated in the writing of test Script and testing the upgrade from 4.41 to 4.51
, Environment: XP, Trizetto Facets 4.51 Networx Pricer/Modeler, Sybase, Oracle, Web, Business objects 6.5, Macess, MAXMC, Ruby reports, SQL server, Citrix and hp quality center.
Blue Cross Blue Shield of Michigan, Detroit, MI July 2006 - May 2008
Interface analyst/programmer Analyst
As a Interface analyst/programmer Analyst wrote programs to extract data from an IMS/DLI, DB2, VSAM and flat files UAT testing AID
Wrote online interface programs to extract and update data from Start and Nasco tables for Medicare and Medicaid testing.t using COBOL, CICS, DB2, and DLI database.
Wrote interface programs to send EDI message to insurance provider.
·Worked with user to define user acceptance test cases.
·Wrote script to test UB92 version H Medicare Part A national standard format from version 6.0 records
·Modify RTM and create data map for Medicare & Medicaid Services HCFA 1500 Medicare claims
·Coordinated the requirements, specifications, and testing for Conversion, Interfaces and reports
·Map blue care network propriety legacy fields to facets for claims and membership using Microsoft Excel and EC MAP
·Wrote SQL Query for Oracle Database to test interface error handling.
·Submitted and wrote Shell scripts for batch job in a UNIX environment.
·Wrote ASSEMBLER programs to extract data from Nasco Geno tables for user validation
·Create macro using Compuware tools to extract data from IMS, DB2 tables, flat files and VSAM files for user testing
Environment: Windows XP, UNIX, IBM Mainframe, (IMS/DLI databases in a IMS DB/DC environment), JCL, IBM Utilities, TSO, DB2, COBOL, ASSEMBLER, Panvelet, CICS, FILE-AID, Microsoft suite, IBM Utilities GENTRAN, and Endevor,
CareFirst Blue Shield of Maryland Owings Mills, MD June 2005 - December 2005
Business analyst
As business analyst wrote System Development / Enhancement Work Paper to test HIPAA 835
·Wrote file extract processing tool using FILE-AID to extract FEP, MAJOR MEDICAL and Medicare claims from FLEXX claims file.
·Create HIPAA cross-reference excel spreadsheet for HIPAA rejection code mapping.
·Wrote BRD EDI processing
Environment: windows XP, IBM Mainframe, JCL, IBM Utilities, TSO, NASCO, COBOL CICS, JCL, DB2, VSAM, IMS/DLI, ORACLE and, ITS
Blue Cross Blue Shield of Michigan, Southfield, MI June 2000- June 2005
Interface analyst/programmer Analyst
As a Interface analyst/programmer Analyst wrote programs to extract data from an IMS/DLI, DB2, VSAM and flat files UAT testing AID
Wrote online interface programs to extract and update data from Start and Nasco tables for Medicare and Medicaid testing.t using COBOL, CICS, DB2, and DLI database.
Wrote interface programs to send EDI message to insurance provider.
·Worked with user to define user acceptance test cases.
·Wrote script to test UB92 version H Medicare Part A national standard format from version 6.0 records
·Modify RTM and create data map for Medicare & Medicaid Services HCFA 1500 Medicare claims
·Coordinated the requirements, specifications, and testing for Conversion, Interfaces and reports
·Map blue care network propriety legacy fields to facets for claims and membership using Microsoft Excel and EC MAP
·Wrote SQL Query for Oracle Database to test interface error handling.
·Submitted and wrote Shell scripts for batch job in a UNIX environment.
·Wrote ASSEMBLER programs to extract data from Nasco Geno table for user validation
·Create macro using Compuware tools to extract data from IMS, DB2 tables, flat files and VSAM files for user testing
Environment: Windows XP, UNIX, IBM Mainframe, (IMS/DLI databases in a IMS DB/DC environment), JCL, IBM Utilities, TSO, DB2, COBOL, ASSEMBLER, Panvelet, CICS, FILE-AID, Microsoft suite, IBM Utilities GENTRAN, and Endevor,
San Antonio Medical Center, San Antonio, TX November 1999 – May 2000
Senior Programmer analyst
Served as a senior programmer analyst Wrote extract programs to update DAF/VSAM FILES to modified
HealthQuest Medical Record Abstracting system, Modified interface programs to send EDI message to health care provider and Modified DCLS and CICS, COBOL online programs that were running in CICS 2.1 and converted them to CICS 4.1.
·Tested HBOC Products Patient management PM, Patient appointment.
·Modified HBOC Medipac Financial system using ASC X12N format for Medicare-A & B, Medicaid, Champus Military Personnel and commercial insurance.
·Modify ASSEMBLER programs that access ADS/PLUS EDIT programs.
·Convert ASSEMBLER programs to Cobol to access IMS/DLI database
·Modify HealthQuest programs to send ADT interface to CLOVERLEAF
·Wrote program Tested PAS and billing Medipac systems in a MVS mainframe environment.
Environment: IBM Mainframe, COBOL, JCL, IBM Utilities, TSO, Healthquest, Medipac, ASSEMBLER, PAS, CLOVERLEAF, CICS, HL7, ADS/PLUS, VSAM,, ASSEMBLER, IBM UTILTIES,(IMS/DLI databases in a IMS DB/DC environment) and DAF.
IBM Global Services, New York City, New York December 1998 – October 1999)
Senior programmer analyst
Served as a SR Programmer/Analyst wrote and debugged COBOL EASYTRIEVE programs to access (IMS/DLI databases in a IMS DB/DC environment).
·Wrote interface programs for HealthQuest 2000 patient management system in a MVS mainframe environment.
·Wrote and unit tested interface programs for laboratory systems using DATAGATE and Cloverleaf interface engine.
·Modify and wrote interface programs for HBOC Medipac Financial system using ASC X12N format for Medicare-A & B, Medicaid, Champus Military Personnel and commercial insurance.
Environment: IBM Mainframe, COBOL JCL, IBM Utilities, TSO, UNIX, RISC6000, AS400, Healthquest, Medipac,
CLOVERLEAF, HL7, DB2, Powerscribe, file-aid, DATAGATE, ADS/PLUS, VSAM, (IMS/DLI databases in a IMS DB/DC
environment),Unisys/Univac,Executive Control Language (ECL),COBOL ANSI-85, MODEL 204
Working on two contract at the same time
Ameracash Inc, Philadelphia, PA June 1998 through November 1999
Role: SR Prog/Analyst
Served as a SR Programmer Analyst wrote and debugged COBOL EASYTRIEVE programs to access VSAM datasets in a CICS environment.
Wrote ECI programs in MF COBOL to update DB2 via CICS queue processing for a major utility company using EDI standard.
Wrote interface programs to send EDI messages to financial institution once bill is paid to PECO Energy
Define data fields that are needed to send EDI payment to Philadelphia Gas work.
Create trace ability module for Philadelphia Gas work.
Uses EXPEDITER to debug both batch and on-line programs
Uses ENDEVOR to check out module from production and test environment and promote module back into production and test environment. These modules include JCLS, screens and programs
Submitted job streams in a MVS conversation from VSE using COBOL-II and VSAM file processing for the FIRSTUSA bank.
Environment: Legacy, COBOL, TSO, Unisys/Univac, Executive Control Language (ECL), COBOL ANSI-85, VSAM, JCl,,EASYTRIEVE, CICS,ASSEMBLER, (IMS/DLI databases in a IMS DB/DC environment), MS ACCESS, ITS and MS VB
Blue Cross Blue Shield of Delaware January 1997 through June 1998
Role: Senior Programmer/Analyst
As a senior programmer analyst wrote and debugged Cobol EASYTRIEVE programs to access IMS/DLI databases in a DB/DC environment.
·Translated technical and medical documents from Spanish to English and vice-versa.
·Tested Spanish Application for our South America office in Uruguay both online and batch.
·Wrote interface programs to process EDI message received from health care provider
·Wrote online interface programs to extract and update data from Sunquest Flexilab system using COBOL, CICS and DLI database
Environment: Mainframe, COBOL, TSO, (IMS/DLI databases in a IMS DB/DC environment) EASYTRIEVE, CICS, ASSEMBLER, VSAM, MS ACCESS, ITS and MS VB.
Thomas Jefferson Hospital, Philadelphia, January 1989 through December 1996
Role: SR Technical/Analyst
As a senior Technical/Analyst for the Clinical and emergency department systems wrote online programs for the emergency department using COBOL ADS to access IMS/DLI Databases and VSAM files.
·For a period of seven years modifies HealthQuest Patient Accounting programs and execute the following batch jobs (KP*, KX AND KU*) for Patient billing and accounting. Modify and tested the online programs for all accounting process.
·Wrote online interface programs to extract and update data from Sunquest Flexilab system using COBOL, CICS and DLI database.
·Convert ASSEMBLER programs to Cobol to access IMS/DLI database.
·Coded online interface programs to extract and update data from Comed Radiology system using COBOL, CICS and DLI database.
·Created HL7 Interface Design Document for pharmacy robot, inpatient and outpatient and sunquest laboratory processing.
·Wrote interface for HealthQuest Patient Accounting system using ASC X12N format for (Medicare-A & B), Medicaid, Campus (Military Personnel) and commercial insurance.
·Wrote interface programs to send EDI message to insurance provider.
Environment: Mainframe, PDP 11, COBOL Mark IV, EXPEDITER, (IMS/DLI databases in a IMS DB/DC environment), CICS, VSAM, EASYTRIEVE, DATACOM/DB, IDEAL, TSO, Librarian, HealthQuest Patient Accounting, ADS, IBM Utilities, ASSEMBLER, Sunquest and comed
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