Engagement Manager Health Care

Resume Madhuri Nallala

Madhuri Nallala

Mobile Number: +1-248-***-****

Location: Detroit, MI.

EMail: *******.**@*****.***

www.linkedin.com/in/madhurinallala

Profile

●Working for Viatris with over 11 years of experience in the B2B/EDI, Logistics, Retail, Manufacturing, and Health Care domain.

●Good working knowledge on Middleware tools like Sterling Commerce products SI B2BI (Sterling Integrator which works similar as Axway), Sterling Gentran Server for AS400, Windows & Unix. Sterling File Gateway, HQ, OpenText, Microsoft Dynamics 365, `Eliassen - Lightwell B2B Framework.

●Having good knowledge on Integration, SI Framework such as Lightwell - Eliassen and Oxford framework.

●Good Knowledge on Managed file transfer tools like Sterling Secure Proxy (SSP), Sterling Control Center, Connect Direct, SEAS,Sterling File Gateway (SFG) and Axway Managed File Transfer(MFT) (Cyclone tool).

●IBM Sterling Partner Engagement Manager (PEM) reduces the time and resources required to onboard new partners while managing and maintaining existing partners. By automating the onboarding process, Partner Engagement Manager limits costly manual errors and increases efficiency as partners can maintain their own records.Automated partner onboarding /Partner self-service capability / Enhanced visibility of onboarding process / Single repository of partner data.

●Good Knowledge on Edifecs tools like Edifecs SpecBuilder.

●Expert of mapping using Edifecs MapBuilder.

●Had experience in Oracle Transport Management system (TMS).

●Expert of mapping using EZCAP Graphical Mapping.

●Had experience in AWS.

●Expert in IBM Sterling Connect:Direct and File Gateway/B2B Integrator, complex routing rules, BPML orchestration, dashboard customization, clustering and troubleshooting.

●Skilled in hardening MFT platforms: applying security patches, rotating SSL/TLS certificates, enabling TLS 1.3/FIPS-compliant cipher suites, and documenting vulnerability remediations.

●Proficient in technical documentation, DevOps and ITIL concepts.

●Experience with File Gateway/B2B Integrator Health check and performance tuning.

●Comfortable enforcing secure transfer protocols (SFTP, FTPS, SSH, HTTPS, API,) and designing perimeter integrations with firewalls, load balancers, and reverse proxies.

●Strong AIX/Unix/Linux administration abilities.

●Monitor and troubleshoot EDI transactions to resolve errors.

●Deep knowledge of TCP/IP encryption standards and protocols such as SSH, TLS 1.2/1.3, IPv6, and IPSec; experienced in advanced packet capture and analysis.

●Experience with Tableau integration preferred - designs automated data pipelines that feed MFT operational metrics into Tableau, builds interactive dashboards for SLA tracking, capacity trends, and executive reporting.

●Having good knowledge on order to cash process which involves 850, 855, 856, 810 EDI transactions.

●Possessing good functional knowledge on EDI standards such as ANSI X12, HL7 / ADT Transactions, HIPPA Standards and UN/ EDIFACT. (850, 856, 810, 860, 855, 997,940,943,945 (3PL Transactions),300,301, 310, 315,204, 990, 214,210, 834, 835, 837, 270, 271)

●Manage and develop customer relationships with key customers and third-party EDI VANs to facilitate EDI implementations.

●Recommend, design, and adopt new standards, procedures, and improved processes to enhance department effectiveness and overall customer experience.

●Monitor issues, enhancements, and resolution.

●Develop and implement quality controls and departmental standards to meet organizational expectations and regulatory requirements.

●Worked on different versions of Map Editors of Sterling Integrator, which are used to develop production maps for the various Trading Partners belonging to various regions.

●Worked on Sterling Gentran:Server to Sterling Integrator migration project.

●IBM Sterling® Partner Engagement Manager (PEM) reduces the time and resources required to onboard new partners while managing and maintaining existing partners. By automating the onboarding process, Partner Engagement Manager limits costly manual errors and increases efficiency as partners can maintain their own records.

●Automated partner onboarding / Partner self-service capability / Enhanced visibility of onboarding process/ Single repository of partner data

●Worked on SI Application map editor, GIS map Editor, Visual Map Editor, Sterling Gentran iSeries map.

●Worked in different protocols like AS2, FTP, FTPS, HTPPS, API, Web services using SOAP and REST.

●Experience with ERP systems like Oracle, EBZ, SAP and their integration with EDI

●Set up & maintenance of SAP Partner Profiles, Ports and RFC Destinations.

●Developed SAP IDOC to EDI maps.

●Developed Business Process using GPM.

●Good understanding of EMRs systems (Electronic Medical Records).

●Good Knowledge on Unix / Linux Scripting.

●Good Knowledge on File transfer protocols FTP, SFTP, AS2.

●Proficient in configuring API connections and managing API-based file transfers.

●Worked in L1/L2 Support and developed Maps, Envelops, TP Setups, in Sterling Integrator.

●Experience in Client-Server application development using Oracle 10g/9i/8i, PL/SQL, SQL *PLUS, TOAD and SQL*LOADER.

●Extensively used Functions, Indexes, Collections, Analytical functions, Views, Query Rewrite and Transportable tablespaces.

●Had good experience on incident, change, RITMS, Release and freeze management in Service Now, Jira, Salesforce.

●Experience in Exception handling.

EDUCATION:

●Bachelor of Technology degree in Computer Science Engineering from JNT university www.jntu.ac.in, India.

CERTIFICATION:

SCRUM MASTER certified.

Skills Summary

Tools: Sterling Integrator, SI- Map editor, Sterling File gateway, Eliassen - Lightwell B2B Framework, Axway Managed File Transfer (Cyclone tool), TOAD, SQL Loader.

Databases: Oracle 8i/9i/10g, PL/SQL.

Operating Systems: UNIX, Linux, Windows XP.

Languages/Utilities: SQL, PL/SQL.

Functional Domains : Retail, Logistics, Insurance.

Project experience:

1.Viatris Pharmaceutical Manufacturing - Mylan: -

Client : Viatris Pharmaceutical Manufacturing - Mylan

Role : Sr. EDI Architect

Location : Pittsburg

Duration of project : Mar 2023 – Till now

Relevant Products : Sterling Integrator, Map Editor of SI, Eliassen - Lightwell B2B Framework, MFT – SFG CSOS

Relevant Technologies : EDI, B2B, BPML, ANSI ASC X12, EDIFACT, AS2, FTP, HTTP.

EDI Transactions : 850,856,810,860,867, 814,855,940,945,943,840...ect

Description:

Viatris Inc. is an American global pharmaceutical and healthcare corporation headquartered in Canonsburg, Pennsylvania. The corporation was formed through the merger of Mylan and Upjohn, a legacy division of Pfizer.

Responsibilities:

●Analyze and understand requirements of the project.

●Create/review requirement spec/documentation for technical viability.

●Identify technical risks, probable solutions and escalate to stakeholders in a timely manner

●Need to estimate and plan efforts for the project – I have to prioritize tasks and proactively communicate roadblocks.

●Created multiple Business processes from scratch using BPML, multiple maps.

●Develop the SI maps (TP specific) which translate EDI data to Application Files.

●Create INBOUND and OUTBOUND flows for each TP in Eliassen - Lightwell B2B Framework, this includes creating envelopes, deploying the maps.

●Share a wide knowledge on EDI, X12, EDIFACT.

●Creating partner setup in Sterling File Gateway (MFT) using AS2, FTP, FTPS, and SFTP.

●SFG support, Technology experience, Administration, Configuration, Patching,New Environment Build, Support App Configuration and Deployment.

●Created Trading partners profiles for Senders and Receivers.

●Routing templates we used to create multiple RC’s.

●Mailboxes is a secure storage for file pickup and delivery.

●Delivery channels defines the protocol and endpoint for file delivery.

● Inbound Integration (Files coming into SFG) - Partner or system uploads files via SFTP/FTP/AS2/etc. then Files land in a partner mailbox then using Routing Channel defines how to process and where to deliver the file and Delivery Channel sends the file to the target internal system.

●Outbound Integration (Files going out from SFG) an internal systems push files to SFG (via file system, API, or FTP) then file is routed through a Routing Channel and SFG delivers the file to external partner via protocol defined in Delivery Channel.

●System administration for SFG and Sterling Integrator.

●Supported the team in Dashboard creation.

●Effectively create KPIs, start by identifying strategic objectives and breaking them down into specific areas of focus. Then, define the key metrics that will indicate progress towards those objectives, ensuring they are SMART (Specific, Measurable, Achievable, Relevant, and Time-bound).

●Configuring API HTTPS connections and managing API-based file transfers.

●Scripting experience in Shell scripting, C and Java.

●• Experienced EDI Specialist with a demonstrated history of working in the Life Science industry and managing B2B projects with a focus on Manufacturing and Retail domains.

● Exhibits strong expertise in Sterling Integrator, Lightwell B2Bi Framework, SFG, SAP OTC, Gentran. Proficient in SAP Cloud Integration Suite and have hands on experience in Onboarding trading partners in SAP Trading Partner Management (TPM).

●Experienced EDI Specialist with a demonstrated history of working in the information technology and Life Science industry.

●Designed and developed EDI landscape for new EDI implementation projects.

●Exhibits strong expertise in EDI map development and onboarding new customers via AS2/SFTP/FTP/VAN.

● Exhibits strong expertise in daily EDI Support and Transaction Monitoring in SAP BTP Integration Suite (CPI).

●Developed Mapping requirement specification/functional design documents.

●Responsible for the technical coordination between internal teams and Trading Partners.

●Lead AS2 system migration and Business Unit consolidation projects.

●Strong experience in transitioning EDI system as part of Company mergers and acquisitions.

●Documented the transaction flow using Microsoft Visio and Excel for tracking.

●Gathers and documents both Business/Technical requirements for Client's global EDI implementations.

●Responsible for troubleshooting Idoc failures and coordinating the IDOC failures with customer relations/business team.

●Responsible for testing and onboarding new customers for EDI interfaces.Worked on O2C order to cash transactions like 850,855,856,810

●Worked on Chargeback transaction like 844,845,849

●Worked on 3PL transactions like 940,945,944,947,856,943

●Also worked on 210,214,216,990 transactions

●Troubleshooting and reporting the root cause analysis to the customers as per the SLA.

●Demonstrates accurate knowledge of Sterling Commerce software and services to the customers in the discovery phase.

●To participate in the flow design and discussion with the customer and create a Business requirements document (BRD) and a communication design document.

●To provide feedback to Sales, Product Development and Customer Support to improve quality of software and service solutions, consulting proposals and customer satisfaction.

●To represent Sterling Commerce to customers with professionalism at all times.

2.Therma Tru - Fortune Brands - EDI Implementation: -

Client : Therma Tru - Fortune Brands

Role : EDI Analyst

Location : Maumee

Duration of project : Sep 2021 – Mar 2023

Relevant Products : Sterling Integrator, MFT- SFG, Map Editor of SI, Framework.

Relevant Technologies : EDI, B2B, BPML, ANSI ASC X12, EDIFACT, AS2, FTP, SQL Server, Oracle, My SQL.

EDI Transactions : 850,856,810,860,855,844, 864, 820,824...ect

Location : Ohio (WFH )

Description:

Therma-Tru is one of the leading manufacturers of fiberglass and steel exterior door systems in the United States.

Responsibilities:

●Analyze and understand requirements of the project.

●Create/review requirement spec/documentation for technical viability.

●Identify technical risks, probable solutions and escalate to stakeholders in a timely manner

●Need to estimate and plan efforts for the project – I have to prioritize tasks and proactively communicate roadblocks.

●Develop the SI maps (TP specific) which translate EDI data to Application Files.

●Create INBOUND and OUTBOUND flows for each TP. This includes creating envelopes, deploying the maps and BP’s for the end to end flow.

●Share a wide knowledge on EDI, X12, EDIFACT.

●Working on Sterling file gateway to route the files.

●Sterling Connect Direct secure and reliable managed file transfer (MFT) solution designed for high-volume, point-to-point file transfers between enterprises

●Strong hands-on experience using Oracle/SQL/.NET.

●Installation and tuning of Sterling Integrator products suite. (SI B2B v6, SFG, Lightwell, Linux scripting, Oracle DB 19c)

●Maintaining stability and performance of the Sterling File Gateway, Sterling B2B Integrator, Sterling Control Center.

●Actively manage the performance of the EDI Sterling environment, including capacity planning and tuning.

●Support B2B communication and protocols including FTP, SFTP, HTTPS and AS2.

●The position will be responsible for translating environment requirements into software architecture and design documentation.

●Participate in 24 x 7 on-call rotational support including troubleshooting and issue resolution.

●Work closely with other teams to remediate all EDI B2B issues, i.e. (server, network, database, etc.)

●Coordinate with Delivery and Service teams to prioritize / plan application upgrades and performance testing

●Help assist in remediation support during incident resolution to facilitate identification of root cause and recommend ways to prevent reoccurrence.

●Oversee internal and external developers to ensure quality, efficiency, and effectiveness

●Provide technical leadership to the Global EDI Applications Support Team

● Increase efficiency by automating and scaling big data workflows

●Troubleshooting and reporting the root cause analysis to the customers as per the SLA.

●Demonstrates accurate knowledge of Sterling Commerce software and services to the customers in the discovery phase.

●To participate in the flow design and discussion with the customer and create a Business requirements document (BRD) and a communication design document.

●To provide feedback to Sales, Product Development and Customer Support to improve quality of software and service solutions, consulting proposals and customer satisfaction.

●To represent Sterling Commerce to customers with professionalism at all times.

●Trading partner onboarding by leveraging the Cleo Network and pre-built EDI and API integrations to automate direct integrations into your back-office application.

3.Intuit EDI:

Company : Intuit (Turbo Tax)

Role : Sr. EDI Developer

Location : CA

Duration of project : Aug 2019 – Sep 2021.

Relevant Products : Sterling Integrator, EDI, GPM, Map Editor of SI, Axway Cylone, Lightwell.

Relevant Technologies : EDI, B2B, ANSI ASC X12.

EDI Transactions : 850, 856, 810, 820, 824, 940,,Ect..

Description:

Intuit Inc. is an American business software company that specializes in financial software. Intuit's products include the tax preparation application TurboTax, personal finance app Mint, the small business accounting program QuickBooks, the credit monitoring service Credit Karma and email marketing platform Mail chimp.

Responsibilities:

●Analyze and understand requirements of the project and effectively translate it to the team.

●Created Partner setup for Inbound and Outbound.

●Developing 850, 856, 810, 820, 824 maps using Sterling Map Editor.

●Creating EDI to positional and Positional to Database maps.( SQL / Oracle Maps)

●Created business processes using Graphical Process Modeler/BPML and configured adapters and services as per business needs.

●Created Partner profile mailbox and communication setup.

●Creating partner setup in Cyclone(Axway Managed File Transfer) using AS2 and SFTP.

●Had experience in Cloud AWS.

●Scripting experience in Shell scripting, C and Java.

●Created Technical Design specification for all the transactions.

●Sending Status report to client with every week updates.

●Performing individual contributor to this project and supporting end to end.

●Preparing the Mapping Requirements Specification (MRS) and developing the maps and testing after understanding the customer requirement thoroughly.

●Troubleshooting and reporting the root cause analysis to the customers as per the SLA.

●Identify technical risks, probable solutions and escalate to stakeholders in a timely manner

●Need to estimate and plan efforts for the project – I have to prioritize tasks and proactively communicate roadblocks.

●To represent Sterling Integrator to customers with professionalism at all times.

4.Assa Abloy:-

Client : Assa Abloy.

Role : Sr. EDI Developer

Location : Texas

Duration of project : Sept 2018 – July 2019.

Relevant SCI Products : Framework, Sterling Integrator, Map Editor of SI MFT- Sterling File Gateway MFT.

Relevant Technologies : EDI, B2B, ANSI ASC X12, EDIFACT, AS2, FTP.

Location : New Haven, CT

EDI Transactions : 850,856,810,860,855,997.

Description:

The Assa Abloy Group is a Swedish lock manufacturer and is the world's largest lock manufacturer by sales volume. Assa Abloy was formed in 1994 when ASSA AB was detached from Swedish security firm Securitas AB. Shortly thereafter, the Finnish high-security lock manufacturer Abloy Oy (a subsidiary of the Finnish company Wärtsilä) was acquired.

Responsibilities:

●Have to understand the business needs and provide the solution that best fits into the business of the customer and overall roadmap for Assa Abloy.

●Create/review requirement spec/documentation for technical viability.

●Upgrading maps from Sterling Gentran iSeries to Sterling Integrator.

●The IBM Gentran mapping utility provides broad standards and supports an intuitive GUI for data mapping. It displays your application or standard data schemas side-by-side on your screen and allows customers to simply point-and-click to establish virtually any-to-any mapping relationships — a function that used to take extensive time and training.

●Monitoring the activity of Gentran system in central gateway for all information the flows through Gentran.

●Developing SAP IDOC to EDI maps.

●Monitoring the whole EDI application (full O2C cycle) and ensuring that the whole Business Cycle runs smoothly without any interruption.

●In the case of an error scenario, analyze the error and we will fix it.

●Preparing Sterling Integrator maps according to business requirements.

●Modification of existing maps according to Trading Partner Requirement.

●Developed & tested EDI maps X12 standards

●Monitoring and verifying whether EDI transactions are on time and resending file in case of any outbound interruption, requesting the Trading partner to resend the file if we haven’t received it on time.

●Test translation and mapping functionality of all new maps.

●Update documentation of all new maps with changes made.

5.Medical Mutual of Ohio (MMOH) (Cleveland, OH):-

Client : Medical Mutual Commercial /government enrollment.

Role : EDI Analyst.

Location : Ohio

Duration of project : April 2014 – Sept 2018

Relevant Technologies : EDI IBM Sterling Integrator, Edifecs SpecBuilder – 8.4, Edifecs MapBuilder, EZCAP Graphical Mapping,IKASystems, IBM Cognos, Microsoft Access, Excel, Word, and Visio flowchart.

EDI HIPPA Transactions : 834, 837, 835, 270, 271, 997.

Location : Ohio

Description:

Medical Mutual of Ohio (MMOH) is an American mutual health insurance company. It is the oldest and largest health insurance company based in Cleveland, Ohio, and serves more than 1.6 million customers.

Responsibilities:

●Analyze and understand requirements of the project.

●Create/review requirement spec/documentation for technical viability.

●Identify technical risks, probable solutions and escalate to stakeholders in a timely manner.

●Need to estimate and plan efforts for the project – I have to prioritize tasks and proactively communicate roadblocks.

●Develop the maps using EZCAP Graphical Mapping and Edifecs MapBuilder to translate EDI data to Application Files.

●Loading the data to the systems using EZCAP EDI load.

●Create INBOUND and OUTBOUND flows for each TP. This includes creating new partner flows in Edifecs Application Manager.

●Share a wide knowledge on EDI - X12 Standards, HL7 / ADT Transactions.

●Good understanding of EMRs systems ( electronic Medical Records).

●Understanding the EDI file and translating EDI files to FACETS DATA. (EE10 format)

●Loading the data to IKASystems.

●Sending the members data to Centers for Medicaid and Medicare (CMS) for data review.

●Responsible for the development, analysis, and trending of membership information.

Enroll commercial group members in selected plans for medical, dental, and pharmacy coverage.

●Process enrollment transactions, including resolving incomplete elections, Transaction reply reports from CMS and investigating enrollment Discrepancies.

●Review/resolve demographic, enrollment and financial discrepancies and report errors to CMS for resolution.

●Identify data integrity issues, system and programming problems and implement solutions.

●Weekly status reports are sent to the manager to demonstrate the progress being made on each TP.

●Participate in cross functional work groups to resolve process failures, create process improvement and share with the team.

●Troubleshooting and reporting the root cause analysis to the customers as per the SLA.

●To represent Sterling Commerce, IKA systems, Cognos reporting tools to customers with professionalism always.

Personal Details:

Date of Birth: 3rd July, 1993.

Marital Status: Married

Nationality: Indian

Languages known: English, Hindi, Telugu.

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