Progrmmer Analyst
Resume:
Lakshmi. U
Experience Summary
A progressive career path that gives ample opportunities to be part of challenging assignments in the Health Care Industry as well as scope to move up the business value chain and to secure a challenging position as a Solution Developer, utilizing the full extent of training and experience received and grow up along with the company
Education and Certifications
Title of the Degree with Branch College/University Year of Passing
Bachelor Of Science (Statistics) University Of Madras, Chennai 2006.
Technical Skills
Languages C, C++, COBOL.
Software Used HP Open View Service Desk
Database DB2
Operating System/s UNIX, Windows, MSDOS, VAX/VMS
Version Control Systems MS Visual Source Safe (VSS).
1
Certifications
Cognizant Certified Professional in AHM 250.
Cognizant Certified Professional in Software Testing.
Visa Details
-
Contact Details
Mobile No. 944-***-**** Vnet : 441116
Relevant Project Experience
Organization: Cognizant Technology Solutions
PROJECT PROFILE:
Project Name: AETNA PBC Claims
Project Description:
The PBC Claims project will maintain and enhance the Electronic Workflow Management system and the Operational Reporting System, two systems critical to the claim adjudication process of Aetna.
Electronic Workflow Manager, EWM, is a workflow system that validates claims submitted by members or providers and sends them to the appropriate claim adjudication system. The adjudication systems Aetna uses are ACAS and HMO. When a claim comes into the EWM system, it undergoes claim validations, member and provider verification, duplicate checking and routing to corresponding adjudication systems. EWM has online and batch applications. The online part consists of non-interactive systems that validate the data on a received claim. The interactive system is used for claim processors to manually correct errors on claim records. The batch application is used to do periodic activities such as backing up data, archiving old data and purging duplicate tables.
The Operational Reporting System is a system that creates periodic reports for Aetna’s business units. The ORS application receives claim events from EWM and ACAS through MQ Hub. The ORS claim event summarization process creates daily reports and summarizes the daily events of the previous day for the Weekly, Monthly, Year To week, Year to month, Quarter to Month reports. These reports are generated at National, Regional, and Segment, Site and Office level for different customers and different geographical locations. The ORS Web application extracts these reports from midrange to Aetna Web through Unix Shell scripts. Some reports are generated through DB2 Stored procedures called either from midrange or from web. All the Stored procedures and batch jobs reside on an OS/390 mainframe.
Client Description:
Aetna is one of the nation's leaders in health care, dental, pharmacy, group life, disability, and long-term care insurance and employee benefits. Aetna provides benefits through employers in all 50 states, with products and services targeted specifically to small, mid-sized, and large multi site national employers, serving more Fortune 1000 companies than any of its competitors. The company also serves individuals and Medicare beneficiaries in certain markets. Aetna is a diversified health and well-being company that provides broad spectrum of products and services
Client’s Address:
Aetna Inc.,
1000, Middle Street,
Middle Town, CT - 06457
Roles and Responsibility held in the project presently in India:
Ms. Lakshmi is a Programmer and has played a vital role in coordinating different activities, in understanding the existing business requirement and translating them into design specifications. She also coordinates with onsite members in resolving critical production issues. She holds complete responsibility of monitoring the system’s health. Ms. Lakshmi has also handled knowledge sharing sessions and guidance sessions for trainees in the project. Ms. Lakshmi has extensively used and has knowledge on the following internal proprietary tools like:
Qview, an on-line quality assurance system, to ensure that all the offshore deliverables are up to the expected standards and external tools like ENDEVOR, Rational Clear quest, an external tool used to track defects and service requests. It is also used as a defect log repository.
TECHNOLOGIES USED IN THIS PROJECT:
COBOL, JCL, VSAM, DB2, CICS, Star tool, Endevor
EXPERIENCE IN THE TECHNOLOGIES USED:
Ms. Lakshmi has been in execution for 10 months, involving analysis of COBOL codes and JCL jobs. Analyzed VSAM files to validate the data preset in those files. Worked in CICS online screens for control creation, revision, deletion, purging, canceling and reinstating processes. She used Star Tool & Endevor extensively to browse through various data sets. She learnt the ENDEVOR tool and its different features that are used for package the elements, approving, and executing and also she is familiar with the MQM that is used for browsing and editing the queues.
She possesses excellent mainframe skills that were required for the project. This helped a long way in meeting the project requirements.
DURATION OF THE PROJECT:
10 months (Feb 2007 – Nov 2007)
Location:
Coimbatore
PROJECT #2:
PROJECT DETAILS
NICE -Newly Integrated Computing Environment (Production Support)
Background:
NICE (Newly Integrated Computing Environment) is an end to end system for a health insurance organization which has the following core areas and subsystem:
Providers, Employers, Contracts, Rates, Membership, Billing, Authorizations, Eligibility, Claims, Encounters, Capitation, Sales and Marketing, Data Warehouse Interfaces, Customer Service Interfaces, Accounting Interfaces, Broker Commissions, Voice Response Interface, Utilization, Care Management, Other Interfaces and Extracts.
NICE is a custom developed integrated managed care system that supports key functional areas, viz., Benefits, Claims, Membership Accounting, Customer Service, Capitation, CMS Reconciliation, Provider Information Management, Network Management and Broker Commissions. NICE supports Commercial HMO products in eight core states where PacifiCare operates. There are approximately 1,400,000 commercial plan members supported by NICE with the majority of this membership from the state of California. Apart from this another 700,000 Secure Horizon members are also supported by NICE.
Industry: Health Care
Responsibilities:
Involved in Analysis, Coding, Testing and Production support.
Imparting domain and technical knowledge to the new entrants and also fellow team members.
Involved in resolving all type of Service requests , Problem Tickets and Online code change.
Active participant in SPRF team to organize the implementation dates and correspondingly work with the team and business for implementing.
Involved in Analysis, Code and test results review for the various development activities.
Technologies:
VAX/VMS, COBOL, SQL Server 2000 and UNIX
DURATION OF THE PROJECT:
2 yr and 09 months (Dec 2007 – Sep 2010)
Location:
Chennai
PERSONAL PROFILE:
Name Lakshmi
Father’s Name Mr. R. Uppili
Nationality Indian
Sex Female
Date of Birth Dec 28, 1985
Languages Known Tamil, English, Hindi
Location Chennai
I hereby declare that all the details furnished above are true to my conscience and self belief.
Place: Chennai Lakshmi
Lakshmi. U
Experience Summary
A progressive career path that gives ample opportunities to be part of challenging assignments in the Health Care Industry as well as scope to move up the business value chain and to secure a challenging position as a Solution Developer, utilizing the full extent of training and experience received and grow up along with the company
Education and Certifications
Title of the Degree with Branch College/University Year of Passing
Bachelor Of Science (Statistics) University Of Madras, Chennai 2006.
Technical Skills
Languages C, C++, COBOL.
Software Used HP Open View Service Desk
Database DB2
Operating System/s UNIX, Windows, MSDOS, VAX/VMS
Version Control Systems MS Visual Source Safe (VSS).
1
Certifications
Cognizant Certified Professional in AHM 250.
Cognizant Certified Professional in Software Testing.
Visa Details
-
Contact Details
Mobile No. 944-***-**** Vnet : 441116
Relevant Project Experience
Organization: Cognizant Technology Solutions
PROJECT PROFILE:
Project Name: AETNA PBC Claims
Project Description:
The PBC Claims project will maintain and enhance the Electronic Workflow Management system and the Operational Reporting System, two systems critical to the claim adjudication process of Aetna.
Electronic Workflow Manager, EWM, is a workflow system that validates claims submitted by members or providers and sends them to the appropriate claim adjudication system. The adjudication systems Aetna uses are ACAS and HMO. When a claim comes into the EWM system, it undergoes claim validations, member and provider verification, duplicate checking and routing to corresponding adjudication systems. EWM has online and batch applications. The online part consists of non-interactive systems that validate the data on a received claim. The interactive system is used for claim processors to manually correct errors on claim records. The batch application is used to do periodic activities such as backing up data, archiving old data and purging duplicate tables.
The Operational Reporting System is a system that creates periodic reports for Aetna’s business units. The ORS application receives claim events from EWM and ACAS through MQ Hub. The ORS claim event summarization process creates daily reports and summarizes the daily events of the previous day for the Weekly, Monthly, Year To week, Year to month, Quarter to Month reports. These reports are generated at National, Regional, and Segment, Site and Office level for different customers and different geographical locations. The ORS Web application extracts these reports from midrange to Aetna Web through Unix Shell scripts. Some reports are generated through DB2 Stored procedures called either from midrange or from web. All the Stored procedures and batch jobs reside on an OS/390 mainframe.
Client Description:
Aetna is one of the nation's leaders in health care, dental, pharmacy, group life, disability, and long-term care insurance and employee benefits. Aetna provides benefits through employers in all 50 states, with products and services targeted specifically to small, mid-sized, and large multi site national employers, serving more Fortune 1000 companies than any of its competitors. The company also serves individuals and Medicare beneficiaries in certain markets. Aetna is a diversified health and well-being company that provides broad spectrum of products and services
Client’s Address:
Aetna Inc.,
1000, Middle Street,
Middle Town, CT - 06457
Roles and Responsibility held in the project presently in India:
Ms. Lakshmi is a Programmer and has played a vital role in coordinating different activities, in understanding the existing business requirement and translating them into design specifications. She also coordinates with onsite members in resolving critical production issues. She holds complete responsibility of monitoring the system’s health. Ms. Lakshmi has also handled knowledge sharing sessions and guidance sessions for trainees in the project. Ms. Lakshmi has extensively used and has knowledge on the following internal proprietary tools like:
Qview, an on-line quality assurance system, to ensure that all the offshore deliverables are up to the expected standards and external tools like ENDEVOR, Rational Clear quest, an external tool used to track defects and service requests. It is also used as a defect log repository.
TECHNOLOGIES USED IN THIS PROJECT:
COBOL, JCL, VSAM, DB2, CICS, Star tool, Endevor
EXPERIENCE IN THE TECHNOLOGIES USED:
Ms. Lakshmi has been in execution for 10 months, involving analysis of COBOL codes and JCL jobs. Analyzed VSAM files to validate the data preset in those files. Worked in CICS online screens for control creation, revision, deletion, purging, canceling and reinstating processes. She used Star Tool & Endevor extensively to browse through various data sets. She learnt the ENDEVOR tool and its different features that are used for package the elements, approving, and executing and also she is familiar with the MQM that is used for browsing and editing the queues.
She possesses excellent mainframe skills that were required for the project. This helped a long way in meeting the project requirements.
DURATION OF THE PROJECT:
10 months (Feb 2007 – Nov 2007)
Location:
Coimbatore
PROJECT #2:
PROJECT DETAILS
NICE -Newly Integrated Computing Environment (Production Support)
Background:
NICE (Newly Integrated Computing Environment) is an end to end system for a health insurance organization which has the following core areas and subsystem:
Providers, Employers, Contracts, Rates, Membership, Billing, Authorizations, Eligibility, Claims, Encounters, Capitation, Sales and Marketing, Data Warehouse Interfaces, Customer Service Interfaces, Accounting Interfaces, Broker Commissions, Voice Response Interface, Utilization, Care Management, Other Interfaces and Extracts.
NICE is a custom developed integrated managed care system that supports key functional areas, viz., Benefits, Claims, Membership Accounting, Customer Service, Capitation, CMS Reconciliation, Provider Information Management, Network Management and Broker Commissions. NICE supports Commercial HMO products in eight core states where PacifiCare operates. There are approximately 1,400,000 commercial plan members supported by NICE with the majority of this membership from the state of California. Apart from this another 700,000 Secure Horizon members are also supported by NICE.
Industry: Health Care
Responsibilities:
Involved in Analysis, Coding, Testing and Production support.
Imparting domain and technical knowledge to the new entrants and also fellow team members.
Involved in resolving all type of Service requests , Problem Tickets and Online code change.
Active participant in SPRF team to organize the implementation dates and correspondingly work with the team and business for implementing.
Involved in Analysis, Code and test results review for the various development activities.
Technologies:
VAX/VMS, COBOL, SQL Server 2000 and UNIX
DURATION OF THE PROJECT:
2 yr and 09 months (Dec 2007 – Sep 2010)
Location:
Chennai
PERSONAL PROFILE:
Name Lakshmi
Father’s Name Mr. R. Uppili
Nationality Indian
Sex Female
Date of Birth Dec 28, 1985
Languages Known Tamil, English, Hindi
Location Chennai
I hereby declare that all the details furnished above are true to my conscience and self belief.
Place: Chennai Lakshmi
Email: *******.******@*********.***
Contact this candidate