PAWAN TOKAS CONTACT 203-***-****
EMAIL : *****.*@*****.***
TECHNICAL
SUMMARY:
• Innovative, versatile statistical COBOL programming professional with 6.5 years experience in project planning, system design, analysis, development, implementation, system documentation and support.
• Experience in Development and maintenance projects related Mainframe batch and Online processing.
• Experience in developing IMS and DB2 modules and testing the same using JCL.
• Experience in creation of new SQL queries and enhancing the existing queries to improve system performance.
• Profound knowledge and strong experience in JCL, DB2, IMSDB and tools like File Aid , Platinum.
• Experience in porting data across platforms.
• Attending project meetings and work with teams, Project managers, team members / associates, business analysts, statisticians, and internal customers/ end users, working with multiple tasks. Possess strong written and oral communication skills.
• Extensive experience in preparation of reports, tables and listings.
• Tool development experience for integration of data.
• Experience in creating generic macros which can be used to key in claim and improve regular day work.
• Experience in validation of database creation and report programs using validation SOPs.
• Extensive experience with EDI and ANSI X12 coding practices and HIPAA
• Experience in SAS on Mainframes.
• Experience in development, implementation and support of applications with good exposure to the full Software Testing Lifecycle and its phases like unit testing, integration testing, and system testing.
• Unique ability to communicate with end-user to translate business requirements into well-defined technical steps to solve complex customer problems.
• Performed a crucial role in the gathering of Report requirements and preparation of the report design documents.
• Ability to work independently as well as collectively.
TECHNICAL
SKILLS:
• Mainframe Skills: COBOL, JCL, IMSDB, CICS
• Databases: DB2, Oracle, MS Access
• Tools: Visual Source Safe, Changeman, HTML, MS Office, File aid, SQL, Platinum, Ingenix, Strobe.
• Operating Systems: Windows XP, UNIX, MS DOS, OS/390
EXPERIENCE:
5/06 – Present <WellPoint> It is a leading Heath insurance company.
Software Consultant
• Development of projects like CDHP involving Batch IMS processing. And ACES-LIR project involving online screens.
• Maintaining Daily Claims processing machinery and working to enhance the same.
• Conduct interim analysis, QC, eSub work, as required
• Understand and plan work to delivery timelines including allowing time for internal FSP QC, as appropriate
• Work with supervisor to balance conflicting priorities
• Understand timelines for and milestones affecting their work and alert supervisor to potential slippage
• Ensure training done before embarking on a task
• Alert supervisor and PoC where skills or knowledge are not adequate for the task set – seek help
• Run routine QC programs
• Carry out rework as requested by supervisor, PoC
• Follow escalation process and neither suppress nor over- escalate issues
• Contribute to close –out evaluations and any discussion
• Ensure compliance with Eliassen and industry quality standards, guidelines and procedures
• Validation of HIPAA (ANSI X12 coding) compliance
• Suggest improvements to standard work processes e.g., suggests new software applications to improve work efficiency/quality
• In workgroup meetings or in immersion meetings provides feedback to PoC supervisor and workgroup members on issues related to PoC deliverables.
• Suggest improvements for delivering outputs
• Supports and leads efforts to implement new concepts, process improvement, and technological advances for delivering outputs
• Use and promote the use of established standards, SOPs and best practices
• Coordinate work on multiple projects according to priorities
• Worked on tight deadlines
• Present technical information to a non-technical audience
Software Consultant
Working as a Software Technical Lead (STL) provides essential services for statistical analysis during the planning and execution of Maintenance and Development projects. The role involves providing IT support to the clients by keeping the claims processing system running and improving the system too. This involves handling regular system issues, application and processing issues reported by claims processors. Also improving the system efficiency to make it more effective. This involves managing the various stages of claims processing and also managing the Cash disbursement system that pays out checks for all the claims processed. STA also prepare the validation documents for the IT systems and regulatory documentation for future occurrences of similar issues.
• Creation of integrated datasets.
• Gather analysis dataset and document all the analysis and resolution information.
• Perform daily maintenance activities and document it as knowledge tool.
• Participated in study locks by doing the final analysis of the data and reports.
• Integration of data from different studies for statistical analysis, reporting and data mining purposes.
• Wrote new COBOL Programs and preparing test plans and testing and reviewing them.
• Maintenance Support and Production Support.
• Follow validation process for all the IT systems created - Quality Reviews and testing.
• Reviewed of Test plan and design document..
• Maintenance of daily, weekly and monthly reports.
Load Access Analyst
Software: Base Mainframe, SAS Macro Language on Mainframes
The XPED and File aid tools provide essential services for the support and development of Claims processing system. These tools are responsible for development and validation of Claims processing. Any logic issues coming in the claims machinery can be identified and resolved using XPED. Fileaid, Strobe are more related to system conference.
Defining, creating, and testing zload system programs to manipulate clinical trial data.
• Functional/Technical peer reviews of the deliverables.
• Changes to existing data warehouse structure and corresponding system changes.
• Participate in Discussion regarding Designing, Requirement.
• Functional/Technical peer reviews of the deliverables.
EDUCATION:
Bachelors in Engineering
CERTIFICATION:
All internal certifications from Infosys completed on time.