Health Care and Insurance

Published on March 2017 | Categories: Documents | Downloads: 33 | Comments: 0 | Views: 441
of 15
Download PDF   Embed   Report

Comments

Content

Health care and Insurance Client: Iowa Foundation For Medical Care, IA to Dec 06 Position: Cognos Consultant May 06

Iowa Foundation for Medical Care (IFMC) is an innovative industry leader at the forefront of providing care management, quality improvement and information management services. This project was developed to provide feedback on the physician’s level of performance to assist physicians in improving their data accuracy, reporting rate and clinical care. Responsibilities: ¬ Involved in the entire project life cycle from evaluation, installation, development, testing to production of end user reports. ¬ Designed star schema Model using Framework manager. ¬ Used Framework Manager to create query subjects from different sources and publish packages to the Cognos server. ¬ Coded conditional formatting to mask data that did not meet minimum requirements and patient information that was not to be revealed to all users. ¬ Analyzed and optimized native queries generated by Cognos during report generation. ¬ Designed and configured Cognos security framework. ¬ Created Export Archives to deploy reports and packages from development to test environment. ¬ Troubleshooting and tuning of existing reports. ¬ Developed PL/SQL stored procedures and functions for measure calculation using PL/SQL Developer ¬ Documented functional and technical designs and user guides. Environment: Cognos 8 Suite of Products, Oracle10g, DB2.

Software Writers, MA 01/05 – 03/06 Medical Practitioner. Sr.Software Developer/ Architect. The company product Medical Practitioner is a solution for hospital management. This is an interface between doctors, patients, pharmacists and Reception team. It is internet based application to help employee's of the healthcare facility including doctors to read and update the patients records, to help doctors make better decision and also to keep track of medical staff for emergencies. The Application framework developed to authenticate the user and to personalize the web pages, which allows hospitals and clinics to maintain a consistent database of patients with in the same network. Responsibilities:

¬ Participated in requirements gathering, interacted with the team, maintained and assigned change requests to the team members. ¬ Participated in OOA/Design, UML Modeling and used design patterns (Intercepting Filter, Session Facade, o Service Locator). ¬ Analyzing the requirements. Designing the input and outputs of forms by using Dream WeaverMX. ¬ Implemented JTree, JTable, JfileChooser and other swings type of components. ¬ IP2Location Web Service to get country, state, city, longitude, zip code, ISP and domain name information by IP address. ¬ Developed middleware services, which are built on Java framework using Java, Mysql. ¬ Designed the various server side components like Normal Beans. ¬ Implemented JDBC programming with automated data refresh from very large XML files. ¬ Established communication between different technologies to share the business logic of the application. ¬ Validated users input, date format using Java. ¬ Created trigger, functions, Procedures on the bases of Project Requirements. ¬ Developed different Components in EJB. ¬ Implemented interaction with database by using different Components. ¬ Established Communication between EJB, JSP and normal beans technologies. ¬ Resolved technical issues and helped programmers in understanding and solving complex problems. ¬ Integrated the different Modules of the Product Environment: J2EE, Java, Swings, EJB, Web Services, Servlets, JSP, Normal Beans, Applets, NetBeansIDE, XML, MySQL, MyOdbc Driver, JUnit, Ant, Informatica, Windows2000 Server/Linux, JBOSS. Client: Magellan Health Services, Columbia, MD. Dec 2005-Jul 2006 Behavioral Care Management System Role: Web Application Developer The BCM system provides patients easy access to care, matching patients with the most appropriate providers, and coordinating and facilitating the transition from one level of care to the next level. Depending upon the unique needs and conditions, members have access to different tiers of intervention, interactive tools and specialized behavioral health providers. Responsibilities: • Responsible for Researching and Analyzing the Business logic to meet the System requirements for addressing a wide range of health care issues. • Incorporated the latest .NET components including Application Blocks for Data Access, aggregation and User Interface. • Designed and developed the ASP.NET GUI for the user interface with various


• • • •

Server Controls, HTML Controls using C# Programming. Participated in Design walk-through’s with appropriate focus groups and related users to verify accuracy of design in meeting business needs. Role based authorization was implemented in the system. Client side validations were performed using JavaScript. Front-end Web Forms and custom interfaces were developed in ASP.NET using C#. Wrote Queries and Stored Procedures in T-SQL for enhancing database performance.

Environment: C#, ASP.Net, .Net Framework 2.0, JavaScript, Visual SourceSafe, IIS6, ADO.Net, SQL Server 2005, Windows 2003 Server, UML, VSS. PROJECT MANAGER-BUSINESS ANALYST, Merck & Co., PA, September 2003 to August 2004 ICP Customer Master Project: The Customer Master is a centralized shared repository of customer identification information (name, address, etc.) as well as processes necessary to create and maintain this information. Business areas and external data vendors can contribute information to the Customer Master. The information contributed will be maintained with a source in order to provide the business areas with their own “view” of customer information. Through the application of business rules, data trust rules, matching routines, and data cleansing processes, the Customer Master will also create and hold a “best of” view of customer information. This affords the greatest flexibility in providing customer information to all interested business areas. Responsibilities:


Responsible for scheduling tasks and assigning tasks to the developers and task managers as per the project plan. • Planned the project, estimated resources, created the scope statement, cost baseline, monitored budgets, GANTT charts, and coordinated project activities. • Managed team of 6 comprising senior system analyst, programmers, functional consultant and trainers. • Assigned and directed staff to meet project goals, resolved conflicts ensured timely and accurate reporting on deliverables, milestones, timeframes, and budgets. • Responsible for Collecting, understanding, and transmitting the business requirements for the project, and translating these into functional specifications and detailed test plans. • Develop, plan and implement identified PMO processes and supporting tools, including staff training. • Conducted proof-of-concept workshop drafted Use-cases, process workflows and designed the framework for match and merge. • Involved in writing Test Cases, procedures, reports and approval of software release.

Created test cases and scenarios for Unit, Regression, Integration as well as Backend, GUI and System testing. • Responsible for creating diagrams and work flow processes using RUP and Rational Rose. Also created Swimlanes diagrams. • Conduct annual Gap Analysis to determine the effectiveness and deficiencies in existing PMO process. Worked on JAD (Joint Application Design) as per the technical specifications of the


application

Westfield Insurance, Westfield, OH 06 Role: J2EE Developer Project: Auto Insurance Policy Generator

Aug 05 – Mar

Description: Westfield Insurance is one of the top ten providers of auto insurance in United States. Auto Insurance Policy Generator is a web application designed using Service Oriented Architecture (SOA), which facilitates customers to get a fast quote online, originate a policy and service an account. Customers can submit the application online by filling the forms. The system using Web Services gets the CLUE, MVR and Credit reports. After processing the reports the system generates a quote and sends it to the customer. If the customer agrees upon the quote a policy is generated. Call center people have a readily accessible way to view important individual policy details, including billing information, payment information, driver and vehicle information, claims history.

Responsibilities:


• • • • • •

OO Analysis and Design using UML including development of Class Diagrams, Sequence Diagrams, State diagrams and implemented these diagrams in Rational Rose. Implemented Design Patterns like Data Access Objects, Singleton. Implemented MVC architecture using struts framework, developed Action Servlets, Action Form bean and configured the struts-config.xml file. Used the Struts validation and Tiles Framework in the presentation layer. Developed user interface using JSP, JSP Tag libraries and Struts Tag Libraries to simplify the complexities of the application. Worked with EJBs (Session beans) to implement the business logic. Extensively used Hibernate in data access layer to access and update information in the database.

• • •

Used XSL/XSLT for transforming and displaying reports. Extensively used WSAD 5.1 while writing code & used ClearCase for version control. Involved in writing the ANT scripts to build and deploy the application.

Environment: IBM Web Sphere App Server 5.1, WSAD 5.1.2, JSP 2.0, Servlets 2.3, EJB 2.0, Struts 1.1, Hibernate 3.0, JMS 1.1, XML Web Services, SOAP, WSDL, SAX, DOM, JAXB, jakarta-log4j-1.2.7, JUnit3.8.1, ANT, JavaScript, HTML, ClearCase, PL/SQL, Oracle 9i, Rational Rose, Linux. North Carolina Mutual, Durham NC 05 Role: J2EE Developer Project: Customer Insurance Catalog Jan 05 –Jun

Description: The North Carolina Mutual is one of the oldest and largest medical insurance companies in North Carolina. It offers health, dental, group, life, disability and long-term care benefits. Customer Insurance Catalog is a web-based application developed for the users. The client can obtain a free insurance quote by furnishing the information such as medical history in the given interface. Additional features offered are online access to view and pay the bills, change policy, submit and check the status of the claim. This is a tier-3 model based on MVC architecture. Responsibilities: • Involved in various phases of Software Development Life Cycle (SDLC). • Generated the Use Case Diagrams, Class Diagrams and Sequence Diagrams to represent the detailed design phase using UML in Rational Rose. • Implemented MVC architecture using struts framework, developed Action Servlets, Action Form bean and configured the struts-config.xml file. • Used the Struts validation and Tiles Framework in the presentation layer. • Developed user interface using JSP, JSP Tag libraries and Struts Tag Libraries to simplify the complexities of the application. • Used Enterprise Java Beans (EJBs) extensively in the application. • Developed and deployed Session Beans to perform user authentication. • Used Entity Beans in the development of Data model. • Used Message Driven Beans for the asynchronous communication. • Involved in Consuming XML web services using SOAP, SAX and DOM XML parsers, WSDL, JAXP, JAXB. • Developed PL/SQL stored procedures and used JDBC API. • Used JMS for asynchronous exchange of messages by applications on different platforms. • Extensively used WSAD 5.1 while writing code. • Used CVS as a version control tool. • Used ANT to build the application. • Used Log4J to monitor the Error Logs.

Environment: Java JDK 1.4, J2EE, IBM Web Sphere Application Server 5.0, WSAD 5.1.0, UML 2.0, Rational Rose 2003, XML 1.1, SOAP 1.2, SAX 2.0, JSP 2.0, JMS 1.1, HTML 4.01, JNDI 1.1, JDBC 3.0, JavaScript 3.03, OOA, OOD, Servlets 2.3, Struts 1.1, CVS 2.0, Windows 2003. Blue Cross Blue Shield of Michigan 2004 -May 2006) Sr.Business Systems Analyst (Feb

Project: RUP Use Case Modeling–ACTIVA/FinancialCash/ASCLocal/Manual Check Writing The RUP Use Case modeling project was aimed at analyzing the legacy applications developed in Mainframe and Client Server environment and develop UML models for reengineering purpose. As a part of this project the business applications ACTIVA, GEAC, Financial Cash, and ASC Local were analyzed to understand the business processes & business rules which govern them. Rational rose was used to create the use case models for the business processes and for each use case the use case specifications, recommendations and crossreference documents were created to illustrate the functionality. Roles and Responsibilities: • As Business analyst managed every aspect related to the project (full SDLC). • Gathered requirements from justice professionals and SMEs using structured interview, and facilitated group discussions, workshops and JAD. • Interacted with business leaders and quality assurance team on regular basis for enhancements and modifications in the product, and meeting their expectations. • Designed the functional architecture (Use-Case models) using Rational Rose. • Managed multi-functional teams of justice professionals, policy makers, business analysts, application developers, graphic designer & testers. • Developed communications plan and message content in MS Office environment. • Created, managed and maintained work plans, task plans, timelines, and key success factors for project success using MS Office, MS Visio, and MS Project. • Co-created test plans in MS Office environment. • Drafted internal and external project reports using MS Word templates. • Assumed lead role in planning logistics. • Conducted JAD sessions. • Organized and facilitated workshops and project meetings. • Successfully managed and resolved technical and project related issues and conflicts. • Successfully managed and excelled expectation. Environment: MS Office, MS Visio, Inspiration, MicroSoft Project,Rational Rose, MicroSoft Project Server, MS Excel. A combination of individual and group interviews, facilitated workshops, JAD.

Principal Financial Group 2006 – Till Date)

(Jun

Business Analyst Task Lead & QA Lead Project – Implementing the dental product on COMPASS. The project aimed at implementing the new dental product a new admin system – COMPASS. The process comprised of identifying the integration points, breaking them down into logical sequence and re-engineering all systems to implement the new product.
• •



• • • • • • • • • • •

As a BA (Task) Lead for Business Acquisition and Financials BCAD phase through the execution phase for each. As the BA Lead, you will be responsible for helping to manage all the change controls that impact the artifacts from each of these phases, review and provide BA input for test matrices and scenarios for these phases; help get the documentation ready for the 6/15 and 9/21 transfers. Reviewing the customization requirements, High-Level estimates from Sunguard (vendor), reviewing and providing input for the logical specs, and making sure the PFG functional requirements are updated to incorporate the customization changes. Meet stringent timelines in configuring and getting test cases rolled out. Coordinating with onsite and near shore testers to align test matrices and scenarios. Approve and amend test cases and oversee the testing efforts. Track and manage defects in Track record and ensure minimum response time to close the defects. Lead and perform root cause analysis of issues as needed, to determine necessary corrective action Perform tasks and report status vs. a project plan. Work with automated test engineers to identify automated regression strategy and analyze automated test results. Participate in process improvement reviews. Work with Systems stakeholders to acquire approval for UAT. Participate in training the end users as and when required. Manage multiple priorities and meet stipulated deadlines.

Sr. Business Analyst Project – Implementing the dental product on COMPASS. The project aimed at implementing the new dental product a new admin system – COMPASS. The process comprised of identifying the integration points, breaking them down into logical sequence and re-engineering all systems to implement the new product. Roles and Responsibilities: • As Sr.Business Analyst managed the cross functional requirements of product, technical, administration and leadership.

• • •

• • • • • • •

Identified SMEs and gathered requirements using structured/unstructured interviews using the B2T template. Interacted with the technical team on regular basis to validate the solution direction path. Organized and conducted cross-functional meetings to ensure linearity of the phase approach. • Drafted the detailed functional specifications for each of the system. Collaborated with a team of Business Analysts to ascertain capture of all requirements. Developed communications plan and message content in MS Office environment. Co-created test plans in MS Office environment. Established strong working relationship with unidentified resources to guarantee comprehensive documentation. Managed and exceeded counterparts’ and leaderships’ expectations Organized and facilitated workshops and project meetings. Delivered the artifacts within the stipulated time lines and excelled in the quality of deliverables.

Environment: B2T templates, MS Office, MS Visio, MicroSoft Project,Rational Requisite Pro, MicroSoft Project Server, MS Excel. WellPoint, Camarillo, CA Present Business Systems Analyst Jan 2006 –

The project was to implement the COB processing in the Wellpoint Dental System (WDS). Coordination of Benefits (COB) is a clause in most group policies, which is in place to minimize the over-payment or duplicate payment of claims. COB applies to patients covered by more than one insurance plan and limits the amount paid by each plan.
– –


– – – –




Studied the business goals that were reflected in the requirements. Analyzed business requirements and discussed them with the business owners and the IT team. Interviewing, questioning and probing to collect and document business requirements and criteria. Scheduled meetings with business group and IT team to discuss the requirements. Developed Business Requirement Document (BRD) for the Phase 1 and 1(a) implementation (which is 85-90% of the overall project). Developed System Test Plan (STP). Conducted walk-through of documents like BRD and STP. Performed rigorous system testing to make sure that the implementation of the new process is error free and the existing processes are not impacted by it. Base lined the Test Plan, Test Criteria & Project Schedule by walkthroughs and review meetings.

Assisted UAT team for their requirements of test data. – Supported the user community regarding data quality as a member of Data Governance Steering Committee. – Develop and support an on-going process for maintaining quality data. – Coordinate communication channels with functional groups and provide timely information regarding data analysis. – Conducted meetings with UAT team for the discussion of issues encountered by them during their testing. – Created the Test Evaluation Summary document. – Currently participating in the business requirement gathering and documentation for the next phase (Phase-2) of the project. – Supported user acceptance testing and roll-out of applications designed within MIS. – Mainframe manual Systems Integration Testing of pre-implementation production defects. – Conduct root cause analysis of data quality issues Develop and support an on-going process for maintaining quality data


PROJECT # 6 Well Point Health Care, Well Point, India (Apr ‘03 June ’04) Environment: QTP 6.5, Load Runner, JDK 1.2, JSP, Servlets, Oracle8i, PL/SQL, and Web logic 8.2 Test Director, Rational Requisite Pro, SQL Description: The System will provide online access to eligibility, benefits, and claims information. Blue Cross California (BCC), Blue Cross Blue Shield Georgia (BCBSGA), Unicare, and Blue Cross California Dental Providers may access the System. Membership information for these plans will be available through the System. Out of state member medical information will be available via Blue Exchange. Reports, industry benchmarking information, referrals, authorizations and coordination of benefits capabilities will also be available through the System. Responsibilities: • Performed Data driven testing to validate the data and develop effective Automated QT Pro Scripts Created common library functions using VB script Prepared automated test cases for Regression testing ,functional testing using QTP Automated the test process, reducing smoke test time from 2 days to 1 hour Generated automated data-driven test scripts utilizing QTP to smoke-test application software builds Reviewed functional test cases and test analysis Continuously interacted with development team in the process of defect tracking Preparing test cases, execution of test cases and test reporting Performed integration testing, System testing and regression testing







• • • •

• • • •

Involved in GUI testing as well as testing the Database Operations Performed regression testing for all critical transactions Worked closely with developers in reproducing bugs reported Performed end user testing before the Build is released for actual real time implementation • Summarize test results in formula test analysis reports according to the documentation standards • Interacted with developers and various members of team to discuss and resolve defects and their priorities

PROJECT # 7 Group Life Insurance, NIC, India (Oct ‘00 to Mar ’03) Environment: Visual Basic, Oracle 8i, Java Script, VB.NET, Visual Studio, VB script, Windows NT, Test Director, Win Runner, Visual Source Safe, Microsoft Project Plan Description: This is application software acts as Group Insurance provider to all state employees of government of AP. Features includes providing new policies to employees based on their eligibility and transferring accounts from one district to another district, Providing Loans based on the total premium paid and claim of insurance in case of retirements. The administration features deal with authentication and authorization of the end users to use that application by considering correct input and password. Responsibilities:
• • • • •

Responsible for gathering Business Requirements, Functional Requirements and Design Documents Creating Test plans, Test Strategies, Test Scenarios and Test cases Identified and Created test data for Test Scenarios and Test cases Performed Functional, Negative, Integration, Regression, End to End and User Acceptance testing Reported the defects with proper Priorities and Severities American International Group, NJ Jun 03 – July 04 Business objects Developer AIG is the worlds leading international insurance and financial services organization, with operations in approximately 130 countries and jurisdictions. AIG member

companies serve commercial, institutional and individual customers through the most extensive worldwide property-casualty and life insurance networks of any insurer. In the United States, AIG companies are the largest underwriters of commercial and industrial insurance. Responsibilities Involved in Installation and Upgrading Business Objects Full Client and Thin Client Products from Business Objects v5.1.2 to Business Objects v 5.1.6 • Generated Complex Standard Reports using BO Universe, Stored Procedures and Free-hand SQL statements as the data providers. • Created Cardinalities, Contexts, Joins and Aliases for resolving Loops and checked the Integrity of the Universes. • Analyzed Business Objects old Universes and Reports. Designed and developed new Universe and Reports as per the requirements. • Managed users and groups security and also managed Row level and Object level data access. • Highly experienced in creating Cascading prompts by understanding the reporting requirements. • Ensured Implemented various @Functions like @Prompt (for user defined queries), @Where (for creating conditional filters), and @Select. • Extensively used Business Objects functionality such as Slice and Dice, Drill Down, Master/detail, Prompts and Formulas, Calculations, Variables, Breaks, Sorting and Alerts for creating Business Objects reports. • Developing several simple and complex Canned/Ad-Hoc reports. • Performed Data Verification Testing by writing SQL statements to check the accuracy of the report. • Setting up WebI to view and schedule documents to the users. • Document publication using Broadcast Agent and Administration of BCA. • Extensively used Web Intelligence and ZABO functionality to send Reports to end-users over Intranet and Extranet. • Managed sessions, database connections and batch processes using server manager


Environment: Business Objects 5.1.6(Designer, Reporter) WebI, Infoview, ZABO, BCA, Oracle8.1.7, Toad, Windows NT MEDWIN Super Specialty Hospitals Limited, India Feb 02– May 03 HMS - Hospital Management System Oracle Developer HMS - Hospital Management System is a comprehensive suite of Healthcare Management Systems, integrated into one computer program. HMS Product Suite includes Practice Management, Electronic Medical Records, ACOG compliant OB/GYN EMR, Prescription Writer, Appointment Scheduling, Document (Scanning), Hospital

Management designed specifically for the physician practice setting. HMS is scalable from a single user to hundreds of concurrent users. Responsibilities Involved in design of applications using SQL, PL/SQL, Forms 4.5, and Reports 2.5. • Extensively used back-end procedure, SQL Queries, standard modules and Database Triggers. • Designing the Database tables, creating Packages by using stored procedures, Functions, Exceptions, and Cursors. • Generated Reports using SQL procedures to view Patient Information, Doctor Itineraries, Hospital Administration, Inventory and Sales. • Generated IO Billing and Budgetary activities, Finance, Accounts, Payroll and Statistical Analysis Reports as per the end user requirements. • Administration and Maintenance of the Network and Windows operating system • Upgrades to the operating system, Hardware and Software Trouble shooting


Environment: Oracle 7.x, Developer (Forms 4.5 & Reports 2.5), PL/SQL, MS-Access, Windows NT/95/98. Client: Eclipsys, San Jose, CA. Role: Business Analyst/ Quality Analyst Aug 2004 - Jan 2006

Project Scope: Eclipsys is a leading provider of information solutions that help hospitals and health systems across North America are among the best places to give and receive care. Eclipsys has become known as The Outcomes Company for the measurable and sustainable value in improved care quality, safety, satisfaction and cost-efficiency our clients achieve using our solutions. The project was to provide Lucile Packard Children’s Hospital with a more effective way to identify and process underpaid accounts and maximize its revenue stream. Many of these accounts had complex contract terms with stop-loss provisions. Responsibilities:


Define and develop business functional requirements and participate in technical walk-through meetings to develop the functional design for the implementation. • Act as liaison between Information Systems group and Business User groups (hospitals) to relay change requests. • Function as a liaison to the business, ensuring that issues important to customers are identified and addressed by the team.

• •

Conduct individual and group (JAD) sessions with clients and technical units. Promote overall stability to the customer through technical implementation of automated monitoring and logging tools. • Acted as Use case analyst responsible for reviewing and editing proposed guideline for object oriented analysis and design (OOAD) using the UML/Rational Rose. • Provide continuous feedback and phone support to business users reporting problems to improve the system. • Work with technical teams and clients to ensure closure of problems reported, in a timely fashion. • Provide extensive staff development & training on products, applications, & tools utilized by the department to support clients. • Use the Office Suite extensively, which included MS Word, MS Excel, MS Access and MS Visio for project documentation and analysis reports. • Attend weekly change request meetings to document changes and implement procedures to test changes upon completion. • Responsible for providing documentation to team for troubleshooting and resolving issues reported by system users, facilitating resolution. • Provided guidance on using Clearquest tracking system to report Adverse Events during protocol execution • Involved in preparing Master Plan to implement Hospitality Information Management Systems (HIMS). • Present tables and charts of customer requirements in department meetings to ensure effective communication with customers and execution by the team. Environment: MS Outlook, MS SQL Server 2000, Microsoft Analytical Services, Reporting Services, Microsoft Excel, Microsoft Visio, MS Office, XML. Client: Hartford Insurance, Hartford, CT Role: Business Analyst/ Quality Analyst Project Scope: The Hartford Insurance operates as a financial services institution in the United States. It offers various products and services, including life insurance, annuities, pension, and retirement related services and securities brokerage. A .NET web application developed in house provided Hartford Insurance agents to quote by state, which enables a prospective policyholder to interactively peruse quotes. The claim file utility developed enables policyholders to file claims and the GUI developed walked through the claim file process. Responsibilities:


Jan 2003 – Jul 2004

Prepared and analyzed AS IS and TO BE in the existing architecture and performed Gap Analysis and created workflow scenarios, designed new process flows and







• •





documented the Business Process and various Business Scenarios and activities of the business from the conceptual to procedural level. Acted as the primary liaison between the client departments and the Information systems department and interacted with internal as well as external clients, to collect requirements and business process information, documented them in Business Requirement Document (BRD) post analysis of the business requirements by analyzed the Risks associated with MBS and strategies used to assess and mitigate them. Interacted with Subject Matter Experts of different divisions (Information Technology, Risk and Operations) and established a business analysis and design methodology around the RUP. Facilitated collection of User Requirements and Business Requirements from Business User Group such as to document Business/User/Functional/Technical Requirement Specification using MS Word and MS Visio that provided appropriate scope of work for technical team to develop prototype and overall system. Prepared graphical depictions of Narrative Use Cases, Use Case Diagrams, Activity Diagrams, Sequence Diagrams, using MS Visio. Conducted walkthroughs for High level requirement and Use Case Walk Through to discuss line areas on data, technology and application integration issues with the Business team, Architecture, Design team and development team. Administered Quality Control and Quality Management by generating scenarios, test cases, records defects and test procedures using Defect Tracking Tools like Clear Quest. Conducted User Acceptance Testing (UAT) and collaborated with the QA team to develop the test (plans/scenarios/cases/data) to be used in testing based on different business requirement.

Environment: Windows 2000/XP, Linux, MS SQL Server, Clear Quest, MS Office, MS Visio, MS Project, Java, J2EE, Win Runner, LoadRunner, Test Director. Quest Syscon Int. Pvt. Ltd. (India) – July 1998 to March 1999 Functional / System Analyst Eclasic is a comprehensive Healthcare Information Management System that computerizes principal operations and administrative functions in a Hospital. It is modularly designed enabling computerization in phases. The System generates extensive management reports, operational statistics and offers a powerful query module. The areas of operations covering the system include Registration, Consultant Clinics, Admission, Discharge, Transfer, Medical records, Wards, Radiology, Laboratories, Pharmacy, IS, PRD, Blood bank, Billing & Accounting are the main modules of Eclasic Roles & Responsibility: Design, Review and Analyze user specs and functional design specs to develop GUIs and functionalities.
¬

¬
¬

Coordinate with QA and stick to organization policies, and industry standards. Used Designer 2000 for Logical /Physical data model and ER-Diagram, Created database for staging Stage schema. ¬ Responsible for analysis, & internal audit of the Eclasic. ¬ Defined business and data quality rules for the system ¬ Logical and physical data model design, troubleshooting and SQL tuning of Oracle database for FAS. ¬ Study the modification requests and come-up with solution and fixes. ¬ Managed project implementation using MS Project Environment: MS Office, MS-Project, Windows, Unix, Java, Oracle, MS Access
Description: The System will provide online access to eligibility, benefits, and claims information. Blue Cross California (BCC), Blue Cross Blue Shield Georgia (BCBSGA), Unicare, and Blue Cross California Dental Providers may access the System. Membership information for these plans will be available through the System. Out of state member medical information will be available via Blue Exchange. Reports, industry benchmarking information, referrals, authorizations and coordination of benefits capabilities will also be available through the System.

Client: Admiral Insurance Company, NJ Role: Oracle Developer

May’05 - Dec’05

Admiral insurance Company provides excess and surplus lines coverage to commercial risks that involve moderate to high degrees of hazard. Admiral serves millions of customers worldwide - including individuals, institutions, and businesses - through independent agents and brokers, financial institutions, and online. About 11,000 independent agencies and more than 100,000 registered broker/dealers sell the Admiral’s trusted products. The Admiral is known for its financial strength and stability, superior customer service, and continued operational excellence. The objective is to develop reports, Oracle Forms that would handle salespersons compensation apart from their monthly salary based on Region, Title, Position, and Plan based on the orders. Sales Compensation report is considered to consolidate all the information relating to an employee.

Client: Par Pharmaceuticals, NJ Role: Oracle Forms/Reports Developer

Apr ‘04 - Oct’04

Par Pharmaceutical Companies, Inc develops, manufactures and markets generic drugs and innovative branded pharmaceuticals for specialty markets. The Application provides an interface for users to browse the drug Repository and the system uses an extensive repository of Drug information and Provides means for efficient dispensing and pricing of drugs.

Sponsor Documents

Or use your account on DocShare.tips

Hide

Forgot your password?

Or register your new account on DocShare.tips

Hide

Lost your password? Please enter your email address. You will receive a link to create a new password.

Back to log-in

Close