SUMMARY

• Diversified IT professional with experience as project manager, software engineer and analyst with concentrations in Windows/.Net enterprise applications, services, written in C/C++/C#.Net (Microsoft and Borland/Delphi).
• Strong experience in technology solutions for the hospitality and insurance (EDI electronic billing for Healthcare, P & C, WC insurance) industries. .
• Controlled projects at all phases: requirements, design, code, testing, installation and support. Installs at both customer sites and some centralized.
• Heavily responsible for communication of status to both internal and external stakeholders. Depending on audience: In - person, phone, web-ex, documents, etc.
• Concentration within field of ERP/Workflow automation/integration of medical billing (EDI, X12, HIS, HL7) AKA 837, 834, 835 ( or respectively: Encounters, Enrollments, EOBs)
• Highly adaptable to team environments and excellent communication skills
• 15+ years of positive experience working with offshore support (Ireland, Vietnam, India, Russia, Guatemala, China, Australia, etc.)
• Open to relocation and/or travel. Accomplished in customer-facing roles.

TECHNICAL SKILLS

• .NET
• ASP.NET
• Access
• ActiveX
• Adobe Photoshop and GoLive
• C++
• COM
• Corba
• DCOM
• Borland
• Borland C++ Builder
• C
• C#
• Delphi
• Dreamweaver
• Excel
• FrontPage
• HTML
• InstallShield
• Interbase
• Lotus Notes
• SQL Server
• Microsoft Word
• MS Project
• Oracle
• Pascal pcAnywhere
• PowerPoint
• PL/SQL
• MS Publishing
• Progress
• QuickReports
• RDBMS
• SOAP
• SQL
• StarTeam
• Sybase
• DirectOracleAccess
• UNIX and Shell Scripting
• Visual Basic
• VB.NET
• Visual C++
• Visual Source Safe
• Wall2Wall
• Web services
• Windows 9x/NT
• XML.

PROFESSIONAL EXPERIENCE

Confidential

Software Engineer (EDI Specialist)

Responsibilities:

• Implementation and support of all Healthcare related EDI files
• Daily support of X12 errors, tracking and reporting.
• All duties required of DBA's where we elected to handle "in-house" versus delegating to outside consultants, for bandwidth purposes.
• Processing average of 80,000 claims per day, assuring SLAs
• Tech-lead of EDI specifications 834, 835, 837
• A/R (accounts receivables) SSIS reporting on SQL Server DB v 2012
• My role required being on-site within Las Vegas partial for purpose of Pacific-time support issues. Sole-technical resource on-site.

Confidential

Consultant Engineer (EDI Specialist)

Responsibilities:

• Implementation of EDI automation, in the healthcare billing and enrollment
• Hired, on-boarded, moved to Boston for initial contract but Confidential lost contract.
• Currently, back in Atlanta and "benched" awaiting re-assignment.

Confidential

Developer/DBA/Project Manager

Responsibilities:

• This entity was my own sole proprietorship, operating under 1099 contract.
• Supplementary duties performed by subcontract, in conjunction, authorization and concurrent with other organizations.
• Customers were always small organizations (total staff of 1-10).
• Primary client was NCM (National Contact Marketing), a freight logistics company
• Responsibilities were various IT: typical of small organizations that required a technical resource, but not a requirement for a full-time engineer.
• Emphasis on SQL/reporting/BI (QuickReports, Rave) and win GUI in Delphi.
• Hardware, database and software… procurement, setup and support.
• Requirements gathering/design and aligning with current systems.
• Back ups, document and train staff on updates/bug fixes.

Confidential

EDI Development Specialist

Responsibilities:

• Implementation of EDI automation, in the healthcare billing and enrollment
• Technical product lead of EDI specification 834, 837
• Responsible for early lead architecture of the EDI implementation, including: high level system design, data modeling, workflow, file/data security (HIPAA/HITECH) and NY State All Payer Database (state specific requirement)
• ERP/EDI integration (SalesForce, eBridge)
• Design and code solutions in compliance with NY State, APD (All Payer Database)
• Client/server solution using MS Visual Studio and MS Sql Server.
• Short term contract.

Confidential

Sr .NET Web Developer

Responsibilities:

• Implementation of electronic medical billing and financial management solutions, for medical providers: practices and hospitals.
• Solutions I helped implement included: Medical Practice Management. Revenue Cycle Management.
• Employed MicroSoft VisualStudio, TFS on Azure platform.
• EDI expertise in healthcare X12 specifications: 837 (institutional and professional), 835, 834.

Confidential

Software Engineer

Responsibilities:

• Implementation of EDI automation, in the healthcare billing and enrollment
• Technical product lead of EDI specification 834
• Since this was short term contract, please note that all other aspects of the role nearly identical to the time I spent with Confidential

Confidential

Software Engineer/Project Management / BA

Responsibilities:

• Project management, design, code, debug, test and maintenance of Windows client/server applications/services. Reporting to Divisional Software, but working for variety of business units as internal consultant. Employed MS Project, TFS, SharePoint and internal ACS Project Mgt tools.
• BPO solutions that focus on high productivity while ensuring strict compliance with HIPAA, ICD, HL7, CMS, federal and state standards (ICDs9/10, HCPCS, NPIs, etc.).
• Procurement and planning. Working with sales during RFI/RFQ's; remaining active defining requirements, starting from initial client meetings.
• Architecture and coding, UX/UI applications and services. Employing variety of methodologies (WPF, WCF, MVC, etc.). Vertically integrated including initial requirements, design solution, code, test, implementation and support (24-7 meeting SLA's)
• Personally lead EDI 4010-5010 enhancement; multiple states, multiple clients.
• Automated processing (sort, scan, OCR, data entry) of hard copy document types: HCFA, UB, EMR (Electronic Med Recs).
• Regarding PM and BA roles: for the ACS division (Commercial BPO, Healthcare), I was the sole technical person for Atlanta office. This put me in the unique position to handle all aspects of new development and maintenance. From BA responsibilities of working with customers to determine requirements, up through final implementation.
• Many services/embedded applications for productivity, product tracking, WMS.
• Business Process Outsourcing solutions concentrated on document imaging, OCR and document-to-data solutions for medical billing operations (primary clients including Allstate, Liberty Mutual, Travelers, AXA and Fireman’s Fund, P & C Insurance Companies). Data migration, transformation, integration (ETL, EAI).
• Primary tools include Delphi (versions 5, 6 and 7), Microsoft Visual Studio (ver 03-12). Altova tools and Microsoft SQL Server 2000/2005/2008 .
• New projects including both XML/XSD schema design and DDL (DB Data Modeling/Definition and resulting documention.
• Regarding XSD creation, these defined the transferred file formats between our clients and us. More often than not, I'd work with client to help them create and take ownership of the XSD... training their technical people in the process. This task normally fell under the "billable radar" but it served to solidify the tech-to-tech relationship that paid dividends for months/years.
• Mainly custom software C#.net with Win workflows (+ similar tool by other vendors). Some extensions of semi-custom tools (ACS, in house "MCP", semicustom ERP system). Configuration with various script languages.
• Significant use of XML as file based data transfer, using FTP, SFTP, AS2 based on customer requirements. EDI\X12 billing protocols (conversion both from x12 and from internal schemas (XSD, Facets) back to X12).
• EDI specifications include: 837(I,P&D), 835, 820, 834, 270, 271, 276, 277, 999
• Several years implementation and support of major deployments for diversified healthcare ops. Many semi-custom custom solutions, due to client list and multi-state reqs.
• A major PM/architect role in the EDI 4010 to 5010 CMS upgrade. Maintaining compliance with HIPAA, ICD/Diag and HCPCS code validation. Given high level of customization during early 5010 move, this required robust customer interaction and monitor/logging of X12 file processes... 24/7 given our strict SLA.
• Additional dental experience with multiple EDI specs. Custom software with occasional need for manual X12 triage of bills and EOBs to support live production. Use of Tibco, EDIFECS and EdiDev tools.
• Also supported acknowledgements and attachments.
• Heavy use of SSRS, SSIS, SSAS and some Crystal/Business Objects XI.

Confidential

Software Engineer

Responsibilities:

• Design, code, debug, test and maintenance of Windows client/server and browser based applications and reports.
• Software solutions designed for the medical and term life insurance industries.
• Primary tools include Delphi (versions 5, 6 and 7), Microsoft Visual Studio 2005 and Microsoft SQL Server 2000/2005/2008 **
• Make use of object oriented architecture in maintenance of legacy applications (use of Borland libraries/BPL’s), and for purposes of upgraded to Visual Studio 2005 (convert to c#.net assemblies).
• Significant integration of SQL/Transact SQL in the development processes, including queries, stored procedures, views, functions etc.
• Report creation using SQL Server Reporting Services (SSRS) 2003/2005
• DB backups and replication for development and testing, using SQL Server Integration Services (DTS or SSIS).
• Concentration on user interfaces including requirements gathering, design, layout, graphics creation or acquisition
• Other current tools/techs include Reporting, ADO, Vault and MS Visual SourceSafe.

Confidential

Software Engineer

Responsibilities:

• Responsible for the design, code, test debug, and maintenance of Windows applications, employing XML as the primary database and data transfer component. VBScript used for small UI costomization.
• Currently support applications in Borland C++ Builder, Microsoft Visual C++ and C#.net in Microsoft Visual Studio .Net (roughly 1/3 of my time dedicated to each of the 3 environments).
• All 3 environments used to create interfaced modules to produce a single solution (i.e. in a single enhancement I will have dealt with all IDE’s)
• Also note that I have current experience in Delphi 7 and Interbase (rdbms)
• Support multiple applications: responsible for design, creation, implementation, bug-fix and enhancement of near 100 various applications and dll’s.
• Current products are used in hospitality. Quick service and table service restaurant kitchen display system, hostess system and a variety of related management systems.
• Some applications use relational databases including ASA and SQL Server.
• Heavy concentration on user interfaces including: requirements gathering, design and layout, graphics creation or acquisition.
• Work in small team environment, responsible for individual and team productivity with little oversight. Employ various project management tools and methodologies to achieve measurable goals.
• Other current tools include InstallShield 11.5, MS VSS (SourceSafe), Test Track, Gimp.

Confidential

Senior Software Engineer

Responsibilities:

• All aspects of software creation, including analysis, design, implementation and support. Most work on luxury hotel Property Management Systems (PMS / POS), Spa & Resort, Windows and internet-based, software applications, using Delphi (currently Delphi 7) and Microsoft Visual Studio .Net (C#/VB/ASP.NET), on Oracle database.
• Manage daily development activities of team in Bangalore India. A range of tasks including: daily task assignment, clarification of specifications, technical leadership, process control and annual performance reviews. Make use of tools (Borland StarTeam, MS Visual SourceSafe, WebEx for communication) to manage oversight.
• Create and maintain application interfaces, including: vendor selection, cost estimates, design, implementation, and support. Various interface protocols (TCPIP, WinSock, Web Services) used in the US, UK, APAC and Africa.
• Interface objectives include, but not limited to: credit card, EFT, UK BACS, Membership/gift card/reward systems.
• Acting administrator of StarTeam: SCM tool to manage all project/team intellectual assets (source, tasks, collaboration). Migrated source from Visual SourceSafe.
• Active working relationship with external and internal customers in the UK, APAC and South Africa.
• Draft documentation on system functionality, ultimately given to users.
• Produce various reports for management, typically related to development issues.
• Take product support call as needed and act as backup Oracle DBA.
• Compose SQL and PL/SQL on Oracle DB for queries, triggers, procedures etc.

Confidential

Software Engineer / Consultant

Responsibilities:

• Designed, enhanced, analyzed, and developed Windows-based, software applications, using Borland C++ Builder and Delphi.
• Involved in all aspects of software projects and responsible for timely delivery of builds and final product.
• Databases worked with include: MS SQL Server 7, Oracle8, Sybase, Interbase.
• Employed COM interface used in multi-tier applications.
• Projects ranged from local desktop applications to client-server and multi-tier.
• RDBMS/database design, enhancement, connectivity and implementation.
• Wide scope of projects including: analysis of business model, use cases, design, UI, code, test and support.
• Supported custom software used by clients via phone, on-line and on-site.
• Provide training assistance and mentoring.

Confidential

Project Analyst

Responsibilities:

• Created specifications for programs during development phase.
• Application testing at various intervals of development.
• UI design and high-level application development
• Troubleshooting network and workstations of 200-client network.
• Provided training on new software applications.
• Database administration: maintain, update and queried reports for management.
• Account Management, sales and service of, personal lines, P & C insurance products.
• Held P&C licenses in 40 states, simultaneously.
• Risk analysis, underwriting and issuance of various products.
• Interviewed and approved hiring of new associates.

Confidential

Analyst/Underwriter

Responsibilities:

• Analyst responsibilities equal to first five bullet-points shown with Travelers.
• Development of procedures used in sales/service environments.
• Direct sales/underwriting of personal lines insurance.
• Provide supervisory assistance for staff of over 100.
• Worked on staff forecasting and competition/product analysis.
• Recruited, interviewed and trained new associates.