Twelve years of experience in Design and Development Enterprise applications using technologies Oracle SOA Suite 11g Java J2EE WMB WTX technologies.

• Six years of Experience in HealthCare Domain design and development experience on Batch and Real-time EDI Transactions.
• Strong Experience in developing SOA solutions using Oracle SOA Suite and Oracle B2B.
• Strong Experience in developing SOA solutions using WMB WTX and WMQ.
• Strong Experience in Java Web Services WSDL SOAP JAX-RPC JAX-WS Axis Apache CXF JMS Spring Hibernate IBatis Struts EJB Servlet JSP JUnit XML UML SQL.
• Experience in understanding EDI Implementation and Companion guides Business Requirements Functional Specifications Data Mapping documents and provides design implementation according to business needs.
• Key resource in delivery of 5010 HIPAA Program CAQH Core Certification Program in United HealthCare.
• Involved in the Implementation of CAQH Core Certification Program for BCBSM.
• Expertise with Application Servers - WebLogic 11.0 WebSphere 7.0 6.1 JBoss 6.0 and Tomcat- 5.0/4.1
• Worked on various IDEs such as Jdeveloper IBM Rational Application Developer 7 RAD Net Beans 6.5 and Eclipse 3.2/3.3.
• Good experience in Oracle 11g 10g 9i PL/SQL programming and database of design.
• Very good experience on configuration management tools like SVN Clear Case PVCS VSS and CVS.
• Very good experience on designing database implementing required queries using tools like DB2 Visualizer SQuirrel SQL Client SQL Navigator PL/SQL Developer and TOAD.
• Excellent Communication and Interpersonal Skills with strong Customer Orientation and Client Interfacing Skills.
• Expertise in working in all phases of SDLC utilizing current software engineering methodologies like Agile Scrum.

Oracle Document Editor

Implemented Custom Guidelines .ecs for Cobol Copy Book CCB Positional Flat Files PFF exported as schemas XSD and generated parser schemas for guidelines in Oracle Document Editor.

Generated Guideline and Data Mapping documents from Oracle Document Editor.

Worked on EDI X12 837 I/P/D and NCPDP 4.2 in Oracle Document Editor.

Oracle B2B

Created and Configured Document Definitions. Identified and Configured Listening Channels using Oracle B2B Administration.

Identified and Configured Trading Partners deployed Trading partner agreements in Oracle B2B Partners.

Worked on troubleshooting payload issues using Oracle B2B Reports by looking in to Business Wire Application messages.

Utilized features of compliance check functional ACK s 999/TA1 of Oracle B2B for EDI transactions.

Oracle SOA Suite

Experience in identifying right SOA Components BPEL Process Business Rules Human Tasks according to the Business Requirements.

Implemented message validation transformation enhancement and error handling in Oracle SOA using various features like XQuery XSLT XPath Service callout Java fault policy etc.

Implemented BPEL for Orchestration Decision Service for configuring business rules DB Adapter for database access.

Experience in supporting SOA systems deployed in large OFM implementations using administrative tools like Oracle Enterprise Manager OEM and WebLogic console.

Experience in design and develop Composite Services using JDeveloper.

Experience in packaging and deployment of SOA suite components in different environments and troubleshooting composite services using instance tracking in enterprise manager and system out logs in the server.

WebSphere Message Broker

Designed and Developed Message Flows for Extraction Validation Routing X12 Transactions.

Well experienced in design and development of Message Sets Message Definitions Message flows ESQL and Java.

Experienced in providing WS-Security on SOAP Messages for Identity authentication Message confidentiality Message Integrity.

WebSphere Transformation Extender

Designed Schemas and generated type trees for defining data structure of complex transformations.

Designed and Developed WTX maps for Validations Transformations of X12 Transactions in to different format by implementing RULES.

Handled different formats like X12 XML BLOB etc. using Type Trees in WTX.

Experienced in design and development of Maps with complex business rules using WebSphere Transformation Extender 8.3.

Experienced in consuming HIPAA EDI X12 Type Trees provided by IBM.

Middleware Oracle Fusion Middleware 11g Oracle SOA Suite Oracle B2B WebSphere Message Broker 8.0 WebSphere Transformation Extender 8.3 WebSphere MQ

• Technologies Java 6.0 J2EE 1.4 Web Services SOAP WSDL JDBC JMS EJB Servlets JSP XML XSLT Core Java
• Adapters B2B FTP DB Adapters
• Open Source Spring 2.5.1 Hibernate 3.0 IBatis JUnit 4.5 Struts 2.0 Log4J.
• Methodologies RUP Agile Test Driven Development
• Tools SOAP UI Rational Clear Case Visual SourceSafe CVS.
• IDE Tools Rational Application Developer 7.0 Eclipse 3.2 NetBeans 6.5
• UML Tools Microsoft VISIO Rational Rose
• XML Tools XML Spy 2009
• JMS Tools IBM WebSphere MQ ExplorerV4
• App Servers WebLogic 11.x 10.x/8.X/6.X IBM WebSphere 7.0/6.X/5.X Tomcat 5.X/4.X JBOSS AS.
• RDBMS Oracle 11.x SQL PL/SQL DB2.
• Scripting Languages Java Script Action Script.
• Platforms IBM AIX Sun Solaris HP UNIX LINUX Windows 2000 Windows XP Windows 7

Confidential

Job Title Sr Software Consultant

Program Replacement of MMIS.

Project Encounters

SCDHHS requires Trading Partners to report encounters data to analyze and monitor medical utilization and ensure quality of care. The High Level Technical design contains B2B Configuration for Trading Partners and Encounter Composite Services design.

Responsibilities

RMMIS Program Level effort

Worked with Directors to understand the current MMIS system and worked on future RMMIS High Level Architecture.

Worked and presented Preliminary Design Review to Directors on Encounters Project.

Encounters Project Level effort

Identified and configured Trading Partners Document Definitions and Listening Channels in Oracle B2B.

Configured Oracle B2B to support compliance check validation for the incoming Encounter Transactions and return 999/TA1 ACK s to Trading Partners.

Implemented Encounter Composite service which contains BPEL for Orchestration and Transformation of Encounters from X12 to XML.

Implemented Business Rules Service to apply business edits and return 277 ACK to Trading Partners.

Developed complex schemas and XSLT transformations in BPEL to read enhance and process incoming data and map to database rules service.

Provided DB Adapter to store information in Operational Data Store Oracle Database .

Implemented Composite service to send Claims PFF files to External System.

Prepared test scenarios and unit tested all composite services.

Used MDS repositories to store all the common artifacts.

Worked with Oracle Support team to handle issues like large payload handling and NCPDP etc.

Infrastructure Level effort

Installed and configured domains for WebLogic Application server and Oracle SOA Suite 11g in VDI RedHat Linux for QA environment setup.

Prepared Capacity planning and Hardware configuration for UAT and Production Servers.

Technologies Oracle Fusion Middleware Oracle SOA Suite BPEL Oracle B2B Oracle Business Rules Adaptors Oracle Enterprise Manager Oracle SOA Composer Oracle Database Server 11g SoapUI JDeveloper Oracle WebLogic Java 7 WSDL XML JAXB Altova XMLSpy.

Confidential

Job Title Sr Software Consultant

Project PRIME Enrollment 834 Transaction.

Prime 834 EDI System should take 834 PFF file from Mainframe and send data to CMS for verification and validation purpose. The system should able to store and update the Prime Database according the response received from CMS.

Responsibilities

• Prepared stories for each Sprint and worked on it to words completion.
• Prepared System Design document for the Business Requirements of Prime 834 Transaction.
• Designed Composite Services for Prime 834 Transaction to store in the database and to communicate to CMS and update response in the Database. To prepared 834 PFF file response to MMIS system.
• Designed and implemented Oracle Decision Service to apply business rules and send response accordingly to CMS.
• Created service contracts based on the business edits and exposed as web service.
• Designed database to create required tables and provided appropriate associations that supports business requirements.
• Developed complex schemas and XSLT transformations in BPEL to read enhance and process incoming data and map to database rules service.
• Used MDS repositories to store all the common artifacts.
• Prepared test scenarios and tested all composite services.
• Promoted the changes to Production and provided production support.

Technologies Oracle Fusion Middleware Oracle SOA Suite BPEL Oracle B2B Oracle Business Rules Adapters Oracle Enterprise Manager Oracle SOA Composer Oracle Database Server 11g SoapUI JDeveloper Oracle WebLogic Java 7 WSDL XML JAXB Altova XMLSpy.

Confidential

Job Title Sr Software Consultant

Project CAQH CORE.

BCBSM must be compliant with the Patient Protection and Affordable Care Act PPACA mandated Operating rules for HIPAA Eligibility transactions v5010A1 270/271 and Claim Status transactions v5010 276/277 by January 1 2013 Section 1104 b 2 of the Patient Protection and Affordable Care Act PPACA .

Responsibilities

Documentation

• Prepared Software Architecture document for 270/271 CAQH CORE rules implementation.
• Prepared Supplementary document for 270/271 CAQH CORE rules implementation.
• Identified and documented Message flows Nodes Maps Trees and provided Sequence Diagram for the 270/271 EDI Transaction.

WMB

• Generated Message Sets Message Definitions WSDL Message Flows for the given BCBSA CAQH schema
• Enabled WebService for Real-time 270/271 276/277 Transactions by providing SOAPInput SOAPReply nodes in the message flow.
• Incorporated required changes in ESQL code to support CAQH CORE rules for 270/271 276/277 Transactions.
• Used ESQL extensively to persist X12 information in Database to validate X12 information and error handling.
• Provided sub flows for Error Handling Response generation.
• Provided Bi-directional WS-Security for the 270/271 276/277 Real time WebServices.
• Provided SLA Timeout process using JAVA Compute.

WTX

• Modified existing maps to support according to the new business requirements.
• Defined Schema for EDISegmentParser and generated Type tree to represent data structure.
• Implemented map which converts X12 EDI Transaction in to XML EDISegmentParser map.
• Implemented de-batch Map to convert 270 276 batch EDI X12 Request File to XML Request File.
• Implemented re-batch Map to convert 271 277 batch XML Response to EDI X12 Response File.
• Incorporated new AAA Errors in the 271 Response Map.
• Used IBM HIPAA type trees for handling EDI X12 format in WTX Maps.

Technologies IBM WebSphere Transformation Extender 8.3 WebSphere Message Broker 7.0 IBM WebSphere MQ 6.0 IBM WebSphere MQ Explorer WebSphere DataPower Java 6.0 WebServices WS-Security DB2 DB2 Visualizer SOAP UI 2.0.2 SCM Workbench.

Confidential

Job Title Sr Software Consultant

Project BlueSquared 13.0.

Blue Square is a collection of business and technical functionalities that target key business drivers identified in the Blues Cross Blue Shield Association BCBSA National Account Strategy.

Responsibilities

• Prepared System and Analysis Design document for the BlueSquared releases 12.0 12.5 and 13.0.
• Key member in the design and development of Blue Squared Host Medical Record Requests.
• Worked on Use Case Model overview for Medical Record Request Automation.
• Designed Class and Sequence Diagrams for Medical Record Request Automation.
• Worked on development and unit testing for Medical Record Request Automation.
• Worked with Datapower team to establish connection between NASCO and BCBSM.
• Prepared shell script for execution of Medical Record Request batch automation.

Technologies Jdk 1.6 J2EE Web Services JAX-WS JAX-RB SOAP UI 2.0.2 Spring 2.5.1 Hibernate log4j IBM Rational Software Architect WebSphere Application Server 7.0 J2EE Design patterns RAD 7.5 DB2 Oracle DB2 Visualizer SVN HP Quality Center.