SUMMARY:

• Information technology consultant with 11 years dedicated in IBM Mainframes and Data warehouse environments.
• Performed multiple consulting roles during my career including Sr Mainframe Developer/Support, Business System Analyst/ Lead Mainframe Developer for application development, Maintenance, testing Production support.
• Extensive background in the full software development life cycle SDLC , high level and low level design and application integration. Possess in-depth knowledge in mainframe technologies.
• Expertise in design development of programs using COBOL II, CICS, VSAM, IMS/DB, DB2, JCL, TSO/ISPF, SPUFI, SAS on IBM utilities Panvalet, Trace master, File-Aid, Beta 93, Dump Master, XPEDITOR, JOBTrac and having knowledge on JAVA.
• Having good analysis and programming and debugging skills for large application development systems, data modeling and Business Process Management BPM . Expertise using PPM tool for creating service requests.
• Involved in all phases of application development from system design to integrated testing QA testing, TQM Total quality management and also production support.
• Strong working knowledge on SAS to generate reports and Dataware house ETL tool Informatica PowerCenter 8.1.1/7.1/6.2
• Strong analytical and design skills in batch programming environment in designing DB2 systems involving batch COBOL.
• Good working knowledge in Banking, Auto Insurance and Healthcare Domains.
• Strong technical skill in the area of COBOL, DB2 batch programming and online CICS programming.
• Good working knowledge in Claims Imports on McKesson health server system.

PROFESSIONAL SKILLS:

• Mainframe: Source Analyzer, Low level designing, High level designing, Workflow designer, Workflow monitor, Production support, Software development life cycle SDLC , Unisys
• Databases: VSAM, DB2, IMS/DB, IDMS, DB2, stored procedures and DB2 catalog, Sybase and Oracle
• Tools: MS-VISIO, Visual Source Safe VSS , MS-Office, Endevor, Trace master, Platinum, File-Aid, Beta 93, Dump Master, XPEDITOR, Beacon, Changeman and CA7, Lotus notes and MS office tools, power builder, CA-JOBTRAC
• Operating System: MVS/ESA on IBM/390, Z/OS, Windows 2000/NT/XP/98/95
• Languages: SAS, VS COBOL II, MF COBOL, JCL, PL/SQL, HTML, XML, PL/1, Easytrieve, Assembler, JAVA
• OLTP: CICS, IMS/DC
• Servers: McKesson Data Imports , EC2000 for automated claim imports for Insurance, On Demand
• Utilities: TSO/ISPF, SDSF, VSAM, SPUFI, FTP, REXX and QMF
• ETL Tools: Informatica Power Center 8.1.1/7.1/6.2
• Middleware: MQ Series, NDM

PROFESSIONAL EXPERIENCE:

Confidential

Role: Sr Mainframe developer/Support

• The purpose of this project is to expand Anthem's current Blue Distinction program to include the capability to offer tiered benefit differentials for orthopedic services using the Blue Distinction Total Value BDTV Blue Distinction Centers BDC and Blue Distinction Centers BDC designations. Blue Distinction is a designation awarded by the Blue Cross and Blue Shield companies to medical facilities that have demonstrated expertise in delivering quality healthcare for different service types. This project includes the BCD and BCD facilities that have received a designation for different services
• The purpose of this project is to expand the BDC with New EOB messages Create two new EOB messages. One for Member and one for provider. There is a Limit of 24 units/ year. 24 Units 24 boxes. One unit 1. Provider will bill procedure/ HCPCS Code A4253. Pend claim for manual processing when 24 units is met.
• The purpose of this project is to create accumulator DIABSTRP Diabetic Strips. Accumulator will be updated based auto calculation. When process code is 04 and procedure on the claim is A4253 and the contract has variables CTSTSTRIPLMT HMO or ATSTSTRIPLMT ALL and type code is MP PPO or BP HMO and PF2 is entered, DIABSTRP will be updated by the number of units billed with A4253 at the detail line. Example: A4252 2 units on first line and other detail lines 3, accumulator will updated by 5 occurrences. Or if no payment is made because all allowed amounts go deductible and or the copay, update accumulator by the number units coded with A4253 code.
• Cast light is a vendor of consumer healthcare transparency. Reference Based Benefits is a health plan design offered by WellPoint that establishes a benefit maximum reference price point on certain covered services. Cast light will sell the Reference Based Benefits model while leveraging WellPoint's operational processes, i.e., post sales, enrollment, claims and service. Reference Based Benefits Cast light will arm members with the knowledge, via Cast light, to choose providers who are at or below the benefit maximum for covered services.
• The BCBSA Provider Financial Responsibility for Pre-service Review is a BCBSA mandate that will apply to Inpatient Facility Services effective 07/01/2014. Effective 07/01/2014 PAR/HOST licensees must require all participating providers to obtain per-certification/pre-authorization for inpatient facility services and to hold members harmless when pre-certification/pre-authorization is required and not received for Inpatient facility services.
• FOR ITS HOME/HOST, all accounts in WGS will be exempt from applying the any sanctions or claims changes until 01/01/2015 and later, however, it was determined that these changes need to go in as part of the ITS 14.0 software release or we would be out of compliance. So, until 01/01/2015 WGS claims will need to implement a solution to handle accounts that are exempted, along with solutions below for non-exempted accounts. The mandate applies to both PPO and HMO policies and does NOT apply to MEDICAID, MEDICARE CARVE OUT, and BLUECARD WORLDWIDE/INTERNATIONAL plans.
• Designing and developing of new programs with COBOL, IMS/DB, JCL, MFS etc
• Identify and track issues, risks and action items.
• Preparing Technical Designs and Presenting to the Technical, Architecture, Train Committee, and Edit review board.
• Technical assistance to the team, reviewing code, and set up the jobs, coordinate with the DBA's and constantly in touch with operations team for any other technical requests.
• Initiate the release management activities for the project by submitting the eforms, create a Service center - change request and release packages for the project. Present the change request/Ticket in CAB team to obtain the approval.
• Maintain and support complex mainframe CICS IMS/DB COBOL systems - both batch and online
• Create complex multi-platform conversions.
• Assist in managing and directing Application Team processes.
• Work with users to ensure that solutions meet business requirements.
• Create ad hoc reports as needed by client.
• Analyze user support tickets and resolve critical system problems
• Production support is one of the key responsibilities which include fixing the Sev-1 On-call and Sev-2 project issues reported by users.
• Recycle/clean up the claims to correct the impacted member benefits. Sometime this may increase the AA rate when the claims are huge.
• Update the knowledge repository and turn over the project to the service delivery team Maintenance Support for post implementation support.
• Managing the team with excellent contact with each team member and team building activities are part of the corporate initiatives.
• Requirement gathering, analysis and estimation
• Involved in Analysis of the Programs and Applications.
• Performance tuning on DB2 queries.
• Interaction with client and business for specifications clarification.
• Ensures that the work products are delivered to the client with quality.
• Creating work request in service center. Creating HLD and LLD.
• Performance tuning on SQL queries.
• Mentoring and guiding the offshore team members.
• As a technical lead primary responsibility would be providing technical responses to the Business team on the BRD's.
• Provide IT solutions to business problems and resolve technical issues and risks through analysis and design.
• Providing high level estimations to the Business. A customized estimation tool was built internally considering various functional areas.
• SIT, UAT, Regression Performance support - Analyze and fix the defects in case there are any.

Environment: MF COBOL, JCL, IMS/DB, PL1, VSAM, Assembler, DB2, CICS, SPUFI, TSO/ISPF, IOF, File-Aid, CHGMAN, DYLAKOR, SAS, File Manager, Fault analyzer, MQ series, Debug Tool, TABLEBASE, Xpeditor, SAR, IOF, CTRL-M and MVS/ESA On IBM/390 , XML

Confidential

Role: Lead Mainframe COBOL Developer / Support

• Analysis, Designing and developing mainframe programs by understanding business requirements.
• Designing and developing of new programs with COBOL, ASSEMBLER, JCL, DB2, and VSAM.
• Resolve production issues manage inbound and outbound file transmissions.
• Involved in creating Functional design and technical design documentations.
• Support / Monitor critical jobs, daily cycles, batch jobs and online applications.
• Weekly Status Update and upcoming task update over email to the client manager.
• Submitting RFC's for Change management approvals ON time following change management process.
• Assignation and allocation of RFC and follow up and re-prioritizing RFC.
• Coordination with Offshore team, On-Call Support to batch and online systems.
• Creating policy replacements for problem policies.
• Meeting with Users and supporting UAT.
• Support system files and upgrades, change controls and standards review
• Rate book modifications, NDM changes, print off transactions
• NDM success/failures, production on-lines status Information to stake holders on file transfer status, job completions.
• Support System Fixes and Upgrades and control Outbound Files to Outside Vendors.
• Support Systems Change Control Standards Review and month end quarter end Activities.
• Ad-Hoc reporting, creating service requites in PPM.
• Supporting quarter disaster recovery testing.

Environment: ASSEMBLER, MF COBOL, JCL, VSAM, , DB2, CICS, SPUFI, SAS, TSO/ISPF, File-Aid/MVS, AVERS ARCHIVE system , DISPATCH, REXX, Abend-Aid, , XPEDITOR , CA-7 and MVS/ESA On IBM/390, PPM, PANAPT

Confidential

Role: Lead Mainframe COBOL/DB2 Developer / Support

• The policy and billing system PBS project team is responsible for the timely delivery of payroll reports, billing statements, premium refund checks and dividend payments to policyholders. Ensures the accuracy of premium for the entire population of policies on an interim basis and the final determination of premium on all non-audited accounts. The DB2 Mainframe system generates various types of Premium Bills including Final, Interim, Adjustment, Estimate, and Audit Premium Bills. The PBS System has a user base of 200 and generates over 3M in Outstanding Premium bills every day.
• Analysis, Designing and developing mainframe programs by understanding business requirements.
• Designing and developing of new programs with SAS, COBOL, JCL, DB2, IMS/DB and CICS.
• Involved in creating Functional design and technical design documentations.
• Creating new Incidents, RFC's in Enterprise Service point, monitoring ESP for new tickets, incidents assigned.
• Submitting RFC's for Change management approvals ON time following change management process.
• Creating TAPES for paper billing printing if there is fail in automations.
• Daily monitoring the FTP jobs, if there is fail in FTP re-submitting them to avoid delay in receiving bills to brokers.
• Involved creating packages using Change Trace tool for coding standards review.
• Investigating missing policies in the system sent for WCIRB California.
• Setting up the jobs, coordinate with the DBA's and constantly in touch with operations team for any other technical requests.
• Coding one time COBOL programs to meet daily work request on small system maintenance.
• Preparing Functional Design Documents and updating BRD's with technical requirements specifications.
• Operating System expertise sufficient to perform performance and tuning diagnostics.
• Weekly Status Update and upcoming task update over email to the manager.
• Special Requests Report to be posted in the server and later communicated to client over mail.

Environment: MF COBOL, JCL, VSAM, , DB2, CICS, SPUFI, SAS, TSO/ISPF, File-Aid/MVS, Panvalet, File-Aid /DB2, PL/SQL, REXX, Abend-Aid, MQ series, XPEDITOR , SAR, SYSVIEW, CTRL-M and MVS/ESA On IBM/390 , Sybase, SQL Server 2005, CA-JOBTRAC, NDM, XML, Change Trace, JAVA

Confidential

Role: Lead Mainframe COBOL/DB2 Programmer/Support

• Daily Reporting and Review through E-mail and communication folder, which is mapped to the client server.
• Developing MAPS designing using BMS.
• Operating System expertise sufficient to perform performance and tuning diagnostics.
• Designing and developing of new programs with SAS, COBOL, JCL, DB2, and CICS.
• Work with users to ensure that the reports and solutions meet business requirements.
• Unit testing of the changed source programs, test results review . Assiting UAT and SIT teams.
• Coding one time SAS programs to meet daily work request on small system maintenance.
• Maintain all mainframe legacy file feeds to Data Warehouse, to other applications supporting Informatica jobs flow.
• Monthly Job Reports has to be posted every month in Client Instructed Specific Server and information will be passed over mail through NDM process.
• Weekly Status Update and Upcoming Task Update over email / Telecon future plan

Environment: MF COBOL, JCL, VSAM, IMS/DB , DB2, Sybase, CICS, SPUFI, TSO/ISPF, File-Aid, Changeman, SAS, SQL, File Manager, Rexx, MQ series, Debug Tool, SAR, IOF, CTRL-M and MVS/ESA On IBM/390 , Remedy and informatica power centre, SQL Server 2005, CA-JOBTRAC, NDM, XML and JAVA

Confidential

Role: Sr Mainframe developer/Support

Role: Technical Lead

Annual benefit modifications will include refining benefits to enhance member satisfaction and medical outcomes, improve adjudication and/or decrease Grievances and Appeals align with corporate initiatives and those that decrease market and member abrasion issues which align with cost of care initiatives. The Accumulator Change will occur for all members on 1/1/2010 and not upon renewal and code Modified Benefits for annual benefit changes to new and renewing Small Group California medical plans to incorporate benefit modifications.

Confidential

Role: BSA / Lead Mainframe Developer

This project has been defined to implement the required changes to address House Bill 1424A commonly referred to as the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008. The requires group health plans that offer mental health MH or substance abuse SA benefits to provide those benefits on par with medical and surgical benefits. In order to achieve compliance with the law, WellPoint must evaluate and modify the group health insurance portfolios.

Confidential

Role: Lead Developer

• This Client is one of the largest publicly traded health care companies of America's largest publicly traded healthcare companies, serving the healthcare needs of nearly 9.8 million medical and more than 40 million specialty members nationwide through Blue cross of California in California, through Blue Cross and Blue Shield of Georgia in Georgia and through UNICARE in other parts of the country with headquarters in Woodland Hills.
• SSCR team is handling small enhancement requests of both WGS system and ISG system. SSCR team is also handling Implementation Issues, Adhoc one-time requests, Report requests, and Accum transfers. Additionally team is also handling Small projects
• Preparing Functional Design Documents and updating BRD's with technical requirements specifications.
• Presenting Functional Design to the client and creating technical design documentation.
• Design applications to functional and technical programming standards.
• Work with Functional Architects to gather and interpret user requirements into design specifications.
• Designing and developing of new programs with COBOL, JCL, CICS, DB2 and IMS/DB etc.
• Determine time estimates and schedule for work.
• Moderate functional and process knowledge and code reviews.
• Execution of all responsibilities with little direct supervision of Team Lead.

Environment: MF COBOL, JCL, IMS/DB, PL1, VSAM, Assembler, DB2, CICS, SPUFI, TSO/ISPF, IOF, File-Aid, Endevor, DYLAKOR, SAS, File Manager, Fault analyzer, Rexx, MQ series, Debug Tool, TABLEBASE, Xpeditor, SAR, IOF, CTRL-M and MVS/ESA On IBM/390 , XML

Confidential

Role: Project Lead/ Mainframe Developer

• The scope of the project involves maintenance of the existing applications by improvising the source as mandated and also creating new programs to meet the clients' requirement and production support and have created and modified many programs and screens for Insurance verification and triggering daily imports to McKesson server to process claims and reducing the paper work load for daily process and will process automatically based on the HIPAA eligibility, Medicare, Medicaid and MAP Medicare advantage plan . Analyzing the data statistically and checking for errors, performing chosen procedures, and printing the results, as requested by the user.
• Understanding of the Business and System Functional Specifications.
• Analysis and work flow Design using VISIO for the new projects following all areas of SDLC.
• Worked on COBOL, JCL, CICS, VSAM, REXX and DB2 to write new programs, modification of existing programs as per client requirements.
• Editing relational connections and Server settings for migrating to development system.
• Responsible for Cycle runs, region refreshes for the users and disaster recovery jobs monitoring.
• Provided Production support for the billing system, and have been on call on various occasions.
• Storage, routing, and delivering the information to the application thruough MQ series queing.
• Resolving PCRs and interacting with various members of IT team and functional groups to do so.
• Daily Job submission for importing claims to McKesson server through Symantec PcAnywhere.
• Developed new programs for BCBS system and for Online Eligibility verification screens for Medicare, Medicaid and Medicare advantage Plan MAP insurance verification.
• Involved in creating SAS jobs to get reports done for the users' requirements and extracting data from the database for users testing. And file manipulating.

Environment: VS COBOL, JCL, VSAM, IMS/DB, Rexx, DB2, SAS, XML, SPUFI, QMF, CICS, TSO/ISPF, SDSF, MS VISIO, Easytrieve, File-Aid, Endevor, Beta 93, Dump Master, Trace Master, and MVS/ESA, On IBM/390, CA7, HTML, PL/SQL, MQ Series

Confidential

Role: COBOL Developer/Support

• CAS is one of the modules of the USAA Legacy Maintenance of Auto Insurance project, which comes under P C. The main business function of this module is to process the claims, which are sent to Claims Adjusters, who are the Insurance company claims representatives and Independent Adjusters by the providers all over the country. The customer can be a provider. Data is entered through online screens. These claims are recorded in claim file. The format and information to capture claims is more or less standardized for each type of coverage. This makes it easier for all the related parties to find out the required information easily.
• Understanding of the Business and System Functional Specifications.
• Test enhancement and development programs.
• Analyzing, enhancing the system with new and improve CICS/ DB2/ PL1 screens to help in the efficient use of retrieving online information.
• Worked in production support resolving user problems encountered in Ordering and billing.
• Representation of the process flow, alerts notifications, escalations, standard Operating Procedures of the system using BPM methodology.
• Prepared detailed Test Plan and Test Cases by understanding the business logic and user requirements
• Built test Scenarios and Test cases negative / positive to validate expected outcome
• Heavily Used File-AID for VSAM files Management.
• Verifying that the JCL, PROC, SYSIN changes are completed.

Environment: COBOL, JCL, CICS, DB2, VSAM, Rexx, Endevor, File-Aid, XPEDITER, XML, SPUFI, TSO/ISPF, SDSF, and MVS/ESA on IBM/390 and PL/SQL, VB script, SAS, REXX, CA-7

Confidential

Role: COBOL Programmer

• The Recovery Management System RMS has CICS Online and back-end COBOL DB2 Batch allows the management staff to efficiently recover charged-off and delinquent loans. It can accurately manage the application of payments for charged-off consumer loans, as well as track legal balances versus actual balances. RMS has functional modules that address the internal workflow, agency and attorney management, bankruptcy and collateral tracking and reporting requirements.
• Involved in development, testing and implementation of application enhancements.
• Involved analytical and design in batch programming environment in designing DB2 systems involving batch COBOL.
• Responsible for coding and Performing the unit testing for all the impacted modules and deliver builds on time
• Involved in Design, analysis and debugging of the application programs.
• Involved in development and modification of programs in CICS, COBOL, DB2, REXX and modification of JCL's, PROC's and Control cards as per the requirement.

Environment: TSO/ISPF, COBOL II, JCL, QMF, VSAM, SPUFI, FILE AID, Endevor, XML, REXX XPEDITER, DB2, CICS and MVS/ESA on IBM/390 and SQL