Anil Nadiger
Mckinney,TX
Summary
Insightful Information Technology Manager with 20 years of IT leadership experience including oversight of infrastructure, application support and security services. Dedicated to customer satisfaction with focused delivery of technical solutions. Proven leader in directing operations, maintenance and support of complex systems. Develops creative business solutions, leveraging diverse methodologies and delivering engineering solutions for leading organizations. Highly adept in request for proposal development, technology needs assessments and staff training.
Overview
2024
2024
years of professional experience
Work History
Senior Principal Software Engineer
CVS Caremark
Richardson, TX
02.2016 - Current
- Consumer Driven Healthcare was introduced into Healthcare industry to increase consumer awareness about healthcare costs and provide incentives for consumers to consider costs when making healthcare decisions
- Health plans generally combine a high deductible health insurance policy with a tax-sheltered account that enrollees can use to finance their ‘out of pocket’ health care costs (those not covered by policy)
- Two primary types of accounts are HSAs – Health Savings Accounts and HRAs – Health Reimbursement Arrangements
- Incorporating both medical and prescription coverage into these plans, concept of ‘Integrated Benefits Plan’ emerged where data sharing occurs between pharmacy benefit providers (PBM) and medical benefit providers
- From CVS Caremark perspective, acting as PBM, this involves sharing pharmacy accumulations (deductible and out of pocket amounts) with client directly or with a third party integrator (a medical or Consumer Driven Healthcare (CDH) provider that maintains medical claims for client)
- This integrator/client is responsible for sharing medical accumulations or indicator with CVS Caremark in order to maintain integrated accumulations on CVS Caremark side
- In simple terms, member has only one deductible and only one out of pocket limit/amount for both medical and pharmacy claims and both medical and pharmacy claims contribute to those limits
- Role and Responsibilities:
- Act as ITIL Technical Operations Manager to manage and monitor CDH-MT, IBMR and QL applications and support staff on24x5 basis
- Report to Global Head of Operations
- Drafted production support SOW and obtained sign off from up-level management and client
- Provide 1st/2nd/3rd level Application and Infrastructure support services to internal and external clients on 24x7 basis, support 100+ global clients
- Act as Incident Manager to identify and remediate global incidents in timely fashion to ensure CDH-IA Middle Tier applications uptime and availability at 99.95%
- Act as a Problem Manager to identify and review escalated and/or recurring global incidents and to prevent recurrence of said incidents
- Liaise with Security, Networks, Server, Client Services, AS/400, Mainframes, MQ, Web sphere Admins, Enterprise architects and Global technical support, as required
- Act as a Change Manager to identify, create, review, modify and approve global changes in the Production environment
- Review all related changes on a daily basis
- Act as a Release Manager to review and ensure CDH-IA Application releases have been communicated and signed-off by business, development, QA and management
- Ensure Environment Support has proper rollout and rollback procedures in-place, including standby support, technical release notes and post-implementation testing and sign-off
- Act as a Service Assurance Manager to verify Incident and Change ticket information, ownership, division association and details to ensure issue is triaged in a timely fashion
- Act as a Disaster Recovery Manager to analyze CDH systems and propose improved DR for CDH applications
- Liaise with Security, Network, Server and Application architectures to review, redevelop and/or recommend modifications to improve DR's availability, reliability and performance
- Operationally manage technical deployments for CDH applications to meet business and technical requests, requirements, budgets and timelines
- Assisted in design and liaise with Development to improve application monitoring dashboard and tools
- Worked closely with system performance group and hands-on fine tuning of databases and SQL
- Provide technical support and direction regarding technologies in crisis, single points of failure, faulty or misguided operational standards or monitoring lapses, failed OLAs and/or SLAs, and areas for process and staff improvement
- Document post mortem reports, summarize timeline and problem and recommend options to ensure non-recurrence, process improvements, minimize human error, risk, down time, loss of opportunity and possible loss of revenue
- Environments:
- Java / J2EE, Web services, MQ, Web sphere, AIX, DB2, Mainframe, COBOL, JCL, Secure Transport, NDM, Consumer Driven to health insurance plans that allow members to use personal Health Savings Account (HSAs) and Health Reimbursement Arrangements (HRAs) or similar medical payment products to pay routine health care expenses directly, while a high-deductible health insurance policy protects them from catastrophic medical expenses
- High-deductible policies cost less, but the user pays routine medical claims using a pre-funded spending account, often with a special debit card provided by a bank or insurance plan
- If the balance on this account runs out, the user then pays claims just like under a regular deductible
- Users keep any unused balance or "rollover" at the end of the year to increase future balances, or to invest for future expenses
- CDH Integrated accumulations Middle tier is a message oriented middle ware which is an asynchronous system built as an interface to exchange transactions between the medical integrators and the three CVS/Caremark adjudication engine platforms
- Design and implemented framework to fix the security vulnerabilities of CDH IA web component BEAR (Browse, Edit and Resend application)
- Design and implemented the web component BEAR (Browse, Edit and Resend application) using the CVS/Caremark framework call the Thin Client Framework and the Security framework
- Involved in gathering new requirements
- Responsible for analyzing and implementing design pattern and the frameworks at component level and module level
- Analyzed and designed the performance improvement for the CDH IA application which resulted in performance gain by more than 50%
- Assigned tasks to team members and responsible for deliverables
- Prepared status report for Management
- Prepared proposal, designed automation of status reports, raising notification or alerts in the system on critical failures
- Environment: WebSphere 5.1/6.1, Java, J2EE, MQ Series, Web services, Web components, IBM DB2, IBM Mainframes, AIX
Senior Manager Application
CVS Health
1 1 - 02.2016
- Applications: API systems of CVS (AXWAY gateway based, APIGEE gateway), Integrated consumer experience - integrating multiple lines of business, SDK applications Developed and managed multiple digital CVS applications
- Digital API management: Architected, Designed and developed API layer for CVS digital applications Design and development of data processing layer built out of IBM data power Design and development of SDK based out of open stack Node JS Design and development of Client APIs based out GOOGLE K8 engine and cloud platform
Technical Manager
Genpact Headstrong
11.2011 - 02.2016
- Applications: eBusiness Portal and Digital Specialty, Consumer Driven Health Middle Tier (CDH-MT), Integrated Balance Management Repository (iBMR) PBM applications
- Consumer Driven Healthcare was introduced into Healthcare industry to increase consumer awareness about healthcare costs and provide incentives for consumers to consider costs when making healthcare decisions
Health plans generally combine a high deductible health insurance policy with a tax-sheltered account that enrollees can use to finance their ‘out of pocket’ health care costs (those not covered by policy)
Two primary types of accounts are HSAs – Health Savings Accounts and HRAs – Health Reimbursement Arrangements
Incorporating both medical and prescription coverage into these plans, concept of ‘Integrated Benefits Plan’ emerged where data sharing occurs between pharmacy benefit providers (PBM) and medical benefit providers
From CVS Caremark perspective, acting as PBM, this involves sharing pharmacy accumulations (deductible and out of pocket amounts) with client directly or with a third party integrator (a medical or Consumer Driven Healthcare (CDH) provider that maintains medical claims for client)
This integrator/client is responsible for sharing medical accumulations or indicator with CVS Caremark in order to maintain integrated accumulations on CVS Caremark side
In simple terms, member has only one deductible and only one out of pocket limit/amount for both medical and pharmacy claims and both medical and pharmacy claims contribute to those limits
Role and Responsibilities:
Act as ITIL Technical Operations Manager to manage and monitor CDH-MT, IBMR and QL applications and support staff on24x5 basis
Report to Global Head of Operations
Drafted production support SOW and obtained sign off from up-level management and client
Provide 1st/2nd/3rd level Application and Infrastructure support services to internal and external clients on 24x7 basis, support 100+ global clients
Act as Incident Manager to identify and remediate global incidents in timely fashion to ensure CDH-IA Middle Tier applications uptime and availability at 99.95%
Act as a Problem Manager to identify and review escalated and/or recurring global incidents and to prevent recurrence of said incidents
Liaise with Security, Networks, Server, Client Services, AS/400, Mainframes, MQ, Web sphere Admins, Enterprise architects and Global technical support, as required
Act as a Change Manager to identify, create, review, modify and approve global changes in the Production environment
Review all related changes on a daily basis
Act as a Release Manager to review and ensure CDH-IA Application releases have been communicated and signed-off by business, development, QA and management
Ensure Environment Support has proper rollout and rollback procedures in-place, including standby support, technical release notes and post-implementation testing and sign-off
Act as a Service Assurance Manager to verify Incident and Change ticket information, ownership, division association and details to ensure issue is triaged in a timely fashion
Act as a Disaster Recovery Manager to analyze CDH systems and propose improved DR for CDH applications
Liaise with Security, Network, Server and Application architectures to review, redevelop and/or recommend modifications to improve DR's availability, reliability and performance
Operationally manage technical deployments for CDH applications to meet business and technical requests, requirements, budgets and timelines
Assisted in design and liaise with Development to improve application monitoring dashboard and tools
Worked closely with system performance group and hands-on fine tuning of databases and SQL
Provide technical support and direction regarding technologies in crisis, single points of failure, faulty or misguided operational standards or monitoring lapses, failed OLAs and/or SLAs, and areas for process and staff improvement
Document post mortem reports, summarize timeline and problem and recommend options to ensure non-recurrence, process improvements, minimize human error, risk, down time, loss of opportunity and possible loss of revenue
Environments:
Java / J2EE, Web services, MQ, Web sphere, AIX, DB2, Mainframe, COBOL, JCL, Secure Transport, NDM, Consumer Driven to health insurance plans that allow members to use personal Health Savings Account (HSAs) and Health Reimbursement Arrangements (HRAs) or similar medical payment products to pay routine health care expenses directly, while a high-deductible health insurance policy protects them from catastrophic medical expenses
High-deductible policies cost less, but the user pays routine medical claims using a pre-funded spending account, often with a special debit card provided by a bank or insurance plan
If the balance on this account runs out, the user then pays claims just like under a regular deductible
Users keep any unused balance or "rollover" at the end of the year to increase future balances, or to invest for future expenses
CDH Integrated accumulations Middle tier is a message oriented middle ware which is an asynchronous system built as an interface to exchange transactions between the medical integrators and the three CVS/Caremark adjudication engine platforms
Design and implemented framework to fix the security vulnerabilities of CDH IA web component BEAR (Browse, Edit and Resend application)
Design and implemented the web component BEAR (Browse, Edit and Resend application) using the CVS/Caremark framework call the Thin Client Framework and the Security framework
Involved in gathering new requirements
Responsible for analyzing and implementing design pattern and the frameworks at component level and module level
Analyzed and designed the performance improvement for the CDH IA application which resulted in performance gain by more than 50%
Assigned tasks to team members and responsible for deliverables
Prepared status report for Management
Prepared proposal, designed automation of status reports, raising notification or alerts in the system on critical failures
Environment: WebSphere 5.1/6.1, Java, J2EE, MQ Series, Web services, Web components, IBM DB2, IBM Mainframes, AIX
Application architect / Project Manager
IBM US, CVS Caremark
02.2007 - 12.2011
- Applications: Consumer Driven Health – Integrated Accumulations Middle Tier (CDH-IA)
- Client, Consumer Driven Healthcare Integrated Accumulations – Middle Tier involves sharing pharmacy accumulations (deductible and out of pocket amounts) with the client directly or with a third party integrator (a medical or Consumer Driven Healthcare (CDH) provider that maintains medical claims for the client)
- CDH-IA middle tier is a message oriented middle ware built on MQ Series and Mainframe Batch file exchange
- Technical topology involves the Java / J2EE component and the Mainframe component
- Java / J2EE exchanges the messages between the PHM and external partners using MQ series and Web services
- Mainframe component exchanges the batch file using secure transport and NDM
- Roles and Responsibilities:
- Senior application architect to liaison with business and enterprise architect team to build the CDH application using Java / J2EE, MQ series, Web services and IBM Mainframes
- Responsible for creating team with right mix of skills to meet client deliverables
- Effectively partner with offshore team ensuring that team delivers projects that are technically sound and comply with defined standards and procedures
- IT Consultant to propose and document Enterprise IT Architecture guidelines to build, implement and support CDH Web Services
- Gather information from client and articulate vision to compile architectural guideline documents for MQ based services, Web Service based services, platform services and operations management services
- Liaise with Wipro and Headstrong team of Client to make certain project timeline was on-track
- Act as Project Manager / Incident Lead to identify and remediate incidents in a timely fashion to ensure uptime and availability at 99.99%
- Act as Project Manager / Problem Lead to resolve root cause of incidents and minimize the adverse impact of incidents and problems to business that were caused by errors within the IT infrastructure/network which may have impacted the business’ bottom line and to prevent recurrence of said incidents
- Act as Project Manager / IT consultant for the upgrades related to websphere from 5.1 to 6.1 and recently from 6.1 to 8.5
- Co-ordinated with WAS admins to install websphere in Unix as well as in the mainframe z/OS and built plans to shake out the CDH IA application in all these upgrades
- Act as Project Manager / IT Consultant for the Disaster Recovery exercise, built plans for the Disaster Recovery in eBRP and obtained sign off from business and enterprise stakeholders
- Proposed plans for the components to be included in the Disaster Recovery exercise
- Timely escalation and resolution of the issues related to disaster recovery
- Act as Project Manager / IT Consultant to build the brand new environments like QAT, CERT environments
- Built plans and installed CDH applications into the new environments
- Escalated the issues along the way to the right stakeholders and got that resolved in timely manner
- Environments:
- Java / J2EE, Web services, MQ, Websphere, AIX, DB2, Mainframe, COBOL, JCL, Secure Transport, NDM
Team Lead / Appln Architect
IBM
09.2005 - 02.2007
- Applications: Consumer Driven Health – Integrated Accumulations Middle Tier (CDH-IA)
System Engineer
Gignext Solutions
11.2002 - 09.2005
- Involved in the Development of R2 a complete Rental business solution product developed for UBS (Unique Business Solutions) ,CA,USA
- This involves the design and development of user interfaces and its corresponding and database drivers
- This also includes design of the database (Oracle), and intensive object oriented principles
- It also includes the scripting of stored procedures, triggers and other SQL statements
- The functionality of the product includes comprehensive coverage of all the transactions of a Rental Organization as big as AVHQ (Audio Visual Head Quarters, USA), Walt Disney, 20th Century Fox, etc.
- Provision has been provided for Employee Management, Inventory Control System, Invoice Generations, Shipping Details, Monetary Planning, Taxation and other subsidiaries
- Roles and Responsibilities:
- Design and developed the enhancements of the system which uses RMI as middleware and Java swing for the GUI, JFC/Swing, JDBC and SQL/Server based curriculum, which is a 3-tier client-server applications
- Java swing and Java Beans technology is utilized in the client tier, Java and JDBC and multithreaded programming for server tier.
- Review, Documentation and Mentoring.
Education
Master of Science - Computer Applications
Vishweshwaraiah Technological University
Bangalore, India2002
Bachelor of Science - Computer science
Kuvempu University
Bangalore, India1999
Skills
- Application Analysis
- Technology Solution Design
- Performance and Scalability Design
- Cloud Hosting
- Application Engineering
- Architecture Leadership
- Performance Testing
- Disaster Response
- Production Support
- Technical Direction
- System Architecture
Accomplishments
- Resolved product issue through consumer testing.
- Achieved [Result] by introducing [Software] for [Type] tasks.
- Achieved [Result] by completing [Task] with accuracy and efficiency.
- Achieved [Result] through effectively helping with [Task].
- Collaborated with team of [Number] in the development of [Project name].
- Supervised team of [Number] staff members.
- Documented and resolved [Issue] which led to [Results].
- Used Microsoft Excel to develop inventory tracking spreadsheets.
Timeline
Senior Principal Software Engineer
CVS Caremark
02.2016 - Current
Technical Manager
Genpact Headstrong
11.2011 - 02.2016
Application architect / Project Manager
IBM US, CVS Caremark
02.2007 - 12.2011
Team Lead / Appln Architect
IBM
09.2005 - 02.2007
System Engineer
Gignext Solutions
11.2002 - 09.2005
Master of Science - Computer Applications
Vishweshwaraiah Technological University
Bachelor of Science - Computer science
Kuvempu University
Senior Manager Application
CVS Health
1 1 - 02.2016