Summary
Overview
Work History
Education
Skills
Additional Information
Certification
Accomplishments
Timeline
Generic

Chandy Jay

Hopkinton,MA

Summary

Principal Software Engineer and Engineering Manager with over 20 years of experience overall and more than 10 years spent in SaaS platforms. Detailed understanding and knowledge of the systems development life cycle and modern methodologies, practices, tools, and techniques. Ability to develop and implement roadmap strategies. A diverse range of technical skills, strong product/customer/partner focus, and a proven history of adding value as a development lead or individual contributor.

Overview

18
18
years of professional experience
1
1
Certificate

Work History

Technical Manager/Solutions Architect Enterprise

RxAdvance
Southborough, MA
02.2016 - Current
  • Lead software engineering for a Portfolio of Products:
    Claims, Payments, Clinical, Call Center, Mobile,
    Consumer Web, Member Portal, Provider Portal,
    Rebate Modeling, Prior Authorization, Grievance &
    Appeals, Medication Therapy Management,
    Reporting & Analytics, Network Contracts,
    Automation, APIs.
  • Lead multiple distributed development teams
    onshore and offshore.
  • Lead design, development, and testing of web
    platforms written in C#.NET, ASP.NET MVC, Entity
    Framework, JavaScript, and Oracle 12c.
  • Guide teams on technical intricacies during
    requirements analysis and implementation phases.
  • Analyze existing systems and databases and
    recommend enhancements to solve business needs.
  • Collaborate with senior management & business
    partners to drive strategy and implement new
    processes.
  • Create plans, communicate outcomes and delivery
    timelines.
  • Develop recommendations for technical process
    improvements to optimize resources
  • Developed suggestions for technical process improvements to optimize resources

Director of Engineering

Advantasure (Blue Cross Blue Shield Of Michigan)
Glen Allen, VA
08.2006 - 01.2016
  • Engineered marketplace design for Health Insurance products quoting, enrollment and marketing campaigns.
  • Led core design of medical billing , claims adjudication, EDI processing, analytics, member account activity, Invoicing systems and integration with multiple plug and play Software Vendors.
  • Oversaw assignment of engineering tasks by creating frameworks free of wasteful redundancy and unnecessary dependencies.
  • Functioned as primary point of contact for high-profile clientele, addressing concerns and meeting or exceeding expectations.
  • Took ownership of assigned department-wide projects, presenting regular updates to senior leadership on progress and status.
  • Determined necessary steps to bring systems into compliance.
  • Drove agile processes (Scrum, Kanban) enabling incremental software releases as well as operational support.
  • Led transformation of Legacy Systems into a modern SaaS platform using an API first strategy & service-oriented architecture.
  • Mentored and supervised Dev Leads and Engineers to ensure timely and cost-effective development of systems and services to successfully meet client objectives.

Programmer Analyst

Verizon
Irving, TX
07.2004 - 08.2006
  • Designed and implemented scalable applications for data extraction and analysis.
  • Implemented innovative systems for data collection.
  • Enhanced interfaces to promote better functionality for users.
  • Implementation of metrics collection system to track user activity on Verizon.com.

Education

MBA - Business Analytics

Bentley University
Waltham, MA
09.2023

Master of Science - Computer Science And Engineering

The University of Texas At Arlington
Arlington, TX
12.2003

Bachelor of Science - Information Technology

Anna University
Chennai, India
04.2001

Skills

Programming Languages
C#, JavaScript, TypeScript,Python
NET Technologies
ASPNET Core,NET Framework 45/40/35/20, ASPNET, MVC,EF, ADONET, AJAX, WCF, Web API,Web Services
Web Technologies
Angular2 to 10, jQuery,JavaScript, HTML, CSS, Bootstrap, REST API, Razor View, Ajax
Databases
SQL Server 2008 R2, MySQL, Oracle, Mongo DB
Source Control
TFS, VSS, Git
Cloud Services
Microsoft Azure, Azure WebApp, Sql Azure, CosmosDB, Virtual Machines, AzureStorage, Service Bus, Azure AD, Azure DevOps, SAML SSO, Redis Cache
Patterns and Practices
Microservices Architecture, MV-* Patterns, DevOps - Azure Pipeline, CI/CD
Operating System
Windows, Linux, and Mac

Methodology
Agile, Scrum
Tools/IDE
VS Code, Visual Studio, GitHub Desktop
Operating System
Windows, Linux, and Mac
Methodology
Agile, Scrum
Tools/IDE
VS Code, Visual Studio, GitHub Desktop

Misc Tools
KAFKA, Kendo UI, Talend, Jira, Confluence, Tableau, Code Effects, Dapper, SoapUI, Postman, FXCOP, LINQPad, CSLA, nUnit, Moq, FakeItEasy, AutoMapper, CompareNETObjects, Bogus, ELK, TeamCity, Octopus, SSRS, SSIS, ER Studio, Visio, Code Effects

Industry Experience

Prescription claim processing, Prior Authorization, Pharmacy Benefits Management, HIPAA Compliance, Grievance & Appeals, Network Contracts, Provider Contracts, Payments, Medicare Enrollment

Additional Information

  • KEY PROJECTS @ RXADVANCE


Interoperability Standards [01/2021 - 01/2022]

Built a product-as-a-service using RESTFUL FHIR APIS that presented patients' clinical and financial data in a readable format on mobile apps, iPad, and web. The product was compliant with CMS regulations of FHIR standards and is used by 200k Medicare members and a broad network of providers and third-party apps. Achieved customer satisfaction rating of 7.3/10 on V1, latency of data retrieval < 0.3s, and member conversion rate of 85%.

  • Led a cohort team of 6 to build a niche product in the healthcare marketplace.
  • Advised the team to use the Kendo UI framework that provided the best UI/UX interface and faster turnaround.
  • Microsoft Azure was used to ingest data in FHIR format and expose secure RESTful APIs to all participating member portals and web-based platforms. Microsoft IDS & IDM were used internally to secure the APIs.


Drug Overdose Regulation [07/2020 - 02/2021]

Drug monitoring program with a precise alert mechanism that notifies pharmacies at the point of sale and internal customers regarding overdose of a drug. The program offers 95% automation to the operations and CS teams. Claim processing time is < 0.1s and accuracy achieved is 100%. The product is developed to capture overdose rejections and publish the frequency on the dashboard.

  • Provided innovative methods to product owners that removed technical debt by 45% and increased simplicity of design by 60%.
  • Built a UI interface that presented key drug-level information from drug databases, creating a fulfilling user experience.
  • Received a Customer Satisfaction Rating of 8.4/10 with zero versioning requests.


Member Portal [09/2020 - 08/2021]

Member Portal offers a concise 360-degree view of members' prescription usage, DUR alerts, prior authorizations, financial spending, and savings. The portal is custom designed for Medicare, Medicaid, HIX, and commercial members. V1 achieved a Customer Satisfaction Rating of 9.2/10, latency of data retrieval < 0.1s, and sign-up rate of 96%.

  • The project was 100% API driven with a pluggable UI interface.
  • The portal was designed to be SSO compatible and work as both identity and service provider.


Formulary Upload [03/2022 - 05/2022]

Identified pitfall in a complex existing product to upload with greater than 100,000 drugs in the Formulary requiring 80 hours of effort and 5-6 resources. Provided a simplified solution that removed the requirement of physical tables, reduced the time to completion to less than 20 minutes, and no. of users to 1.



  • KEY PROJECTS @ ADVANTASURE

Sales Automation [08/2014 –12/2015]
Developed Quote to Cash (configure, price, quote, revenue) web and mobile applications. Increased broker-enabled quotation activity by 1500% by taking adding online channels for sales. V1 achieved a Customer Satisfaction Rating of 9.0/10, latency of data retrieval < 0.1s, and broker sign-up rate of 90%.

  • Owned full development life cycle of the product and was instrumental in making the system one of its kind and with a potential to see exponential growth.


Medicare Gateway [01/2013 – 07/2014] A web-based Medicare enrollment and member reconciliation solution. This flexibly configured, low-maintenance solution drives administrative efficiencies, adherence to the Centers for Medicare & Medicaid Services (CMS) requirements, and improved Star ratings. Responsible for revenue addition with successful implementation for multiple clients.V1 achieved a Customer Satisfaction Rating of 8.0/10, latency of data retrieval

Certification

  • Certified Scrum Practitioner — Scrum Alliance
  • Certified Scrum Product Owner — Scrum Alliance

Accomplishments

U.S. Patent #8108230, Business Process Automation in a Health Plan Organization, Issued Jan 2012

Timeline

Technical Manager/Solutions Architect Enterprise

RxAdvance
02.2016 - Current

Director of Engineering

Advantasure (Blue Cross Blue Shield Of Michigan)
08.2006 - 01.2016

Programmer Analyst

Verizon
07.2004 - 08.2006

MBA - Business Analytics

Bentley University

Master of Science - Computer Science And Engineering

The University of Texas At Arlington

Bachelor of Science - Information Technology

Anna University
Chandy Jay