- Technical Delivery Manager, Technical Lead, Business Analyst, Technical Analyst and Technical Analyst/Programmer across implementation projects:
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GOVERNMENT EMPLOYEES HEALTH ASSOCIATION (Lees Summit, MO)
October 2011 – January 2012
- Technical Lead for CLAIMFACTS to FACETS 5.0 conversion
- Led 10 consultants thru triage and disposition of 3,800+ interfaces, extracts, reports, letters
- Established streamlined “factory” approach to achieve optimal resource utilization and output
- Created solution-based development standards for division
- Implemented unique “Current State” vs. “Future State” requirements gathering process based on reverse-engineering existing solutions
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CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN (Albany, NY)
February 2011 – September 2011
- Technical Analyst/Programmer, Technical Lead in data integration projects between FACETS 4.81 and CAREADVANCE 4.61
- Led team of developers thru groundbreaking “Unique Person ID” initiative that allowed client to use CAREADVANCE to manage care at “person”-level instead of “Member ID”-level
- Gathered and turned requirements into functional and technical designs that facilitated development of robust solutions with no impact on core system functionality
- Handled all SQL Server and Oracle development
- Guided .NET development effort across team
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CARFIRST BLUECROSS BLUESHIELD (Baltimore, MD)
July 2008 – January 2011
- Technical Analyst/Programmer and Technical Lead for Interfaces and Extensions team handling design, development and delivery of interfaces and extensions in Claims, Customer Service, Provider, Care Management and Membership domains
- Migration from FACETS 4.31 to 4.5 leveraging previously unused core capabilities
- Technical Lead, Technical Delivery Manager for upgrade to FACETS 4.71
- Instrumental in generation of impact analysis reports and upgrade of existing interfaces and extensions to FACETS 4.71
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METLIFE MEXICO (Mexico City, Mexico)
April 2008 – June 2008
- Technical Lead in assessment phase of project
- Identified all interface and extension points between FACETS and MetLife internal and external systems
- Produced gap analysis to ensure successful FACETS implementation
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AMERIGROUP CORPORATION (Virginia Beach, VA)
April 2007 – March 2008
- Developed PL-SQL-based Provider Conversion & Synchronization interface to transform new and updated legacy provider data into FACETS data structure
- Developed PL-SQL and SQL*Loader-based XPF Log Parser application to enhance analysis and reporting ability relative to standard XPF Provider Batch Import Subsystem log files
- Developed SQL*Loader scripts to automate maintenance of Oracle-based Provider crosswalk tables sourced from Microsoft Excel worksheets
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GREAT-WEST HEALTHCARE (Denver, CO)
January 2006 – March 2007
- Developed PL-SQL Conversion and Synchronization interface to transform new and updated legacy provider data into FACETS data structure
- Developed custom triggers to supplement FACETS’ core audit functionality
- FACETS “back-end” expert across project teams
- Governed development of PL-SQL functions and procedures
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CAPITAL BLUE CROSS (Harrisburg, PA)
April 2002 – December 2005
- Handled Quality Assurance review and approval of code generated by team of Technical Analyst/Programmers
- Led stored procedure development to refresh Oracle data warehouse with Sybase data
- Produced daily/weekly/monthly data feeds for claims and eligibility vendors
- Created daily Sybase extracts to update legacy systems and support real-time, HIPAA-compliant Web, IVR and EDI inquiries against Sybase data
- Created SQL coding and documentation standards for enterprise
- Led code optimization effort that reduced monthly batch time by 200+ hours