Naga Praveen Kambhampati
Dallas,TX
Summary
17 years of total experience consisting of architecture, design, development and delivery of enterprise and tier 1 applications using BPM and J2E technologies. 15 years of END-TO-END BPM project execution experience using Pega PRPC tool. Certified Lead System Architect (CLSA) Experienced Front-End Developer working in the Pega platform, Pega Cosmos with strong engineering skills in Web Applications, Agile Methodologies, UI/UX Designs, User Interface Design. 7 years of Experience in Health Care Industry like Amerigroup Anthem, Healthnet Centene and United Health Group. 8 years of experience in Telecommunications Industry like Verizon, Frontier Communications. 7 Years of Domain Knowledge in Fiber Optics at Frontier Communications and Verizon Communications. Experienced with framework-based implementations such as Pega Collections Framework (Verizon), Pega Smart Investigate, Pega Smart Dispute (TD Bank), Claims Work Station (Anthem)and Customer Process Management (UHG). 7 years of experience in Enterprise Architect Role and DPA-Digital Process Automation Experience with translation of the UI/UX design wireframes to actual code. Hands on DX API, Constellation. Done Upgrade from 7.3 to 8.2 version for 7-11 support center project. Done Migration for the Legacy Applications built on AS400 to Pega Framework at Verizon. Had good expertise on Pega Cloud Environment Configure and optimize BIX for data extraction. Has expertise in building framework layer, Digital Process Automation, application layer & reusable components, reporting features, performance tunings etc. Have worked for clients like Verizon, 7-11 Product Center, Mercedes Benz Financial Services, Frontier Communications, Deloitte Tax, Pega Systems Inc., United Health Group, Healthnet Inc. and Anthem-Amerigroup. Liaison with other development teams and QA teams in planning and delivering quality product in time. Perform PDC (Pega Predictive Diagnostic Cloud) reviews, analyze alerts through PAL, DB Tracer, identify performance bottlenecks, and drive application optimization Possess excellent skills for team building, team leading and mentoring and excellent exposure of onsite-offshore project execution models and building COE team. Proficient in Pega Implementation life cycle like Pega Case Management, modeling of business process, PRPC tool installation, build and deployment, development, testing Sound skills on PRPC tools such as Tracer, Clipboard and System Management Application (SMA). Developed Activities, Properties, Decision Rules, Declarative Rules, Process Flows and User Interfaces like Harness & Sections. Experienced Developer for defining class structure and hierarchy based on Pega best practices and guardrails, security based on role and privileges, configuring agents, connectors, data model, process flows, business logic definition and user interface Design. Worked on Management Dashboard Reports using Report Definition, List View and Summary View. Strong Experience in DCR, Integrations. Expert level experience in software development life cycle (SDLC) best practices and Written documentation Good Experience on Communications, Customer Service and Healthcare Frameworks Good Exposure on Claims Framework (Mercedes Benz), Smart Claims Engine (U.H.G and Healthnet), Smart Dispute (Cognizant). 24x7 production (on-call) support on a weekly rotational basis Experience with LEAN Agile Methodology and Waterfall Good experience in Java Messaging Service (JMS), IBM MQSeries for Message-Oriented Middleware. Good Exposure on Cloud Migration. Participated in the migration of Pega applications from Pega Cloud 2 (PC2) to Pega Cloud 3 (PC3), supporting cloud modernization and platform upgrades. Assessed existing Pega application configurations, integrations, and dependencies to identify migration requirements and potential risks. Design, develop, and review REST/SOAP APIs for integrations with external systems. Learn which business challenges leaders are looking to solve with DPA. Understand the capabilities critical for DPA vendors. Get detailed analyses of the top DPA vendors in the marketplace. See how Pega ranks in comparison to other DPA vendors. Discover which vendors are the best fit for your business needs. Had experience on Pega Customer Decision Hub (CDH) to implement the decision strategies. Solid Experience in Oracle 10g / 9i /8i and MS-SQL Server 00/05, stored procedures and triggers. Strong working experience in leading J2EE framework like spring, Hibernate, Struts. Excellent Analytical & Problem-solving skills with attention to detail and Persistence, Teamwork and Communications. Participate in application performance tuning, troubleshooting, and production support. Real-time expertise in node, cluster management and enterprise application deployments. Proven success in interacting with customers, business members worldwide and providing project status reports to the stakeholders.
Overview
1
1
Certification
15
15
years of professional experience
Work History
Pega Architect and Developer
Verizon Consumer Group
Dallas
02.2025 - Current
- Project Elvis provides financing financing to Verizon customers while reducing the pressures from interest expense associated with the device payment agreements. Purchase equipment from Verizon and pay off through monthly installments. Integration with 3rd party vendor like Fiserv for interest calculations functions including amortization schedules, buyouts, paydowns and loan billing amounts.
- Worked on multiple architectural designs and integrations across applications like Fiserv, Billing Adaptor, V2 Source Systems.
- Coordinated with multiple teams to ensure architecture implementation aligned with project goals
- Integrated the application with multiple systems using JSON using the Pega Integration methodologies.
- Environment: Pega Infinity 24.1.2
- Projects: Elvis
- Implementation Partner: Cognizant
- Role: Pega Architect and Developer
Pega Architect and Developer
Verizon Consumer Group
Dallas
04.2024 - 02.2025
- The NSA Enablement Stands for North Star Architecture. Every rule in Pega has to follow the standard Architecture. It will help to maintain exception-free, Enabled Smooth Debugging mode in the Production. Validating the Application Compliance before the code merge.
- Designed and implemented business process workflows in Digital Process Automation as a PEGA Lead System Architect.
- Managed technical deliverables and guided team members to ensure project alignment with architectural standards.
- Validated development standards and ensured application compliance prior to code merges.
- Maintaining Pega Standard Logic across the Line of Business.
- Able to leverage OOTB Pega functionalities, features and Data Model to maximize product reuse
- Customized features to align with specific project requirements.
- Added custom warnings during design time, run time, and deployment to enhance error detection.
- Engaged with DX API in Constellation to support integration efforts.
- Provide product insight technically and functionally.
- Implementation Partner: Cognizant
- Role: Pega Architect and Developer
Pega Architect and Developer
Verizon Business Group (Fiber Communications Channel)
Dallas
01.2021 - 03.2024
- The DEA Application - Enabled workflow visibility for end-users through real-time job aids and task automation, enhancing management acceptance rates.
- Functioned as Pega architect and developer for team initiatives.
- Hands-on LSA - Development of business-critical functionalities and interfaces
- Designed and implemented business process workflows in Digital Process Automation.
- Analyzed requirements and proposed architecture aligned with Enterprise Architecture standards.
- Develop framework and integration modules and rules.
- Managed technical deliverables and led team members to ensure project milestones were met.
- Provide product insight technically and functionally.
- Assist team to leverage OOTB as much as possible and help them to customize or integrate third party libraries.
- Able to leverage OOTB Pega functionalities, features and Data Model to maximize product reuse
- Coordinated design engineering and activation project activities.
- Implementation Partner: Verizon
Pega Architect and Developer
Verizon Business Group
Dallas
12.2019 - 01.2021
- TOSA stands for Transfer of Service Agreement. We do not have a single system that connects people, process, and systems together from lead to cash. As we work towards digitization we need the ability to tie all the moving parts together providing a seamless status throughout the lifecycle.
- Whenever there is a major acquisition or contract between two firms, the clients request Verizon for transfer of service agreement between a firm to another. The Service transfer could be either full or partial based on the client's needs. The project is to automate the business process(transfer of services). TOSA Team is responsible for interfacing with customers and completing Legacy and Current Platform TOSAs. Transfer of Service Agreement flow helps the account team execute the TOSAs timely and effectively. Collaborated with customers to execute TOSA processes.
- Oversaw TOSA project, ensuring timely execution of service transfers to meet client needs.
- Developed Verizon Application from scratch as a proof of concept model aligned with digital process automation standards.
- Migrated existing cases from AS400 to Pega environment, facilitating seamless integration and improved service delivery.
- Assist team to leverage OOTB as much as possible and help them to customize or integrate third party libraries.
- Environment: Pega 8.4
- Implementation Partner: Verizon
- Served as Pega architect
Pega Architect and Developer
7-11 Store Support Center
Dallas
01.2019 - 12.2019
- The purpose of this project is to extend the CSF MM/MOP functionality and features to support 7-Eleven, Inc.’s Retail Initiative opportunities and provide key solutions that support store opportunities while transforming the existing online system to a new technology stack.
- Led business process workflow design and DPA implementation as a Pega Lead System Architect.
- Completed Pega upgrade from version 7.3 to 8.2, enhancing system capabilities.
- Hands on LSA - Development of business-critical functionalities and interfaces
- Analyzing requirements and suggesting appropriate architecture to match with the Enterprise Architecture.
- Develop framework and integration modules and rules.
- Managed technical deliverables and guided team members towards project goals.
- Provide product insight technically and functionally.
- Assisted team in leveraging OOTB functionalities and guided customization of third-party libraries.
- Able to leverage OOTB Pega functionalities, features and Data Model to maximize product reuse
- Projects: Sub Master’s Stabilization
- Implementation Partner: NRI
- Role: Pega Architect and Developer
Pega Architect
Mercedes Benz Financial Services
Dallas
10.2018 - 12.2018
- Framework: Claims Framework, Pega 8.4
- Roles and Responsibilities:
- Developed implementation roadmap and refined project plan and estimates for Pega Collections implementation at MBFS. Assessed and documented gaps between MBFS requirements and Pega Collections functionality.
- Mercedes-Benz Financial Services (MBFS) is a leading captive financial services provider with over 920K accounts across the US and Canada. MBFS is looking to implement a new state-of-the-art Collections platform across the US and Canada for car, small business, and fleet portfolios. MBFS leveraged native capabilities of Pega Collections to reduce reliance on custom code. MBFS has shortlisted Pega Collections as the platform to perform a due diligence and planning exercise to lay out the implementation roadmap. Outlined activities, deliverables, dependencies, and risks for due diligence and planning phase.
- Projects: MBFS Discovery Phase
- Implementation Partner: Cognizant
- Role: Pega Architect
Module Lead
Frontier Communications
Dallas
02.2018 - 10.2018
- The objective is to develop enterprise customer service application in omni channel (phone/web/email/chat/SMS/mobile app/ voice app like Alexa) using PEGA Customer service for communication, Pega Survey, Pega Knowledge Management, Pega Intelligent Virtual Assistance, Pega Decisioning framework for different line of business. TSO Application is a Business Process Management solution developed to support the troubleshooting of Internet/Video/Phone service issue in customer premise. PEGA CSC framework using PEGA CALL and CTI integration to receive call from call center IVR queue. PEGA calls different API to find out the status of each network device in customer premise. Then using PEGA Survey to find out the exact issue by asking different questionnaires. Otherwise using PEGA KM framework to find the exact knowledge content for this issue and give user to execute the instruction to resolve the issue. More on customer self-service to reduce the call volume in customer care call center. More on automation reduces manual effort. Predictive maintenance and proactive monitoring of devices. Modeled through Digital Process Automation. Capture more data to get more insight and decision making for business. Improve sales/marketing in omnichannel using machine learning and predictive and adaptive analysis of customer data.
- Designed business process workflows and implemented digital process automation to enhance operational efficiency as PEGA lead system architect.
- Delivered technical projects while mentoring team members to ensure successful implementation of solutions.
- Hands on LSA - Development of business-critical functionalities and interfaces
- Develop framework and integration modules and rules.
- Provide product insight technically and functionally.
- Assisted team in leveraging out-of-the-box (OOTB) features and customizing third-party libraries.
- Built business configurable components that empowered teams, reducing reliance on IT for routine adjustments.
- Able to leverage OOTB Pega functionalities, features and Data Model to maximize product reuse
- And only customized wherever it is needed
- Identified key project initiatives. TSO Application-Fiber Optics
- Collaborated with implementation partner. Accenture
Module Lead
Deloitte Tax
Dallas
09.2017 - 02.2018
- Led hands-on technical development as a Lead System Architect. - Development of business-critical functionalities and interfaces
- Provide technical leadership to the team
- Conduct periodic design reviews and code reviews
- Developed Global Employer Services application to enhance process efficiency across global operations, integrating end-to-end business processes including engagement setup, contract management, team and individual setups, and services such as tax, immigration, SSN, and compensation, facilitating collaboration among front office, tax reviewers, legal and compliance, and back-office teams through effective Pega case routing.
- Focused on improving processes and reducing manual intervention, aiming to eliminate inefficiencies through increased automation and scalable platforms for enhanced transaction processing.
- Anticipated and resolved potential issues through developed competency, ensuring smoother operational workflows.
- Built business configurable components enabling & empowering Business and reducing IT intervention
- Prepared functional and technical documents to assist new team members in Digital Process Automation Pattern.
- Able to leverage OOTB Pega functionalities, features and Data Model to maximize product reuse
- Customized functionalities to meet specific business requirements.
- Role: Module Lead
Sr. Pega Developer
Anthem-Amerigroup
Virginia Beach
07.2016 - 08.2017
- Next Gen Appeals system is used by staff in Medicaid and Medicare to raise different kinds of appeal requests for the Medicaid and Medicare claims i.e. Inquiry, Grievance, PQI/QOC, Authorization Appeals etc. Pega Smart Claims Engine for Healthcare provides model-driven innovation by processing medical from intake through finalization.
- Pega Smart Claims Engine (SCE) is a platform that can replace your legacy claims platforms to move away from rigid and inflexible systems, high operational costs, and poor user experience.
- It supports adjustments, manual or automatic splitting of claims and claim lines, work queue routing for pended claims, claim status updates, balancing, and surcharges - all on a flexible adjudication platform.
- Upgraded the code from PRPC 6.1.2 to 7.1.8
- Resolved change logs and implemented enhancements based on business requirements
- Analyzing the Requirements given by Business and proposing the user-friendly fixes
- Implemented integration with Web services to fetch Provider information through Connect-REST and Connect-SOAP with Security Profiles
- Analyzed production Pega logs and alert logs to identify and fix exceptions
- Enhanced the Enterprise Class Structure for high reusability, scalable and extensible
- Correcting the existing rules i.e. Data Model, Data Transforms, Data Pages, Activities, Sections, Harness, Flow actions, Flows, When, Declarative trigger, Declare on change, Decision Table and Decision Tree etc.
- Worked on the Initial implementation of the Pega systems Smart Claims Engine (SCE)framework as a solution for a government agency looking to handle an increasing healthcare claim adjudication backlog. As part of this, implemented and customized functionality in member searching, authorizations authorization matching, duplicate claim determination, claim pricing logic and pend management.
- Developed stages and steps to implement business logic effectively
- Developing PRPC Security Model, integrating PRPC with external managed security like LDAP
- Created agents to monitor background rules within the application.
- Conduct periodic Design and Code reviews
- Requirement gathering & Analysis and estimating the hours for the defects/Enhancements
- Achieved very good Guardrail Compliance score
- Followed Agile – Scrum implementation
- Performance Testing Using PRPC-PAL Tool, DB Tracer, Pega AES
- Prepared Role Based Access group and Control document for the Pega Workflow team.
- Rules for validation and Integration pertained to Rule-Connect and Rule-Service.
- Implemented end to end business usable product (Phase) in 60 days
- Worked with IT architect to make this application as a platform of claim processing system bringing other claim processing solutions into the fold
- Built business configurable components enabling & empowering Business and reducing IT intervention
- Able to leverage OOTB Pega functionalities, features and Data Model to maximize and only customize wherever it is needed
- Projects: Next Gen Appeals- Medicare and Medicaid.
- Implementation Partner: Cognizant
- Framework: Pega PRPC with Claims Engine
- Role: Sr. Pega Developer
Senior Pega Developer
Health net/Centene
Rancho Cordova
11.2014 - 05.2016
- RMC streamline Project will enable the business to configure an RMC by answering a series of questions that are targeted for each business unit. The business is given the flexibility to ask questions that will enable a smooth RMC configuration. To aid a configurable RMC a reverse engineering of ABS program is underway to provide a set of rules that will guide program execution.
- Engaged with customers to identify needs, delivering tailored Pega solutions that enhanced user satisfaction.
- Implemented and customized functionality in member searching, duplicate claim determination of Pega Claims Engine Framework
- Designed high-level class structures, workflows, and rule sets in Pega PRPC, contributing to streamlined application functionality.
- Created the Business Process Flows and flow actions in Pega PRPC.
- Implementation of Decision tables, Decision Maps and Declarative expressions.
- Requirement Analysis & Design
- Upgraded code from PRPC 6.1 to 7.1.7
- Coding (involves Creation of rules, design flows & developing code)
- Unit Testing
- Enhancements & Fixing defects
- Identified reporting requirements to general business functionality, non-functionality needs and required data attributes for BPM specific workflows
- Participated in production deployment, ensuring smooth transition and offering post-production support to address any immediate issues.
- Provided consultation and demonstrated the solution and know-how sessions for customer requirements like Archival and Purging Strategy, Infrastructure requirements, Migration strategy from Pega Works to PRPC Environment and other pain points which end user raised concerns.
- Demonstrated 7.x PRPC and its advantages.
- Environment: Pega PRPC 7.1, HTML, XML, SOAP, JavaScript, SQL Application Server, Java, CSS, JavaScript and HTML.
- Implementation Partner: Cognizant
- Role: Senior Pega Developer
- Framework: Pega PRPC with Claims Engine
Pega Senior Developer and Onsite Production support
Healthnet
Rancho Cordova
09.2015 - 05.2016
- The Kit Information Management (KIM) application manages the configuration of Bill of Materials (BOM) and their mapping with members. It provides functionalities to manage KIT jobs, configure components, generate reports, bulk component management, bulk data upload, and audit trail and system administration. The biggest lift for instituting KIM for management of BOMs and Kit Jobs is the alignment of Electronic & Hard-Copy Distribution Processes. Currently it is taking users a long time to get the specs set up (I believe in part due to the learning curve of the new process & tool) but over time, this should lead to a large time savings for customer.
- Conceived use cases and analyzed design and requirements.
- Configured end-to-end solution for automated account opening process i.e., processing xml file and creating Account opening cases and routing it to suitable work basket.
- Identified properties and activities for project requirements, designing the Sections and Harness.
- Implemented PRPC components such as decision tables, decision maps, declarative expressions, constraints, and indexes.
- Used RDB Method to create Database Connection and Created Web services using Connect-SOAP.
- Created Data-Admin-Product for efficient migration of rules across multiple environments, ensuring consistency in application behavior.
- Managed user accessibility by creating portals, access roles, and access groups for analysts, data managers, and chair departments, streamlining user experience and maintaining security.
- Environment: Pega PRPC 7.1, HTML, XML, SOAP, JavaScript, SQL Application Server, Java, CSS
- Projects: KIT Information Management (KIM) System
- Implementation Partner: Cognizant
- Role: Pega Senior Developer and Onsite Production support
Sr. Pega Developer
United Health Group
Irvine
08.2012 - 06.2014
- Producer Contact Log Project is an application for addressing agent queries and maintenance processes. Agent can make a phone call to CSR or even send an email and take up the issue with the service representative. The representative will do a verification of the agent and will initiate a Service request based on the request that the agent has raised. The application provides a 360-degree view of the producer information which makes the processing of the request quicker and easier. The request will be processed and reviewed by different roles in the system and the system would be sending notification to the agents once the issue is addressed.
- Designed high-level class structure, workflows, and rule sets in Pega PRPC.
- Developed and implemented code for application functionalities and user interfaces. (involves Creation of rules, design flows & developing code)
- Creation of Rules for Validation, Integration rules like Rule-Connect-SOAP.
- Created the Business Process Flows and flow actions in Pega PRPC.
- Implementation of Decision tables, Decision Maps and Declarative expressions.
- Created Activities for implementing core Business logic.
- Conducted thorough requirement analysis and design sessions to gather project specifications.
- Managed stakeholder relationships and gathered customer feedback to refine project requirements and align deliverables with user expectations.
- Implemented enhancements and resolved defects, optimizing application performance and elevating user experience.
- Conducted unit testing to validate code functionality, ensuring adherence to quality standards and reducing potential post-deployment issues.
- Improved the performance of the service methods by reducing the DB calls and checked the response time from the SOAP UI
- Integration with external web services with PEGA using SOAP Connectors, File listeners to read the files placed in an external location
- Participated in production deployment and provided post-production support.
- Oversaw multiple projects, ensuring timely delivery and alignment with business objectives.: Producer Contact Log
- Implementation Partner: Cognizant
- Framework: Pega PRPC with Claims Engine
- Role: Sr. Pega Developer
- Role: Sr. Pega Developer
Pega Senior Developer
United Health Group
Irvine
01.2012 - 07.2012
- UHG currently enrolls 14 million members in pharmacy plans, wants to start their own PBM services named Fresh Start (FS), by the vertical integration of OptumRx acquired by UHG. An enterprise-wide project has been established to migrate all its commercial business to OptumRx under the (FS) Program. This project has been identified to ensure the Central Client Repository (CCR) application is ready to accommodate and maintain new required Client and Benefit data to support Fresh Start (FS) Business
- Roles & Responsibilities:
- Conducted requirements analysis to define project needs and specifications, aligning project deliverables with business objectives.
- Developed implementation UI to capture changes in client implementation, ensuring accurate data handling.
- Created maintenance UI to process changes and facilitate information routing between parties, clarifying accountability and liability.
- Used Decision rules like the Decision tables and Map Values.
Education
Bachelor’s Degree in Engineering of Information Technology -
Skills
- Pega Infinity 242
- PRPC 88
- PRPC 87
- PRPC 83
- PRPC 7x
- Pega
- Pega UI/UX
- Digital Workflow Automation
- Process management
- Claims Processing
- Data Orchestration
- Event Streaming
- Microservices
- REST APIs
- SOAP
- Web Services API
- DX API
- Next-Best Action
- Decision management hub
- Smart investigation
- Smart dispute resolution
- User Journey Mapping
- User experience design
- User Interface Design
- UI Kit
- Data modeling tool
- Care Management Framework
- Pega Knowledge Management
- Pega Field Service
- Claims task management
- Collections framework
- Java Development
- Database Management
- MS-SQL Server
- Oracle Database
- Business Intelligence
- Application Server
- Enterprise Middleware
- HTML
- XML
- JavaScript
- Data Visualization
- PAL
- Web Debugging
- Database Monitoring
- Log Management
- Asynchronous Programming
- Messaging Services
- SQL
- Application Monitoring
- Data Handling
- Rule Management
- User Interface
- UI Components
- Work
- Data
- Case Types
- Document Management
- Case Object
- Process Flows
- Task Assignments
- Support Tools
- Decision
- Process Optimization
- Workflow Patterns
- Business Activities
- Communication protocols
- Decision logic
- Alert management
- Workflow management
- System Rules
- Administrative rules
- Out-of-the-Box Solutions
- Decision logic
- Alert management
- Workflow management
- System Rules
- Administrative rules
Certification
- Pega Certified Lead System Architect CLSA V7.1
- Pega Certified Robotics System Architect
- Pega Certified Decisioning Consultant
- Pega Certified User Interface Specialist V7.1
- Pega CSSA Exam V7.1
- Pega CCA (CPM) Certification
- Sun Certified Java Programmer V1.4
- Health Care Domain Certification (AHM)
- Pega 8.X CSSA Badge in Pega Academy
- Pega 8.X LSA Badge in Pega Academy
Badges
- LSA 8.8
- Constellation
- Case Management
Personal Information - Pdn Certification Verification
PRAVEEN, K. NAGA, knpraveen99@gmail.com
Personal Information
Title: Pega Architect and Developer
Timeline
Pega Architect and Developer
Verizon Consumer Group
02.2025 - Current
Pega Architect and Developer
Verizon Consumer Group
04.2024 - 02.2025
Pega Architect and Developer
Verizon Business Group (Fiber Communications Channel)
01.2021 - 03.2024
Pega Architect and Developer
Verizon Business Group
12.2019 - 01.2021
Pega Architect and Developer
7-11 Store Support Center
01.2019 - 12.2019
Pega Architect
Mercedes Benz Financial Services
10.2018 - 12.2018
Module Lead
Frontier Communications
02.2018 - 10.2018
Module Lead
Deloitte Tax
09.2017 - 02.2018
Sr. Pega Developer
Anthem-Amerigroup
07.2016 - 08.2017
Pega Senior Developer and Onsite Production support
Healthnet
09.2015 - 05.2016
Senior Pega Developer
Health net/Centene
11.2014 - 05.2016
Sr. Pega Developer
United Health Group
08.2012 - 06.2014
Pega Senior Developer
United Health Group
01.2012 - 07.2012