Nesamani Paulraj

• Meet with clients to identify opportunities and strategic goals to standardize or steer clients toward new services and products that enhance or improve their business needs.
• Proactively lead assigned projects by creating project timelines, and identifying milestones and additional resources needed to complete deliverables.
• Serve as resource knowledgeable of end-to-end impacts of Claims Processing and QNXT configuration throughout Managed Care Organization (MCO).
• Worked as an advisory consultant for enrollment and payment process and has a thorough knowledge of EDI transactions (834, 837, 835).
• Have a good understanding of Plandata to generate reports using SQL Query and Integration Services.
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• Mentor two members onshore and 4 members offshore.
• Involved in discussions with client team/end users to gather business requirements.
• Writing detailed design documents for custom interfaces in QNXT.
• Developed QNXT interfaces that include extracts, inbound solutions, add-ins (EDI transactions like 834, 837, 835 etc.)
• Developed scalable service-oriented architecture (SOA) solutions and SOAP/RESTful services for health care payers and providers.
• Will lead offshore/onshore team and provide technical support as required.
• Demonstrate QNXT interfaces to client team/end users.
• Created status reports weekly and presented to the project management team for project health checks.

• Developed 50+ custom interfaces for various clients in enrollment, premium billing, and claims.
• Unit-tested deliverables using Trizetto framework.
• Worked closely with other business analysts, development teams, and infrastructure specialists to deliver high-availability solutions for projects.

• Involved in Requirement gathering, Estimation/ Task Planning, Coordination with offshore team, Development, Unit testing, Functional Testing, Code review, QA/ UAT/ Production deployment for 15 campaign applications.
• Involved in supporting all modules like Measurement periods, Networks, Data Types, Demographics, Report Types, Report Filters, Template management, Personal Settings, System Settings, Chart Preview, Grid Preview, Excel Exporting and PDF exporting.
• Have created number of User-controls and Custom Controls which are being used in 15 applications.
• Developed applications in both WinForm and ASP.NET.