Skills:
SKILLS Business Tools: Rational Suite (Requisite Pro, Rose, ClearQuest, ClearCase), MS Visio, MS Project, MS Access, MS Office Suite, Business Skills: Business Definition Requirements, Business Process Analysis, Gap Analysis, Use Case Modeling & Analysis, Business Environment and Market Research Analysis, Evaluating operational impact and fixing all system issues, supporting Operations, Liaisons between system and operations & policy internally as well as with DHCPF CO, Assisting System manager in writing down business proposal, Writing down new SOPs for various processes, Creating new templates for BAs and SEs, Monitoring, tracking and documenting all system issue and presenting bi- weekly in status meeting. Healthcare: HIPAA 4010 / 5010, ICD-9, ICD-10, MMIS, Edifecs, Medicare, Medicaid, X12 transaction sets [] [] 820, 834, 837, and 835, 999, 277CA), maintain all EDI's transactions companion guides to help providers for submitting their claims. Methodologies: RUP, Agile, Waterfall, UML. Testing Tools: ACTT-Now, Ultra Edit, EDIFACS, WebPortlet (real time transaction)Win Runner, Quality Center. Databases: RUMBA 8.2, Oracle 8i/9i, SQL Server 2005.