Candidates About

 

Shivanag chowdary Muppala

Summary:

·         11+ Years of experience in leading health insurance company as a Technical Team Lead.

• 5years of experience working with Client location in CS90 Claims, WGS Membership and Transition & Renewals. 
• Good team leading/mentoring experience, good experience in working with remote and offshore teams across the globe in different time zones. Extensive experience in leading and working with the team in building quality products focusing on each aspects of the software lifecycle.

·         Excellent understanding of full Software Development Life Cycle and extensive knowledge/experience in all stages of Software Development Life Cycle (SDLC) and lead teams in onsite - offshore model.

• Supporting the system components during system testing, integration testing and during promotion of these components to production environment
• Knowledge of Fidelity's ALS-AF systems and Experience in Automotive Finance industry
•  Looking forward to enhancing my experience with exposure on more diverse platforms, systems and different work cultures where I can utilize my skills with passion.

• Experience in leading and managing large and complex onshore and offshore teams and Knowledge of project management with good planning and organization skills
• Excellent communication skills, interpersonal skills, self-motivated, quick learner, team player.
• Strong knowledge in the area of Health insurance, Membership and Billing, Claims processing.
• Proficient in MS Access, MS Word, Excel and outlook, PowerPoint (Charts, tables, graphs) and Visio(Flowcharts).

 

 

 

Domains	Healthcare Insurance & Banking
Hardware	IBM MAINFRAME
Operating System	Windows, MVS/OS390.
Languages	COBOL, JCL, PL1, EASYTRIEVE, UNIX, MQ, SQS, JAVA
Database	DB2, IMS-DB
OLTP	IMS DC
FileAccess Method	VSAM
Utilities/Tools	Change man, File-Aid, File Manager, FMIMS, IMS File-Aid, SORT Utilities, FTP, NDM, Expediter, Debug, Abend-Aid, Fault Analyzer, IBM Debug Tools, SAR, Table base, MS office tools, Control- M.

 

Got certified in ACADEMY OF HEALTH CARE MANAGEMENT-250 (Health Care Domain)

Got certified in Network Management – AHM 530 (Health Care Domain)

Got certified in Governance and Regulation – AHM 510 (Health Care Domain)

 

 

Work Experience:

 

Project #1	Sep 2016 to till date
Project Name	WGS & STAR Membership Transition & Renewals
Client	United Health Group
Organization	Infoyuga Technologies Inc.
Position	Technical Team Lead
Team Size	20
Environment	COBOL, JCL, IMS DB, DB2, VSAM, Changeman, File Manager, FMIMS, IBM Debug Tool, MQ Series, SQS.

 

Project Description: United health Group is a highly reputed Health care provider in USA. United health Group serves the health care needs of more than 7.5 million medicals and over 34 million specialty members nationally through Blue Cross of California in California and UNICARE throughout other parts of USA.

WGS Membership & Billing system handles member enrolment and premium collection from members for the services rendered. 

 

·         Responsible for complete SDLC lifecycle for project – Review business requirement specifications, derive project development effort estimate, manage development of detailed design framework and test plans.

·         Interact with business users to capture requirements, understand business, and analyze gaps. Get the scope defined for the requirements.

·         Managed multiple implementations and its related activities. Reviewing deployment procedures and documents.

• Involved in Business and Functional Specification review meetings, Design walkthroughs and Test Plan reviews.

·         Understanding business requirements- derive scope and benefits of the requirement. Communicating development needs.

·         Taking care of requirement analysis, design, coding and unit testing by involving the offshore team by providing timely clarification and guidance.

• Review the design and code based on the requirement and verify it meets the requirement.

·         Responsible for creating Test plans, TESD.

·         Involved in both Membership & Billing test case execution.

·         Responsible for communicating Defect Status Reports to business in project meetings.

·         Responsible to analyse current processes and practices and drive improvements. Also, defines processes as needed.   

·         Responsible for creating Test Strategy document for large projects.

·         Responsible to prepare defect matrix and conduct lesson learnt session for all deliverables.

·         Responsible for future project estimation, plan, resource allocation and Deliverables.

 

 

 

Project #2	Sep 2015 to Aug 2016
Project Name	CS90-Claims
Client	Empire BCBS, New York
Organization	IBM India Pvt Ltd
Position	Team leader
Team Size	30
Environment	COBOL, JCL, IMS DB VSAM, Endeavor, File Manager, FMIMS, IBM Debug Tool.

 

Project overview: Empire BCBS is a highly reputed Health care provider in USA. The system is a MVS OS/390, with programs written in IBM high level Assembler, COBOL, PL/I. The databases include DB2 and IMS. The system is divided into various modules based on the functional background of the health care industry. Empire's Claims engine is a very complex and highly regarded, written mainly in the IBM high-level Assembler. Claims processing is handled by the PLASM.

 

Claims, a subsystem of CS90 adjudicates bills submitted by providers and subscribers of Empire. This system   provides the functional capability to automatically adjudicate record, maintain and report processed claims. Claims system processes 3 types of claims viz., Institutional, Professional and Others. Institutional Claims are the bills submitted by hospitals, Extended Care Facility (ECF), Skilled Nursing Facility (SNF), Clinics etc. Doctors submit Professional Claims. Claims submitted by Prescription Drug, Medical Suppliers, ambulance etc., fall in the category of others.

·         Analysing and Coding the Logic in the existing programs or developing new programs as per the requirements specified.

·         Analysing various business areas and proposing resolutions to improve Business Systems.

·         Responsible for Updating daily and weekly project status to Project Manager and Rational Portfolio manager (RPM)

·         Responsible for Scheduling Knowledge Transfer (KT) session with Business Groups and SME’s to the Technical Analysts.

·         Worked with the business writers to format the Business rule document & reviewed the same with the users.

·         Unit testing of the Impacted Programs & review of the test results.

·         Assigning the work to the team for coding and Analysis.

·         Actively participating in Quality and Process Related work for the team.

·         Actively involved in conducting Process reviews for other teams.

·         Involved in impact Analysis of the System.

·         Analyse User queries and respond to customer with the findings.

·         Assist the Team in Technical issues.

·         Deliver new and complex high-quality solutions to clients in response to varying business requirements.

·         Utilize in-depth knowledge of functional and Technical experience in CS90 Claims System to deliver solutions to customer.

·         Responsible to provide application training to the New Joiners in the Team.

·         Responsible to give team Members training on Healthcare Insurance and HIPAA Regulations.

 

 

Project #3	Apr 2013 to Jul 2015
Project Name	GMRE
Client	DuPont, New York
Organization	CSC
Position	Team leader
Team Size	30
Environment	COBOL, PL1, Micro Focus Cobol, JCL, DB2, CICS, IMS DB DC, VSAM, tools like ISPF, MQ, SQS, FILE-AID, CA-TELON, COOLGEN, CONTROL-M, Flasher, Dump master.

 

Project overview: DuPont is one of the leading and most innovative science corporations Operating in more than 70 countries, the Company offers a wide range of products and services for markets including agriculture, nutrition, electronics, transportation and apparel.   This Project is all about Maintaining the Mainframe legacy applications.

·         Taking the ownership of mainframe core applications like GMRE, CTF, JEV, KYESTONE, GL20209, and GTDB for support on job abends and attending sprint meetings and reviews to meet goal of addressing and resolving issues within 24 hours.

·         Resolving the issues if any ABEND occurs in time critical situations.

·         Monitoring the Jobs through the internal tools like CONTROL-M, Flasher, Dump master or support issues for frequently occurring change requests.

·         Participating in the team meetings and communicating with onshore technical team with regards to day to day issues.

·         Modifying the code at user's requests.

·         Interacting with the client and the onsite coordinator for issues and queries in the project.

·         Providing recovery of the data from the mainframe server to the clients and reload it once the errors are resolved on disaster recovery i. e either yearly or quarterly as per company norms.

·         Working on db2 queries on analysis/debugging of cobol-db2 programs.

·         Interacting with the client and the onsite coordinator for issues and queries in the project.

·         Performing application/dev/assurance testing on jobs/procs on user requests and moving them to production for batch support.

·         Comfortable to work in rotational shifts and on weekend or overtime.

 

 

 

Project #4	Jan 2012 to March 2013
Project Name	Trizetto NetworX
Client	WellPoint, New York
Organization	CSC
Position	Team leader
Team Size	30
Environment	COBOL, JCL, IMS DB, DB2, VSAM, MQ, SQS, Endeavor, File Manager, FMIMS, IBM Debug Tool.

 

Project overview:  Wellpoint is a highly reputed Health care provider in USA. The system is a MVS OS/390, with programs written in IBM high level Assembler, Cobol, PL/I. The databases include DB2 and IMS. The system is divided into various modules based on the functional background of the health care industry. Empire's Claims engine is a very complex and highly regarded, written mainly in the IBM high-level Assembler.

TriZetto's NetworX Pricer is a Java-based application that integrates with all of your legacy claims systems. NetworX Pricer will automate your claims pricing, whether you use one core system or multiple applications, and it can handle even the most complex provider contracts.

 

·         Involved in Production compare reviews.

·         Responsible for rate sheet building

·         Analyse CS90 and Networx Claims pricing mismatch

·         Responsible for preparing Test Cases for System Testing of Networx

·         Responsible for Effective Communication with Direct Client Interaction

·         Responsible for Clarifying Developer (Technical Analyst) Concerns.

·         Responsible to Update the Time tracking and Maintaining Documents in RPM Repository.

·         Managing customer expectations regarding time lines, quality of deliverables and status reporting.

·         Collecting, Understanding and transmitting the Business Requirements for the Project.

·         Translating Business Requirements into Functional Specifications.

·         Interacted with Clients to determine user requirements and goals

·         Utilize in-depth Knowledge of healthcare to satisfy client requirements.

·         Responsible to provide application training to the New Joiners in the Team.

 

Project #5	Dec 2009 to Dec 2011
Project Name
Client	M/s Fidelity National Financial Inc (www.fnf.com)
Organization	CSC, Hyderabad
Position	Team Lead
Team Size	30
Environment	COBOL, PL1, JCL, IMS DB, DB2, VSAM, Endeavor, File Manager, FMIMS, IBM Debug Tool.

 

 

The primary goal of the project - Core Mainframe Development Testing Automation (CMDTA) is to automate the System Integration Testing process for EBS products like Deposits (ST, IMPACS and RM), ALS-SM and ALS-AF applications. Fidelity Advanced Lending Solutions (ALS) Automotive Finance is the servicing engine for automotive credit with the flexibility, features and functions to meet the high-volume, low cost needs of a specialized and rapidly growing market. The software offers an integrated loan and lease system, with consequent savings and competitive advantages in operations, management and customer service. 

 

 

·         Prepared GUI Maps and updating the Win Runner Test Case Generator Scripts of TCG. Executing Scripts on the mainframe application in the Time-Sharing Option (TSO) and Customer Information Control System (CICS) environments. 

·          Prepared the Activity Statistics Review Record on a daily basis, performing the Work Product Review. Prepared Test plan, Test design, Test case, Test execution, Test log, Test defect tracking, and Test report. Performed Regression testing. Attended and conducted Postmortem Review, Peer review, Inspections Review and Final Review. 

·         Involved in estimation, scheduling and work allocation activities. Coordinated for development and testing the TCG application. 

·         Managed the team of 20 Engineers. Organized causal analysis meetings to understand and eradicate the causes for frequently occurring defects / problems in project which have an impact on Six Constrains (CTQSRR) Cost, Time, Quality, Scope, Resource and Risk to help in defect prevention. 

·         Coordinates all work product reviews and ensures that the review comments are tracked to closure. Building process awareness within the project team. 
• Prepared metrics collection, consolidation and analysis activity for the project through Delphi Technique.

 

Project #6	Nov 2007 to Oct 2009
Project Name	Single Order Filter (SOF
Client	Ford motor company
Organization	STG, Chennai
Position	Software Engineer
Team Size	30
Environment	COBOL, JCL, IMS DB, DB2, VSAM, Endeavor, File Manager, FMIMS, IBM Debug Tool.

 

           

Project Description: The Single Order Filter (SOF) Project is an initial step in streamlining order scheduling process and achieving Ford’s overall Order Fulfillment (OF) vision of Available to Promise.  This will streamline, simplify, and enhance the scheduling business processes and supporting systems within the M&S and MP&L organizations.  Ultimately, this data, timing and process alignment between the two organizations is one initiative that will enable Ford to provide the customer with a precise build promise week.

·         Understanding the requirements and analyzing the programs.

·         Preparing the design specifications for the programs, developing the new functionality.

·         Coding the programs and reviews. Preparation of unit test cases based on the design specification.

Project #7	Oct 2006 to May 2007
Project Name	CTA-VMX MLI
Client	GE
Organization	Kanbay, Hyderabad
Position	Software Engineer
Team Size	20
Environment	Vision Plus, COBOL, DB2, CICS, IMS DB, JCL, Easytrieve, CA-7, CA-TELON & COOLGEN, VSAM, Endeavor, File Manager.

 

 

Project Description: CTA-VMX MLI is a credit card processing architecture. The high level GUI is developed in vision plus using CTA functions. The project purpose is to build a standardized application with a generic module that is shared across all market, which allows for enough flexibility and scalability to incorporate country specific functionality in future, when local government and/or compliance policies require it. This system is interfaced with the existing and upgraded CTA functions that are being developed on Vision Plus 8.17, GECF’s core receivable system. The data retrieval and updates to the back-end host system that are requested or posted by the CTA GUI is done in real-time using VMX/MLI architecture so that global CTA GUI must be able to interface with market specific auto dialers in batch & online modes.

·         As a team member, I involved in coding the new MLI’s from existing ones.

·         Implemented the additional functionalities for MLI’s by using the CTA functions which are in Vision Plus.

·         Developed application specific documents related to MLI’S.

·         Involved in running the JCL’s related to MLI’S.

·         Involved in preparing the technical design documents and carrying out walkthrough meeting with the IT & Business managers.

·         Modified and tested COBOL and CICS programs and JCL codes per the requests of business departments.

·         Take new scheduling requests from programmers, set up CA-7 job definition, schedules, triggers and requirements.

·         Monitor and ABEND resolution of MVS CA-7/CA-11 batch processing.

·         Preparing System test cases and performing UAT activities.

·         Gathering Signoffs from Business.