resume_anne paul

Ph: +1-904-504-0867 Email id: [email protected]

Anne Paul

Mainframe Systems/Test Analyst with 8 years and 2 Months of experience in US Health care domain. In depth knowledge about various phases of IT projects which include planning and designing, gathering business requirements, analysis, development, testing, data modeling, data governance and implementation encompassing both waterfall and AGILE SDLC methodologies. Cloud Team - Current Company

2016 Dec – Till date : BCBS Florida (Testing Specialist)UST Global : 2008 Aug – 2016 Nov

2008 Aug – 2014 Sept: Anthem Inc.-WGS Claims and WPD Autobagging 2014 Oct – Present: BCBS Florida – CIP (Consumer Information Portal)

SUMMARY

8+ years of experience in the development, maintenance, enhancement and testing of mainframe applications.

Rich experience in leading technical teams and maintaining client relationships. Strong background in US Health-care legacy systems, specifically in Claims

Processing and Member enrollment (834 enrollment format). Expertise in COBOL, JCL, DB2, IMS and VSAM. Successfully executed various types of projects (development, system integration,

compliance, data migration) in Mainframe technology. Conversant with all phases of Project Life Cycle including Requirement gathering,

Analysis, Design, Development, Implementation, Quality Assurance. Proficient in Test Strategy, Test Plans, Test Approach, Validation Plans, Test

Cases, Requirement Traceability Matrix Technical expertise to provide Services and solutions that consistently exceeds

Client’s expectations. Worked on various IBM tools TSO/ISPF, File-aid, File manager, Data Studio and

ABEND aid. Extensively used ChangeMan and Endevor as version controller. Used and have a good knowledge on the SOAP UI tool, HP ALM, TOAD and Rally. Good communication skills, interpersonal skills, self-motivated, quick learner, team

player. Trained in CMMI Level 5 processes. IBM Certified DB2 Application Developer.


SKILL SUMMARY

Mainframe:COBOL, JCL, DB2, JCL, VSAM, IMS DB, SPUFI, QMF, SQL, Changeman, File-Aid, Xpediter, Control-M, IDCAMS, FTP, SORT Utilities, Stored Procedures, File Manager, Debug tool, AbendAid, Fault Analyser, SOAP UI, Blaze advisor, Teradata and Table Base.

MS Office: Word, Excel and PowerPoint

Tools: ALM, IBM Data Studio, Toad, SQL Navigator, MS Project and MS Visio

EDUCATION & CERTIFICATIONS

B-Tech in Information Technology (year: 2007) , Cochin University. 12th from Chinmaya Vidyalaya (CBSE) with 63% 10th from Chinmaya Vidyalaya (CBSE) with 74.5%. IBM Certified Database Associate - DB2 Universal Database V8.1 Family Certificate.

EXPERIENCE

Cloud Team [December 2016 – Till Date]Project: IT Shrd svc.Domain – Healthcare

The objective of the project is to support the testing for the various changes as part the changes introduced in the data landing to the EDW tables.

Roles & Responsibilities – Testing Specialist :

Participate in the requirements walkthrough to understand the changes/impact as part of the project.

QA test planning – Analyze FDD, BPR (Business Process Rules) and drill it to the technical details.

Prepare the test Approach document, test cases and test plan based on the TDD and mapping documents and load it to ALM.

QA test case authoring and execution - develop the SQL queries corresponding to the technical requirements and execute the queries corresponding to each of the requirements.

Review and validate data landing in the DBs for members, groups and contracts. QA status project updates - Execute the test cases in HP ALM and update the

status.


Verify the target data by executing the SQL Scripts in IBM Data studio/SQL Navigator/TOAD.

Log defects if any found during the testing and conduct status meetings to track the progress.

Interact with the Development and testing team to discuss and validate the results/defects and manage all Defects to closure.

Prepare the TES document. Facilitation of defects during UAT.

Environment: Mainframe, IBM Data Studio, HP ALM, SQL Navigator, SOAP UI, TOAD, Rally.

UST Global [August 2008 – November 2016]

Project: CIP/CON NASCO Migration [Jan 2016 – till date]

Domain – HealthcareThe objective of the project was to support the enrollment and consumer portal changes as part the change/migration to the NASCO System. The HPS to NASCO conversion and the NASCO steady state changes in the CIP side consisted of terming the HPS contracts and enrolling them over to NASCO effective 01/01/2016 and loading the new NASCO data (members and groups) to the CIP/EDW DBs successfully. The inbound and outbound data sources are in the 834 file layout and warehouse feeds are in the mainframe file format structures. The data needs to land in CIP and EDW based on existing rules as per the NASCO mapping documents.

Roles & Responsibilities – Analyst :

Participate in the requirements walkthrough to understand the changes/impact as part of the project.

QA test planning – Analyze FDD, BPR (Business Process Rules) and drill it to the technical details.

Prepare the test Approach document, test cases and test plan based on the TDD and mapping documents and load it to ALM.

QA test case authoring and execution - develop the SQL queries corresponding to the technical requirements and execute the queries corresponding to each of the requirements; validate the 834 enrollment file data- both inbound and outbound.

Review and validate data landing in the DBs for members, groups and contracts. QA status project updates - Execute the test cases in HP ALM and update the

status.



Log defects if any found during the testing and conduct status meetings to track the progress.

Interact with the Development and testing team to discuss and validate the results/defects and manage all Defects to closure.

Facilitation of defects during UAT.

Environment: Mainframe, IBM Data Studio, HP ALM, SQL Navigator, SOAP UI, TOAD, Rally.

Project: CIP/CON - QHP014-01 QHP 2015 / Individual QHP/ NQHP Data Landing [Jan 2014 – Dec 2015]

Domain – HealthcareThe objective of the project is to verify that External Vendor (HPS) mainframe source data lands in CIP/EDW DBs successfully. Data sources in the 834 file layout and warehouse feeds are in the mainframe file format structures and the data needs to land in CIP and EDW based on existing rules described in the mapping documents.

Roles & Responsibilities – Analyst :

QA test planning - Analyze BPR (Business Process Rules) and drill it to the technical details.

Prepare the test Approach document, test cases and test plan and load it to ALM to check if the data landed in the DBs as expected.

QA test case authoring and execution - develop the SQL queries corresponding to the technical requirements and execute the queries corresponding to each of the requirements; validate the 834 enrollment file data.

QA status project updates - Execute the test cases in HP ALM and update the status.


Log defects if any found during the testing. Interact with the Development team/SA to discuss and validate the

results/defects and manage all Defects to closure. Facilitation of defects during UAT

Environment: Mainframe, IBM Data Studio, HP ALM, SQL Navigator, SOAP UI, TOAD.

Sr. Software Developer


Project: SSD Atomic Services WGS/ISG SSCR &POR Delivery Project

[July 2013 – Sept 2014]Domain – Healthcare

Support the new services used by WATSON system for the pre-authorization and pre-determination checks. These new services helps the providers save more time because providers will be able to obtain the right information more quickly, enabling them to make better decisions about how they care for their patients.

Roles & Responsibilities – Technical Lead: Led a team of 3 software engineers in this project. Prepared architectural and technical design documents, review checklists, pre-

delivery checklists. Developed and tested COBOL programs using SOAP UI. Setup test environment, support code migration and facilitate SIT and production

pilot testing. Prepare implementation plan and co-ordinate the final implementation activities. Prepare and share the weekly project status reports with senior management.

Environment: COBOL, DB2, JCL, IMS, CICS, Changeman, SOAP UI.

Project: WGS to NASCO Migration [Jan 2011 – Jun 2013]Domain – Healthcare

The scope of this project included extracting and passing the WGS Limited liability data and the accum data for the groups that was to be migrated. Due to the nature of the project being very close to the client’s business, this project was helpful in understanding the Healthcare business in a very broad way.

Roles & Responsibilities – Technical Lead: Led a team of 3 software engineers in this project. Prepared architectural and technical design documents, review checklists, pre-

delivery checklists. Developed and tested COBOL programs. Setup test environment, support code migration and facilitate SIT and production

pilot testing. Prepare implementation plan and co-ordinate the final implementation activities. Scheduled and ran the production jobs and monitored the ABENDS.


Prepare and share the weekly project status reports with senior management.

Environment: COBOL, DB2, JCL, IMS, Change man, VSAM, File aid.

Project: Pharmacy ESI Migration [Sep 2010 – Dec 2010]Domain – Healthcare

The objective of this project was to identify Dual Coverage Enrollee and Duplicate Member ID enrollee and populate the corresponding BIN numbers and transfer the data to ESI on a daily basis. The BIN number is populated as ‘610053’ for all the ProServ records. These records would be loaded to the ESI exception database. After migration, claims would be compared against the exception DB to determine the system in which the claims need to be adjudicated.

Roles & Responsibilities – Software developer:

Prepare and share the weekly project status reports with senior management. Running the daily/weekly jobs and updating the results. Coordinate different team from different vendor for system Integration testing. Identify the Issue and Risk in completing the system integration testing and

prepare mitigation plan accordingly. Assist the SIT team to develop test plans and testing strategy. Prepare project planning, scheduling and resource management.

Environment: COBOL, IMS DB, JCL and Table Base

Project: WPD Autobagging [Jul 2009 – Aug 2010]Domain – Healthcare

The Auto Bagging sub-system is a part of the Health insurance system. The Auto-Bagging project deals with the setting up of adjudication in an automatic fashion, rather than a manual one. The new business situation is to develop the WPD application to set up adjudication through an automated process, requiring limited manual intervention. In the current system, this logic depends on the product structure, which needs a lot of manual intervention. But in the automated one, the logic would be depending on the subset of the product structure, which would be more accurate by eliminating the Bag Id, and setting rules and questions to each benefit covered in the claim.

Roles & Responsibilities – Software developer:

Analyzing the requirements, design, coding, unit testing. Preparation of the test data and maintaining the trackers. Running the daily jobs, validating the results and sending the reports to clients.


Assist the SIT team to develop test plans and testing strategy. Prepare project planning, scheduling and resource management.

Environment: COBOL, IMS DB, JCL, CHANGEMAN, ABEND-AID, XPEDITOR and Table Base

Project: ETS Accumulator POC [Aug 2008 – June 2009]Domain – Healthcare

ETS Accumulator Proof of Concept project aims for a single and consolidated view of accumulators for both IT and business with improved claim accuracy for “shared accumulators”, also eliminating out of sync accumulator reporting and issues, thus having a single view of accumulators throughout the enterprise.

Roles & Responsibilities:

Design Coding of programs. Reviews. Unit testing. Preparing test data Maintaining Trackers

Environment: COBOL, JCL, FILE-AID, CHANGEMAN, XPEDITOR, DB2 programs

resume_anne paul

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