Description
SUMMARY: Highly-skilled IT professional with 25 years of experience in architecting, data modeling and implementing EDW and BI with analytical reporting solutions in mainframe, client server, desktops, web-based in Healthcare MDM, Labs and Pharmacy, BI Analytics, HL7 and EDI x 12 transactions, Insurance, Finance, Retails, Utility, HR, CRM, Telecom. wireless environments. * Managed pharmacy and MDM (pharmacy, medical, claims, patients, providers and ICD9 and ICD10, CPT, DRUG codes). * Experience in gathering business requirement, performing gap analysis and creating technical and executive design document. * Experience with data warehouse appliance Netezza and Teradata MPP, design, data vault modeling, Big data and Hadoop. * Significant experience managing both people and projects using Agile and Scrum master PMO for cross functional teams using Jira for project management architecting processes using TOGAF Enterprise Architecture standard and methodology. * Hands on experience in design, performing unit, functional and regression test cases scenario, for manual and automated testing using QTP and HP ALM and documenting results supporting quality and releases in systems development life cycles. * Evaluated the integration in various data sources and targets like Oracle, Teradata, DB2, MS SQL server, Teradata, Sybase, VSAM and sequential and XML files in landing, staging area and cloud environment with performance improvement. * Significant experience and knowledge in Healthcare managed care work directly with providers and clearinghouses services. * Experience in EDI X 12, HL7 and system integration for 837IPD, 834, 270, 271, 277, 278, 835, 820 and 997 HIPAA transactions. * Created HEDIS and informatics encounter's reports to Medi-Cal California state and Medicare USA Federal programs. Key Qualifications: * PMI member and Certified TOGAF training * Hands on and experience in EDW architecture, Data modelling quality and Integrity and Business Intelligence solutions. * Hands on and experience using ETL Integration tools Informatica PC 7, 8 and 9.x, CDC, IDQ, MDM, Pervasive, SSIS and EDI tool. * Experience in creating visualizes analytical reports using SAS BI, Oracle BI Suite, BO, Tableau and Microstrategy. * System Analysis, Design, data Integration and Change Management and Performance Improvement experience. * IT PM and SDLC, Cal's state programs (Medi-Cal, Healthy worker and Child Health) and Medicare Federal planes.
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