Donald Briscoe Email and Phone Number

Trading Partner file feed requirements gathering analysis and designTrading Partner Implementation and testing to ensure requirements are being met throughout the development phases.Trading Partner Analysis and development of Business Rules to ensure data integrity.Create test scripts, test plans, and testing metrics.Ensure issues were identified, tracked, reported and resolved in a timely manner.Meet with trading partners to finalize file feed specs, and ensure accuracy.Meet with trading partners to establish B2B integration via FTP, SFTP, AS2.Responsible for mapping requirements, and trading partner data exchange.Responsible for EDI System Administration, Project Management tasks when necessary. Responsible for Generating test data to be used during the software development phase.Work with client personnel to identify required changes.Communicate needed changes to development team.Review and edited requirements, specifications, business processes and recommendations per trading partner requests.Develop functional specifications and system design specifications per trading partner requests.Assist in enforcement of project deadlines and schedules.Assist in the facilitation of team and trading partner meetings.Deliver informative, well-organized presentations.Assist trading partners to understand Internet, Intranet, Extranet and client/server architectures.Perform Requirements Gathering conducting JAD sessions to discuss and documentICD-10, and 5010 modifications.Performed 5010 Testing for all 837, 834, 270, 271, 276, 277, 278, 835 Transactions.Perform Code Testing, Migration and Validation per SDLC standards.Lead testing efforts and validation of 837, 834, 270, 271, 276, 277, 278, 835 Transaction Sets.

Trading Partner Requirements gathering analysis and configuration5010 Trading Partner Implementation and testing to ensure requirements are being met throughout the development phases.5010 Trading Partner Analysis and development of Business Rules to ensure data integrity.Perform Requirements Gathering conducting JAD sessions to discuss and documentICD-10, and 5010 modifications.Performed 5010 Testing for all 837, 834, 270, 271, 276, 277, 278, 835 Transactions.Perform Code Testing, Migration and Validation per SDLC standards.Lead testing efforts and validation of 837, 834, 270, 271, 276, 277, 278, 835 Transaction Sets.Created test scripts, test plans, and testing metrics. Analysis and development performed on AS400 hardware.

Trading Partner Requirements gathering analysis and designTrading Partner Implementation and testing to ensure requirements are being met throughout the development phases.Trading Partner Analysis and development of Business Rules to ensure data integrity.Perform Requirements Gathering conducting JAD sessions to discuss and documentICD-10, and 5010 modifications.Performed 5010 Testing for all 837, 834, 270, 271, 276, 277, 278, 835 Transactions.Perform Code Testing, Migration and Validation per SDLC standards.Lead testing efforts and validation of 837, 834, 270, 271, 276, 277, 278, 835 Transaction Sets. Analysis and development performed on AS400 hardware.Created test scripts, test plans, and testing metrics.Ensured issues were identified, tracked, reported and resolved in a timely manner.Responsible to ensure Test Cases map back to requirements.Performed Functional, Integration and Regression Testing.Responsible for EDI System Administration, Project Management tasks when necessary. Responsible for Process Improvement and Documentation.Worked with client personnel to identify required changes.Communicated needed changes to development team.Reviewed and edited requirements, specifications, business processes and recommendations per trading partner requests.Developed functional specifications and system design specifications per trading partner requests.Assisted in enforcement of project deadlines and schedules.Assisted in the facilitation of team and trading partner meetings.Delivered informative, well-organized presentations.Assisted trading partners to understand Internet, Intranet, Extranet and client/server architectures.HP Enterprise Services

Member of the Indiana Medicaid team.Member of the MMIS HIPAA EDI Development Team.Duties include: Working with Guidelines established by Medicaid, Medicare and CMS.Configuring EDIFECS Applications to meet the needs of Indiana Medicaid.Requirements gathering analysis and designImplementation and testing to ensure requirements are being met throughout the development phases.Analysis and development of Business Rules to ensure data integrity.Project involves re-engineering MMIS legacy EDI system for Indiana Medicaid. Perform Requirements Gathering conducting CAD & JAD sessions to discuss and document ICD-10, and 5010 modifications.Perform Code Testing, Migration and Validation per SDLC standards.Migrated legacy transaction maps from Sybase ECMAP to EDIFECS.Utilize Oracle Development tools SQLDeveloper, SQLPLUS to generate PL/SQL Stored Procedures and Database scripts.Utilize Java & JavaScript to code Business Rules, and Transaction set processing.Utilize Business Objects software within the framework of the EDIFECS application.Duties include Functional, Integration Testing.Utilize EDIFECS to develop 837, 820, 834, 270, 271, 276, 277, 278, 835 transactions.Utilize EDIFECS to generate transaction set Companion Guides.Perform 5010 Gap analysis for all 837, 820, 834, 270, 271, 276, 277, 278, 835 Transactions. Analysis and development performed on AS400 hardware.Perform ICD-9 to ICD-10 Gap Analysis & Documentation.Perform Unit/System/UAT testing for 837, 820, 834, 270, 271, 276, 277, 278, 835 Transactions after 5010 Upgrade.

Member of the EDI Team.Responsible for Requirements Gathering, and documentation.Assisted with ITS/Blues Exchange System Enhancements.Lead testing efforts and validation of 270, 271, 276, 277, 278, 835, 837 Transaction Sets. Analysis and development performed on AS400 hardware.Created test scripts, test plans, and testing metrics.Ensured issues were identified, tracked, reported and resolved in a timely manner.Responsible to ensure Test Cases map back to requirements.Performed Functional, Integration and Regression Testing.Responsible for EDI System Administration, Project Management tasks when necessary. Responsible for Process Improvement and Documentation.Worked with client personnel to identify required changes.Communicated needed changes to development team.Reviewed and edited requirements, specifications, business processes and recommendations per client requests.Developed functional specifications and system design specifications per client requests.Assisted in enforcement of project deadlines and schedules.Assisted in the facilitation of team and client meetings.Delivered informative, well-organized presentations.Assisted client to understand Internet, Intranet, Extranet and client/server architectures.Performed 5010 Gap analysis for all

Member of the MMIS HIPAA EDI / Core Components Team.Duties include the following:Working with Guidelines established by Medicaid, Medicare and CMS.Configuring proprietary system (eCams) to meet the client's needs.Conducting Gap Analysis meetings and generating documentation deliverables.Creating a Medicaid Portal which allows providers and members to contact the State.Requirements gathering analysis and designImplementation and testing to ensure requirements are being met throughout the development phases.Assisting the client generate Business Rules to ensure data integrity.Ensuring HIPAA Guidelines followed thru out SDLC Life Cycle.Communicated with all business levels, as well as external partners and vendors, during requirements. Analysis and development performed on AS400 hardware.Conducted Training sessions for the Client to become familiar with our eCams System.Project involved re-engineering complete MMIS legacy system for the State of South Dakota. Performed Requirements Gathering conducting CAD & JAD sessions.Performed Code Testing, Migration and Validation per SDLC standards.Conducted client workgroups to discuss and agree upon requirements.Utilized Oracle Development tools TOAD, SQLPLUS while writing PL/SQL Stored Procedures and Database scripts.Utilized Edifect Data Analysis Tool for X12 Transaction set validations, and data file setup.Utilized COGNOS software within the framework of our eCams application.Performed Functional and Integration Testing.Worked with Development to team to generate 837, 820, 834, 270, 271, 276, 277, 278, 835 transactions.Worked with Development Team to generate transaction set Companion Guides.Performed 5010 Gap analysis for all

Project involved system modifications to satisfy a $5 Billion DoD Contract Renewal.Member of the ERP/PBM System Development Team.Responsible for Home Delivery Prescription Software Design, Development and Testing.Performed Code Testing, Migration and Validation per SDLC standards.Created DCL job scripts to process jobs and FTP files to trading partners.CreatedTest Scripts, Test Plans, Validation Plans and Testing Metrics Reports. Analysis and development performed on AS400 hardware.Performed requirements analysis, design, development, implementation, testing, and maintenance; modify and upgrade existing programs when necessary.

Member of the EDI System Development Team. Created script jobs to process 837, 835, 997 transaction sets.Performed Code Testing, Migration and Validation per SDLC standards.Created DCL job scripts to process jobs and FTP files to trading partners.Created Test Scripts, Test Plans, Validation Plans and Testing Metrics Reports.Performed requirements analysis, design, development, implementation, testing, and maintenance; modify and upgrade existing programs when necessary. Communicated with all business levels, as well as external partners and vendors, during requirements analysis and testing phases.

Member of the System Development Team. Performed High Level & Detail Design documentation for all New Development and major Enhancements. Performed Code Testing, Migration and Validation per SDLC standards.Utilized OpenVMS Cobol software for new code generation and maintenance. Developed Healthcare related applications to support our client's business needs. Coordinated all SDLC tasks in the migrations of our Managed Care applications into production. Created Test Scripts, Test Plans, Validation Plans and Testing Metrics Reports.Performed Unit & System Testing to ensure applications are functioning per specs.Created DCL job scripts to process jobs and FTP files to trading partners.

Member of the DBA/Development Team. Performed Project Management duties for all New Development and major Enhancements. Performed Code Testing, Migration and Validation per SDLC standards.Utilized VB6 & VB.NET to develop Managed Care software that performs UM, Health Assessments, TPA/Reinsurer Relationship Management functions. Developed all EDI interface applications and Trading Partner setups utilizing VB. Coordinated all SDLC tasks in the migrations of our Managed Care applications into production. Utilized Crystal Reports, Ajax, VB6, VB .Net, C#.Net, SQL 2000, SQL 2005, DTS, OLE DB Grids, ADO, ASP .Net, Stored Procedures, Triggers.

Member of the EDI/Claims Team.Utilized DataStage TX 8.0/Mercator to perform mappings to various health care applications.Utilized VB .NET to develop EDI/Claims Related Applications.Configured Service & Adapters to perform EDI related operations.Created Test Scripts, Test Plans, Validation Plans and Testing Metrics Reports to ensure NPI Compliance.Performed System Testing to ensure NPI Compliance for the following transaction sets processed (837, 835, 270, 271, 278, 834)Coordinated all SDLC tasks in the migrations of NPI Compliant Datastage TX 8.0/Mercator maps into production.Created/Updated Trading Partner information for EDI operations.Monitored EDI Job activity to ensure completion of Inbound/Outbound activity.Performed Code Testing, Migration and Validation per SDLC standards.Performed Functional, Integration and Regression Testing to ensure NPI Compliance.EDI system administration, Project management. Responsible for Process Improvement & Documentation.Created Input/Output Type Trees utilizing DataStage TX 8.0/Mercator Type Tree editor.Created Executable & Functional maps utilizing DataStage TX 8.0/Mercator Map Editor.Senior DataStage TX 8.0/Mercator Developer for EDI Team.Utilized Oracle 10 for database processing.Utilized TOAD for database PL/SQL processing and database access.Utilized IBM Websphere to process DataStage TX 8.0/Mercator Application Maps.Utilized the DataStage TX 8.0/Mercator Database API adapters to communicate with our Databases.Utilized all the DataStage TX 8.0/Mercator supplied functions in the DataStage TX 8.0/Mercator Map Editor.Invoked Stored Procedures via DataStage TX 8.0/Mercator.Performed EDI duties such as FTP of files to and from our Trading Partners.Development Tools include: Oracle 10, PL/SQL, SQL, VB .NET.DataStage TX 8.0/Mercator, FTP, BCP, PL/SQL, Sax Comm, CoreFTP, Foresight Validator.

Member of the Foundation E-Commerce Application Team.Utilized DataStage TX 8.0/Mercator to perform mappings to various Mayo Clinical applications.Utilized VB .NET to develop EDI Related/Clinical Applications.Configured Service & Adapters to perform EDI related operations.Worked closely with Clinical Trading Partners to ensure accuracy in data transmissions and shared processes. Transaction sets processed (837, 997, 835, 270, 271, 834, 276, 277, 278)Created/Updated Clinical Trading Partner information for EDI operations.Monitored EDI Job activity to ensure completion of Inbound/Outbound activity.Performed Code Testing, Migration and Validation per SDLC standards.Created Test Scripts, Test Plans, Validation Plans and Testing Metrics Reports.Performed Functional, Integration and Regression Testing.EDI System Administration, Project Management. Responsible for Process Documentation.Created Input/Output Type Trees utilizing DataStage TX 8.0/Mercator Type Tree editor.Created Executable & Functional maps utilizing DataStage TX 8.0/Mercator Map Editor.Senior DataStage TX 8.0/Mercator Developer for EDI Team.Performed Gap Analysis for new Clinical Applications.Created Unix job shells to execute DataStage TX 8.0/Mercator maps.Utilized Unix & NT version of DataStage TX 8.0/Mercator.Utilized the DataStage TX 8.0/Mercator Database API adapters to communicate with our Databases.Utilized all the DataStage TX 8.0/Mercator supplied functions in the DataStage TX 8.0/Mercator Map Editor.Invoked Stored Procedures via DataStage TX 8.0/Mercator.Performed EDI duties such as FTP of files to and from our Clinical Trading Partners.Performed DataStage TX 8.0/Mercator Debugging utilizing the 'Trace' option during map execution.Development Tools include: SQL Server 2000, Enterprise Manager, SQL, DataStage TX 8.0/Mercator, FTP, BCP, T-SQL, Sax Comm, CoreFTP, Foresight Validator.

Project involved replacing legacy Policy Rating Engine with AscendentOne Rating Engine. Performed Code Testing, Migration and Validation per SDLC standards.Created Test Scripts, Test Plans, Validation Plans and Testing Metrics Reports.Performed Functional, Integration and Regression Testing.Utilized Rational Rose for Testing.Utilized XMLSPY to perform XML mappings to various applications.Utilized Rational Rose, ReqPro to Capture and Publish Business Requirements.Utilized Rational ReqPro Use Cases and Actors to create UML Business Process Models.Utilized VB .NET to develop Web Services, and Integrated Applications.XML mapping using XML Schema representations of database structures .Utilized Informatica to perform ETL processing to load a legacy backend database.Worked with Erwin Data modeling tools to maintain database integrity.Utilized Cobol to update & debug legacy applications.Configured Service & Adapters to perform EDI related operations.

Project involved re-engineering complete MMIS legacy system for the State of Washington. Utilized WBI to Develop Web Service & XML Applications.Web Services Development and Deployment with WebSphere V4 Tools.Web Services Interface Development with Java and J2EE applications.Utilized Oracle 9i Development tools TOAD, SQLPLUS while writing PL/SQL Stored Procedures and Database scripts.Performed Code Testing, Migration and Validation per SDLC standards.Created Test Scripts, Test Plans, Validation Plans and Testing Metrics Reports.Performed Functional, Integration and Regression Testing.Utilized Gentran 6.0 Visual Mapper & App. Integration (AI) to Develop EDI/B2B Applications.Utilized Ascential Datastage TX/Mercator to Develop Interface/Data Conversion Applications.Utilized Ascential Datastage TX/Mercator to Develop Web Service & XML Applications.Utilized .NET, VB .NET, ASP .NET to Develop Interface Applications.Utilized Java and J2EE to Develop Interface Applications.Performed System Admin functions for the WBI Server.Utilized Rational Rose, ReqPro to Capture and Publish Business Requirements.Utilized Rational ReqPro Use Cases and Actors to create UML Business Process Models.Conducted Gap Analysis meetings to Develop Comprehensive integrated solutions. Utilized Cobol to update & debug legacy applications.Configured Service & Adapters to perform EDI related operations.

Member of the DBA Team supporting Oracle 9i, Sybase ASE, and SQL Server.Duties included Configuration Management of all software.Duties included Datastage TX/Mercator map creations and migrations.Utilized Cobol to update & debug legacy applications.Configured Service & Adapters to perform EDI related operations.Web Services Development and Deployment with WebSphere V4 Tools.Web Services Interface Development with Java and J2EE applications.JBoss system administration and deployment tasks.Generated and executed DDL Database scripts.Performed Code Testing, Migration and Validation per SDLC standards.Created Test Scripts, Test Plans, Validation Plans and Testing Metrics Reports.Performed Functional, Integration and Regression Testing.Generated Stored Procedures and Triggers in Oracle 9i, Sybase ASE, SQL Server.Performed DBA duties to support Sybase ASE, and SQL Server.Performed Software Release Management duties supporting the entire Software Development Life Cycle.Created and executed ANT scripts to build Java and J2EE applications.CVS, VSS and Clear Case software repository administration.Performed Software Build Engineer duties. Applications built are Sybase Scripts, SQL Server Scripts, Mercator, Datastage TX, Java Applications (.JAR, .WAR, EAR).Performed Software Deployment Engineer duties. Applications deployed are Sybase Scripts, SQL Server Scripts, Mercator, Datastage TX, Java Applications (.JAR, .WAR, EAR).Peregrine Systems software used to track trouble tickets.Built applications utilizing Visual Basic, and ASP .NET.

Member of the Global Data Services Team which supported the Global Business Integration Project (GBIP).Generated internal Business Map Router Id'sPerformed System Infrastructure related tasks.Responsible for developing mapping specifications. Configured and test business processes. Utilized Cobol to update & debug legacy applications.Tested, implemented and maintained transactions. Performed Code Testing, Migration and Validation per SDLC standards.Created Test Scripts, Test Plans, Validation Plans and Testing Metrics Reports.Performed Functional, Integration and Regression Testing.Performed Testing & Validation tasks per FDA requirements.Utilized Mercator 6.7 Broker Integration.Utilized Mercator MQ Series, SAP, Oracle Database Adapters.Utilized Mercator Integration Flow Designer.Utilized Remedy to Track and Resolve Change Requests and Trouble Tickets. Utilized Oracle 9i to perform SAP Database operations. Generated Stored Procedures and Triggers in Oracle 9i, Sybase ASE, SQL Server.Completed FDA Regulated GMP Training.Configured Service & Adapters to perform EDI related operations.Utilized MQ Series to perform messaging of operations into and out of SAP. Development Tools include: MQ Series, Mercator 6.7, FTP, HTTP, SMTP, Sun Solaris, EAI/B2B Integration, EDI, SAP, Oracle 9i, Toad, Remedy, Clear Case, Powerbuilder 7.0, Visual Basic 6.0, SQL Plus, PL/SQL, Reflections.

Installed and configured the (GIS) software for B2B communication including deployment in the DMZ. Created and maintained trading partner definitions including certificates. Responsible for developing mapping specifications. Configured and tested business processes. Tested, implemented and maintained transactions. Performed Code Testing, Migration and Validation per SDLC standards.Created Test Scripts, Test Plans, Validation Plans and Testing Metrics Reports.Performed Functional, Integration and Regression Testing.Utilized Cobol to update & debug legacy applications.Utilized (Gentran) translation software tools.Created Business Process (BP) modules to perform EDI related operations.Created Envelope documents to be utilized during BPML processing.Utilized the Gentran NT Server mapper.Configured Service & Adapters to perform EDI related operations.Utilized XML & BPML operations to configure Services & Adapters.Created Unix scripts which were invoked via GIS.Utilized the JDBC Adapters to execute Oracle stored procedures, and update various SAP modules.Wrote Oracle 9i stored procedures.Utilized Oracle development tools TOAD, SQLPLUS, SQLLDR.Development Tools include: WebMethods, WebLogic, Vitria, Tibco, Mercator, FTP, HTTP, SMTP, Java & J2EE Gentran NT/Unix, Connect Direct/Enterprise EAI/B2B Integration, EDI, Java/J2EE, SAP,PeopleSoft, PL/SQL.

Analysis and Design of existing transaction sets, and modification of these transaction sets to ensure HIPAA compliance. Utilized Cobol to update & debug legacy applications.Performed Code Testing, Migration and Validation per SDLC standards.Analysis and Design of the Erisco FACETS data model to ensure optimal system performance and tuning.Designed and developed Sybase 11 database Triggers & Stored Procedures.Worked closely with EDI to ensure accuracy in data transmissions and shared processes. Transaction sets processed (837, 997, 835, 271, 834)Created Input/Output Type Trees utilizing Mercator Type Tree editor.Created Executable & Functional maps utilizing Mercator Map Editor.Utilized Mercator 5.0/6.5.Updated all Claims Maps (5) from 5.0 to 6.5.Updated all Claims Maps (5) to be HIPAA Compliant.Senior Mercator Developer for Anthems Claims Translation Team.Performed all Gap Analysis for the Upgrades mentioned above.Created Unix job shells to execute Mercator maps.Utilized Unix & NT version of Mercator.Created Direct Connect job shells to transfer data files from NT to Unix.Utilized the Mercator Database API adapters to communicate with our Sybase Database.Utilized the majority of the Mercator supplied functions in the Mercator Map Editor.Performed code migration per SDLC standards.Wrote Sybase stored procedures that were invoked by Mercator passing values back and forth. These stored procedures performed several functions such as Claim Numbering, Member Eligibility lookups.Performed EDI duties such as FTP of files to and from our Clearinghouse.Performed Mercator Debugging utilizing the 'Trace' option during map execution.Development Tools include: Sybase, C, SQL, Mercator 5.0/6.5, AIX, Datagate, Stored Procedures, Unix, Java, IBM RS6000, NT ServerFTP, BCP, T-SQL.

Health insurance claims administration.Modified provider capitation payment system and saved the company 30% operating costs. System Analysis and Design.Oracle embedded SQL programming.Database performance & tuning.Specialized in capitation and workers compensation processing.VAX Alpha platform utilizing Cobol.

Health insurance claims administration (Acordia/Anthem).HCPS Claims System.VAX Mainframes utilizing Cobol.

Crew scheduling and Parts maintenance tracking.Maintenance software using ADABAS/NATURAL.Prime Pick operating system and VAX 6410 platform.

Direct Mail and Barcode applications written in Cobol.Graphics and forms generation using Xerox scanners.SUN workstations used to merge graphic and text data.

Conversion of Cobol programs from Honeywell DPS8 to VAX 8800.Modification of report generator Cobol programs.

Generated Alumni directories.Extensive database interface and graphics.Fortran & Cobol - VAX 8600.