Responsible for analyzing complex support issues and uses independent judgment and knowledge to resolve client problems which fall outside commonly experienced support issues. Writes complex SQL queries, macros and scripts to support data integrity issues for large datasets. Implements complex inbound and outbound custom data feeds for clients and third party administrators. Job Responsibilities:1. Responds to technical issues to provide migration and file level support for escalated non–repetitive data issues.2. Analyzes, identifies and resolves data issues by creating complex scripts to resolve data conditions and anomalies in an efficient and effective manner that is in accordance with established Service Level Agreements (SLA’s).3. Creates detailed mapping plans to implement inbound or outbound file feeds. This includes collaboration with a third party vendor, developing an implementation plan, testing files (Quality Assurance) and moving to production.4. Ability to handle confidential information and interact professionally with internal and external clients, vendors and third party administrators.5. Ensures that migrations and integrations are completed timely and accurately by creating and testing detailed scripts. Ability to ensure resolution in the database.6. Develops, maintains and provides documentation on processes, scripts, and case resolution procedures for future reference or use.

Responsible for ingestion of healthcare data. We bring in claims, eligibility, and provider bulkload. There are many different formats we support we bring in x12 (834 and 837) and proprietary formats. We use ETL process load into a SQL Server database we will then have the data be able to use in reports as well as online. Validate client data submitted confirming the data gets ingested into the database. Validate the data generates the reports correctly. Work with the client to correct data when necessary.

Responsible for creating requirements for developers to code. Validating test results and approving the results to move to production. Work with external venders to get data into the system and send to their system. Develop electronic platforms for carriers allowing for a) their electronic receipt of claims files from HMS, and b) their electronic submission of return files to include payments, denials, or front end reports.Acquire necessary business requirements for development of electronic platforms and mapping carrier specifications for electronic platform development.

fulfilling a contract assignment for a number of IT related duties. Working with ERP and MRP systems and developed EDI solutions to meet the requirements of our trading partners. Quickly learned SX Enterprise, JD Edwards and custom databases as well as a Hyperion Brio and EDI mapping software. Also filled in for general network administration and Active Directory administration.

Part-time Position while working full-time at WellPoint focused on learning new platform.Assisted in creating new tool for release management with the goal of moving components through test environments before moving to production.