Krishna P Email & Phone Number

United States

Us

At UHG, I worked as a MuleSoft Developer specializing in healthcare data exchange. My primary responsibility is to design, develop, and maintain HIPAA-compliant EDI transactions such as 837 (Claims), 835 (Payments), 834 (Enrollment), and 276/277 (Claim Status Inquiry/Response) to facilitate seamless healthcare data flows between UHG and external providers. I configure workflows in IBM Sterling Integrator to ensure compliance with healthcare regulations and facilitate efficient data processing. Additionally, I develop data mappings to convert EDI X12 data into XML/JSON formats for downstream systems. My role also includes troubleshooting EDI issues, automating reconciliation processes using Python and PowerShell, and optimizing SQL queries to enhance data retrieval and processing. I am involved in the integration of healthcare systems with external partners using both REST and SOAP APIs, ensuring secure data exchanges through protocols like AS2 and SFTP. I also collaborate with internal teams to develop dashboards using Power BI, offering real-time monitoring of EDI transactions and ensuring efficient tracking of healthcare claims, payments, and enrollments. Throughout my tenure at UHG, I have played a pivotal role in improving the accuracy and efficiency of EDI processing while ensuring full compliance with HIPAA standards.

Saint Louis, Mo, Us

At Centene, I worked as a MuleSoft Developer in the healthcare sector, focusing on EDI X12 transactions such as 834 (Enrollment), 837 (Claims), 820 (Premium Payments), and 270/271 (Eligibility Inquiry/Response). My role involved developing and optimizing custom EDI maps using Gentran, which enabled seamless communication between Centene and its external vendors, healthcare providers, and insurance payers. I configured and managed EDI workflows using IBM Sterling Integrator, which significantly reduced processing time for healthcare data files. My responsibilities also included transforming EDI data into internal formats like JSON/XML for integration with Centene’s backend systems. I ensured secure data transmission by configuring AS2 connections and implemented batch processing systems to handle high volumes of claims and payment files. During my time at Centene, I collaborated with cross-functional teams to streamline EDI processes and improve overall system performance. I also utilized tools like BizTalk, Postman, and Splunk to troubleshoot issues, perform root cause analysis, and ensure the smooth flow of EDI transactions. I worked with internal teams to develop dashboards using Power BI, providing valuable insights into EDI transaction status and performance metrics. My work at Centene contributed to the optimization of EDI workflows and improved operational efficiency in healthcare data exchanges.

Minneapolis, Mn, Us

While working at Target, I was responsible for managing retail supply chain, including 850 (Purchase Orders), 856 (Shipment Notices), and 810 (Invoices). I used Gentran to configure and map EDI transactions, ensuring smooth integration with Target’s supply chain systems. My role also involved developing and maintaining workflows in IBM Sterling Integrator to facilitate efficient order-to-cash processing. I collaborated with third-party logistics providers to integrate their systems using REST APIs and AS2 communication protocols for real-time data exchange. A significant part of my work at Target involved optimizing SQL queries to ensure quick data extraction and reconciliation, which improved the overall performance of EDI processes. I worked on transforming EDI data into XML and JSON formats to integrate with Target’s ERP systems, ensuring consistency and accuracy. To further streamline operations, I automated file processing using Python and PowerShell, reducing manual errors and increasing efficiency. Additionally, I was involved in creating technical documentation for EDI processes, supporting future enhancements and troubleshooting. Throughout my tenure, I worked closely with internal teams to enhance the EDI infrastructure, ensuring it aligned with Target’s retail business strategies and improved their operational efficiency.

Mumbai , Maharashtra, In

At ICICI Bank, I worked as an EDI Developer responsible for handling financiaI transactions such as 820 (Payment Orders), 823 (Lockbox), and 821 (Financial Information). My role involved developing and maintaining EDI mappings using Gentran AI to ensure compliance with banking industry standards, including ISO 20022. I also worked with SWIFT messaging protocols to support international fund transfers and automated EDI data reconciliation using Python and PowerShell scripts. I ensured secure communications by configuring SFTP, AS2, and TLS protocols for encrypted data transmission. My responsibilities also included integrating ICICI Bank’s core systems with external trading partners for seamless financial data exchange. I used SQL to optimize database queries for better performance and collaborated with trading partners to implement and test new EDI setups. During my time at ICICI, I was responsible for resolving EDI transmission issues and ensuring the security and integrity of financial transactions. I also created dashboards to monitor transaction statuses and generate real-time insights for better decision-making. My work contributed to the optimization of ICICI Bank’s EDI infrastructure, ensuring compliance with banking regulations and enhancing operational efficiency.