Michael Flor Email & Phone Number

Mechanicsburg, Pa, Us

• Responsible for working with the other Technical Leads to ensure that all requirements were meet with the proposed design of a HIPAA Gateway• Developed release process for Business Rules technical team• Performed estimate and technical design for 837 change requests• Responsible for the creation of the rules engine vocabulary used to route incoming claims• Created integration testing process with Business Rules Engine and Oracle BPM• Performed RTI and configuration analysis on long running claims • Became SME on the Enterprise Solution canonical claim transaction record• Designed and created EDI mappings on the translations of the data from the customer’s member and provider services to our internal canonical record• Created schemas for the request and response files used by the rules engine decision services• Developed out of balance reporting and replay process

• Participated in all parts of the software development cycle, including requirements, design and implementation • Supported definition and architecture of integration strategy with clients as part of the product implementation team for a HIPAA-ready system (Metavance) that supports consumer-directed health plan, medical management and claims processing• Supported clients in the understanding of our product data loads and interface capabilities• Developed strategy, requirements and design documents• Provided system expertise and oversight to team members supporting integration development• Liaison between customer and product team on defining requirements and system enhancements

• Installed Care Management product releases with client technical team members in hosted environment • Provided technical consulting to Installation and Product Team(s) and facilitated installation training on Care Management product(s)• Analysis and architecture of integration interface solutions• Provided post-implementation support and delivered DBA training to clients on Care Management product data model • Worked with clients and EDS team members to implement conversion and integration strategy for initial go-live on product and subsequent data migrations • Provided product integration SME support to other implementation teams and initiatives• Defined, designed, constructed and tested integration touch points between other client applications and Care Management product

• Performed onsite system administration and troubleshooting for a regional office of an international insurance brokerage. Essential responsibilities include:• Troubleshooting hardware and software issues on one network server and over 25 desktops• Imaging and the installation of memory, hardware and software• The performance of data/backup maintenance and scheduling• Application training• Provided data manipulation and analysis for two association accounts. Essential Responsibilities in this area include:• The production and configuration of reports using a variety of report writers• The development of databases and database forms in where relevant information may be tracked and from where relevant reports may be drawn • Eliminated the double entry of member information by linking databases to produce memos, spreadsheets and mailing labels during the enrollment process• Performed new client enrollment; audited relevant enrollment documentation for processing• Completed license to sell life, accident and health insurance in the state of Pennsylvania

Bachelor Of Science, Business Administration

Bachelor Of Business Administration (Bba)