Pat Goddard Email & Phone Number

Jacksonville, Ar, Us

Consultant to BCBS Arkansas FEP group for MMIS 5010 upgrades, automation of manual processes and Financial Application upgrades. ICD9 to ICD10 conversion. Endevor Migration. Rewrite of core claims processing and billing systems. Tools used, COBOL II, CICS, DB2, Active Query Tool (QMF), JCL, FTP, SPUFI, TSO ISPF, expeditor, endevor, IBM PDF debug tool suite.

Little Rock Ar

I work as a consultant for ABCBS Primary responsibilities include:1) claims processing -- re-wrote the out dated claims processing and pricing programs to current needs and regulation changes.2) Automation of the various manual adjustment processes3) HIPAA 4010 to HIPAA 5010 conversion4) Migration to Endevor version 15 from a Manual Librarian system.5) Designed and Developed Critical Disease Mgt system6) Subject Matter Expert to the Financial Accounts Receivables batch and online processing system.7) Rotational Oncall Support and daily support of CMS/MMIS system as it relates to Federal Employees Program and its transmissions to and from Washington DC., ITS Blue on Blue processes, and interface to McKesson's Claim Check Plus and Claim Extend front end process.8) ICD9 to ICD10 conversion.9) Rewrite of central core claims processing - MedA, MedB, Professional, Institutional.10) Comprehensive Database design using Db211) Design and implementation of a claims tracking system, aThird Party Liability system, Refund Request System and development of several stored procedures to support multiple web base systems using NATIVE DB2. Tools used, COBOL II, CICS, DB2, Stored Procedures, Active Query Tool (QMF), JCL, FTP, XML, SPUFI, TSO ISPF, Rexx, FileAid, Endevor, Xpeditor, IBM Debug tool suite, Microsoft Office Suite, Outlook CICS, BMS, Eztrieve.

Consultant/ SR Systems Analyst to the State of Georgia Dept of Driver Services (DDS).Enhancing the new Drivers License System while supporting the old to allow for Digital Facial Recognition, Bio Metrics, inhanced security and fraud control via connection to Homeland Security, upgrade CDLIS processing and tracking. COBOL III, CICS, DB2, Z/OS environment.Subject Matter Expert in the CODE-1 and Social Security updates, migrations, and maintenance as dictated by the Federal Government.Responsible for enhancements, upgrades, and fixes to AVM, DLS, Commercial Drivers Licenses, Suspensions, and WEB interfaces using CICS, CICS, Web services, COBOL III and DB2 UDB v 9.1.

Consultant/ SR Systems Analyst to BCBS SC. HIPAA and ITS Conversions, NPI (National Provider Identifier) Processes and Conversions to support NPI processes. Support of Membership, Claims Processing and Settlement Processes. CICS, DB2, IMS, COBOL II and COBOL III, APS, VSAM, Z/OS.

(For Recommendations for this position see PSSI Consulting)Claims Processing Project 1: Information Systems CoordinationResponsible for programming, analysis, process improvements, problem resolutions, testing and debugging on a multi-platform distributed environment. Project 2: MembershipConverted and tested all programs to use the generic packbinds and the new Collection ID's where applicable. This included both batch and online programs. Interfaced with other teams, departments, and test coordination to create testing plans and approaches for successful multi-platform testing.Project 3: Settlement NPI (National Provider Information), and HIPAA conversions. Project 4: Corporate Strategic Development ITS 10.2 Conversion for Settlement Processing (part of HIPAA compliancy) AMMS - Claims Pricing rewrite5010 and IDC 9 HIPAA upgradesRe-vamped the 835I and 835P record processing in prep for the new HIPAA requirements processes.design documents independently and explained to junior staff members as appropriate.Exposure to Back End Final Reporting Processes.Tools used for all projects while at BCBS SC: TSO, ISPF, JCL, Eztrieve plus, COBOL, CICS, VSAM, testing, analysis, mainframe, WORD, EXCEL, Access, SQL, Endevor, HTML, ISPF, Utilities, Sorts, DB2, APS, Smart Test, FileAid, Z/OS server system.

Systems Analyst and Web Developer· Intranet Web Page Developer and Content Manager -- Developed over 250 web pages for their intranet using HTML, Dreamweaver, JavaScript, Photoshop CS, Flash, and Fireworks. · Developed Access and Visual Basic 6.0 applications for subsidiaries. · Team Leader for SOAR (Sales, Orders, and Receivables), Warranty, Marketing, Inventory, billing and International warehousing systems with 4-6 reporting to me. Responsible for maintaining and support of existing systems while legacy was migrating to SAP. Online programs were all in CICS with the databases being split between IMS DB (40%) and DB2 (60%).· Project Manager over converting, maintaining, and integrating foreign warehouse systems into Raytheon's inventory, warehouse, and billing systems while supporting Customer order entry systems worldwide. Awarded a monetary award for top performance in successfully managing the conversion effort of the UK systems into Raytheon's systems.· Responsible for maintaining and changing all TEST IMS databases and DB2 tables including backups, tuning using DB2 EXPLAIN, restoring, creation of, and security controls. Tools used: Cobol, Cobol II, TSO, CICS, IMS, DB2, Access, SQL, VBA, VB 6.0, ISPF, HTML, Dreamweaver, Photoshop, Flash, Fireworks, JavaScript, JCL, Panvalet, TELON, SmartTest, SPUFI, QMF, Expediter, Utilities, Platinum Products. OS/MVS.

Wrote, tested, and implemented their new Tax system for tracking of Personal property and intangible taxes. CICS programs employed multiple screen overlays (pop-ups) based on cursor positioning and each pop-up served a unique purpose for the given field that raised the pop-up such as an information help screen or a computation screen to assist in a complex formula calculations needed to properly populate a given tax field. Utilized relational integrity for all DB2 tables via the use of foreign keys. Responsible for maintaining, creating, tuning, and backing up all DB2 test tables and creating grants as needed.Tools used: COBOL II, CICS, DB2, SQL, TSO, ISPF, CMS, JCL, SPUFI, Platinum Products, Utilities.

Wrote, tested, and implemented batch DB2 programs in Cobol II for supporting their international terminals based upon supplied user requirements. Tools used: COBOL II, CICS, DB2, SQL, TSO, OS/MVS, JCL, ISPF, SPUFI, Utilities, ChangeMAN

Maintained the existing Portfolio Accounting and Mutual Fund systemsTeam Leader for Dreyfus team (team of 3). Designed projects for them ranging from 100-180 man hoursContinual Client contact to coordinate system changesRe-wrote General Ledger system to include a sub-ledger systemConverted several banks to DST's Mutual Funds systems using Easytreive, Cobol, DB2 Tools used: Cobol, CICS, DB2, IMS DB/DC, DATACOM, Supra TOTAL, SPUFI, Easytrieve Plus, Assembler, SmartTest.

Aided in designing and maintaining their manufacturing and Unit Time tracking systemsCobol to COBOL II conversions.Tools used: COBOL II, CICS, DB2, SQL, TSO, OS/MVS, JCL, ISPF, SPUFI, Utilities.

Developed and maintained their Transportation Analysis system. Trained their employees in CICS. Supported their existing accounting system and developed their interface to the RAND MCNALLY mapping system. Tools used: COBOL II, CICS, Easytrieve, BMS, VSAM, QSAM, ISAM.

Bs, Business Admin

As, Oo Programming, Networks, Web Development

Activities and Societies: Phi Theta Kappa

As, Computer Science