Vineeth T Email & Phone Number

Kansas, United States

• Under the direction, ensured the technical integrity from a compliance perspective.• Created TCS letters using template builder for Facets and EAM.• Modified and updated letters based on CMS guidance chapters 2 and 4.• Gained knowledge in the Facets Claims module and TPL module and trained the team members on the project.• Drafted Test case scenarios for QA teams to perform letter testing.• Shadowed trainees and conducted KT sessions on TCS, Facets, and Backend Servers.• Played a major role in transforming the storage from an Azure DFS location to a local server.• Worked alongside Security and compliance groups to validate various user requests.• Responsible for data migration from Test servers to Production using TCS web UI.• Generated reports using TCS based on user-specific requirements and performed quick fixes of the letters.• Compared and validated daily letters and their Manifests to identify any corrupt letters.• Retriggered corrupt letters from the daily batch run using Facets and EAM before the CMS compliance deadlines.• Generated and validated batch summary reports on a regular basis.• Worked on ADO work items and ServiceNow tickets promptly by prioritizing the work.• Created Keyed Inserts for signature blocks, and Multi-Language Inserts and applied them to various letters.• Responsible for gathering requirements from the business team and implementing data mapping for XML elements of the placeholder and conditional statements in the TCS letters.• Updated group-size survey attachment forms for 2024 using Facets SA in production.• Configured Hot Keys in Facets and implemented them to generate letters in Facets Claims Processing Applications.• Validated role-based access and their Site Codes for the users using various Facets Applications.• Wrote queries in SQL Server Management Studio for Facets PTCS to identify errors.

United States

• Provide technical suggestions after analyzing the requirements. • Responsible for the complete development of the requirements. • Ordered TCS letters in FACETS by using template IDs. • Drafted detailed Test Cases in ALM and link requirements. • Created TCS letter templates in FACETS 5.3. • Compared and validated changes in the letter between the Production Template versus Requirement Template. • Compared and validated changes and letter content between the Nightly Batch PDF letter versus the Requirement Template attached in ALM Requirement. • Created Stored procedures, tables, and scripts in a custom process to increase AA rate and extract process for claim and member-related data. • Developed custom/HIPAA gateway applications in transactions like 835, 277, 834, and 837. • Enhancing the code for the existing custom process to fix the existing issues and tune the performance. • Worked on HIPAA claims validation and verification process (pre-adjudication). • Responsible for daily scheduled jobs, monitoring core and custom batches support and fixing the failures. • Involved in resolving the incidents i.e., issues related to member eligibility and claim processing raised by the client. • Coordinate with QA (testing team) to ensure no break in the testing phase. • Review the Test cases and fix the bugs if there are any defects. • Involved in stand-up calls and reviewing the ongoing process to make sure of a clean and perfect code deployment in production. • Provide post-production support during the warranty period (60 days from go-live).

United States

• Created SQL objects, DataStage jobs, and Linux scripts for the below process. • To Process TPL data received from states and vendors and maintain in FACETS. • To process the iHEALTH claims and send the outbound files to third-party vendor Cotiviti apply the recommendations from the Client back to FACETS and generate the summary report weekly. o To process the daily received Provider Master File. Analyze the data received in the daily file and store the data in the database. • Interacting with Onsite during meeting and attending status call to get their requirement and working on those and proposed the approach for the same. • Worked on the Technical Design Document, and Approach document for the custom process. • Created Ops guidance documents to insert the jobs in Tidal Scheduler. • Performed Unit Testing and involved in QA support in testing phase. • Involved in production support activities (Emergency fixes, solving existing production defects) • Involved in team level activities and conducting RCA calls on weekly basis. • Involved in allocating the tasks and reviewing the daily deliverables of the team members before sharing them onsite. • Involved in database migration project (from Sybase to SQL) • Involved in Deployment related activities.

United States

• Analyzed the requirements and involved in mapping the data from the source(client) to destination (FACETS) • Created Stored procedures for the custom process to process the provider data. • Interacted with Onsite during meetings and attending status call to gather the requirement. • Driven by creative ideas and backed by strong analytical and methodical problem-solving skills, identifying causes, and corrective actions, providing innovative solutions, building strategic partnerships with senior business leaders, and getting commitments to actions from individuals at all levels. • Successfully performed integration tests in a very well-formed test-driven development environment. • Supported project support until the production warranty period.

United States

• Wrote queries in SQL Server, MS SQL for Subscriber/Member, Products modules to integrate the existing system with the Facets system. • Interacted with Onsite during meetings and attending status call to gather requirements. • Provided Training to team members regarding membership Enrolment. • Worked on production issues and fixing it. • Knowledge in preparing functional and business test scenarios. • Prepared test effort estimation, defect logging and Root Cause Analysis report.