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About Me
- 6+ years of work experience in Software Industry with Excellent knowledge of Software development life cycle (SDLC) and Agile Methodology.
- Strong Skills with ASP.Net, C# with other secondary skills like Web Services, SQL Server....li>
- Strong Skills with ASP.Net, C# with other secondary skills like Web Services, SQL Server.
- Good Programming and Application development experience in Microsoft Technologies.
- As part of a team, designed and developed a multi-tiered Application, Technologies utilized included: C#.Net, SQL Server, PLSQL.
- Involved in requirement analysis, design & development of application, unit and system testing
- Application development in UIP Architecture (Humana standards).
- Exposed to multiple technologies and have ability to learn new technologies/tools faster
- Good experience in interaction with SME’s (Client) for business clarification, taking project ownership and getting things done from team mates.
Skills
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- 2 Years
Beginner
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- 4 Years
Intermediate
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- 7 Years
Advanced
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- 2 Years
Intermediate
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- 4 Years
Advanced
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- 4 Years
Intermediate
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- 4 Years
Intermediate
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- 6 Years
Intermediate
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- 7 Years
Advanced
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- 6 Years
Advanced
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- 6 Years
Advanced
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- 6 Years
Advanced
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- 3 Years
Intermediate
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- 4 Years
Advanced
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- 7 Years
Expert
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- 3 Years
Intermediate
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- 4 Years
Intermediate
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- 6 Years
Intermediate
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- 4 Years
Advanced
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- 5 Years
Expert
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- 7 Years
Advanced
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- 1 Years
Beginner
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- 6 Years
Advanced
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- 8 Years
Expert
Portfolio Projects
Description
Discrition:
- This claims and benifitdeals with all Claims processing related operations for CDPHP.This system built to receive incoming claims from clearing houses, adjudicate those claims and make decision on payment of the claim. It also generates Explanation Of Benefits (EOBs), Explanation Of Remittance (EORs), Checks and Letters. The Medicare memberships of CDPHP are mainly processed on Claims and benifit.Member information is fed to Claims and benifitafter they enroll in CDPHPhealth plan.
Claims are filed by Providers and processed by claims and benifit.During Adjudication make the decision to approve or deny claim. It also determines payment amount and other cost shares.
Claims payable subsystem pays to the provider. And create various correspondences for members and providers like EOBs, EMRs, Checks and Letters etc. estimation of work, Conducted daily stand-ups.Coding, Unit testing, bug fixing, Enhancement. - Working on standalone web application.
- Requirement gathering for new extensions to the Facets.
- Created Technical Design documents
- Code Reviews, Verification of the standards and mentoring less experienced developers.