*Apps-Star LLC* * ……GO for IT ,IT Works*
* *Dear Manager My name is *ADAM SMITH* Account Manager at APPS-STAR LLC * * *About Apps-Star LLC* Apps Star is a global IT consulting company with 1,000 consultants in America, Europe and Asia/Pacific, and approximately $1 billion in annual revenue. Client focused and results driven, Apps Star partners with organizations to develop technology strategies and solutions that* * *Please Find below Attached Resume Details * * * *Name **: ** SYED HAQ* *Location : **Chicago** IL* *Visa: **USC* *Availability: **Immediately * *Relocation: **Yes* *Rate :** Open* * * *Details Summery:* * * · *Sr. Business System Analyst** with 7 Years experience in IT and software projects in web/windows application environment with various relational database systems. Involved in various projects like Reporting, Integration, Migration/Conversion and Configuration from legacy application. Worked extensively in Business Analysis (Enterprise Analysis, Requirements Elicitation, Requirements Analysis & Documentation, Communications, Solution Assessment and Validation). * · *Experience with healthcare system, Medicaid and with prime focus on claims adjudication, provider, eligibility and prior authorization. * · *Experience in configuration of claims adjudication systems, FACETS 4.51/4.71.* · *Experience with testing various test cases for Facetsinterfaces and tracking/explaining bugs to development teams.* · *Industry experience as a Business/Data Analyst with solid understanding of Business Requirements Gathering, Data warehousing, Data Modeling, Evaluating Data Sources, Translating Requirements into Specifications, Application Design.* · *Extensive experience in conducting Market Research, Feasibility Studies, Data Analyses, Data Mapping, Data Profiling , Gap Analyses, Risk Identification, Risk Assessment, Risks Analyses, and Risk management.* · *Experience in Software Development Life Cycle (SDLC)-Waterfall, V-Model, Prototype 89and Spiral model. Knowledge of reporting tools (Cognos, Crystal Reports & Microsoft Reporting Services).* · *Good working knowledge of Claims processing, HIPAA Regulations and 270, 837P, 837I, 837D EDI Transactions for health care industries.* · *Efficient in MS Project/MS Excel for planning/status reporting/writing test scenarios.* · *Experience with HIPAA/EDI UB-82, UB-92 and HCFA 1500 claims, and HEDI information.* · *HIPAA** Business Workflow Analyst / EDI x12N Consultant for MMIS (Medicaid Managed Care System). * · *Experience with developing HIPAA Companion Guides for 834 Enrollments, 270/271 Eligibility Inquiry/Response & 820 - Health Plan premium payments for MMIS (Texas, Maryland, Illinois and Virginia).* · *Experience with Health Level Seven (HL 7) data exchange models.* * * *Healthcare Domain specific experience:* * * · *Experience with HIPAA compliance and CFR Part II electronic exchange guidelines.* · *Experience in EDI automated first-pass claim adjudication, requiring thorough understanding of claim processing, both front and backend operations.* · *Experience with Bluecross, Medicare, Medicaid, and commercial insurances in HIPAA ANSI X12 formats including 270/271, 276/277, 820, 834, 835, 837 to third part vendor applications including NEIC, SSI, ESI, Bluecross, Medicare, and several others using COBOL, Metafile, Visual Basic, Unix, DOS, Assembler, C, FTP, Windows, Novell, and various other communication packages.* * * *Thanks and Regards,* *ADAM SMITH* ------------------------------------------------------------- *Client Support Account Manager ** Call: 773-309-1667 |Email: a...@apps-star.com Y:adam_ap...@ymail.com|G:adam.app...@gmail.com F: 100005964846...@facebook.com L: **www.linkedin.com/pub/adam-smith/71/8a0/566**/*<http://www.linkedin.com/pub/adam-smith/71/8a0/566/> *** * -- You received this message because you are subscribed to the Google Groups "Oracle / Data Warehousing Developers / ETL" group. To unsubscribe from this group and stop receiving emails from it, send an email to oracle-data-warehousing-developers-etl+unsubscr...@googlegroups.com. To post to this group, send an email to oracle-data-warehousing-developers-etl@googlegroups.com. Visit this group at http://groups.google.com/group/oracle-data-warehousing-developers-etl. For more options, visit https://groups.google.com/groups/opt_out.
