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RESUME

Name : Rathna Sailaja Chittathuru


Email ID : Sailaja.royal11@gmail.com
Contact No : 9600157667

CAREER OBJECTIVE

Seeking for a challenging position in a Progressive Organization that provides opportunities for
Professional Growth, Personal Development and Creative Challenges and contribute towards
the organizational goals.

JOB PROFILE

Senior Product Specialist Technical with 9 years of professional Software Development and
Production support experience and expertise in Healthcare Facets Domain.

EDUCATION

Title of the Degree with Branch College/University Year of


Passing
Bachelors of Engineering in
Siddhartha Institute of Engineering and
Electronics and Communications 2012
Technology
(ECE)
XII Sri Chaithanya Junior College,Tirupathi 2008
X R.P.B.S. Z. P Higher Secondary School 2006

SOFTWARE COURSES/CERTIFICATION

No Name of Institution Diploma or Certificate Year of


(e.g. NIIT, APTECH, SSI Etc.) Completion
1 Cognizant Trizetto Academy Facets Technical Associate Certificate 2018
2 Cognizant 5.5 Trizetto Facets Business Medical Associate 2019
3 Cognizant Academy Introduction to Managed 2018
Healthcare(AHM 250)
TECHNICAL SKILLS

Hardware NA
Operating System Windows
Programming Languages PL/SQL, SQL, SQL Server ,Oracle 12c
Databases & Tools SQL Server 2008, Sybase, Sybase Adaptive
Server 15.0.3, Oracle 12c, FACETS 5.3, FACETS
5.4, FACETS 5.6, FACETS 5.8
Other Utilities HTML,XML
Location Chennai

DOMAIN EXPERTISE

▪ Complete understanding of the business concepts and processes under Healthcare


domain.
▪ Facets Data Model:
o Exhaustive knowledge in “Facets 5.6” and “Facets 5.8” with 9 years of experience.
o A very good understanding of Facets Data Model (all major modules like Claims,
Enrollment (Membership), Billing, Provider etc.,) and its link with business objectives.

▪ Facets batch knowledge:


⮚ MMS(Membership) (MMS0)
⮚ CLAIMS(837I)
⮚ MEPE(ELIG)
⮚ MEPR(Member Provider relation)
⮚ ICES Adjudication(CLMU)
⮚ Capitation (NWPX), IN and Out Network Relations (NWPR,NPPR)
⮚ Payment(CKMM)
⮚ Providers(XPF0)
⮚ XC batch(Claims)
⮚ Billing
⮚ Claims batch archival
⮚ Authorization(UMI0)

Good hands on with software development life cycle (SDLC) and actively involved in Planning,
Requirements gathering, Design, Development, Integration testing and Client support activities.
 Completed AHM 250 cognizant internal.
 Completed FTAC(Facets Technical Associate Certificate) cognizant Trizetto
internal.

AWARDS
Won Recognition Awards for:

▪ Got multiple appreciation and recognized from Client for complete the work in efficient
way.
▪ Got Spotlight Award from the Client /Business for Completing the Escalation issues with
in a short time and provided the code fixes immediately.

SUMMARY:

Total 9 years of experience in Software Development and Support with a passion for learning
and researching. Currently serving at Cognizant Technology Solutions Pvt ltd, Chennai as Senior
Product Specialist-Technical. Working on Oracle/PlSQL Technology. Gained strong knowledge in
Software Development Life Cycle with extensive experience in Requirement Analysis, Design,
Development, and Unit Testing. A team player with strong analytical, design skills and problem
solving abilities. Result oriented, self-starter and able to work with minimum guidance. With
proven ability to understand business problems and apply technology to formulate workable
solutions. Areas of expertise include construction and implementation of Stored Procedures
using SQL, SQL server, Sybase Technologies and Oracle 12c.

EMPLOYMENT HISTORY:

Name of the Client Designation Address of the From To Duration(


Company employer Years)
Cognizant Emblem Senior Cognizant Apr Till 9 Years 1
Technology Health Product technology 2013 date Month
Solutions Specialist- solution, Siruseri,
Technical Chennai-- 603103

PROJECT PROFILE 1:

Project Title UHG Technology and SOLUTIONS


Duration 09/12/2013- 10/16/2017
Location Chennai
Hardware NA
Operating Systems Windows XP
Programming Languages UNIX, ISQL, PL/SQL
Database and Tools Sybase 12, Facets

PROJECT DESCRIPTION:
United Healthcare of the River Valley is a manager of health benefit services with service areas
in Illinois, Iowa, Tennessee, and Virginia. United Healthcare of the River Valley is owned by
United Health Group (UHG).In 1985, the HMO was created to respond to the market demands.
Since then, United Healthcare of the River Valley (formerly John Deere Health Plan, Inc.) has
drawn national attention for its ability to provide quality health care benefits at a reasonable
cost. The pioneering spirit of United Health Group lives on as the health plan continues to grow
and expand, with members in Iowa, Illinois, Tennessee, and Virginia etc.

CLIENT DESCRIPTION:
UnitedHealth Group is the most diversified health care company in the United States and a
leader worldwide in helping people live healthier lives and helping to make the health system
work better for everyone. United Healthcare Group has requested Cognizant to provide
dedicated project team to incident, Service request, Problem tickets and Work order for the
various modules present in the Facets application.

ROLES AND RESPONSIBILITIES:

⮚ As a developer, shouldering overall responsibilities to understand Client Processes and


to work efficiently to meet targets and deliver solutions in accordance with Cognizant quality
control standards and business practices and procedures.
⮚ Providing value added solutions to the client. As part of rollout type of works, the
responsibilities include gathering the requirements from the clients, performing analysis on the
business requirements and development of high level and detailed system design, test
environment set-up, system testing, implement the system in to the production environment
and providing warranty support.
⮚ Worked in Visual Basic 6.0 for interface development, Sybase12.X as a backend
database to develop stored procedures, MS SQL Server 7.X for querying the database and
Mercator map development.
⮚ Taking care of defect free deliverables.

PROJECT PROFILE 2:

Project Title TMG


Duration 11/06/2017- 05/01/2018
Location Chennai
Hardware NA
Project Type TMG HCSC Trasnformation
Operating Systems Windows XP
Programming Languages UNIX, ISQL, PL/SQL, Oracle 9i
Database and Tools Toad12.9, Facets,Sybase
PROJECT DESCRIPTION:

TMG Healthcare Group has requested Cognizant to provide dedicated project team to incident,
Service request, auth related Problem tickets and Work order for the various modules present in
the Facets application. The modules include Claims, Providers, Members, Billing, Plan and
Product. TMG team which comprises of analysis, design, coding and testing which have Sybase
as back end. This TMG Healthcare Group – HCSC transformation project is for enhancement of
the existing process and also to assist in solving all issues raised during the production runs.

CLIENT DESCRIPTION:

TMG Health Group is the most diversified health care company in the United States and a leader
worldwide in helping people live healthier lives and helping to make the health system work
better for everyone. TMG Health Group has requested Cognizant to provide dedicated project
team to incident, Service request, Problem tickets and Work order for the various modules
present in the Facets application.

ROLES AND RESPONSIBILITIES:

⮚ Leading 4 Member’s team with in our application and POC for UM Auth Load.
⮚ Developed the Complete Code for the UM Auth Load Module in Facets.
As a developer, involved in Requirements Analysis, Creation of High Level
Design document, designed and developed Stored Procedures for Work order.
⮚ Supported daily activities like Batch Monitoring, many critical abends and successfully
closing all incidents related to Batch Failures well within time as well as worked on incident task
analysis.
⮚ Testing Experience includes created and executed test cases. Worked in unit testing and
migrating the code for System Integration Testing. Ensured bugs are logged and tracked through
closure.
⮚ Involved in performance tuning of jobs and individual stored procedures to minimize the
execution time and improve the performance.
⮚ Coordinate the team to complete the deployment of Work orders and PM’s without any
error.
⮚ WAR ROOM Call initiation for P1, P2 issues
⮚ Communicating to onsite/client to take the additional responsibility to be clear on the
subject
⮚ Assisted and trained new members in the team about the business and the process
involved. Monitored and mentored the trainees in the team, reviewing to ensure quality
deliverables and taking care of defect free deliverables.
⮚ Maintained over all shift process for the entire offshore team.

PROJECT PROFILE 3:
Project Title EMBLEM HEALTH SI
Duration 05/14/2018- Till date
Location Chennai
Hardware NA
Project Type Emblem Health SI
Operating Systems Windows XP
Programming Languages UNIX, ISQL, PL/SQL, Oracle 12c,VBcripts
Database and Tools Toad12.9, Facets,Sybase, SQL

PROJECT DESCRIPTION:

Emblem Health is one of the nation’s largest not-for-profit health insurers, serving over
three million people in New York City and the tristate area. Emblem Health offers a range of
high-quality, affordable plans for individuals and families, working people and retirees, large
and small businesses, and government workers. Emblem offer Medicaid and Medicare plans.
Emblem Health is at the forefront of change, finding new ways to deliver quality care at
affordable prices. Emblem Health Neighborhood Care is open to members, non-members, and
the entire community, Neighborhood Care is here to help you take control of your health.
Emblem Health coverage supports about benefits, claims, and more.

CLIENT DESCRIPTION:

Emblem Health Neighborhood Care is open to members, non-members, and the entire
community, Neighborhood Care is here to help you take control of your health

ROLES AND RESPONSIBILITIES:

 Working in the analysis, design, coding, and unit testing phases of the project.
 Developed the Complete Code for the Member Move Module in Facets
 Coordinating with onsite team for Technical and Functional clarifications regarding
Provider XPF Module and Metadata.
 Involved in preparing Estimation, Functional Design Document and technical design
document and Design of Interfaces.
 Development of various interfaces using Batch Interface Frame (BIF) Work and Oracle
9i PL/SQL statements with the Stored Procedures, Functions, Triggers, Materialized
views, Dynamic SQL and ODS Tables.
 Worked on Incidents/SR’s and providing the effective Solutions to Client with Zero
Escallation.
 Reviewing all the artifacts before delivering it to the client
 Quality delivery of the Artifacts from offshore
 Deployment & Implementation support for system testing and onsite teams
 Involved in the developing the Unit Test Cases and Unit Test Logs for the project.
 Involved in System Testing phase of the project as well as in developing the System
Test Cases and System Test Logs.
 Involved in the creation of TAB, Drop and DML scripts and Procedure files in Oracle.
PERSONAL PROFILE:

Date of Birth : August 30, 1991


Sex : Female
Marital Status : Married
Languages Known : English, Tamil ,Telugu,Hindi.
Nationality : Indian.

DECLARATION:

I hereby confirm that the information furnished above is true to the best of my knowledge

SIGNATURE

Rathna Sailaja.

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