Priya Mohanakrishnan

Seeking a position to utilize my skills and abilities in the Information Technology Industry that offers security and professional growth. Willing to work as a key player in a challenging & creative environment where teamwork is preferred. Always keen to learn new technology.

• 9 years of experience in JAVA cum EDIFECS products includes Specbuilder, Mapbuilder, XEngine, EAM-XEServer.
• Have strong knowledge of Core JAVA concepts and familiar with the same.
• Got the opportunity to implement few enhancements as in handling new Vendors coming to the application with the help of JAVA code implementation as well as using EDIFECS products.
• Having ease in debugging in JAVA code for any issue such as bug fixes for Healthcare Applications. Along with debugging of any issues in the existing application, have hands on experience on configuring and implementing new loading relevant edits in Java Spring Project.
• Comfortable in inbound and outbound profiles creation through EAM-XEServer configuration.
• Able to create ecs file structure and irl structure based on mapping documents for X12 HIPAA files as well as positional flat files.
• Expertise in identifying Test scenarios, Test cases writing, preparing test data based on business rules specification, Executing X12 Test Cases through validation and translation and Bug tracking.
• Worked in different versions of Specbuilder and EAM client and server.
• Installation of XEngine done on different environments such as Linux, Solaris and Windows server.
• Able to analyze and create severity config and XESelector xml files.
• Worked in all inbound (270/276/278I/837/834I) and outbound (271/277/278O/820/834/835) transactions in HIPAA.
• Worked on CORE profiles for Real-time and Batch file process using SOAP., Handled different types of claim files (FFS/COBA/ENCOUNTER/PAPER).
• Ability to write validation and translation rules.
• Have worked in NCPDP transactions and creation of profile for the same.
• Having good communication and analytical skills to work in a team as well as individually.

• Solely handled Edifecs requirements and implementation in all the Projects.
• Guided and supported team members in case of any queries
• Have sufficient knowledge on Java to analyze and fix the issues and in case of new enhancements if any.
• Implementing loading edits as per business requirements.
• Analyzing and validating standard X12 files.
• Configuration and maintenance of EAM (Edifecs Application Manager) server.
• Writing validation rules and map creation for translation.
• Profile creation using Edifecs Application Manager (EAM) server.
• Managing all types of snips in file validation.
• Design documents creation against implementation guides.
• Creating test cases against business rules and edits verification in database.

• I was engaged with Medicaid Management Information System (MMIS) and these projects are US state government health care programs under the regulation of HIPAA (Health Insurance Portability and Accountability Act).
• We worked for payer in all transactions with the providers of health services. Here we validate claims and move to adjudication finance process.
• In UST, I had the opportunity to work both in the Development and Production Support phase till the stabilization of the code.
• Got to work on more utilities on adhoc request from client and identification of bugs and suggestions on the Java Spring code.
• In Perficient, I got exposure to Spring Boot (working on few APIs) along with learning about IIB platforms and its code format.
• I have hands on with Linux box, Edifecs and was completely involved in the new project of EDI Modernization which involves APIGEE communication which is in progress.

• Nominated as the employee of the month for March 2017 by CNSI.
• Received the Shining Star Award in Feb 2021 joining UST in October 2020.
• Received the Super Star award in Jan 2022 for my contribution in product development, implementation, and operations stabilization.
• Been awarded many times for best performances through hi-fi cards.
• Received Delivery Excellence Award in Perficient for the timely deliverables with great quality.
• Was mentioned and recognized many a times in the client retrospective meetings.

• Date of Birth: 06/05/1994
• Gender: Female
• Nationality: INDIAN

• Participated in many CSR employee engagement activities (Teaching spoken English in for Church Park students, Helping blind foundation).
• Participated in many cultural activities and outside programmes for dance.
• Good at Swimming, Badminton, other sports.

• Project Name : UT-HIPAA(UTAH-5010)
  Designation : Software Engineer
  Environment : JAVA, Oracle, Solaris, Linux server, Edifecs
  Domain : Health Care
• Project Name : Cloud MI(HIPAA)(Michigan-5010)
  Designation : Software Engineer
  Environment : JAVA, Oracle, Solaris, Linux server, Edifecs
  Domain : Health Care
• Project Name : IL-MMIS-DEVELOPMENT (HIPAA)(Illinois-5010)
  Designation : Sr.Software Engineer
  Environment : JAVA, Oracle, Solaris, Linux server, Edifecs
  Domain : Health Care
• Project Name : Wyoming-MMIS-DEVELOPMENT (HIPAA)(Wyoming)
  Designation : Sr.Software Engineer
  Environment : JAVA, Oracle, Solaris, Linux server, Edifecs
  Domain : Health Care
• Project Name : HealthCare Product Solutions (Gateway Health Plan & Health Partners Plan) - Pittsburg
  Designation : Systems Analyst
  Environment : JAVA Spring, MS SQL Server, Informatica, Windows server, Edifecs
  Domain : Health Care
• Project Name : HealthCare Product Solutions (HighMark Wholecare) - Blue Cross Blue Shield of Pennsylvania
  Designation : Systems Analyst
  Environment : JAVA Spring, MS SQL Server, Windows server, Edifecs
  Domain : Health Care
• Project Name : EDI Modernisation (Blue Cross Blue Shield of Massachusetts)
  Designation : Lead Technical Consultant
  Environment : JAVA SpringBoot, Oracle, Linux server, IIB/ACE, Edifecs, APIGEE
  Domain : Health Care

• Completed few certifications Java courses and attended trainings for the same.
• Completed theoretical API certifications (API Designer, API Security Architect, API Product Manager) on API academy.
• Working on AWS Cloud Practitioner Certification.