1. DORA LAUREN
38-34 Allwood Place
Fair Lawn, NJ 07410
(201) 269-6711 – office
(201) 703-1294 – home
(201) 873-7084 – mobile
doralauren7@gmail.com
SUMMARY: Strong experience in all levels of design, development and implementation of software for various Financial
Applications utilizing Teradata SQL & Utilities, knowledge of Information Warehouse and Mainframe software.
Provided Teradata SQL Reporting and Data Analytics to the Support and Account teams.
Participated at JAD sessions to facilitate financial design decisions and convert business requirements into a
design. Led a team of developers to ensure high quality of Adjustments system design and deliverables.
Created SDLC, high-level and detail level system documentation.
Excellent analytical and problem-solving skills, flexibility, adaptability, and willingness to learn.
HARDWARE: IBM/3090, IBM PC AT and compatibles.
SOFTWARE: Teradata SQL & Utilities (FastLoad, MultiLoad, FastExport, TPump),Teradata SQL Assistant, DB2 SQL &
utilities, COBOL, COBOL II, CICS(Command Level), QMF, RC/ Update for DB2 Platinum, VSAM, OS/MVS, TSO/ISPF, JCL &
utilities, SDLC documentation, ENDEVOR, EASYTRIEVE, INTERTEST, File Master tools, Excel, ACCESS 2.0,
XPEDITER/CICS/TSO, Seer*HPS CASE tool , VISIO, SharePoint
EXPERIENCE:
09/15 –present Express Scripts, Franklin Lakes, NJ
Position: Sr. Business Analyst (Cross Functional)
• Government Programs, Anthem Medicare Analytics – Teradata SQL Reporting and Data Analytics,
Information Warehouse, Excel, Point-of-Sale POS Claims Research Tool
Responsible for implementation, execution and enhancement of surveillance and monitoring reports for operational
processes to assist the Anthem Support and Account teams in measuring product performance and
identify issues. Reports are created utilizing Teradata SQL queries across different subject areas of Information
Warehouse (IW): PDE, Client Profile, Claims, Finance - Adjustments, Provider, Drug, Client.
Providing ad-hoc analytical support to the Anthem Support and Account teams utilizing Teradata SQL and Excel.
06/13 – 11/14 Express Scripts, Franklin Lakes, NJ - Collabera Inc. Morristown, NJ
Position: Consultant - IBM Sr. Systems Analyst
• Claims Adjustments - Point of sale (POS) - Teradata SQL & Utilities (FastLoad, MultiLoad, FastExport,
TPump), DB2 SQL & Utilities, COBOL, CICS, EASYTRIEVE, VSAM, Point-of-Sale POS Claims Research Tool
Participated at the JAD sessions to facilitate design decisions and convert business requirements into a
design. Created SDLC documentation, high-level system flows and system documentation. Led a team of
developers to ensure high quality of system design and deliverables.
As a member of Claims Adjustments team was responsible for Analysis, High Level & Detail level design,
specifications, development, and implementation of various Claims Adjustments projects:
New Healthcare Claims (HCR), Medicare Part D, Daily Cost share, 2014 Call Letter ESRD/ Hospice Care,

2. Resume: D.Lauren
Medicare New N1 Transaction, Commercial Adjustments new Full Claim of Record, N1 transaction reject process.
Responsible for setting-up a new Government Program GP Mainframe & Teradata environment to mimic all
Claims Adjustments production processes - created new Teradata & DB2 tables, Process flows, new Mainframe
elements, and set up schedules.
Provided support for production exception issues and QA defects resolutions.
03/95 – 09/12 Medco Health Solutions – Express Scripts, Franklin Lakes, NJ
Position: Application Architect
• Point of sale (POS) and Integrated Billing System (IBS) - DB2 SQL & Utilities, Teradata SQL & Utilities
COBOL, CICS, EASYTRIEVE, VSAM, Point-of-Sale POS Claims Research Tool
As a senior member of Claims Adjustments team:
- Engaged in Agile / Scrum sessions to help develop solutions to release issues and develop requirements
- Participated in technical, cross-functional and weekly design reviews to ensure code design and development
meets business requirements
- Streamlined and improved performance of the Adjustments on-line and batch processes including Extract
processes from Teradata Information Warehouse (IW) tables
- Assisted Claims Adjustments team with building high-quality SDLC documentation
- Created high-level Adjustments system flows and system documentation
- Interacted with Finance area and cross-functional teams (Information Warehouse Teradata IW and POS Point of
Sale) to support monthly Teradata Warehouse and POS releases and enhance system performance
- Provided research and impact analysis for removal of obsolete IW tables & processes to increase team
productivity.
Was responsible for analysis, evaluation, system design, technical specifications, development and implementation
of various Finance Claims / Adjustments Initiatives:
- Database design and implementation of a new Teradata Adjustments Tracking data Model and new Teradata
tables
- Created Teradata extract process for Reversals after a billing cycle.
- Adjustments system re-design, Exception Teradata table re-design, HIPAA D.0 project, Medicare Part D re-
design, 45 day Tracking Adjustments start date project, exception re-cycle consolidation, Multipayer Teradata
process and tables enhancements, ICD 10 project, Re-design of Mass Adjustments jobs generation and
enhancements to JCL generator, Point in time Teradata extract changes for alternative DR Information Warehouse
IW access
• Integrated Billing System (IBS) -
Was responsible for analysis, design, development and implementation of various Integrated Billing subsystems:
- IBS Front End and Balancing – enhancements to Teradata IW extract batch processes, creation of various
Reversals After Cycle reports, cycle balancing SQL report on a cycle basis
- Lead designer of MEDCO Contracts DB2 Database and initial conversion of ACCESS database tables into new
DB2 Contracts tables.
- Billing and Invoices & ICW Check writes subsystems - improved performance by re-organizing DB2 tables
- Responsible for major re-design of the Integrated Tape Processing (ITP) system to comply with a new parameters
DB2 tables design, changes to COBOL Code Generator and JCL Generator. The code was generated based on the
parameters in the DB2 tables for a given client, application and file content.
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3. Resume: D.Lauren
02/93 - 03/95 PaineWebber, Weehawken, NJ
Position: Senior Programmer/Analyst
Was responsible for functional and technical design, coding, testing and implementation of the Firm Pricing System
(DB2/COBOL/Seer*HPS case tool) that included following subsystems:
• Purges from the Comprehensive Price History and End-of-Day EOD Price History DB2 tables and Load
utilities to load data into the tables
• Update the Comprehensive Price History DB2 table
• Variance reports querying Price Service and End-Of-Day (EOD) Price History DB2 tables
• Data load into the Cusip-to-PW-Security and Symbol-to-PW-Security cross-reference tables using EXTRACT.
Was responsible for incorporating data from new price services into the FPM pricing system: JJKenny Muni
Bonds, Fixed Income Trader Marks, IDSI Munilease, S&P UIT’s. Implemented new prices from existing services.
Participated in design, coding, testing and implementation of several HPS Case tool functions to access data from
several FPM Pricing database tables. Participated in the Kidder Peabody Pricing System conversion.
Previous Professional Experience:
Tucker/DeBoever Technologies, New York
Position: Programmer/Analyst/Consultant
Was responsible for maintenance and enhancements for on-line Customer Network Administration subsystem for
AT&T, Piscataway, NJ client, which was prototyped and developed using MicroFocus COBOL, PC/CICS and
xDB database, and then ported into CICS/DB2 Mainframe process.
EDUCATION: B.S. in Applied Mathematics and Computer Science
Lvov Polytechnic National University, Lvov (Ukraine)
TRAINING: Teradata Physical Design; Teradata Utilities; Teradata Explain
Excel
ACCESS database
Agile/ Scrum process
RC/Update for DB2 Platinum Tools and DB2 Plan Analyzer
SEER*HPS CASE tool and Business analysis /Data modeling (PaineWebber).
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