Jean Bernard St. Phard has over 20 years of experience in quality assurance testing, with a focus on EDI, healthcare, banking, and 401k applications. He has worked as an EDI specialist, business analyst, and quality assurance tester for companies such as Beacon Health Strategies, GHI Medicare, Citizens Bank, and Vanguard. His responsibilities have included testing EDI transactions, managing projects, documenting procedures, and resolving production issues. He is fluent in French and Creole and has a Bachelor's degree in Commerce and Engineering Science as well as an MBA in Project Management.

1. Jean Bernard St. Phard
35 Holland Avenue
Ardmore, PA 19003
267-474-4674
Education: Drexel University, Philadelphia, PA
Bachelor of Science in Commerce and Engineering Science ‘95
MBA Project Management 2003
Computer Experience/Skills:
Database Hardware Software Programming
Power Builder IBM MS Mail/Shiva Remote SQL
Winn Runner Gentran 6.1 Eudora/cc:Mail Vector Connexion
AMS Advantage VAX TOA/Win EcGateway /EDI Mapping
PRS/PSFE Unix/Exceed 6.1 Lotus Notes EDIFEC
VISTA/VOICE GE/Enterprise Entrust Spec Builder 8.4.
Test Director/ Manager Unix/DTI Interface CCU 2004 Visual Basic 2010
SQL Server 2005/2012 Macintosh Code Review 2004 PICK/EDI
Visual Basic Studio 2005 AS400 CHAMP Cobol/JCL
Tools/Utilities Network Operating System Online Service
TSO/ISPF Novell OS/390 CICS
VM/CMS Ethernet AS/400 MUMPS/COS
MMIS Banyan Peoplesoft 7.0 OPTIMED/HIPPA
Extra/Fileaid Unix/Telnet Win NT PSFE
Winnrunner/TestDirector Internet/Intranet RS/6000 MMARS
Web Application Processes File Type
DTS/Dispute Claims Eligibility Files Eligibility-E01-Claim Eligibility
Faciledi/HIPPA Claims Eligibility E02-Drug Eligibility
CHAMPS Disputes Health EligibilityWrapper-HEW-270-271
Professional Summary:
Quality Assurance testing experience primary in EDI, 401K, Medical, Clinical and Banking fields. Worked for ten
years as an EDI Representative for Emblem Health Coordination of Benefit Contractor (COBC). COBAs permit
other insurers and benefit programs (also known as trading partners) to send eligibility information to CMS and
receive Medicare paid claims data for processing supplemental insurance benefits for Medicare beneficiaries from
CMS’ national crossover contractor, the Coordination of Benefits Contractor (COBC). The COBC transmits
eligibility information that COBA trading partners send to the COBC for purposes of initiating the crossing over of
claims for their members to CMS’ Common Working File (CWF), the central system through which all Medicare
claims are sent for payment authorization. The CWF houses COBA trading partner’s eligibility information for
crossover purposes only in those instances where the information successfully matches with the in-file CMS
entitlement information. My duties included implementing and supporting new and existing Trading Partners
process eligibility files, transmission of claims, Researching and answering all crossover issues and Disputes.
Claim Processor at Mc Kesson using CodeReview software to review CPT/HCPCS-coded claims for coding
accuracies for clinical areas of medicine, surgery, laboratory, pathology, radiology and anesthesia. Quality
Assurance tester for Massachusetts State Controller Office‘s. Tested End-To-End Labor Cost Management software
AMS Advantage. EDI Lead and Quality Assurance Analyst at DMA(Department OF Medical Assistance) for the
State of Massachusetts. EDI Lead for all 837 Professional, Dental, Institutional and 835 EDI Transactions to insure
the State of Massachusetts is HIPAA(Health Insurance Portability and Accountability Act of 1996) compliance
before October 16, 2003. Also Lead Programmer Analyst for Electronic Processing System(EPS) team at Capital
One. EPS team provides analysis, project management, system development and system support for various

2. business units throughout Capital One. EPS system is used to support these business areas by providing internal and
external communication, encryption and translation of interchange(EDI),NACHA,or proprietary data. Two years of
EDI specialist work at PECO Energy. This involved research, testing, mapping and revolving production problem
for 568, 814, 810, 820, 824, 850, 860 and 867 transactions. Tested VISTA, PRS and PSFE applications for
Vanguard 401K plans. Was a medical applications tester using EDI and OTIMED for two years for Aetna US
Heathcare and Independence Blue Cross.
Work Experience:
Beacon Health Strategies/Boston, MA June 2014-
Title: EDI Production Support
Responsibilities
• Responsibilities include executing production jobs (834 and 837) and proprietary client reports, report
delivery, and pre-release QA
• Ensures production reports are accurate and delivered in a timely manner
• Provides timely response and resolution of emergency
• Use Gentran to setup new Trading Partners for EDI 837 Professional & Institutional and 997
Transactions
• Use SQL Servers 2005 to add new Trading Partner to EDI submitter, Provider and Submitter Provider
Map tables.
• Assist Trading Partners with Testing 837 Professional & Institutional including file format validations,
HIPPA compliance and business requirements.
• Elevated new Trading Partners to Production after completion of Testing.
• Monitor and answer emails from EDI Operation mailbox or Phone hotline where trading send
questions, requests and completed documentations and
• Support, maintenance, and enhancement of the existing production processes
• Researches and evaluates alternative solutions, write defects/TFS and makes recommendations,
designs, develops and tests the solution relative to the production process
GHI Medicare/New York, NY April 2006- Jan 2014
Title: EDI Business Analyst
Responsibilities
• Forward COBA Agreement and Attachment for management approval
• Setup new Trading Partners front end transmission information via Secure FTP or NDM Using the
Application CHAMPS.
• Assisted Trading Partners to send a mini eligibility file for validation and format test.
• Validated Mini Eligibility records and file format, data mapping according to COBA implementation
Guide
• Assisted Trading Partners to correct their mini eligibility according to Detail Errors report before
sending full eligibility.
• Update Trading Partner Profile in Prod COB before they receive crossover claims.
• Enter in Issue Log all customers’ claims issues.
• Conducted research for 837 Professional and 837 Institutional Compliance Errors using the
Implementation Guide.
• Assist users with crossover issues forward from Emblem call Center.
• Assure all Medicaid Trading Partners meet COBA requirements for June 30, 2006 deadline before
going into Production in July.
Citizens Bank/Providence, RI August 2005-March 2006
Title: EDI Implementation Analyst

3. Responsibilities
• Coordinate with Cash Management possible new customer seeking EDI services from Citizens Bank
for ACH, Checks and Wire.
• Review business requirements, customer’s transmission and implementation setup plan.
• Review customers 300 Bits Citizen Bank’s Flat file, NACHA, BAI and EDI layout for ACH, Checks
and Wire Transactions.
• Generated test scripts to cover all ranges of testing for all functions from business Requirements,
customer’s transmission and implementation setup plan.
• Send scripts to Project manager for Peer Review.
• Setup customer accounts, translations and input map in Vector Connexion.
• Coordinate creation and Scheduling of new Job Control Languages ( JCL) with Transmission, team for
new customer
• Test customer translations and JCLs in User Acceptance Test (UAT) and QA regions .
• Send Customers and Manager sign-off sheet before new customer are move to production.
• Monitor new customer for few days in Production before customer are turnover to Production Support.
• Coordinate End-to-End testing for all changes to existing customers
WellPoint/Healthlink/Saint Louis, MO September 2004-May2005
Title:EDI Lead /QA Analyst
Responsibilities
• Review spec documentation and provide problem identification and resolution.
• Coordinated documentation of testing procedures and test scripts for 837 Institution and 837
Professional inbound and outbound transactions.
• Used Microsoft Excel to set inbound and outbound 837 Professional and Institutional Transactions
side by side for comparison and gap analysis of new 4010A map.
• Compared inbound and outbound transactions and sent result to Trading Partner for BETA testing.
• Run Test files through EDIFECS for compliance Check
• Enter all Defects in TestTrack Pro, retest defect after map fix
• QA review all EDI basics programming and maps changes before they are move to production.
• Created Test plan and report for all Service Request at completion of testing effort.
Mc Kesson HBOC/Malvern, PA May 2004- August 2004
Title:Claim Processor/QA Analyst
Responsibilities:
• Reviewed Functional Specification Documentation for CodeReview software which review
CPT/HCPCS-coded claim inaccuracies.
• Generated test scripts to cover all ranges of testing for all functions from Functional Specification
Documentation
• Send scripts to Team Lead or Member for Peer Review
• Updated script base on Peer review critics.
• Used CodeReview Custominization Utility (CCU 2004) to review CPT/HCPCS-codes claims base on
clients requests.
• Used CodeReview desktop to Smoke test or run individual claim base on scripts.
• Used Notepads to create flat file claims to be use as input files for CodeReview Batch
• Used Codereview Batch to Regression test multiple claims.
• Entered any defect in DevTrack and retest fixes or enhancement.

4. Department of Controller Boston, MA Jan 2004-March 2004
Title:Business Analyst /QA Tester
Responsibilities:
• Coordinated documentation of testing procedures and test scripts for Testing AMS Advantage LCM
Financial Web Application
• Used Microsoft Excel to write test conditions, test scenarios, expected and Actual Results.
• Tested all Page Codes, Document Catalogs and Reports for new releases or patches for AMS
Advantage Web Application
• Assisted with End-To-End testing which include running LCM’s Batch Process and using DB Surfer
or Oracle’s SQL to verified output
• Also used Peoplesoft 8.0 to set up Employee Information’s and then verified output using AMS
Advantage web application
• Entered all Incidents/Defects in Clearquest, retest defect after fixes are implemented by AMS
• Used System generated report to verify financial and Payroll data implemented from Peoplesoft/LCM
to AMS Advantage Web application are correct.
• Assisted with UAT Testing, Training and Documentation.
• Created a Navigational test scripts for AMS Advantage web application to be used by UAT
Department OF Medical Assistant/Boston, MA March 2003-December 2003
Title:EDI Lead /QA Analyst
• Responsibilities
• Review spec documentation and provide problem identification and resolution.
• Coordinated documentation of testing procedures and test scripts for 837 Institution, 837 Professional,
837 Dental, 997, and 835 Transactions
• Create d Gap Analysis Documentation
• Create Complex Manual test cases 837 Institution, 837 Professional, and 837 Dental
• Also use in house application PCSS, Support Console and TDA to enter test cases for all Transactions
• Run Test cases to Sysbase Paperfree/Ecmap for compliance Check
• Run Transactions to EcGateway/DMA QA Testing Environment
• Create STRF for 837P, 837I and 837D Transactions to be run against mainframe for claims
adjudication
• Evaluated unpaid 9010s (claims) Edit codes to be rerun for adjudication
• Update Test result spreadsheets for Documentations.
• Enter test cases in Rational Test Manager for Automation
• Enter all Defects in Clearquest, retest defect after fix in DMA_QA environment.
• Rerun all Test cases in ITD_QA/Preprod Environment for Regression test
• Used Support Console in house Application to verify all 837 and 835 transactions changes after they
are elevated to Production
Capital One/Glenn Allen, VA September 2002-February 2003
Title:Lead Programmer Analyst
Responsibilities:
• Used Unix’s application Exceed 6.1 and jobslist spreadsheet to monitored EPS’s Production Scripts
written in Perl and Korn which are used to send and receive EDI, NACHA or propriety data from
internal and external business units, Domestic and Canadian clients.
• Monitored EPS system processes primary Domestic and Canadian Cardholder payments for posting,
ACH payments for transfer of money through FED, and Checks cleared and checks issued for account
reconciliation.
• Communicate process issues, scripts changes and scheduling done on behalf of other capital One

5. business units such as Treasury, Corporate Accounting, Cardholder, Production Services, OAS, Risk
Operations, Capital One Auto Finance and Installments Loans.
• Responses to all primary pager pages from 9:00 AM-6:00 PM concerning EPS Issues.
• 24 hours Primary Pager on call base on team scheduling calendar for EPS Issues.
• Logged description, cause and resolution for all EPS support issues.
• Reviewed all EPS Issues in weekly EPS’s Team meeting.
• Reviewed Change Control for scripts changes with development team.
• Entered problem description, cause and resolution and closed clarify tickets for EPS team
• Responsible for testing scripts change in test environment Jessica
• Responsible for new Trading Partner setup in Gentran.
• Updated EPS’s support documentation and issue copies to Teammate.
• Monitored, researched, and resolved Functional Acknowledge Issues for 820, 821 and 828
transactions.
• Researched and revolve issues from archived data upon other business units request.
• Gathered and generate reports for other business units upon request.
Aetna US Healthcare Blue Bell, PA February 2002-May 2002
Title:EDI Tester
Responsibilities:
• Used Mercator to send and received X12 files through EDI Gateway Translator
• Used EDISIM to evaluate that test data send to Gateway Translator are ANSI X12 and HIPPA
compliance.
• Coordinated documentation of testing procedures and test scripts.
• Used telnet/Unix and DOS to performed Stove-pipe Testing for 837 Claim transactions.
• Reviewed spec documentation and provided problem identification and resolution.
• Used Rational Clearquest Database to enter testing Detects.
• Retest defect after program changes.
• Used telnet/Unix and DOS to performed Host-to-Host and End-to-End testing for 837 Claim
Transactions.
PECO Energy Philadelphia, PA July 1999-June 2001
Title:eC.EDI Specialist/Commerce
Responsibilities:
• Routed calls regarding EDI transaction production problems.
• Used TSO, CIS, CICS and SQL queries to researched and resolved production problem for EDI
transaction such as 810, 824, 568, 850 and 860.
• Discussed production problems in daily production status team meeting.
• Presented production problems to programmers.
• Coordinated documentation of testing procedures and test scripts.
• Wrote test plan which include: test conditions, test scenarios and expected result.
• Performed Quality Assurance testing for Programmers.
• Documented and sent test results and programs changes to the team.
• Created Folders for individual project to store test plan in share library in Win NT
• Updated Test plan in share drive to be use by other departments.
• Run JCL Daily for 820 EDI transactions.
• Monitored nightly JCL’s for 867s CICS and PAC transactions.
• Used GE/Enterprise via Internet to verify transactions total and transactions was sent to trading
Partners
• Provided 24 hours Production supports for all EDI Transactions.
• Ran JCL for suppliers testing 814, 810, 820 and 867 EDI transactions.
• Used Unix/DTI Window Interface to run scripts to FTP EDI transactions to VAN or GISB Internet

6. server for Trading Partners.
• Assisted in Certification process of new Trading Partner in Energy market.
IBC Wayne, PA July 1998-June 1999
Title:Test Analyst: Manage Program Support
Responsibilities:
• Reviewed spec documentation and provided problem identification and resolution.
• Evaluated all fields format according to spec documentation in COS/mercy System.
• Wrote Acceptance Criteria based spec document.
• Wrote scripts according to acceptance criteria
• Distributed scripts to lead tester and manager for approval and input
• Used COS system to enter test cases base on scripts for IBC and Mercy Heath System
• Waited for Programmer to transfer test cases from COS to Mercy System.
• Retested cases in Mercy test System and evaluated all field formats according to spec document.
• Used OPTMED/HIPPA system to enter Y2K test cases
• Attended status meeting to review and resolve test’s case exception and project status.
• Retested exceptions, elevated changes and turn over changes to clients.
Vanguard Group Malvern, PA July 1996-July 1998
Title: Consultant Quality Assurance
Responsibilities:
• Development of project: prepare testing estimation
• Time management: Problem identification and resolution.
• Coordinated documentation and resolution
• Write scripts after programming changes for problems presented by clients.
• Distributed scripts to internal clients for approval and input.
• Used VISION, Voice, PSFE,VISTA applications to test problems on 401K plan.
• Attended status meeting to reviewed and resolved test case exceptions and projects status.
• Retest test exceptions and elevate changes and turnover new changes to client.
• Provides user testing to clients.
Ernst & Young LLP Philadelphia, PA Nov. 1995-Feb. 1996
Title: Consultant Quality Assurance
Responsibilities:
• Routed calls regarding problems with laptops configured for new employees.
• Patched new employees into client server network.
• Supported, tested, and evaluated new hardware and software releases.
• Created and reviewed user training and procedure manuals.
Languages:
• Fluent in French and Creole.
Hobbies:
• International/USA Freestyle and Greco Roman Wrestler. Amateur Boxer.
• 5K, 10K and Half marathon runner.
Sports:
• AAU Amateur College Wrestling All-American, 1998-1990, Amateur Wrestling State Champ 1987-
88. Philadelphia Recreation and Golden Glove Champs.
References:
• Furnish upon request