1. KALIDAS SUKUMAR
SUMMARY
• Over 10 years of extensive experience in Business Analysis, Coding, Testing and
Implementation of Client Server, Mainframe and Web based applications.
• Solid knowledge of Health Insurance & Exchange, Life Insurance,Financial,
Banking, B2B, Pharmaceutical/Life Sciences, Personal & Commercial
Insurance, Pension & Retirement applications
• Over 5 years of extensive business experience in Healthcare Applications and
Systems which includes Medicaid, Medicare, HIPAA, Patient Care, Disease
Management, Eligibility, Provider, HIXX and Claims.
• Worked as a Business Analyst and interacted well with the business customers to get
the business specs. Communicate project business issues to appropriate business
leadership groups and lead resolution or escalation of issues as necessary.
• Solid experience in writing Business Requirement & Functional Requirement
Specifications.
• Experience incl udes over 5 years of testing and debugging various web and
client/server based applications using Silk Test, WinRunner & LoadRunner.
• Proficient in Black Box Testing, White Box Testing, Performance, Stress and Load
Testing, Integration, Regression testing., Interoperability & User Acceptance Testing
• Have led and organized development projects and teams
• Strong knowledge in System Development Life Cycle, strong working knowledge in
Visual Basic, Visual Interdev, ADO VB Script, C, C++, SQL, SQL Server 6.5/7.0,
Cobol, DB2, File-Aid, CICS,JCL,QMF,MQ-Series, SPUFI, REXX,PL/1,DB2,Siebel7.0
and Oracle.
• Strong team player with good technical and inter-personal skills.
TECHNICAL SKILLS
Languages Java, HTML, JavaScript, XML, C, VC++, VB, COBOL, PL1, SAS, REXX
Natural, Assembler
Tools JIRA,JAMA, Rational tools (RequisitePro,Clearcase,SQA Robot, Visual
Test, RUP), QA Partner/Silk, WinRunner6.0, Test Director, LoadRunner,
Astra Quick Test, DOORS,Testdirector
Databases Oracle8i, MS-SQL Server, MS-Access, DB2, Excelon, Adabas, IMS
Operating Systems Windows NT 4.0, UNIX, OS/2 Warp 4.0, DOS 6.22, Macintosh,
MVS/ESA,Tandem,OS/400
Web Applications IIS 4.0, Front Page ’98, Netscape Composer, Navigator, iPlanet,
MsProj’98
Java Beans, JFC, Servlets, RMI, Java tools, Jacada, CICS, JCL,
ClearQuest
Others AS/400,JDBC 4.0, Lotus Notes-4.5, Novell NDS, PowerE, LDAP
protocols, MS- Visual Source Safe, MQ-Series, SNMP, Spanning Tree,
Siebel 7.0,
PROFESSIONAL EXPERIENCE
Access Health CT Health Exchange, Hartford, CT January 2014 to Till
date
2. Position: Senior Business Lead
Access Health CT is Connecticut’s official HIX marketplace. It offers Connecticut residents and
small employers a range of qualified health care coverage options from health insurance carriers
and public health care programs, through the Connecticut Department of Social Services &
Connecticut State Government
Responsibilities:
• Lead and managed the rollout of Box Content Management Project with 15 different
HIX departments in AHCT
• Analyzed, proposed and finalized the Requirements Management Tool for IT
department in AHCT
• Worked with the IT and Business Senior Chief Officers to identify the Requirements
for Sprint phases
• Responsible for review the BSD,TDD & ICD specifications and provide feedback and
improvements
• Identified the risks, gaps and provided overall process improvements for the IT &
Business teams
• Responsible to create Business User Requirements,functional,business and process
work flows
• Support UAT and SIT Testing teams to review and make necessary changes to Test
plan & Test scripts
• Responsible to send the overall IT Requirements status to Senior Management team
including CIO
Cigna Healthcare, Bloomfield, CT January 2009 to December
2013
Position: Senior Business Analyst
CHC & HC Integrated Healthcare Medicaid System:
The main objective of CHC ICMS Medicaid application is to add new member details who qualify
for the Medicaid programs. This application has interfaces to various other systems which
interface the data to other Medical management systems which includes renewals and eligibility
determination.
Responsibilities:
• Participates in project Technical Design and Functional Specification reviews to
ensure requirements are met
• Wrote Functional and Business Requirements Specification Documents in
accordance to Business guidelines
• Validated all the Account and Membership data which we received from the upstream
applications like ePRO, CED, CDB, CSR and CPF. Responsible for communicating
with all other teams to ensure data have been validated correctly before the deadline.
• Worked with System Analysts and Business Owners in a Team Environment to
support the claims and eligibility engines
• Worked with the Financial Actuaries to define the financial and business rules for the
Medicaid system.
Phoenix Insurance, Hartford, CT May 2007 to
December 2008
Position: Senior Business Analyst
3. Vantage System 1Q 2008 Funds Project:
The main objective of the funds project is to add new funds and also the strategy allocation
models to the existing and also the new Life and Annuity products on Vantage Platform
Responsibilities:
• Worked with Business Customer team and IT development team to develop Project
Definition, Business Requirements & Design Specifications, Data models and System
workflow diagrams
• Wrote Functional and Technical Specification Documents as required by Customers
• Wrote Functional and Business Requirements Specification Documents in
accordance to Business guidelines
• Created and executed Functional, Regression, System & User Acceptance test
methodology.
• Coordinate with the Business users and Clients during each phase of the project life
cycle
Insurity-P&C, Personal lines, Hartford, CT April 2006 to April
2007
Position: Senior Team Lead
SIRIS to Policy decisions .NET migration project:
The main objective of Platform migration Project is to convert all personal, property and causality,
commercial insurance line of business to new upgraded .NET platform
Responsibilities:
• Lead the entire project from analysis, requirements gathering to test execution and
implementation.
• Developed the Application process and workflow diagrams and other written process
documentation
• Prepared Master Business User Plan and Business Test scenarios according to SRS
and BRD
• Provided assistance and support to the entire project team and the business team
• Provided full support to all System and User Acceptance phase Test cycles and
documented the Reports.
Mass Mutual Insurance and Financial Group, Hartford, CT February 2005 to March
2006
Position: Senior BA Analyst (Consultant)
Large Corporate Markets-New Business Platform Replacement Project:
Large Corporate Markets (LCM) currently has eight life insurance administration systems. LCM
uses five versions of the FDP CLAS system, one old version of the Andesa system, a stand-alone
Access Database system and the Vantage-One product engine to administer life insurance
policies. Since none of the current systems can adequately support the LCM business now or
from a strategic view, LCM initiated a search for a new administration platform in 2003 and chose
the new version of Andesa as its future platform. The main objective of Platform Replacement
Project is to convert all business from the eight current systems to one single supporting System
in multiple phases.
Responsibilities:
• Directs business area involvement in Management project developments including
business requirement definition, business process design, and user testing and
implementation
4. • Developed the Business specifications, system requirements, object and workflow
diagrams
• Provided Technical support to the End-Users and the Business Customers.
• Also involved in Functional Testing, System Testing and Integration Testing to ensure
all aspects of the system are functionally correct.
Travelers Life and Annuity, Hartford, CT August 2004 to February
2005
Position: Senior Business Analyst (Consultant)
CALC Agent Compensation System:
CALC is a client server application that currently supports Licensing and Appointing for agents
that sell Travelers products under various distribution channels. It also supports non-ticket Life
compensation for the Smith Barney distribution channel. The Calc II initiative will be expanding
the Calc system to support compensation processing for all distribution channels as currently
provided by ACS.
Responsibilities:
• Worked with Business Customers and Development Engineers in a Team
Environment
• Write clear, concise detailed system requirements specification (SRS) document in
accordance to Business guidelines and standards. Followed the RUP methodology
for the entire project.
• Involved in creating Test Plans, Test Cases for White Box as well as Black Box and
defects are conveyed through the Clear Quest.
• Wrote Functional and Technical Specification Documents as required by Customers
• Running the batch jobs in the Mainframe Environment using JCL and verify results in
DB2 Tables.
AETNA, US Healthcare, Middletown, CT. Oct 2003 to July
2004 &
Position: Senior Business Analyst (Consultant) May 2001 to June
2002
Patient Management System:
Aetna US HealthCare’s Total Utilization Management System (TUMS) is used to log and review
all the
Inpatient and Ambulatory events and clinical information about the members. It is to be used to
log all
events for Managed Disability and Patient Management HMO and Traditional member events
Predicted Utilization by Statistical Evaluation (PULSE) - Claims Systems:
Early identification of high-risk patients enables Aetna U.S. Healthcare to provide targeted
interventions that are designed to more proactively manage patients’ health outcomes and
utilization of health care
Resources. This is a Medicare application system that involves in the processing of all the
claims which are input to this system. After the claims get processed it is sent to CWF that
process the requests. Once all the claims get selected the files are sent back to Aetna data
warehousing system for further analysis and the generation of the reports
Responsibilities:
• Work with business clients/users and IT team to develop project definition and
5. business requirements documents that will include overall business justification, cost
estimates, time-lines, resource requirements ,project scope & lead a team of Subject
Matter Experts for Claim systems and also for Aetna Data warehousing reporting
system
• Communicate project business issues to appropriate business leadership groups and
lead resolution or escalation of issues as necessary
• Also involved in Functional Testing, System Testing and Integration Testing to ensure
all aspects of the system are functionally correct. Analyzed the test results and
generated reports on status of defects repair progress.
• SQL’s are written using QMF to query the DB2 database on mainframe environment.
Environment: JAVA, SERVLETS, ASP, HTML, XML, RUP, VB Script,VC++, UNIX,
Cobol,DB2,File-Aid, CICS,JCL,QMF,SPUFI,TestDirector,WinRunner,SoureSafe and
ClearQuest.
Wright Express Financial Services, Portland, ME. January 2003 to September
2003
Position: Senior Business Analyst (Consultant)
Sales and Financial eBest Application: Sales Transaction File Handling System accepts more
than
1,000,000 Batch Transaction Sales and Financial files from multiple Merchants and Networks.
Sales files will be translated, validated, edited and confirmed based upon a number of eBest
Business Rules.
Responsibilities:
• Worked with Business Customer team and IT development team to develop Project
Definition, Business Requirements & Design Specifications, Data models and System
workflow diagrams
• Interacted with Business and Technical Operations team to identify & resolve critical
problems.
• Involved in Navigational testing, Field validation, Functional testing, Security testing,
Performance testing, Backend testing, Integration testing and System testing for
Siebel System.
• Designed, developed and executed Test Scripts and Test Cases using Winrunner and
LoadRunner.
• Coordinate with the Business users to resolve the technical issues.
Environment: Siebel 7.0, EIM, Tandem, Cobol, DB2, File-Aid, CICS, JCL, QMF, MQ-Series,
SPUFI,
Java, Web Sphere, Oracle, UNIX, Test Director, Rational tools, Mercury tools & SourceSafe.
ING Financial Services, Hartford, CT. July 2002 to
December 2002
Position: Business Analyst (Consultant)
ING is one of the largest financial services organizations in the United States and it offers the
customers a comprehensive array of financial products and services, including life insurance,
fixed
and variable annuities, defined contribution retirement plans and mutual funds.
Pension New Business System: Establishes Life Insurance, Annuity Plans, Corporate Plans
and
6. Participant accounts on the ACES and ONNI mainframe platform and also it generates DocMap
contracts
and set up Corporate 401K plans for the Sponsored New Business customers. This Sponsored
Business
System will be used by the registered representatives, independent & career insurance agents,
other
broker/dealers, stock brokerage firms & banks.
Responsibilities:
• Develop Requirements documents, System specs, Test plans, Test cases &
User/support procedures.
• Participates in project design reviews to ensure requirements are met and Interacts
with all levels of staff for project planning, scheduling, Software Quality Assurance
planning and testing status.
• Business analysis of critical production issues and enhancements to the
Mainframe/VB application.
• Create and execute Functional, Regression, System, Acceptance test & Production
Checkout process.
• Responsible for weekly status updates showing the progress of each Testing phase.
Environment: Visual Basic, Cobol, DB2, File-Aid, CICS, JCL, QMF, MQ-Series, Sybase,
Crystal
Reports, UNIX, Windows NT, MVS/ESA, SPUFI, Test Director, Rational tools & SourceSafe.
Abbott Pharmaceutical Labs, MA. November 2000 to
April 2001
Position: SQA Engineer (Consultant)
Abbott is one of the Nation’s biggest Pharmaceutical industries.
The system automates all possible functions of processing of the Drugs. It provides on-line claim
entry module. After successful validation reports are being created for employees to prepare
checks and final invoice to Patients.
Analysis report is created to predict the future medicine services utilization for each enrolled
member. With this methodology, we can identify those at highest risk to consume a
disproportional amount of Drug resources.
Responsibilities:
• Performed Performance, Stress and Load testing using LoadRunner
• Good knowledge of 21 CFR Part 11 and Pharma system life cycle
• Using Load Runner created Virtual users to check the performance of the application.
• Prepared the Performance Reports, Throughput Calculations and Response Time
measurements.
• Conducted regression testing, identified software bugs and interacted with
developers to resolve technical issues
• Responsible for weekly status updates showing the progress of manual and
automation testing
• Responsible for reporting bugs using bug tracking system.
Environment: SQL-Server, Visual Basic, WinRunner, Load Runner, Windows 95/NT, Sun
Solaris, UNIX, Java, HTML, XML, WinRunner6.0, Oracle, Novell NDS, JCL, QMF, SPUFI,
TestDirector.
7. One Beacon Property and Casualty Insurance Group, MA. February 2000 –
October 2000
Position: BusinessQA Team Lead (Consultant)
Combining home and auto coverage, One Beacon’s flagship Package policy delivers the total
insurance solution: superior protection, convenience and value with one policy to safeguard
home, personal property and motor vehicle, and to meet any personal liability needs.
Responsibilities:
• Wrote Functional and Technical Specification Documents as per the Business
Requirements.
• Analyze Business Specifications and make recommendations for any changes or
improvements.
• Resolve complex business issues & problems through research & interaction with the
client & internal departments.
• Wrote Master Test plan and involved in all Business, Development and QA meetings.
• Responsible for reporting bugs using StarTeam4.0 tracking system & Test Director
• Performance, Stress and Load Testing are done using LoadRunner
Environment: Windows NT, WebLogic5.1.0, Java,HTML, XML, EJB,
BladeRunner2.0,LoadRunner WinRunner6.0, Oracle8i, Cobol,DB2,File-Aid,
CICS,JCL,QMF,SPUFI,TestDirector.
MCI WorldCom, Virginia December 1998
-January 2000
Position: BusinessQA Project Lead (Consultant)
Project: OERS (Order Entry Reporting System)
MCI WorldCom is a global business telecommunications company.
OERS is a Web based E-commerce application that facilitates the reporting of domestic
dedicated long-distance orders from the time the order is received in the Order Entry (OE) facility
until it is Marketing approved in the Mainframe Systems.
Responsibilities:
• Monitoring all phases of the testing process, communicating project information, work
allocation, test schedules and their execution.
• Defining and performing the Test strategies and associated scripts for the verification
and validation of the application and ensuring that it meets all defined business
requirements. Tested application for the browser compatibility on multiple browsers
such as Netscape 4.x, IE 5.x.
• Wrote test scripts to perform Regression Testing and Stress Testing. Regression
testing is implemented at various phases of the development life cycle.
• Providing full application support and platform support to test team
• Documenting the project report including Test planning, execution, defect reporting
and results
Environment: Windows NT, UNIX, JAVA, HTML, Silk, WinRunner, Lotus Notes, SQL-Server,
Cobol, DB2, File-Aid, CICS, JCL, QMF, MQ-Series
IBM Corporation, Bangalore. March 1998 –
November 1998
Position: ProgrammerQA Engineer (Consultant)
8. Project: Price Release System
PRS is an OS/2 based application used by the BSS pricers to release hardware, software and
maintenance prices for new products.
Role: Involved in the Designing, code maintenance and testing this application.
Environment: REXX, PL/1, DB2, MS-ACCESS, OS/2 warp 4.0
Project: Human Resource Management System
This system deals with storing the details of the candidates who applied for the job and it also
contains all the information about the candidates.
Role: Involved in designing, coding and testing.
Environment: VB, JAVA, SQL-Server, HTML, JavaScript
EDUCATION
Bachelor of Engineering (Electronics & Communication), Manonmaniam University, Tirunelveli