1. Saravanan Rajalingam
saranrajalingam@gmail.com
Mobile No: +561-969-8067
I have gained total of 8 years and 9 months of experience in application development and support.
Experience includes 7 years in development and 1 year and 9 months in designing of applications in
Microsoft technologies. Also hands on experience in developing windows application and ad-hoc reports
using tools like Crystal reports and SQL Server Reporting services.
I constantly try to improve the processes for high quality deliverables. I have shown leadership qualities and
mentored the team by taking up responsibilities during critical timelines and provided resolution on time.
 8.9 years of experience in IT application Design and, Development & Maintenance.
 Worked on TriZetto Facets Application on various domains.
 Having good knowledge on TriZetto Facets Data model and Extensions including FXI core Extension
and Interactive Embedded Extension
 Experience on Cost Sharing Reduction in Facets.
 Experience on Microsoft Business Intelligence Tool SSIS.
 Experience on Microsoft SQL Server Integration Service Tool SSRS.
 Worked extensively on ASP.NET, Winforms and Web Application.
 Experience on DEVEX Express third party tool used.
 5 Years’ experience working in the Health Care IT Services with excellent knowledge in Providers and
Claims.
EDUCATION
Title of the Degree College/University Year of Passing
MCA Kurinji College Of Arts and Science, Bharathidasan
University, Tiruchirappalli.
2004
B.COM Pavendhar Bharathidasan College of Arts and Science
Bharathidasan University ,Tiruchirappalli
2001
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SUMMARY

2. PROJECT#1
Project Title Cost Sharing Reduction
Duration Sept 2015 - till date
Operating System Windows 10 ,Windows Server 2003
Database languages and tools Sql Server 2012
Programming Language Facets,SSIS
Client CareSource
PROJECT DESCRIPTION:
The Shadow Pricing of Claims indicates repricing of all Gold and Silver all Claims for state from Non Standard to
Standard Plans. As part of this Copay, Coinsurance and Deductible will be repriced for Non Standard plans like
Silver 73, Silver 87,Silver 94,Silver Limited, Silver Zero, Gold Zero, Gold Limited.
Roles and Responsibilities:
• Involved in initial requirement gathering.
• Analyzing technical specification documents.
• Creation of technical and functional test case and use case document.
• Create and configure the plan in facets.
• Responsible for creating the PL/SQL stored procedures to apply the business rules.
• Developing SSIS package as per the requirements
PROJECT#2
Project Title LPI and Copy Claim Extension
Duration June 2015 - Aug 2016
Operating System Windows 7 ,Windows Server 2003
Database languages and tools Oracle 12C,Visual Studio.Net 2010
Programming Language C#.Net
Client Cigna Corporation
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VISA Details
Visa Valid From Valid To
H1B Nov1 2014 Aug 7 2017
PROJECTEXPERIENCE

3. PROJECT DESCRIPTION:
The Copy Claim Extension is a combination of both XCOM and Embedded extensions; the copy claim
extension is created to provide the ability for online users to duplicate existing Facets claims to display all the
claim information from the original claim. Embedded extension is used to load the claim id in the list on
WinPostOpenEvent and perform custom database insert/update in the WinPostSaveEvent. The new XCOM exit
menu is added to allow user to click on menu option to copy additional information from the original claim. And
also menus included invoking the interactive drive to open the copied / original claim in a new claim processing
window like transfer menu option.
Roles and Responsibilities:
• Involved in initial requirement gathering.
• Analyzing technical specification documents.
• Creation of technical and functional test case and use case document.
• Create and Configure the XCOM and Embedded extension
• Responsible for creating the PL/SQL stored procedures to apply the business rules.
• Developing the .Net Code in extension events as per the requirements
PROJECT#3
Project Title Capitation, AEC Reports
Duration July2014 - till date
Operating System Windows 7 ,Windows Server 2003
Database languages and tools SQL Server 2008 with SSIS,SSRS, Visual Studio.Net 2008
Programming Language VB.NET, ASP.Net,SSIS,SSRS,Devex Express
Client American Elder Care (Humana)
CLIENT DESCRIPTION:
American Eldercare, Inc. is the state’s largest provider in the Long Term Care Diversion Program. This program
provide eligible individuals with quality care in a community-based setting and is designed to help them in
delaying or avoiding long term placement in a nursing facility. American Eldercare is also proud to be one of the
fastest growing and respected home care companies in the state of Florida. The company holds Medicare-
certification and is accredited by The Joint Commission.
PROJECT DESCRIPTION:
The Capitation project is focused on developing a web application which facilitates the provider claims and
payment processing. The existing process of ACHA was overcome by the new process which made the payment
easier for the AEC providers.
Roles and Responsibilities:
• Involved in initial requirement gathering.
• Analyzing technical specification documents.
• Creation of technical and functional test case and use case document.
• Designing tables and writing stored procedure for Front end Reprising application.
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4. • Performance Testing of Front end Reprising application.
• Designing the SSIS ETL packages.
PROJECT #4
Project Title UMR QicLink Development and QA
Duration 19 Months
Operating System Windows 7 ,Windows Server 2003
Database languages and tools Sybase, SQL Server 2008 with SSIS,SSRS, Visual Studio.Net
2008
Programming Language Facets, VB.NET, ASP.Net, WCF, HTML, CSS, JavaScript.
Client UMR
CLIENT DESCRIPTION:
UnitedHealth Care is an innovative leader in the health and well-being industry, serving approximately 55
million Americans. Through its family of companies, it contributes outstanding clinical insight with consumer-
friendly services and advanced technology to help people achieve optimal health. UHG is headquartered in
Minneapolis, Minnesota (USA) and provides various products & services in Healthcare Management viz.
• Health Insurance
• Health Services (Administration, Behavioral Health, Elder Care, Transplant Services)
• Information and Health Data Services
UHG is one of the top Health care companies in the U.S. United Health Group offers products and services
through six operation businesses. UMR, the largest THIR-PARTY-ADMINISTRATOR (TPA), works with more than
150 PPO and PHO networks, including UHC's national network. More than 40 million claims are processed in a
year which is valued at more than $10 Billion Serving 1250 clients and 3 million plan members.
PROJECT DESCRIPTION:
UMR Qiclink Migration project is intended to incorporate ICD10 changes (ICD10 - International Code for
Diseases) and UMR Qiclink 4.2 upgrade from current UNIX system to .net and SQL database.
The base vendor product is migrated to Trizetto QicLink 4.2 (and 5.0), the UMR Qiclink Migration project does
migrate the Custom reporting and database update programs to a separate website used by Operations teams
and Users of UMR Qiclink System.
Roles and Responsibilities:
• Involved in initial requirement gathering.
• Analyzing technical specification documents.
• Creation of technical and functional test case and use case document.
• Designing tables and writing stored procedure for Front end Reprising application.
• Performance Testing of Front end Reprising application.
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5. PROJECT #5
Project Title HIPAA 5010 EDI Converter (EDICON)
Duration 18 Months
Operating System Windows 7 ,Windows Server 2003
Database languages and tools SQL Server 2008 with SSIS,SSRS, Visual Studio.Net 2005
Programming Language C#.NET, ASP.Net, HTML, CSS, JavaScript, .Net Web
Service, .Net Windows Service
Client UHG-OHBS, WellPoint, Cognizant’sT10-Platform’s,
Excellus, UHCRV, PHP, Product.
PROJECT DESCRIPTION:
HIPAA EDI Converter (EDICON) is the Cognizant’s proprietary product which is a part of Cognizant’s T10
platform exclusively designed and developed for the Healthcare clients using Microsoft Technologies and SQL
SERVER as the database which would help the clients in the process of assessment and remediation phase of
HIPPA 5010 Compliance. The product operates in dual mode:
• Step Up Conversion: Converts 4010A1 EDI Transaction File(s) to 5010 EDI Transaction(s)
• Step Down Conversion: Converts 5010 EDI Transaction File(s) to 4010A1 EDI Transaction File(s).
The user can also have an option to convert multiple 4010A1 / 5010 EDI Transaction File(s) at a time by
making use of inbuilt batch process scheduler of this product. The batch process scheduler is basically a
windows service developed in C# .Net which processes the incoming EDI Files delivered via FTP/EDICON using
external web service. This tool comes with a customizable UI for customizing output 5010 / 4010A1 EDI
Transaction Files, warning messages, inbound/outbound transaction mapping data and situational data. This
product also provides audit logging, inbound/outbound EDI data repository and auto email notification to
designated users once the file conversion process gets completed for that particular user. The key features of the
EDI Converter are the following:
• Manages multiple version conversion option by supporting conversion from 4010A1 to 5010 or from
5010 to 4010A1 version.
• Supports both batch and online conversion processing. Batch mode enables configurable and
automated conversion process and online mode provides various additional features to customize the
output transaction.
• Validates the outbound transaction through various predefined warnings configuration options for the
X12 changes to highlight the incompliant codes in the converted file. In addition, it also provides a
friendly interface to configure user-defined warnings for specific scenarios.
• Enables line of business specific or trading partner specific conversion process using various intuitive
business rules that determine the validity of situational criteria and accordingly incorporate situation
additions and their field values.
• Supports extensive reporting capabilities highlighting the conversion performance and any
error/warning generated as part of the conversion. This includes notification management through an
email triggered to the pre-defined users, for specific events.
• Customizes information in the inbound transaction to a user defined field value. For example, to achieve
masking of PHI in the inbound transaction, corresponding field value can be changed to user defined
values.
• Displays the converted transaction in a user-friendly descriptive tree interface with a history of
transaction conversion process.
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6. Roles and Responsibilities:
The Project was executed on an Onsite-Offshore model. As a part of Client Implementation I was involved in:
• Involved in initial requirement gathering and documentation for Excellus and OHBS Client.
• Analyzing and configuring client specific warnings/mapping data.
• Creation of technical and functional test case and use case document.
• Designing and developing client specific UI screens as a part of enhancements.
• Developing the core conversion logic to support the up conversion and down conversion.
• Implementing and developing of EDI File error correction functionality of the product.
• Implementing Data enrichment and Linkage functionality as a part of ODS of the product.
• Analyzing and developing client specific TR3 implementation functionality of the product.
As a part of T10-Platform product development activities I was involved in:
• Designing the UI and developing EDICON web application using Visual Studio 2005.
• Developing windows service as a part of BATCH processing functionality of the product.
• Developing web services which will interact with external scheduler for EDI File processing
functionality.
• Designing tables and writing stored procedure for EDICON application.
• Performance Testing of EDICON application.
• Conducted product demo for various client.
PROJECT #6
Project Title Zeeba Sleep Center
Duration 8 Months
Operating System Windows XP ,Windows Server 2003
Database languages and tools SQL Server 2008, Visual Studio.Net 2005
Programming Language VB.Net, ADO.Net
Client Zeeba Sleep Center Internal Medicine
PROJECT DESCRIPTION:
Zeeba sleep center is a hospital application specially used for the four types of test such as physician
Consult, PSG, MSLTTest, Titration. Patient registration of zeeba sleep center to get the appointment after
checking test and test result is positive. If test result negative then another test will be executed. Also this
application can be used by multiple hospitals effectively. This application tracks each and every patient and
physician activity on daily basis. Automatic prescription is sent to the patient over Fax or mail and also there is
option to view the daily patient detail report, test type wise report and many more. Overall configuration and
system setting can only be done by the admin or special users. Each physician will have respective user
credential to view their daily, monthly appoint against the patient the key features of the Sleep Center are the
following:
• Manages multiple test option by supporting testing PSG, MSLT, and Titration.
• Supports both testing and Consult processing enables configurable and automated testing process
various additional features to customize the output transaction.
• Performs Unified validation on incoming transaction to check for SNIP level compliance prior to target
conversion.
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7. • Enables line of business specific or trading partner specific testing process using various intuitive
business rules that determine the validity of situational criteria and accordingly incorporate situation
additions and their field values.
• Performs mapping configurations for various code-related scenarios such as new codes added and
existing codes disallowed.
Role and responsibilities:
The Project was executed on an Onsite-Offshore model. As a part of Client Implementation I was involved in:
• Involved in initial requirement gathering and documentation for Internal Medicine Client.
• Analyzing and configuring client specific warnings/mapping data.
• Creation of technical and functional test case and use case document.
• Designing and developing client specific UI screens as a part of enhancements.
• Developing the core conversion logic to support the up conversion and down conversion.
• Analyzing and developing client specific TR3 implementation functionality of the product.
• Designing tables and writing stored procedure for Zeeba Sleep Center application.
PROJECT #7
Project Title Prolodgic Online Reporting Tool
Duration 12 Months
Operating System Windows XP ,Windows Server 2003
Database languages and tools SQL Server 2005, Visual Studio.Net 2005,SSRS
Programming Language ASP.Net, VB.Net, ADO.NET, Java Script,
AJAX 1.1.
Client RaviAida & Partners
PROJECT DESCRIPTION:
PORT (Prolodgic Online Reporting Tool) system is an online reporting tool that is used for the
purpose of viewing customized reports related to hotel price negotiation. The report columns are customized
after which an RDL file is dynamically created. This file is uploaded into a report server. Administrator can set
permissions for the users. The end user can again customize the report filter and grouping (creates an RDL file)
to suit their requirement. The customized reports can be saved by the end users. The reports can be generated
in two types as tabular reports and matrix reports the key features of the PORT are the following:
.
• Manages multiple test option by supporting user and Administrator.
• The end user can again customize the report filter and grouping (creates an RDL file) to suit their
requirement.
• The customized reports can be saved by the end users
• The reports can be generated in two types as tabular reports
• online reporting tool that is used for the purpose of viewing customized reports related to hotel price
negotiation
• Performs mapping configurations for various code-related scenarios such as new codes added and
existing codes disallowed.
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8. Role and responsibilities:
The Project was executed on an Onsite-Offshore model. As a part of Client Implementation I was involved in:
• Development Registered Users can create blog and get commented by other users, Create
forum topics and can have discussion with others.
• Involved in testing, peer review, and design documents.
• Creation of technical and functional test case and use case document.
• Designing tables and writing stored procedure for PORT application.
PROJECT #8
Project Title Rock Spring Real Estate
Duration 8 Months
Operating System Windows XP ,Windows Server 2003
Database languages and tools SQL Server 2005, Visual Studio.Net 2005
Programming Language ASP.Net 2.0, C#, ADO.NET 2.0, Java
Script
Client Rock Springs, Wyoming
PROJECT DESCRIPTION:
Rocksprings Retail Box Fund is a country and sector specific program, investing solely in out-of-town
and edge-of-town retail warehouse properties. The objective is to generate a high income return, underwritten
by international, national and regional credits, and to enhance capital values through the specialist management
capabilities of Prime Management. Based on current long and short term Euro borrowing rates, rental yields
from targeted investments should be sufficiently high for the resulting portfolio income yield to be further
enhanced by the application of leverage the reports can be generated in two types as tabular reports and matrix
reports the key features of the Rocksprings are the following:
• Manages multiple test option by supporting user and Administrator.
• Rocksprings Retail Box Fund is a country and sector specific program, investing solely in out-of-town
and edge-of-town retail warehouse properties
• High income return, underwritten by international, national and regional credits, and to enhance
capital values through the specialist management capabilities of Prime Management. Based on current
long and short term
• Performs mapping configurations for various code-related scenarios such as new codes added and
existing codes disallowed.
Role and responsibilities:
The Project was executed on an Onsite-Offshore model. As a part of Client Implementation I was involved in:
• Understanding the requirements by studying functional document.
• Development Rocksprings Retail Box Fund is a country and sector specific program, investing
solely in out-of-town and edge-of-town retail warehouse properties.
• Involved in testing, peer review, and design documents.
• Involved in the preparation of test plan and test report.
• Designing tables and writing stored procedure for Rocksprings application.
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9. PROJECT #9
Project Title Hospital Management System.
Duration 8 Months
Operating System Windows XP ,Windows Server 2003
Database languages and tools SQL Server 2005, Visual Studio.Net 2005
Programming Language VB.Net, ADO.NET
Client Doss Hospital
PROJECT DESCRIPTION:
HMS is a comprehensive and integrated software covering registration of clinical and general details
of In Patients and Out Patients, Appointment Schedule for Doctors, Surgery, Lab Test and other services. Case
Sheet maintenance, Patient Billing, Billing for Third Parties, Material Management, Inventory, House Keeping,
Pharmaceutical Department, and Financial Accounting. It contains pharmacy transactions with Accounts,
Purchase, sales, Stock Maintain and purchase order generation and etc the key features of the Rocksprings are
the following:
• Manages multiple test option by supporting registration of clinical user.
• General details of In Patients and Out Patient details.
• Appointment Schedule meets the doctors.
• Performs mapping configurations for various code-related scenarios such as new codes added and
existing codes disallowed.
• It contains pharmacy transactions with Accounts, Purchase, sales, Stock Maintain details.
Role and responsibilities:
The Project was executed on an Onsite-Offshore model. As a part of Client Implementation I was involved in:
• Understanding the requirements by studying functional document.
• Development In Patients and Out Patients, Appointment Schedule for Doctors, Surgery, Lab
Test and other services. Case Sheet maintenance, Patient Billing, Billing for Third Parties
• Involved in testing, peer review, and design documents.
• Involved in the preparation of test plan and test report.
• Designing tables and writing stored procedure for Rocksprings application
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10. PROJECT #9
Project Title Hospital Management System.
Duration 8 Months
Operating System Windows XP ,Windows Server 2003
Database languages and tools SQL Server 2005, Visual Studio.Net 2005
Programming Language VB.Net, ADO.NET
Client Doss Hospital
PROJECT DESCRIPTION:
HMS is a comprehensive and integrated software covering registration of clinical and general details
of In Patients and Out Patients, Appointment Schedule for Doctors, Surgery, Lab Test and other services. Case
Sheet maintenance, Patient Billing, Billing for Third Parties, Material Management, Inventory, House Keeping,
Pharmaceutical Department, and Financial Accounting. It contains pharmacy transactions with Accounts,
Purchase, sales, Stock Maintain and purchase order generation and etc the key features of the Rocksprings are
the following:
• Manages multiple test option by supporting registration of clinical user.
• General details of In Patients and Out Patient details.
• Appointment Schedule meets the doctors.
• Performs mapping configurations for various code-related scenarios such as new codes added and
existing codes disallowed.
• It contains pharmacy transactions with Accounts, Purchase, sales, Stock Maintain details.
Role and responsibilities:
The Project was executed on an Onsite-Offshore model. As a part of Client Implementation I was involved in:
• Understanding the requirements by studying functional document.
• Development In Patients and Out Patients, Appointment Schedule for Doctors, Surgery, Lab
Test and other services. Case Sheet maintenance, Patient Billing, Billing for Third Parties
• Involved in testing, peer review, and design documents.
• Involved in the preparation of test plan and test report.
• Designing tables and writing stored procedure for Rocksprings application
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