1. Anita Balkrishnan, PMP
email : anitab.muralidharan@gmail.com Cell: 805-304-5475
Professional Summary
Project Manager with over 15 years of experience in analysis, design and development of multi-tier applications.
Skilled at understanding and translating business needs into potential solutions.
 Excellent analysis, problem solving and documentation skills
 Significant experience with SQL and data analysis
 Proficient in multiple programming languages and database technologies
 Experienced in Object-Oriented Analysis and Design and Service-Oriented Architecture
 Worked with both Microsoft and Java based Technologies
 Experience with Business Process Rules engineering
 Familiar with the Rational Unified Process (RUP) and the Waterfall life-cycle models
Education
 Graduate of the Information Technology, NIIT, Hyderabad, India (National Institute of Information
Technology) in the year 2000.
 Diploma in Business Finance from ICFAI, India (Institute of Chartered Financial Analysts of India) in the year
1998.
 Bachelor’s degree in Commerce from St. Francis College (Affiliate of Osmania University), Hyderabad, India
in the year 1996.
 Diplome de Francais from Alliance Francaise de Hyderabad in the year 1996.
Professional Training
 PMP certified
 Lean Six Sigma Tools and Techniques
 Oracle PL/SQL
 Essentials of Component Object Modeling in Windows
 Design Patterns in Java
 WebSphere MQ – Fundamentals and Development
 Ilog JRules
 Essentials of Business Intelligence
Professional Experience
Health Net Inc., Woodland Hills, CA (May 2010 to current)
Government Program Membership (includes Medicare as well as State Health Programs)
Role: Project Manager, Senior Systems and Data Analyst
Current Title: Business Process Consultant
Responsible for initiating business and IT projects to improve operational efficiency and ensure compliance with
government regulations for Medicare and Medicaid Managed Care programs.
In my current position, I am called upon to perform the following tasks routinely
• Develop and follow through on project plans for process improvement initiatives.
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2. • Represent the Membership business unit and provide subject matter expertise in meetings with other functional
areas as well as with IT.
• Design and develop ad hoc reports using the corporate data warehouse for management as well as to monitor
production processes and efficiencies.
• Collaborate with IT developers in designing systems that serve the business.
• Keep myself abreast of regulatory changes governing Medicare and State Health Programs and ensure that we
stay compliant.
• Develop documentation and training materials to keep an up to date knowledge base.
• Conduct User Acceptance Testing for system enhancements and provide updates to Management.
• Conduct Production Audits to ensure integrity of enrollment data from EDI X12 files after they are translated
and loaded into the corporate data warehouse.
Recent successes include managing the migration of an entire line of business to a new technology platform. This
included single-handedly building a database utility to reconcile the data converted and ensuring its integrity.
Also played a key role in the successful implementation of a Managed Care program for the state of Arizona.
Am currently involved in developing enrollment solutions for the Cal Medi-Connect Dual Demonstration
Program being initiated by the state of California and the Centers for Medicare and Medicaid Services.
21st
Century Insurance Company, Woodland hills, CA (Started as a contractor, then converted to Full
Time Employee in Sept 2007)
Enterprise Billing Application ( Jul 2003 – May 2010)
Role: Lead Software Engineer
Title: Application Specialist
The Enterprise Billing system supports premiums receivable, billing and payables processing for all lines of Property
and Casualty business for the 21st Century Insurance Group. The application accepts and processes payments from
various sources (e.g. in person, EFT, by mail, credit card, Internet, etc.), applying company business rules for late
payments and payments unequal to balances due. It offers customers a choice of multiple flexible payment plans. It
provides interfaces to all business channels which can be used for bill presentation, inquiry or payments.
• Participated in JAD sessions and requirement capture meetings, attended cross-functional team meetings to
develop and implement business solutions.
• Created and reviewed Use-Cases, Functional and Technical Specifications and test case documents.
• Assisted with Cost-Benefit and Impact analysis for projects and change requests.
• Maintained over 400 billing rules developed using ILOG JRules. Enhanced rules to use advanced features like
decision trees and tables, rule flows and functions.
• Developed/Supported interfaces to receive and process payment files from external vendors.
• Served as Team-Lead for the Production Support team. Developed a support model to provide 24x7 on-call
assistance to the Customer Care and Accounting users.
• Generated ad-hoc reports for business users using Advanced SQL to enable quick decision making.
• Developed daily and monthly audit reports for financial reconciliation and to support DOI (Department of
Insurance) requirements.
• Collaborated with the Enterprise Document Management and Data Warehouse teams to generate
correspondence and billing reports.
• Worked with the Performance Testing team to evaluate and implement system optimization solutions and
minimize downtime.
• Acted as liaison between the onsite business users and offshore technical contractors. Conducted multiple
knowledge transfer and review sessions to ensure complete and accurate interpretation of requirements.
• Mentored and trained new staff members to reduce learning curve.
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3. • Assisted the QA team with developing and automating test flow execution.
Automated Underwriting Application (Jul 2003 – May 2010)
Role: Lead Software Engineer
Title: Application Specialist
The Underwriting system is an ILOG based rule engine that evaluates the risks, based on various factors, for policies
maintained in the Advanced Policy System.
• Played key role in the entire life-cycle of this project from inception to transition.
• Designed and developed the business rules in ILOG by adopting a service-based approach.
• Supported QA testing by attaching a profiler to the rules engine to log inputs and outputs for test result
validation.
• Provided On-Call Support
Capgemini North America (Feb 1999 – Aug 2007)
Morgan Stanley Financials, New York
Prime Brokerage System (Sep 2001 - May 2003)
Role: Senior Developer and Subject Matter Expert
Title: Senior Consultant
This was a Work-Queue application for the Prime Brokerage Unit of Morgan Stanley. This suite of applications
enabled Customer Service Reps to deal with client issues efficiently in addition to providing monitoring services to
ensure Business Continuity.
• Responsible for development, testing and overseeing technical issues on-site and off-shore.
• Maintained the application and provided On-Call Support.
Technical profile
Operating Systems: Windows XP, Vista, AIX
Programming Languages: Microsoft Visual C++, Microsoft Visual Basic, Java, Unix Shell Scripting
Scripting and Mark-Up Languages: ASP and JSP, HTML, XML, Java Script
Database: Oracle, DB2 and SQL Server
Application Servers/Tools: Microsoft Visual Studio, IBM Websphere 6.0, Eclipse based Rapid Application
Development tools, Apache Tomcat
Object Relational Mapping Tools: Castor and Hibernate
Report and Query tools: Quest Central, DB2 Client, PL/SQL Developer, Business Objects
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