This document contains the resume of Stalin John, a software developer with 3.3 years of experience developing and maintaining mainframe applications for healthcare clients. He has strong skills in COBOL, DB2, JCL, Java, C and OOPS. Some of the key projects he has worked on include WGS claims projects, Medical Rule Redesign projects, and Care Management systems like TRIMED and ECC. He is proficient in various development tools and has experience in the full SDLC. He holds a B.Tech in Electronics and Communication Engineering and is looking for opportunities as a software developer.

1. Stalin John Email:stalinjohnms7@gmail.com
Software Developer Mobile: +919048969774
PROFESSIONAL SUMMARY
 3.3 years of experience in Mainframe Applications Development & Enhancement Delivery
projects
 Worked in Healthcare Domain projects
 Strong conceptual knowledge in COBOL, DB2 and JCL
 Intermediate technology knowledge in Java, C and OOPS
 Ability to work in-groups as well as independently without supervision
 Strong conceptual knowledge in Healthcare business, especially in the subject areas like WGS
claims and Care management.
 Worked on Critical delivery and Performance improvement projects.
 Handled production job abends and issues with very little turnaround time.
 Experienced in most aspects of Software Development Life Cycle from requirements gathering
to support
 Mentored and given KT to new resources added to the team
 Very quick to learn new technologies and tools and use them
 Highly spirited and motivated team player
TECHNICAL SKILLS
Domain : Healthcare
Technology : Mainframe
Languages : COBOL, JCL, VSAM, CICS basics, REXX basics, IMS basics
Database : IMSDB basics, DB2, TABLE BASE
Tools : TSO/ISPF, Change man, QMF, SPUFI, IOF, CTM, PROJCL,
Debug Tool, Table base, File Manager, Fault Analyzer
Operating System : Windows, UNIX, Ubuntu
AWARDS AND ACHIEVEMENTS
Technical Aspects
 Awarded in the Category of “INSPIRED PEOPLE” in the year 2014-Q2 Healthcare Rewards and
Recognition for MRR project.
 Awarded in the Category of “EXECUTION MINDSET” in the year 2015-Q3 Healthcare Rewards
and Recognition for WGS SSCR Projects.
Non-Technical Aspects
 Recognized for volunteering in Blood Donation Drive in the year 2013.
 Recognized for organizing seasonal celebrations in 2014.
 Recognized for Foundation Day celebrations in 2014 & 2015.

2. WORK EXPERIENCE
 Working as Software Developer for UST Global, Kochi since April 2013
PROJECTS PROFILE
Project 1:
Project Name : WGS claims-SSCR projects
Client : Fortune 50 Health Insurance Client
Language Used : COBOL, JCL
Tools used : CHGMAN, IOF, File Manager, Debug Tool, Table base, CTM
Databases : IMSDB, DB2
Role : Software Developer
Duration : DEC 2015 – Present
WGS claims-SSCR projects
SSCR projects are maintenance projects dealing with different important claimsubsystems such as AC
CUMS, Adjudication, Image, Edits and pricing. Faced and corrected different critical issues in image ad
judication, late payment case issues, benefit application issues in PAR and NPAR scenarios for HIX/OD
S contracts. Fix had made to a major defect in COPAY and deductible amount inclusion into OOP (out
of pocket) ACCUM.
Roles & Responsibilities:
 Analyzing, Designing and Coding programs.
 Preparing Test plans, conducting testing, delivering test results
 Development phase activities for respective tracks assigned
 Debugging COBOLapplications
 Conducting post implementation reviews and support during implementations
 Help and guide the new team members in the team
 Perform lead activities and schedule the tasks
 Created all needed migration and turnover documents
Project 2:
Project Name : WGS claims-Medical rule redesign
Client : Fortune 50 Health Insurance Client
Language Used : COBOL, JCL
Tools used : CHGMAN, IOF, File Manager, Debug Tool, Table base, CTM, APA, SPUFI
Databases : DB2
Role : Software Developer
Duration : Sep 2014 – Dec 2015
Medical Rule Redesign (MRR)
MRR is dealing with the medical rules in claimprocessing system. MRR handles medical rules, busines
s rules and Line of business (LOB) rules of different types for claims rule matching process. MRR plays i
mportant role in the claimlife cycle and claimprocessing by setting different rules for holding a claim
from processing, reject a claim, apply benefit to a claim, generates EOB and ACCUMs for a claim, Utili
zation management and pre-authorization management of a claim, deny a claim. MRR projects were i

3. mplemented to improve the performance of the medical rule matching using advanced redesign tech
niques. MRR projects achieved a performance improvement of 40% in rule matching and hence impro
vement in claimprocessing performance.
Roles & Responsibilities:
 Analyzing, Designing and Coding programs
 Preparing Test plans, conducting testing, delivering test results
 Development phase activities for respective tracks assigned
 Debugging COBOLapplications
 Conducting post implementation reviews and support during implementations
 Help and guide the new team members in the team
 Perform lead activities and schedule the tasks
 Created all needed migration and turnover documents
Project 3:
Project Name : Care Management-TRIMED, ECC systems
Client : Fortune 50 Health Insurance Client
Language Used : COBOL, JCL, UNIX
Tools used : ENDEAVOR, IOF, File Manager, Fault Analyzer, SPUFI
Databases : DB2, Oracle
Role : Software Developer
Duration : Apr 2013 - Sep 2014
ECC application supports medical management operations is a care delivery system to support New
York medical management. It provides a comprehensive Internet and Windows®1-based solution th
at integrates all condition and case Management activities, medical reviews, appeal reviews and heal
th advocacy activities into one system. Some of the groups that utilize ECC include case management
, utilization management, Vendors and medical claims and appeals
TRIMED is a medical management system which maintains TMR, patient data, case management, app
eals, referrals, Letters etc. TriMed’s 90% of users are registered nurses who specialize in various aspec
ts of medical management to effectively manage the member’s medical needs. .The application has G
UI Front-end & includes version controlling to ensure the correct TriMed application is used. TriMed a
pplication is remotely accessible to users via Citrix MetaFrame.
Roles & Responsibilities:
 Analyzing, Designing and Coding programs
 Preparing Test plans, conducting testing, delivering test results
 Development phase activities for respective tracks assigned
 Conducting post implementation reviews and support during implementations
 Help and guide the new team members in the team
 Created all needed migration and turnover documents

4. EDUCATIONAL QUALIFICATION
 B.Tech in Electronics and Communication Engineering fromCalicut university , Kerala, Agregate-
76.97%
 Graduated in 2012 from Government Engineering College, Sreekrishnapuram, Palakkad, Kerala
PERSONAL DETAILS
Date of Birth : 16th May 1991
PAN Card No : AVTPJ6116E
Passport : J6241272
DECLARATION
I hereby declare that all information furnished above are true and correct to the best
of my knowledge and belief.
Place: Kochi Stalin Jo hn