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Ramanjaneyulu Reddy

Software Developer
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Location Kadapa
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Member since30+ Days ago
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Candidate Information
  • User Experience
    Experience 7 Year
  • Cost
    Hourly Rate$20
  • availability
    Availability1 Week
  • work from
    Work FromOffsite
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    CategoryInformation Technology & Services
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    Last Active OnJune 22, 2024
Key Skills
Pega Developer C++LINUX GITGDBAccuravJIRA OracleSQL
Summary

Project # 1

Project Title :  Well Care Health Plans

Solution : Insurance

Environment : PRPC 7.1.7

RDBMS : Oracle 10 G

Role : Pega Developer

Application Server : JBoss

Duration :           April 2021 to till date

Description:

This project deals with CMF framework on which the health care plan application was implemented. This application provides WellCare employees to receive the inpatient request or information via fax and creates a new unique ID for them and maintains the entire information about the patient. This project mainly deals with Medicaid program eligible people to get their benefits based on their eligibility criteria. It is more flexible and also helps in addressing exception-related customer services, designed and implemented data and application classes, workflows, and built various business uses to perform complex business activities, to integrate with other applications using services and connectors. 

Responsibilities:

· Interaction with client to understand expectations and requirements.

· Responsible for Designing, Developing business requirements in PRPC for all dispute processing processes.

· Involved in the creation of Class Structure, identifying Properties and activities, designing the sections and harness. 

· Worked on customization of Harness and Sections rules. 

· Created Decision and Declarative rules, flows, action flows, validation rules. 

· Extensively worked on using Data Model and Data Pages. 

· Worked on activities and flows in CMF Framework to meet the requirements 

· Taken responsibility of keeping track of all the requirement changes and maintained MOM on a regular basis. 

· Worked on various routing processes from on stage to another stage. 

· Managed accessibility to users by creating portals, access roles and access groups for Sales, Underwriters, Contracts and Membership departments. 

· Identified and documented test conditions/scenarios from the business requirements and functional design for claims processing. 

· Managed Rulesets, Application product and patch deployments into various environments like QA, Production and training 

· Performed integration by developing rules pertained to rule-connect and rule-service. 

· Major tasks involved integrating with SQL databases to fetch data and with SOAP/Web services to review particular data. 

· Successfully managed the production issues under intense pressure with highest satisfaction rate. 

· Responsible for unit testing and integration testing of application. 

Environment: PEGA PRPC v 7.1.7, XML, HTML, AJAX, SOAP, JavaScript, Smart Dispute, CSS, CMF (Care Management Framework).

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