Anthem BCBS, CA, USA- Health Insurance Domain June 2017 – Current
SIT Enrollment Lead- Deloitte
Project Overview:
WellPoint Group System (WGS) is the pivotal IT application, which supports the large Group business of Blue Cross of California. The WGS 2.0 Membership System is part of the WGS 2.0 Family of Systems and is responsible for the Enrollment Activities related to our Members and Clients. It provides other Members of the WGS Family with eligibility and member demographic data. The WGS Membership System also provides this information to systems outside the WGS Family, as well as to Vendors and Clients.
WGS 2.0 Membership system processes membership enrollments. The system uses batch processing to maintain and create extracts and reports of the membership details. The role-based access to the system is defined by business based on the Profiles for the user roles. These profiles define the screens that will be displayed as available to that role (system navigation), which in turn limits the role to specific functionality that is supported through these screens. The Navigation Databases contain the configuration information for each Profile, defining the menus, screens, screen modes (inquiry vs. Update) and PF keys that represent the system functionality that the role can access. Roles are defined for different areas of responsibility and only those users with the defined role can access the functions required for their job description. This allows controls to be set at different levels within the profile roles.
WGS 2.0 Membership focuses on Case installation, Group/Product Setup, Enrollment of members through various sources such as Group Tape, Web interface and online member enrollment, storage and maintenance of member information and the downstream processes. The membership data is referred during claim processing, Billing etc.
Below are the WGS POR’s handled @ Anthem BCBS;
- New York CS-90 Migration & AB Engine
- OAD Letter Generation
- ACCUMS P2P
- Self-Correcting ACCUMS
- AIM Genetic
- Alpha-Numeric Prefix
- ASH Chiro
Environment:
CA IBM Mainframe, COBOL, IMS/DB, DB2, CICS, JCL, IBM DEBUG Tool, File-Manager
Contributions:
- Involved in testing WellPoint Group System(WSG Mainframe) and Individual Small Group(ISG Mainframe)systems
- Involved in creating the LOE’s for each release POR’s
- Involved in Functional testing, Regression Testing and Test Data Support
- Involved in creating TESD as an exit criteria for each release
- Coordinating with SIT Anthem Leads whenever it is required
- Involved in Mainframe based System Testing.
- Involved in the design, Application testing of applications using IBM Mainframe & Oracle products.
- Involved in Testing CICS Online screens and TSO
- Participated in the analysis of the existing mainframe system developed in JCL, DB2, and COBOL to migrate in to modern technology
- Involved in SIT testing in IMSW and IMSN mainframe regions
- Performed data validation and mainframe testing in IMS DB and interactive mainframe environment
- Test the batch/on-line application module(s) to verify whether the changes meet the new business requirements
- Compared the Test files with the Production files.
- Manage design, development, and execution of the entire test process; track and report progress of test execution; document and coordinate the detailed execution plan for all cycles to support testing.
- Discuss regularly with offshore team through conference calls & emails and plan the tasks accordingly.
- Mentoring the team and supporting the members to resolve technical issues
- Preparing effort estimates to identify resource loading