BRIAN J LANE
210 BRENTWOOD AVE.
EASTON, PA 18045
PROFILE:
Senior Level Programmer/Analyst with over 25 years
of experience. Skills
include: HP3000, COBOL, IMAGE, POWERHOUSE, SUPRTOOL, AMISYS, HIPAA, QUERY,
DBGENERL, ADAGER, JOB SCHEDULERS, CONFIGURATION, EDI, MACS, MANMAN ,SYSTEM
MANAGEMENT , PROJECT LEADING and all HP utilities. HTML, MS Access, other PC
apps.
PROFESSIONAL EXPERIENCE:
Jan 2006 GHI HMO, Lake Katrine, NY
To Consultant/Senior Programmer Analyst
Feb 2008
AMISYS production support, enhancements , ad hoc
reports and new development.
Billing, Capitation,Claims,DOH
rosters,letters,HIPAA EDI, Providers,Membership,
Enrollment,etc..
Powerhouse(Quick, Quiz, QTP), COBOL,SUPRTOOL.
User training and mentoring of junior
programmers. Production support. Automated
Manual operations tasks.
May 2002 Quest Diagnostics, Inc., Lyndhurst, NJ
To Consultant/Senior Programmer Analyst/HIPAA IT
Project Lead
Dec 2005
HIPAA 837/835 transactions and documentation
for numerous trading partners.
Maintenance and enhancements to laboratory
billing systems.POWERHOUSE- Quick,
Quiz, QTP, Suprtool & COBOL. Day to day user
requests.
Jan 2002 Teleflex Morse, Inc., Limerick, PA
To Consultant/Senior Programmer Analyst
May 2002
ManMan & OMAR applications. Debugging &
enhancements /user requests.
MBFOSTER EDI. COBOL, POWERHOUSE & FORTRAN.
June 2001 Harvard Pilgrim Health Care, Wellesley, MA
To Consultant/Senior Programmer Analyst
Dec 2001 AMISYS
COBOL,Powerhouse, SUPRTOOL. General maintenance
and enhancements.
Screen and update job for users to maintain a
recipient list for FAX3000. Analysis
And documentation For HIPAA Claims compliance.
Day to day user requests.
User training.
April 2001 AmeriGroup Corporation,Virginia Beach, VA
To Consultant/Senior Programmer Analyst
May 2001 AMISYS
COBOL, Suprtool , AMISYS. Formatted US Postal
Zip code file and updated ZIP-M
Dataset. Analysis of an EDI bug.
Sept 2000 Harvard Pilgrim Health Care, Wellesley, MA
to Consultant/Senior Specialist/Assistant Technical
Project Lead
April 2001 AMISYS
OOA-PPO project involving offering out of area
members claims coverage
For visits, services provided by a
clearinghouse of Providers. The main areas
Of Interface were Providers, Fee-schedules and
facilities. The major components were
Creation of a database to house the data, load &
update programs & Inquiry screens.
COBOL, SUPRTOOL, QUIZ, QUICK, QTP. Harvest &
Remedy. FAX3000
Installation, configuration, testing, user
training on Window’s Client for Fax3000.
Jan 2000 Teleflex Marine - Limerick, PA
to Consultant/Programmer Analyst
July 2000
Modifications, enhancements, debugging and new
development. MANMAN &
OMAR. Oracle conversion for Sales Analyzer
Product. Powerhouse, COBOL,
light FORTRAN.
Oct 1999 Carelink Health Plan - Charleston, WV
to Consultant/Programmer Analyst
Dec 1999 AMISYS
AMISYS to IDX Conversion. Authorization/Referrals.
COBOL & Powerhouse.
May 1999 Compaq Computer Corporation - Houston, TX
to Consultant/Programmer Analyst
Sept 1999
Powerhouse upgrade from version 5.01 to 8.19 and
Y2K remediation/COBOL.
MANMAN & OMAR applications. Some Project Mgmt.
March 1998 The American College - Bryn Mawr, PA
to Consultant/Programmer Analyst
April 1999
Extracted and formatted data from the HP and auto-downloaded to an Imaging
system to produce custom Continuing Education Certificates for attendees of
Insurance Seminars. Additional work included various reports, mailing lists,
rosters, labels, software installation and user training. Maintenance and
modification of in-house Student Information System. COBOL & Powerhouse. User
training.
May 1997 MicroWarehouse - Lakewood, NJ
to Consultant/Programmer Analyst
March 1998
Developed Customer Service Tracking System which allowed associates to enter
data and print reports on mispicks, short ships and lost packages formerly
done
manually. Light experience with Order Management Module of MACS (Mail Order
and Catalog System). COBOL & Powerhouse. User requests & reports. Training.
Nov. 1996 Harmony Health Plan - West Orange, NJ
to Consultant/Programmer Analyst
April 1997 AMISYS
Managed health care Utilization Reports used for State reporting including:
Providers/Claims paid, denied pended, claims Adjudication, Pediatric
members/immunizations/asthma, provider credentialing, spans,
PCP assignment, Medicaid, Enrollment/Eligibility, Mammography studies,
Encounters,
Claims Detail Reports, PCP Monthly Reports/files on current
panels/adds/terminations/
transfers of members. Produced daily census reports. Incorporation of all
the above
into AMISYS custom Reports Menu. COBOL & Powerhouse.
Jan. 1995 Harvard Pilgrim Health Care - Quincy, MA
to Consultant/Programmer Analyst
Nov. 1996 AMISYS
HP3000, COBOL, IMAGE, POWERHOUSE, SUPRTOOL, QUERY, AMISYS. Medi-
cal management applications. AMISYS projects included: Series of reports
for
EDI Code Review, Update portion of an integrated HMO product, Hedis
Reporting,
Various screens and reports regarding Providers, Claims, Services, etc.
June 1990 The Journal of Commerce - Phillipsburg, NJ
to Systems Manager/Programmer Analyst/Project Leader
Dec. 1994
Total Management of HP3000/70 & 947. Responsible for complete migration from
classic to precision architecture. Twenty-four hour user and operational
support.
Maintenance of COLLIER JACKSON and ARGI circulation software. All software
and systems upgrades, configurations, capacity management. Custom coding of
financial and sales applications in COBOL and POWERHOUSE. User training and
mentoring of junior programmers and operators.
Nov. 1988 Lithoid Printing, Incorporated - East Brunswick, NJ
to Programmer Analyst
June 1990
Coding of financial and typesetting applications in COBOL and POWERHOUSE
on HP3000/42 & 48.
Oct. 1985 Revlon, Incorporated - Edison, NJ
to Programmer/Operator
Nov. 1988
Operations and applications programming on HP3000/70 with COBOL and RPG.
Jan. 1982 Cosmair, Incorporated - Piscataway, NJ
to Programmer/Operator
Oct. 1985
Operations and coding on HP3000/37 & 48 with COBOL
and RPG.
1975 Various
to Manager
1982
Various positions in the Social Service Field.
EDUCATION:
Bachelor of Science in Music
Duquesne University, 1975
Certificate of Programming
The Bryman School, 1982
HTML/Javascript
Northampton Community College, May 2000.
REFERENCES:
Furnished upon request.
E-MAIL
ADDRESS: [Send email using form at bottom]
|
