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Krish Brahman, Technical Program manager, Big Data, Data Science, Health IT SME, MBA, PMP

murali {dot} brahman {at} gmail.com

 

PROFESSIONAL SUMMARY:
 

Big Data and Data Science SME / Program / Project Manager: Managed big data analytic projects under very fast time lines and rapid release schedules. Interface with Data Science teams managing big data-related projects. Statistical modeling, R Programming, K-Means clustering, Text analysis, Time series, Decision trees, Association rules, and advanced analytics. Apache Hadoop MapReduce, NoSQL, Data visualization, Acquisition, Evaluation, and Transformation, Machine Learning Basics, Clustering, Classification, Collaborative Filtering, Model Selection, Probability, Visualization, Optimization, Algorithms and Design Patterns, Apache HBase, Pig, Hive, Hadoop Distributed File System (HDFS), Ambari, Avro, Cassandra, Chukwa, HBase, Hive, Mahout, Pig, ZooKeeper, Predictive analytics, Health Data in use, at rest, in motion, and disposed.

 

Seasoned ICD-10, Health, and Life Sciences Data SME: Certified Project Management Professional (PMP) and Oracle certified Data Base Administrator (DBA) IT professional with over ten years of Program and Project Management with SDLC / Service Oriented Architecture using Business Process Modeling, Enterprise Content Management, Business Intelligence, Quality Assurance and Java/ .NET Architecture, Business, Systems and Data Analysis, Data Architecture/Modeling, Data Warehousing Architecture - EBM and Quality Measures.. Worked with payers such as Employers, Health Plans, Insurance companies and governments – ambulatory, acute care, ASCs and long term health care providers – PBMs, Pharmaceutical/CRO, Lab/ARC - medical device connectivity, message brokers, conceptual/ logical/ physical data models with The Standards and Interoperability (S&I) Framework, SNOMED CT, LOINC, Rx Norm, USHIK, HITSP, IHE, RIM V3 HL7, EDI, ANSI X12 and UML- ERD, Interoperability Specifications

 

Technical skills:

 

PM Software used:                             MS Project, Plan View, Primavera, Clarity

HL7/EDI Tools:                                           BizTalk, eGate, PHINMS, Rhapsody, Claredi, SeeBeyond

EMR/EHR Tools:                                           Cerner, Epic, IDX, AllScripts, NextGen, and over 25 EMR systems
Requirements Mgmt:                             DOORS, Caliber/ Star team, Requisite Pro, UML
UML Diagrams:                                           Activity, Sequence, Class, Object, Component, Package
BA/SA Documentation:                             Use cases, process models, BTRD, SRD, FRD, FDD, TDD, ADD

IT- PPM Tools:                                           Primavera, Clarity, Rational PM, MS Project, Emptoris

Data Analysis:                                           Rational Rose, Visio, Altova, Oracle Data Integrator (ODI)

DB Design:                                           Erwin, TOAD, Embarcadero, Oracle BI/Portal

Languages:                                           SQL, PL/SQL, C++, J2EE, Ruby on rails, .NET

OLTP/DW Databases:                             Oracle, DB2, SQL Server, Cache, Netezza, Teradata, OS DB

ETL/ELT Tools:                                           Oracle WB/DI, SQL Loader, Ab Initio, Informatica, Micro Strategy

Testing tools:                                           Test Director, Quick Test Pro, Load Runner, Win Runner

Reporting/BI Tools:                             Business Objects 6.5/XI, SAP BW Reporting, URIX, Cognos

Change/Configuration:                            Serena, Clear Case, Clear Quest

Operating Systems:                             Sun UNIX, MS Windows, IBM AIX, HP UX, Autosys

 

Experience:

 

DATA SCIENCE INSTITUTE, BANGALORE, INDIA                                                                                                   January 2013 – May 2013
Technical Program Manager, Big Data – Data Science
 

·           Big Data - Data Science SME/Program/ Project Manager – managed programs, projects, and trained data scientists.

EMBLEM HEALTH, NEW YORK, NY                                                                                                                 June 2011 –December 2012
Project Manager – ICD-10 SME-Architect – ICD-10 TESTING/ INFRASTRUCTURE ENVIRONMENTS Specialist

·           Developed project charter with specific goals to achieve ICD-10 readiness and go live as on October 01, 2014.

·           Developed IT Environment Sizing, Budgeting and Ticketing Strategy to help IT DEV/ QA/ UAT teams.

·           Developed Architectural and Testing Strategies for ICD-10 readiness and Go Live dates for IT Development, Quality Assurance and User Acceptance Testing teams - Developed End to End ICD-10 Testing Strategies covering over 100 applications running on mainframes and Client-Server environments - Developed ICD10-impact assessment and Testing Strategy tool for over 100 ICD10-impacted systems in payer and provider settings

VETERANS HEALTH ADMINISTRATION                                                                                                       April 2008 – June 2011

Project Manager – Solution Architect – 5010/ICD-10 Healthcare Specialist/Analyst

·           Developed  lists of payer/provider contact data, high level briefing sheet to communicate VA 5010/ICD-10 changes, by eBusiness function and project, to payers, reached out to payers/providers and requested subsequent teleconferences, developed and maintained payer/provider tracking spreadsheets and databases, collected readiness information from payers/providers,  made payer/provider tracking spreadsheets and databases available to all eBusiness project teams and 5010/ICD-10 program managers, prepared payer/provider compliance letters to be used in 2012, should the payer/provider be unable to receive or transmit 5010/ICD-10 standard transactions.

·           Logged details about payer/provider readiness for testing, and collected data during the course of teleconferences, in tracking spreadsheets and databases.

WELLPOINT – ANTHEM BLUE CROSS BLUE SHIELD                                                                               September 2007 – March 2008

Project Manager – Provider Contract Renegotiations

·           Worked with provider contracts renegotiations teams/ analysts, managed project implementing TriZetto NetworX Modeler and Pricer – modeled symbiotic nature of the payer-provider relationship, enhanced ability to sell restricted-network HMOs, helped extract deeper discounts from providers, improved consistency of claims payments, edits, etc., across a national provider base 

·           Developed operational processes and process improvements – gained strong functional and analytical knowledge of Trizetto applications, extensive experience in claims payments, and expertise in building hospital contract modeling and pricing methodologies - data model and experience reviewing data on the tables for all pricing components.

·           Developed renegotiation guides to conducting appropriate contract due diligence and compose effective managed care contract portfolios – using state of the art situational analysis (external and internal), Contract-fit assessment.

·           Contract renegotiation strategy selection, and contract maintenance and monitoring, worked on 4010/5010 HIPAA ASC X12 837 - ASC X12 270/271 Eligibility for a health plan (request and response - ASC X12 276/277 Health care claim status (request and response) - ASC X12 834 Enrollment and disenrollment in a health plan - ASC X12 835 Health care payment and remittance advice - ASC X12 820- Health plan premium payment ASC X12 278 Referral certification and authorization (request and response)

 

PHIN/PHLIP – CDC, Atlanta                                                                                                              April 2006 – September 2007

Solution/Data Architect

·           Worked on the country’s first health data / information exchange project – PHLIP (Public Health laboratory Interoperability Project), developed conceptual/ logical/ physical data models with HL7, vocabulary binding and UML- ERD.

·           Worked extensively on BizTalk server, Rhapsody, PHINMS and many HL7/EDI integration tools including SeeBeyond eGate – HL7 and HIPAA Object Type Definition libraries for HL7 5.1.2 and HIPAA EDI transaction sets, BizTalk Orchestration and Messaging rules engines, Enterprise Designer, Logical Hosts and Domains, Repository, System architecture, Integration model - Used LOINC, XDS, IHE, HITSP, NHIN-I, NHIN-II, PHIN, RHIO, IHE, HIE standards extensively 

·           Recommended system modifications enhancements, new system development, business process change - Manage resolution of technical issues for clients

·           Detailed design specifications using Architectural Design Documents (ADD), Functional Design Documents (FDD), Technical Design Documents (TDD) Health Data Repository architecture and infrastructure

 

Hospital EMR/PMS Implementations                                                                                                               May 2002 – March 2006

Program/Project Manager – Solution/Data Architect – Business/Systems Analyst

·           Worked on Chronic disease clinical pathways, pharmacy, radiology, lab integration, Point of care eligibility verification, Combined ancillary systems with the patient PHR/EHR, real-time claims adjudication/ processing - CAQH CORE transactions.

·           Designed novel Service Oriented gateway that links to all aspects of health related clinical and financial transactions using X12, HL7, ICD-9-CM, ICD-9-PCS, Drug/Dosage, PBM, and Drug store to EHR/PHR.

·           Ensured compliance with govt. agencies, standard software development practices, processes and enterprise standards

·           Managed projects in healthcare medical and Rx claims processing, laboratory data exchange, imaging / radiology data exchange, and clinical trials data exchange – comparative effectiveness – pharmacogenomics, personalized medicine, federal/ state health architecture, interoperability, health data information exchanges – HDIE, effective communication using message broker systems

·           Developed algorithms to match 10 types of PHR data with drug databases and biological databases with secure data transfer on J2EE, Oracle (OLTP) - Chain Drug Store engine:

 

EXCEL HEALTH IT SOLUTIONS, INC.                                                                       January 1982 – May 2002

Project Management/ SDLC-RUP/ Systems/Business Analyst – C++, .NET and Java

·           SDLC techniques – using Water Fall, Spiral, Rapid Application Development (RAD), Joint Application Development (JAD), Prototype Development (RUP)  

·           Gathered Objective Data, Verified Expected Associations and Causality  

·           Project Management - PMBOK – Initiate, Plan, Execute, Control, Close – checking for Integration, Scope, Time, Cost, Quality, Human, Communications, Risk, Procurement

·           Designed distributed databases that synchronize data between various parties viz. hospitals, physicians, pharmacies, PBMs, fully insuring payers, self insuring payers, government payers, long term care facilities, laboratory and radiology imaging centers 

·           Developed, deployed and supervised individual testing procedures and test scripts to meet the test plan - testing documentation - Test packages (test cases, test scripts, validation of user procedures) for each required function - change requests and led Change Control Board – improved processes - Delivered quality outputs 

·           Worked with users in highly matrixed project priority, scope and delivery; reviewed complex work breakdown structures, resource histograms and work authorization systems data to define and assign project tasks

 

Education:

Project Management Professional, High Proficiency - Project Management Institute, 2008

Oracle Certified Data Base Administrator – SQL, Arch., Back-ups, and Tuning - 2002

MBA in Business Process Management, Florida State University, FL – 1982

MBA in Consulting and Systems, Indian Institute of Management, Bangalore – 1979

Master’s degree in Industrial Engineering, Indian Institute of Technology, Madras – 1977

Bachelor’s degree in Mechanical Engineering, Birla Institute of Technology & Science, India – 1976