Adrian MoralesHollywood Florida 33019

Residence: 954.927.7444 Cell: 954.554.4483adrian@evanmorales.com

Applications developer with over 20 years experience in design, analysis, programmingand testing in mainframe and SQL environments.

Technical Strengths:

• COBOL • IMAGE • SQL• AS400 • Supertool • Microsoft Windows• DB2 • Query Language • Word• HP3000 • Amisys • Excel• PowerMHS • MACESS • Cognos Powerhous (Quiz)• JCL • TrizettoQNXT • ACCESS• SQL Server Reporting Services (SSRS) 2005/2008• SQL Server Management Services (SSMS) 2008 R2

Professional Experience:

Senior Business Risk Management Analyst Aug. 2011 - PresentOptumlnsight/United Health Group

• Responsible for enhancing and maintaining SSIS packages and several ACCESSDatabases.

• Provide support in nationally recovering several million dollars monthly in hospitalclaims overcharges.

Data Analyst/Programmer Nov. 2010- Aug. 2011Simply Healthcare Plans - Coral Gables, Florida

• Created on-demand and scheduled reports for business analysis or managementdecision using SQL Server Reporting Services.

• Modified and enhanced QNXT reports to fit current business needs.• Developed new Customer Service Call Tracking report which identified member

calling trends.• Created Provider Membership Activity By County report which assisted management

in analyzing provider/membership activity.• Created Provider Membership Activity By County report which assisted management

in analyzing provider/membership activity.

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Application Development Consultant/ Software Engineer 1997-2010Coventry Healthplan - Sunrise, Florida

• Created EFT process (Electronic Funds Transfer) which eliminated the creation ofover 22,000 monthly paper bills and automatically deposited $5.2 million monthly.

• Implemented Lockbox process (OCR scanning of paper bills) in turn reducing manualpayments entry by 60%. Handled over $4 million in deposits monthly.

• Collaborated with users in the development of an NFS process (non-sufficient funds)saving 40-60 hours a month in manual processing.

• Evaluated existing Autoterm process (Group and Individual members which were 45days behind in payment) and developed a new process resulting in capturing anadditional 25% of monthly records which were being bypassed by the previousprocess.

• Converted over 8.7 million claims from PowerMHS to IDX with a 99.97% successrate.

• Integral part in automating the enrollment of the Individual line of businessmembership into powerMHS.

Senior Programmer 1993-1997Escalate Retail/Smith Gardner & Associates - Delray Beach, Florida

• Met with customers department heads to determine the most effectiveUtilization of computer resources within their respective areas.

• Played a major role in redesigning and development of the MACS softwarepackage.

• Designed and implemented several applications in COBOL.• Promoted from Programming Department to Research and Development.

Consultant (part-time) 1998-1999Ransoft Corporation - Boca Raton, Florida• Responsible for several conversions projects (MACSI to MACSII).• Handled multiple projects efficiently and accurately.

Programmer Analyst 1990-1993Joyce International/Corporate Express - Secaucus, New Jersey

• Implemented 3rd party tax package system, which required the creation of severalprograms and screens in COBOL, as well as the creation of databases.

• Responsible for several conversion projects, including the conversion of theregional departments from their OPS system to our SFD system.

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Provided analysis, development and implementation of new user requests andenhancements in either COBOL or Cognos.

Education:

DeVry Institute of Technology, Columbus, OhioBachelor of Science in Computer Information SystemsHONORS: Dean's List