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Ranichandhira Nandakumar

@ranichandhiranandaku1

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I build and modernize healthcare EDI integrations, leading HIPAA transaction delivery, testing, and production support.

United States

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What I'm looking for

I'm looking to lead and improve healthcare EDI integrations, migrations, testing, and production support while solving complex data challenges, mentoring teams, and partnering with business and technical stakeholders.

I'm an EDI integration specialist with 13+ years delivering end-to-end healthcare and enterprise transaction solutions across ANSI X12, claims, eligibility, and payment workflows.

At MTM, I led healthcare EDI integration design and optimization using Actian for HIPAA-compliant 270/271, 276/277, 834, 835, and 837 transactions. I collaborated with healthcare stakeholders, business analysts, IT, operations, and vendors to improve claims processing, eligibility inquiries, payment reconciliation, and data quality.

I served as the EDI SME for MTM's migration from Actian to Boomi, leading analysis, design, development, and optimization of EDI workflows. I also developed reporting, exception-monitoring dashboards, technical documentation, mapping specifications, and process flow diagrams while supporting production incidents and partner escalations.

Earlier, I supported Teradyne's EDI connectivity and logistics workflows with Gentran, UNIX, and Oracle, and worked on healthcare EDI testing for Cigna and HealthSpring using Edifecs. I enjoy solving complex integration issues, mentoring teams, and turning technical and business requirements into reliable production solutions.

Experience

Work history, roles, and key accomplishments

Current

EDI SME and Integration Architect

Current

MTM

Dec 2022 - Present (3 years 9 months)

Served as EDI SME for migration from Actian to Boomi, leading design and optimization of EDI workflows. Authored technical documentation and provided production support.

EDI Boomi HIPAA X12 834 835 837 277 Integration Documentation Data Analysis Reporting Change Management

EDI Integration Lead

MTM

Apr 2018 - Nov 2022 (4 years 7 months)

Led design, development, and optimization of healthcare EDI integrations using Actian, specializing in HIPAA transactions. Collaborated with stakeholders and ensured compliance.

EDI Actian HIPAA X12 270 271 276 277 Claim Status Transactions 834 835 837 Jira Agile SQL

EDI Tester

Cognizant Technology Solutions

Oct 2017 - Dec 2017 (2 months)

Tested HIPAA EDI transactions including 837, 835, 270/271, and 820. Developed maps using Edifecs and executed manual test scripts in Quality Center.

EDI Edifecs HIPAA X12 Quality Centers Facets Test Planning UAT XML

TPhone Support Engineer

HCL Technologies

Nov 2010 - Nov 2014 (4 years)

Managed employee account information and resolved issues for Teradyne's TPhone application. Handled inbound/outbound feeds and custom shell scripts.

Java Unix Oracle 9i SQL Shell Scripting Customer Support SLA Management

EDI Support and Maintenance

HCL Technologies

Sep 2010 - Nov 2014 (4 years 2 months)

Provided EDI support and maintenance for Teradyne, resolving issues and ensuring data consistency. Developed and deployed maps using Sterling Gentran Mapping Tool.

EDI GENTRAN Unix Oracle 9i SQL Shell Scripting Trading Partner Management Incident Management