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HILDA CRAWFORD

208 Dodge Trail, Keller, Texas 76248


817.975.8798 • hildacrawf@verizon.net • www.linkedin.com/in/hildacrawford

PROFILE

Result-focused IT professional with proficiency in Application Management, Application Development and Project
Management with experience in a wide variety of business applications. Delivered numerous large projects that
significantly raised productivity and accuracy by utilizing the best of proven and leading-edge technology. Proven
Ability to build strong relationships with staff and clients using negotiation talent, persuasion and demonstrated
commitment. Effective leader who builds a strong, cohesive team, using planning, organization and collaboration skills
to deliver team results above individual ability levels, frequently surpassing client expectations. Self-motivated and a
problem solver, enjoys pursuing new challenges to strengthen abilities, enhance knowledge, and bring greater
success to employers.

TECHNICAL SUMMARY

Programming
Languages: COBOL, CICS, Eztrieve+, DYL280, JCL, REXX, CLIST, XML, ACL

Methodologies: Systems/Software Development Life Cycle (SDLC), Information Technology Infrastructure


Library (ITIL)

Standards/ HIPAA, EDI transactions (837I, 837P, 837D, 270/271, 276/277, 997, 835), Sarbanes-Oxley
Compliance: Audit (SOX), Control Objectives for Information and related Technology (COBIT)

Database: VSAM, MS Access, SQL Server

Hardware: IBM Mainframe Z9, Windows 2005 & Vista Workstation

Services & TSO/ISPF, MS Visio, MS Office Suite, MS FrontPage 98, MS Project, DFSort, ICETOOL,
Tools: SYSB-II, CA7, CA11, CA1 (TMS), FAVER, ENDEVOR, LIBRARIAN, PANVALET, FileMaster,
DumpMaster, InterTest (Batch/CICS), FileAid, XPEDITER, Abend-Aid, STROBE, MQ Series,
Transidiom, BizTalk, Informatica, CLARITY, Uni-Center, Quality Center (formerly TestDirector),
SMART TS, CLAREDI, INFOPAC, MAINVIEW

PROFESSIONAL EXPERIENCE

HEALTHMARKETS, North Richland Hills, Texas

Business Application Delivery Manager 2002 – 2008


Managed a team of 12 to 20 Software Engineers on a Claims Adjudication Application, Processor 1. Responsible for
both Development and Maintenance.

• Developed and implemented automated calculation of interest/penalties and identification of mandated benefits for
the Processor 1 system; utilizing user maintained tables by State; decreasing the time required for examiners to
adjudicate claims and assuring compliance with all States regulations.
• Redesigned Medical claims Explanation of Benefits (EOB) to provide better clarity to policyholders and assure
compliance with State DOI departments.
• Automated Adjudication of duplicate claims and claims received on lapsed policies.
• Collaborated with McKesson and implemented process to identify and prevent fraudulent claim activity.
• Partnered with Concentra and implemented solutions for PPO primary and secondary repricing to save both
HealthMarkets and policyholders money.
• Worked directly with KPMG and Price-Waterhouse-Cooper (PWC) on internal audits and SOX initiatives.
• Provided Quarterly, Semi-Annual and Annual compliance reports to all States DOI in the required formats and at
the requested frequency. Also provided financial reporting on claims where necessary.

HILDA CRAWFORD AND ASSOCIATES INC., Keller, Texas

Consultant / Software Engineer 2001 – 2002


Consultant / Software Engineer for UICI (now HealthMarkets)

• Designed, developed and implemented Gramm-Leach-Bliley Act (GLBA) annual privacy notification process.
• Researched, designed, developed, and implemented HIPAA 835 EDI transaction (Electronic Remittance Advice);
integrated with the existing batch EOB processing for efficiency; saving valuable processing time and expense.
HILDA CRAWFORD
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HONOR STROUD AND ASSOCIATES INC., Dallas, Texas

Consultant / Assistant Project Manager 2000 – 2001


Coordinated the efforts of a team of 20+ Software Engineers on a Credit Card Billing System Project at MBNA (now
Bank of America).

• Facilitated and documented project meetings, tracked project task and reported status to Project Manager and
Business Unit Leaders.
• Managed Change Control via Endevor for this Project.
• Coordinated testing and implementation tasks.

SYSTEMWARE PROFESSIONAL SERVICES, Dallas, Texas

Consultant / Software Engineer 1998 – 2000


Consultant / Software Engineer for UICI (now HealthMarkets)

• Upgraded Processor 1 Claims Adjudication System from version 6 to version 10.


• Converted all Processor 1 Batch JCL to JCL utilizing PROCS and symbolics to allow for more accurate transition
from Test to Model Office to Production.
• Integrated two Claims adjudication systems running Processor 1, both with unique nuances, into one system.
• Ensured that Processor 1 was Y2K compliant.

Consultant / Application Manager 1995 – 1998


Responsible for, Project Management, Development, Application Maintenance and Quality Assurance for the mobile
billing system, MacroCell, at Southwestern Bell Mobile Systems (SBC) (now AT&T), Managing 25 Software Engineers
and Quality Assurance Technicians.

• Created an automated test environment creation tool; utilizing ISPF, REXX and CLIST, to allow developers and
quality assurance technicians isolated environments to develop and test their code and table changes, providing for
a better production product and fewer production outages.
• Worked with Sprint to provide Land Line Long Distance to SBC customers as part of SBC Mobile Phone Bill.

NATIONSBANK (now Bank of America), Dallas, Texas

AVP / Manager Application Maintenance 1992 – 1995


Managed Application Maintenance Software Engineers on Mortgage Origination Loan application.

• Developed interface process between Mortgage Loan Origination application and Mortgage Loan Billing System.
• Responsible for all Vendor Application upgrades.
• Provided all Application Reporting.

Officer / Software Engineer 1989 – 1992

Operations, Tape Library and Data Entry Supervisor 1980 – 1989

EDUCATION / PROFESSIONAL TRAINING

Arkansas Tech University, Russellville, Arkansas 57 hours


Verbal Complaint Training Aug 08
Fraud and Ethics Training Aug 06
Performance Management (Appraisals) Mar 06
Market Conduct Jan 06
Strategic Planning Dec 05
Complaint Response Training Dec 05
Process Discipline Sep 05
Management and Leadership Aug 05
Effective Presentation Skills May 05
Change Management Feb 05
Family Medical Leave Act Jan 05
Senn Delaney Leadership Workshop June 04

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