Manoj Timilsina
Holly Springs
Summary
Integrated Eligibility System (IES) SME with 10+ years delivering public-sector eligibility solutions across Medicaid, Supplemental Nutrition Assistance Program (SNAP), and Temporary Assistance for Needy Families (TANF). Translate federal/state policy and operational needs into functional requirements, rules, and end-to-end processing designs that engineering teams can implement. Lead cross-functional delivery from through go-live, including release governance, testing strategy (System Integration Testing (SIT), User Acceptance Testing (UAT)), and production stabilization (incident triage, root cause analysis (RCA)). Known for stakeholder facilitation, backlog leadership, and bridging business and IT with strong technical fluency (rules engines, batch processing, SQL).
Overview
11
11
years of professional experience
Work History
Senior Consultant (Integrated Eligibility System)
Info Waves System
05.2024 - Current
- Lead requirements elicitation and solution design; produce business design documents and functional specifications for client approval and engineering delivery.
- Drive end-to-end delivery for Medicaid, SNAP, and TANF enhancements, aligning scope to roadmap, release calendars, and readiness criteria.
- Advise client leadership on policy-driven change sizing, delivery approach, and release planning, present options, impacts, and tradeoffs.
- Manage delivery cadence with business and technical leads; track milestones, risks/issues, and decision points.
- Define testing scope, scenarios, acceptance criteria, and data validation approach; execute testing and drive timely defect resolution.
- Partner with UAT teams and external trading partners to validate end-to-end processing logic, workflows, and interface impacts.
- Triage production incidents in Jira and perform data analysis in SQL Developer to support RCA and mitigation.
- Coordinate defect/problem intake with State SMEs to ensure complete scenarios (case #, observed issue, expected result) and reproducible steps.
Senior Consultant (Integrated Eligibility)
Info Waves System
12.2022 - 05.2024
- Translate federal and state policy into functional requirements and functional designs; review/validate eligibility system requirements and designs for completeness and compliance.
- Lead discovery sessions and requirements; document decisions, assumptions, and acceptance criteria to enable build and testing.
- Coordinate Agile delivery activities (sprint planning, estimation, prioritization) and manage dependencies across workstreams.
- Conduct RCA for defects and change requests; define fix approaches and validate outcomes through SIT/UAT cycles.
- Lead and coordinate cross-functional teams across development, SIT, and UAT (18 total members), aligning delivery to program roadmap and release commitments.
- Provide client-facing status, issue escalation, and stakeholder alignment to drive timely decisions and approvals.
- Mentor team members and collaborate with QA on test execution strategy across environments.
Software Application Developer / Triage Lead / Functional Support
Apexon Corporation
11.2014 - 12.2022
- Designed and implemented eligibility business rules and workflows using Corticon BRMS to support complex policy logic.
- Built batch processing jobs and backend business logic to support eligibility calculations, validations, and scheduled processing.
- Led mass-change batch processing (e.g., Cost-of-Living Adjustment (COLA) updates) to apply policy changes on a scale.
- Developed and enhanced public-sector eligibility determination applications spanning UI and backend components (Java/Java EE, JSP, SQL).
- Supported go-live and cutover readiness, including deployment coordination, smoke validation, and post-release stabilization.
- Owned incident triage and troubleshooting; performed RCA, partnered with engineering on fixes, and communicated impact/resolution to stakeholders.
- Served as Product Manager for COVID compliance changes, owning backlog prioritization and delivery coordination across teams.
- Designed data conversion tooling to improve repeatability and accuracy of conversion/cutover activities.
- Maintained CI/CD practices and development tooling (Jenkins nightly builds, Git/SVN, IntelliJ, Tomcat) and participated in code reviews and quality practices.
Education
Bachelor of Science -
Idaho State University
Pocatello, Idaho01.2014
Skills
- SNAP
- TANF
- Medical
- Policy-to-system mapping
- Compliance-driven change
- Functional requirements
- Business design documents
- User stories
- Acceptance criteria
- Application/renewal
- Data collection
- Non-financial and financial rules
- Eligibility determinations
- Verifications
- Benefit issuance
- Interface
- Cross-module and program impacts
- Roadmap alignment
- Scope control
- Go-live readiness
- Post-implementation review
- SIT/UAT planning
- Scenario design
- Test data validation
- Defect management
- Quality gates
- Incident triage
- Root Cause Analysis
- Mitigation planning
- Stabilization and optimization
- Jira
- SQL Developer
- Agile delivery
- Java
- Corticon Business Rules Management System (BRMS)
- SQL/PL/SQL
- JSP
- EJB
- RESTful APIs
- Spring Boot concepts
- Microservices concepts
- Logging/monitoring
Timeline
Senior Consultant (Integrated Eligibility System)
Info Waves System
05.2024 - Current
Senior Consultant (Integrated Eligibility)
Info Waves System
12.2022 - 05.2024
Software Application Developer / Triage Lead / Functional Support
Apexon Corporation
11.2014 - 12.2022
Bachelor of Science -
Idaho State University