Professional Summary:

• Over 18 years of extensive hands on experience as Programmer Analyst with Project Life Cycle management, Documentation, Interface analyst Methodologies, User acceptance testing, system testing, functional testing and implementation of RUP software quality.
• Proven experience in QA Audits, Impact Analysis, Risk Analysis, Root Cause Analysis, Defect Management, Technical Architecture, Design, Development, and Delivery experience.
• Extensive Experience as a Mainframe tester using mainframe technologies IBM Mainframe, JCL, IBM Utilities, TSO, COBOL, CICS, TRON, IBM, DB2, Oracle, Teradata Warehouse, Basic Teradata Query (BTEQ), Teradata SQL Assistant/Web Edition, ETL, IRWIN, Web, Business Objects.
• Proven experience in the creation of HL7 Interfaces and Design Document for multiple hospital systems.
• Recognized for creativity and innovation in the resolution of difficult and complex situations. Exceptional interpersonal and communication skills, a creative problem solver and enjoy complex difficult challenges. A highly experienced QA Architect, SQA Analyst, Interface Analyst, Business Analysts and Senior Programmer Analyst Professional with more than fifteen years of IT experience.
• Diversified skills including design, coding, debugging, analysis and testing of the mainframe, client/server and web based applications in the financial, government, insurance, communications, and healthcare industries.
• Extensive business domain knowledge and experience in Healthcare, Banking, Pharmaceutical, Insurance, and Engineering industries, Web/Internet based businesses, EDI/back - end integration, Client/Server Internet, application development, testing and delivery experience.
• Expert knowledge in the creating of plans, test cases, test scripts, regression, interface, integration, performance and load testing.
• Expert knowledge in design coding of mainframe application testing including debugging, technical design and system design. Led a team of more than 15 testers both nationwide and offshore.
• Great knowledge of Data Warehouse/data mart and the loading of it data from multiple source systems.
• Expert knowledge in development methodologies (Waterfall, RUP, SDLC and TAF (Test Architecture Framework) and hybrid).
• Proven experience as system analysts in the creation of user requirements, procedures, and problems to automate or improve existing systems and review computer system capabilities, workflow, and scheduling limitations.
• Hands on experience in all types of testing such as Black Box, White Box, Sand Box, Regression, Integration, Load, Stress, Performance and User Acceptance testing, Model creation, Use case development and Business Case Validation. Developed Test plans, Test Templates, and Test cases.
• Excelled in solving technical issues and communicate the results to the appropriate member. Recognized for creativity and innovation in the resolution of difficult and complex situations.

Technical Skills:

• Software Tools: File-AID, File-AID/DataAger, File-AID/DB2, File-AID/RDXXPEDITER/EXCHANGE,SQA,Suite,Comparex,ClearQuest,Test Director/Quality Center, PVCS, SQA/IBM/Rational Suite Clearquest, Hyperstation, Compuware QA Tools and Peregrine center.
• Operating Systems: MS DOS, MVS/OS 390, UNIX, Windows 2010 Pro
• Network: Windows, UNIX, Lotus Notes, Novel, Rumba, SQL*Net
• Software Languages: Software Languages: Micro Focus COBOL, System/370 IBM ASSEMBLER (ALC), COBOLII, EASYTRIEVE, Visual basic 6.0, C++, Java Scripts, ADS+ 7.0. Window application: MS Excel, MS Access, MS Word, Visio and PowerPoint.
• Databases: Oracle 10.0, VSAM, IDMS/ADSO, SYBASE, IMS DB/DC, DB2, MODEL/204, TOTAL, SUPRA (Cincom), IAM, SQL Server 2000 and DAF.
• Middleware: IBM MQSERIES, HIPPA GATEWAY
• Interface Engine: E-Gate, Neon, Cloverleaf and Vitria.
• Utilities: OS/JCL, CICS MANTIS, ENDEAVOR, CHANGEMAN, ISPF/TSO, LIBRARIAN, SYNCSORT, SAR, ABEND-AID, LU 6.2, SPUFI, DB2/QMF, HUMMINBIRD, ATTACHMATE, SQL ADVANTAGE IDCAMS, IEBGENER, IEBCOPY, IEBCOMPR, IEBDG, IEBPTPCH, IEBUPDTE and Toad.
• Vendor products: Medipac, Healthquest, COMLINK, Flexilab, Flexirad Sunquest, Vantage QA IBM, Powerscribe, CERNER clinical system, QNXT 5. xx,Facets Trizetto 5.xx, Trizetto CareAdvance Enterprise, ITS and ECLIPSYS Clinical system.
• Other: Mercator 6.7, GENTRAN, ECMAP, Claredi, Trizetto HIPAA GATEWAY, XML, HL7 2.5, EDI, WSF2 and Business object.
• Methodologies: RUP, Hybrid, Waterfall. Agile
• MAJOR CLIENTS: IBM, Kaiser Permanente, Ameravoice, Agilent, Technologies, CareFirst, US Government, Excellus, Vanguard, US government, Wyeth Ayerst, BCBSM, BCBSNC, BCBSLA, Trizetto and VPHP.

Professional Experience:

Confidential BlueShield of Harrisburg, PA

Facets IT support lead

• Verifying that the offshore developers and lead is coding and deploying their code for the Bundled for claims, and eligibility in a timely fashion using SharePoint
• Work with project manager to verify that our project is on schedule
• Work with operations to make sure that newly deployed code is not abending in production.
• Used Service Now to track incident tickets to insure that there were closed in a timely fashion by operation and the POC
• Wrote stored procedure using Sybase to verify that correct claims and eligibility were extracted from the tables
• Note: Prime vendors lost contract to one of their competitors
• Environment: Facets 5.7, Oracle, informatica Power Center, Service Now, Linux ALM and SharePoint

South Carolina Department of Confidential

Senior SQA/BA

• Wrote test scripts for Medicare and Medicaid members (Medicare Modernization Act)
• Wrote and execute test scripts for Medicaid Buy-in
• Wrote and execute test scripts for member enrollment interfaces testing
• Wrote test scripts for member enrollment interfaces testing (SDX
• Wrote test scripts for PCAT 80
• Validate JCL for error messages before execution using Xsub
• Wrote test scripts for Medicare and Medicaid claims
• Wrote test script for state wide retirement members using FEPA and SDX
• Wrote test scripts for Public Assistance reporting information
• Wrote test scripts for Medicaid Eligibility Determination
• Wrote test scripts for Medicare Savings program Interface
• Wrote queries to pull members and claims information from IDMS tables
• Note: left due to food poison
• Environment: Curam, Mainframe, IDMS, JCL, COBOL, FILE-AID, Jira, Tiger tracking and SharePoint.

Confidential Health Plan, Richmond, VA

Senior QA

• Served as a Sr.QA in the writing test strategy for regression testing.
• Wrote test strategy for regression and E2E testing
• Wrote test planning document for upcoming QNXT upgrade
• Experience in ETL and data testing from various sources - Flat Files & Relational Tables.
• Validated X12 834 HIPAA 5010 files for data accuracy
• Created other matrix document for 2018 QNXT upgrade
• Environment: QNXT, (IDX Mainframe Mumps), Payspan, Macess, Vital, Pivotal, ETL, DW, Trapeze, UFT, Data-warehouse and Microsoft office.

Confidential, inc Fort Washington, PA

Sr. Configuration Analyst/programmer Analyst

As a Sr. Configuration QA and participated in the writing of test Scripts for Configuration and SIT testing.

• Wrote DB2 SQL statement for to extract providers, claims and member information for validation
• Configure for Mercato products for testing
• Configure Plan, product and benefits
• Configure Customer Fee schedules
• Configure DOD member enrollment and claims processing
• Debug COBOL DB2 programs and report my finding to the developer manager.
• Wrote Unix Shell to load data into the DB2 data base
• Debug IBM Websphere for transactions error
• Wrote test script for UM (Utilization Management, UM Logging, Provider Case Fees, Confinement and Case Management)
• Environment: XP, Parature, Pervasive, HealthSuite, Micro focus COBOL, CICS Mainframe, Java, ETL, Unix, IBM Websphere, DB2 and Microsoft office.

Confidential, Philadelphia, PA

Senior QA

• As a Senior QA and system analyst in the creation of test plan and scripts for Confidential reports and data warehouse testing.
• Advised client of the best method for integration testing in a Data Warehouse environment.
• Created system testing reporting document for ETL testing verification.
• Created testing artifacts documents for the project.
• Created test strategy and plan for data warehouse and performance testing
• Wrote test scripts NDCs and related information when drugs are billed on professional
• Wrote test scripts and test cases for performance and system testing
• Wrote test script for Pharmacy Prepayment Audit for random Claims.
• Wrote test script for Pharmacy Prepayment Audit for Targeted Claim Audit Claims.
• Wrote test script for Pharmacy Prepayment Audit Releasing Claims after Audit
• Environment: IKAsystems, Data Warehouse, ArgusHealth, X12, Facets 4.7.1 HP quality center, Oracle, RxFocus, SAS, COGNOS, MS SQL server 8.0.

Confidential of Michigan, Detroit, MI

Sr. QA Lead

Programmer Analyst/Interface analyst

• As a senior Programmer Analyst/Interface analyst wrote online programs for Members, provider and Claims processing in a IMS/DLI, DB2 and VSAM files.
• Debug Cobol programs an interpret IBM for abend-code
• Map HIPAA 837 fields to Blue Cross Shield proprietary legacy fields for using Microsoft Excel and EC MAP.
• Wrote Unit test plan for HIPAA 837 professional and institutional
• Created Unit test cases for (835 Health Care Claim Payment/Advice institutional, dental, professional), (837 institutional, dental and professional) HIPAA transactions on an IBM Mainframe.
• Create Job stream for batch processing on an IBM Mainframe.
• Modified and create RTM for HIPAA transactions.
• Wrote Cobol programs to pull data from Nasco GENO tables for reporting
• Wrote SQL Query for DB2 databases using SPUFI and QMF to view results.
• Environment: Windows XP, IBM Mainframe, JCL, IBM Utilities, TSO, TriZetto Facets, NASCO, (IMS/DLI databases in a IMS DB/DC environment) COBOL CICS, JCL, DB2, VSAM. ITS, Oracle, IMS DB/DC FILE -AID, peregrine, MS ACCESS