SUMMARY:

• Having 5+ years of diversified experience in ‘Software Testing’ of various web applications, automated testing tools, window based applications in QTP.
• Well exposure to Software Development Life Cycle ( SDLC ) and Software Testing Life Cycle ( STLC).
• Experience in Agile Development and Scrum Methodologies.
• Having good experience with Data Models identification target mapping and Testing Schemas, and possesses knowledge of transformation rules verification processes and data sample comparisons.
• A FACETS is an application in Health care domain and it is developed by TRIZETTO .
• FACETS tool is being used for claim process and it mainly concert on member enrollment and checking the eligibility members and the status of selected subscribers.
• Testing facets core application and UAT modules by following standard testing procedures
• Testing and entering data in FACETS 4.7 application.
• Performed validation of facets application under the guidelines and instructions of senior staff
• Developed and executed manual test plans to support facets applications.
• Strong experience in Test Case Preparation, execution and reporting issues from ALM.
• Creating Test Cases for Functional and Business requirements.
• Several years of experience and advance knowledge of the Systems Development Life Cycle (SDLC), Waterfall, Agile, Rapid Application Development (RAD), Rational Unified Process (RUP).
• Good understanding of Software Development Life Cycle and role of BA and QA.
• Developing, and implementing innovative business process and system solutions for HealthCare applications.
• Expert in Health Care testing, FACETS product, EDI transactions.
• Modeling, Requirement Gathering, Technical Documentation, Total Quality management (TQM) with Mercury.
• Expertise in Rational Unified Process (RUP) methodology, Use Cases, Software
• Development Life Cycle (SDLC) processes and Object Oriented Design Technologies.
• Good knowledge in Functional and Regression Testing.
• Well experience on Re - Testing and End-to-End Testing & Adhoc Testing.
• Experience in understanding Data Models and Excel at transformation.
• Created requirements specification document, UML use cases and, Activity Diagrams Optimal Trace and Visio Diagrams, Collaboration Diagrams.
• Experience in creating the documents Functional Specification Document Technical Specification Document Business Requirement Document etc.
• Having good Functional knowledge in Finance and Banking Domain.
• Extensively experienced for organizing and documenting requirements, preparing use cases writing business documents and reports in Pre testing phase.
• Expertise in performing different kinds of testing like functionality testing, integration testing, regression testing, System testing, Database testing and User Acceptance Testing (UAT) for the different applications and their enhancements.
• Having good exposure to mainframe testing in order to cross check the test data from FDR (First Data Resource).
• Involved in preparing Test Summary Reports like Test plans, Test strategy, defect data report & RTM.
• Well experience in setting up Test Environment setup for all required builds accordingly for avoiding execution break up’s.
• Good exposure in creating Test Beds/ Test Environment Setups for the releases.
• Good experience in maintaining of all requirement documents like FD, BR, Test conditions, Test cases, Automation test scripts, test scenarios, defect data, metrics using CVS configuration tool.
• Promoted best practices for build, Release, and Configuration Management processes & procedures.
• Evaluate the testing process and analyze the lessons learned for development and testing. It may include process improvements for development phase or testing phase from the testing metrics
• Experience in Medicaid and Medicare application testing.
• Experience with HIPPA EDI transaction codes 820, 834, 835 and 837 276/277 270/271 testing.
• Exposure and knowledge to 834 benefits claims files testing in enrollment and plan merger projects Involved in the build validation procedures of HIPAA for (837,820,834,835).
• Experience in working with the codes regarding Acknowledgement codes and Ship/Manifest codes and Purchase order Invoice 810, 850, 855, 856, 997.
• Executed SQL Queries to check the data table updates after test execution.
• Strong experience in Data Validation and Manipulation in SQL Server databases using SQL Queries.
• Experience in creating and tracking bug reports enhancement / Change Request.
• Strong skills in writing complex SQL Queries using SQL Server /Oracle Databases. Analyzed entity relations for Oracle and SQL Server Databases.
• Strong Identification and mitigation of existing data defects and errors.
• Excellent Verbal and Written communication skills comfortable with interacting with people from all levels and various parts of the business.

TECHNICAL SKILLS:

Operating System: Windows 98/95, XP/ 2000, UNIX

Programming: C, C++, .Net, PL/SQL

Automated tools: QTP\UFT.

Modeling Tools: UML (Rational Rose)

Documentation: Business Requirement Documentation, Functional Specifications, Use Case & Use Case Diagram, Traceability Matrixes, Test Plan, Test Case.

Test Management tool: Quality Center\ALM, HP

Software Testing: Manual, Automation Testing, QTP

Scripting Languages: VB Script

Languages: HTML, SQL.

PROFESSIONAL EXPERIENCE:

Confidential

Business Analyst

• The QA Analyst works collaboratively within the IT department and business units to execute and validate test cases based upon system requirements .
• Analyzed, documented and managed all project requirements and changes to requirements.
• Throughout the software development life cycle through Rational / Telelogic Doors.
• Worked on HIPPA Transactions 270, 271, 276, 277, 834, 835, 837 and 997 as well.
• Analyzed customer needs and existing functions in the area of HIPAA transactions to determine feasibility and requirements.
• Documented Functional/Technical data flow of 4010/5010 HIPAA Transactions.
• Prepared and Created Test Cases /Test Data according to 5010 Business requirement
• Created Statement of Work (SOW) document for various capabilities in the initial requirement gathering phase.
• Strong Documentation experience which required converting business needs to technical documents.
• Complete analysis of FACETS for benefits and medical definition.
• Document definition and medical definition in FACETS.
• Documented and reviewed high level and detailed requirements in Business Requirement document (BRD).
• Created Use Cases and Use case Description/narratives based on the requirements list and the BRD.
• Retrieve data through table queries within Facets.
• Develop test plans, test cases, test scripts and test reports on multiple projects of varying size.
• Perform testing on various software, telecom and reporting systems.
• Validate that user expectations are achieved during the testing process.
• Review user requirements documents to ensure that requirements are testable
• Experience in using Microsoft SharePoint to centrally store, manage and access business artifacts and problems.
• Created Activity and Sequence Diagrams in UML using Rational Rose and also involved in
• Creating the Business Process Models.
• Facets Medical Plan configuration, manipulating service procedure, service revenue, supplemental procedure, supplemental revenue, medical utilization edits, service payment, limits, service rules and benefit summary .
• Coordinated activities involved in QA and User Acceptance Testing.
• Highly contributed to the enterprise metadata efforts by completing the Data Mapping repository information.
• Actively involved in reporting project updates, managing project resources, conflict resolution and maintaining project deadline.
• Communicated with business/technology leadership for overall project/program office milestone.
• Monitor the production environment and proactively prioritize, communicate, and resolve any EDI process or system issues.

Confidential, Oakland, CA

Business Analyst

• Designed Test Plans and Test Cases for User Acceptance testing (UAT) with the help of QA teams.
• Utilized RUP to configure and develop process, standards and procedures.
• Interfaced with business users to prepare and update Business Process Requirements for the new release of Healthcare tools.
• Prioritized outstanding defects and systems problems, ensuring accuracy and deadlines were met.
• Worked with the management for improving and giving new ideas for designing future processes of the HIPPA transactions dealing out with EDI’S 271, 276 and 270, 470, 835, 837, 834, HIPAA 4010, 5010, claim adjustments, claim processing from point of entry to finalizing, claim review,
• Identifying claims processing problems, their source and providing alternative solutions using best practice model and principles and also well versed with ICD10, Facets.
• In depth knowledge of Medicare/Medicaid Claims processes from Admin/Provider/Payer side which was later part of the training program to vendors.
• Product builds various types of Groups such as but not limited to: Commercial PPO, Commercial HMO, Medicare, and Medicaid.
• Worked on the following codes HIPPA 810,850,856 and the codes known for purchase order, invoice and the acknowledgement using FACETS tool for testing.
• Performed GAP analysis of business rules, business and system flows, user administration and requirements.
• Tracked and maintained Stakeholder requested enhancements and changes using Requirement Traceability Matrix (RTM).
• Used the Rational Unified Process (RUP) to develop the different phases of Software Development Life Cycle (SDLC).
• Create back end data loads through Access to upload tables into prepared Business process models used Visio to create use case diagrams.
• Designed mockup and wireframes to communicate visual data flow to the end users.
• Developed use cases, activity diagrams and sequence diagrams for a clear understanding other vision document.
• Recommended corrective actions, if necessary, along with the progress against Development/Action Plan routinely to the Project Manager.
• Administered and coordinated User Acceptance Testing and obtain final system acceptance sign off with the help of Program Manager.
• Conducted Risk Engineering to derive and execute action plans on time.
• Conducted Joint Application Development (JAD) sessions with stakeholders throughout SDLC to Resolve open issues.
• Wrote SQL Queries in MS Access to sort data and analyze the large set of data during project lifecycle.
• Used Rational Clear Quest for defects and bug testing.

Confidential, Jacksonville, FL

QTP Tester/Quality Analyst

Responsibilities:

• Involved in creation and execution of manual test cases in Mercury Test Director and automated.
• Test Cases in QTP and analyzed the Test Results.
• Involved in User acceptance testing (UAT) and performed system, load and stress testing of the application
• Developed detailed Test plans, Test Cases, Test scripts for testing the functionality, GUI and Security testing.
• Identified data streams and reviewed data models for testing strategies.
• Conducted source to target data mapping.
• Developed test cases for different testing phases viz. - System testing, Integration testing, Backend testing, Grey box, Negative testing and Regression testing - based on the specifications, Mentioned in the Design document, and derived the test scenarios from the Use Cases, Use, Case diagrams, flowcharts, etc.
• Prepared Test cases for GUI preparation.
• Identified defects and errors in data prior to data processing.
• Mitigated existing issues and provided solutions.
• Collaborated with back end and database testers.
• Developed test scripts for Data driven testing using parameterization in QTP by using Excel sheet for test data and Database Queries based on the functionality.
• Automated test scripts for Regression testing. Maintained, Enhanced, and executed the scripts as needed.
• Assisted in writing test case scenarios for regression testing and end-to-end testing.

Confidential, New York, NY

Software Quality Analyst

• Written user defined functions.
• Generation of Test Scripts and enhancing the Scripts through QTP.
• Coordinating with the developers for resolution of defects.
• Written Reusable Actions.
• Usage of Descriptive, VB Script Programming.
• Conducted Package testing and Schema testing.
• Verified data completeness and transformation rules.
• Interaction with Business Analysts/Software Analysts to get the clarifications about the functionality.
• Tested referential relations and integrities of data.
• Writing the Test Scenarios and Test cases for the requirements, analyzing new development specification and coordinating testing approach.
• Wrote technical reports of located data errors with recommended solutions.
• Processed data for testing and analytics after mitigation of data errors.
• Test plan creation
• Test cases creation for manual testing
• Test script creation for automation tool.
• Analyzing test data and creating new data for testing.