SUMMARY:

• Sixteen years of diversified experience Focus on Healthcare, Financial and Telecom domains
• Experience in Business Process definition, Risk Analysis, Use case Analysis, SE methods (inspections, reviews, and milestones), baseline acceptance criteria and deliverables.
• Experience in Business Analysis using tools such as Functional Flow charts, Layout flow charts, Check sheets, Cause and Effect diagrams, Interrelationship diagrams, Workshops and Brainstorming Sessions.
• Direct responsibilities include experience with requirements gathering & documenting, planning, organizing, and Change Management.
• Extensive exposure to Rational Unified Process (RUP) methodology including UML
• Hands on experience in Software Testing process which includes writing test plans, executing tests, record results, test reports and defect tracking
• Extensive experience and Knowledge in Facets, QNXT, claim payment, claim adjudication process and MMIS applications
• Experience in using Diamond tool and automation tools HP tools, ALM, Quality Center& QTP, Load runner, Rational Tools
• Knowledge on Salesforce
• Knowledge and experience in PEGA PRPC and Smart Investigate framework
• Strong knowledge on Selenium, Visual studio, Team foundation server and Microsoft Test manager
• Knowledge on NASCO systems, claim payment and claim adjudication process applications
• Extensively worked with Mainframe technologies and Knowledge on TSO,ISPF,COBOL, JCL, VSAM, DB2 and CICS
• Experience in ETL Data Warehousing, database testing using Informatica for Workflow process
• Strong in Analyzing Business spec and Develop Test Plans, Test Scripts & Test Cases and Execute them.
• Knowledge on QNXT, FACETS,ANSI X12 5010 version,837 X12,HL 7 and NCPDP formats
• Strong knowledge in Data Warehousing concepts, Teradata utilities (BTEQ, FASTLOAD, FASTEXPORT, MULTILOAD, SQL Assistant), Data Modeling
• Knowledge on Supply chain Management, Oracle ERP and Oracle E - Business Suite 11.5(Oracle Applications)
• Knowledge on Telecom Billing AMDOCS Ensemble/Enabler
• Knowledge on Workday modules HCM, Staffing, Benefits, Compensation and different types of Simple, Advanced Custom Reports and Matrix Reports in Workday
• Extensive experience in backend testing using SQL and databases Oracle, Sql server,Db2
• Experience in Software Development Life Cycle and Testing Methodologies.
• Responsible for mentoring resources technically and training other QA Team Members.
• Knowledge on AGILE product lifecycle management software solutions.
• Experience in working Onsite-Offshore

PROFESSIONAL EXPERIENCE:

Confidential, Jacksonville, FL

Business Analyst/ Sr QA Analyst

• Assisted in the development and maintenance of Testing Procedures and adhere to all business processes.
• Conducted JAD and brain storming sessions with the business users and stakeholders
• Gathered requirements data, verified requirements and created business requirement specifications (BRS).
• Performed Requirement Analysis to develop System Requirement document, UML diagrams Use Cases, Activity Diagrams and Sequence Diagrams). Hence developed and documented conceptual design of Application in System Specification Document
• Analyzed and collected business requirements, identified system interfaces and created the requirements & design specification documents
• Managed and tracked change control process of requirements and design changes using Rational Requisite Pro. Documented the changes, issues and their impact on the system design and delivery.
• Extensively interacted with both user group and development team and coming up with structured charts, Class and sequence diagrams
• Created process flow diagrams using Visio
• Involved in testing Workday modules HCM, Compensation, Benefits, Payroll, Time Tracking
• Created reports with Workday Report Writer and Configured Custom Reports into Work lets
• Configuration of the application for implementing the Business Rules and Scenarios using Siebel Tools .
• Used Siebel Tools to modify applets, views, and screens to meet client requirements
• Participated in scrum meetings and AGILE QA methodologies
• Managed QA team of 10 resources
• Attended defect resolution meetings with the development teams and worked towards bug resolution
• Participated in business, client and status meetings.
• Involved in testing QNXT Member, Provider, Claims Processing, Accumulators, Contracts, Benefits,Plan and Utilization management
• Involved in Adding Contracts to the Provider in QNXT and associating Providers in Portal while creating
• Claims .
• Involved in Adding Contracts to the Provider in QNXT and associating Providers in Portal while creating claims
• Worked in Utilization management module for to create and test PA.
• Involved in Processing QNXT 837 Healthcare Claims .
• Experienced in developing Work Flows and Activities, Rule based Business Process Management using Pega Rules Process Commander (PRPC) , Decision tables, Decision maps, Declarative expressions, Constraints, and Indexes
• Involved in creation of search reports using List view and Summary view rules of PEGA PRPC
• Used Team foundation server (TFS) source control to deploy application.
• Experience in creating queries in Team foundation server(TFS) and validated results of TFS reports
• Used Quality Center for Requirements, Test Case execution and Defect tracking.
• Verified the test cases are uploaded and mapped to requirements in Quality Center
• Customized the Quicktestpro(QTP) script as per the test case by using vb script
• Validated 837 Claim submission transactions and verified whether adjudication system is processing claim with valid information and rejecting ones with invalid information
• Validated claim application systems adjudicate the claims received in local format and route the payable and reversed claims to payment system to produce checks.
• Validated outcome of adjudication and payment 835 EDI transactions according to HIPAA guidelines
• Enrolled members through online screens and 834 EDI transactions and checked if the eligibility enrollment properly loaded
• Validated Member data, provider data, Price rules, Pricing Calculation methods and Benefit rules for claims
• Validated Whole Claim Pricing Price rules like Base Rules, Cap Rules and Outlier Rules using Diamond tool
• Involved in testing Medicare management applications and Managed care organizations HMO, PPO etc
• Involved in testing Medicaid management information system(MMIS) applications
• Testing with Batch programs are compiled and executed using JCL .
• SQLs are written using QMF to query the DB2 database on mainframe .
• Extensively worked with Informatica Power Center to load data from flat files, oracle and other source systems into target database
• Analyzed the Informatica Workflow and Mappings to find the exact issues on the ETL loads
• Worked on loading of data from several flat files sources using Teradata MLOAD & FLOAD.
• Transfer of large volumes of data using Teradata Fast Load, Multi Load, T-Pump
• Worked on exporting data to flat files using Teradata FEXPORT.
• Created, optimized, reviewed, and executed Teradata SQL test queries to validate transformation rules used in source to target mappings/source views, and to verify data in target tables
• Tested Data Warehousing application on Oracle Database and manipulated large data sets
• Connected remotely to UNIX servers using Putty and FTP files across different test environments
• Generated Cognos reports and cubes using report studio with data drill down and slice & dice options
• Involved in testing Web Services using SOAP, XML, WSDL

Environment: QNXT, Oracle 11i, Informatica,Windows /NT/2000, Sql Server 2008,Sql Navigator, ALM, Quality Center, XML, Teradata, Sql navigator, Visio, QTP 10, Siebel7.xAGILE, .NET, Mqseries, Cognos, Sharepoint, Diamond, JCL, CICS, DB2, TSO,ISPF,Load runner, TFS, PEGA PRPC

Confidential

Test Analyst

• Involved in reviewing Production Claims in NASCO systems HIQK to determine the root cause of suspended claims.
• Involved in manipulating claims in EEC
• Verified claim info in HIQK like ECN,ICN,PCP etc
• Involved in making claim adjustments for finalized claims
• Validated Eligibility process in HIQK using EM and EG segments.
• Validated provider and NPI info using PS and NP commands
• Accessed GENO tables NETWRKID, NETWAPYP etc via TPOL application
• Involved in validating Membership system (TPOL and HIQK), admin file .Benefit file (HRBK) for different projects.
• Validated procedures codes in HURK and diagnostic codes in HDRK.
• Involved in slash work on the claims after developers fixed the defects.
• Referred HURK (Specification/Documentation) when ever needed
• Validated stop tables through HSFK to verify Claims met specific criteria

Environment: Nasco Mainframe system,TSO,ISPF

Confidential, Jacksonville, FL

Business Analyst/ QA Analyst

• Gathered Business Requirements from users and used RequisitePro for documenting the requirements.
• Validated 837 Claim submission transactions and verified whether adjudication system is processing claim with valid information and rejecting ones with invalid information
• Validated claim application systems through Biztalk adjudicate the claims received in local format and route the payable and reversed claims to payment system to produce checks.
• Validated outcome of adjudication through Biztalk and payment 835 transactions according to HIPAA guidelines
• Validating the Medicaid Encounter 276/277 Claim acknowledgements, 997 Functional acknowledgements, 270/271 Eligibility benefit enquiry/Response for all accepted claims.
• Used JIRA for Project management and Defect tracking
• Tracked defects using JIRA and generated defect summary reports
• Managed and move issues in JIRA through the different stages of workflow
• Using JIRA configured project,dashboard settings and created/edited user

Environment: Quality Center, Oracle 11i, Unix,Windows /NT/2000, JIRA, Informatica, Empirix, Business Objects, Teradata, .NET, Visio

Confidential, Alpharetta, GA

QA Lead

• Worked on different Test Decks on different releases for East & West on Orders, Pre-orders, LSR and ASR
• Managed QA team of 7 resources
• Prepared Test Plans, Test Scripts, Test cases on Century Gateway Tool
• Used an Incident Report (IR Tracker) for the bug tracking purposes using mainframe VTAM session
• Interacted with Developers and Business Analyst regarding requirements, test scenarios, and defects

Environment: EDI, Win Runner, Test Director, Oracle 11i, SQL, DB2, CICS,QMF, TSO/ISPF, JCL, Windows/NT/2000, XRM, Beyond compare

Confidential, AZ

Sr. QA Analyst

• Involved in writing Complex SQL Queries using TOAD to validate the loads for Caremark and DEA.
• Assisted in the development and maintenance of Testing Procedures and adhere to all business processes.
• Involved in executing manual and automated test scripts using Rational Manual Tester and Rational Functional Tester
• Involved in Writing test cases using Rational Test Manager and logged defects through Rational Clear Quest
• Experience in Using the Diamond Claims processing system to research claim, provider, and member information.
• Diamond claim windows that are used to research information about the claims.
• Used Rational Clear Case and Clear Quest as Configuration Management and Change control tools

Environment: Oracle 11i, TOAD, SQL, Diamond Tool, DB2,IMSDB/DC CICS,QMF, TSO/ISPF, JCL, Windows/NT/2000, Rational Test Manger, Rational Functional Tester, Rational Manual tester, Rational Clear case and Clear quest, Lotus notes

Confidential, Tampa, FL

Sr QA Analyst

• Upload Manual test scripts into Test director for automation
• Used Quicktestpro for script development.
• Performed backend testing using SQL queries and verified data integrity
• Interacting with Developers and Business Analyst regarding requirements, test scenarios, and defects

Environment: Oracle8i, Java, J2EE, Windows 2000, Solaris UNIX, Quicktestpro, Test Director, IPlanet Webserver, IVR, CTI, Remedy, TOAD, Silk Test, Silk Performer, AMDOCS Ensemble/Enabler, Informatica, Sql Server

Confidential, Dallas, TX

QA Tester

• Created scenarios for Quick test pro automation scripts
• Data migration to Siebel tables through Enterprise integration manager
• Revised Siebel VB Scripts in the Application. Modified existing Scripts and Developed new scripts
• Used Siebel VB to validate the fields with VB code automates certain functions tied to order state
• Involved in preparing Level of effort for change requests from customers and delivered before deadlines
• Upgraded the application from siebel 99.6 to siebel 2000

Environment: Oracle8i, HTML, XML, JavaScript, Windows NT, Manual Testing, Test Director, Quicktest pro, Siebel 99.6/2000, Informatica, Rational Clear case and Clear quest, IVR/CTI, Remedy

Confidential, Culver City, CA

QA Tester

• Tested various text-hyperlinks and image-hyperlinks of Home page and different pages.
• Tested the functionality of each screen to monitor proper navigation.
• Recorded various scripts on different scenarios to run test automated.
• Revised Siebel VbScripts in the Application. Modified existing Scripts and Developed new scripts
• Time sensitive testing was done for different users with different product purchase.

Environment: Siebel 99.5, PVCS tracker, MS Access, Java,J2EE, XML, XSL, Oracle, Apache

Confidential, Princeton, NJ

QA Tester

• Involved in preparing analysis plans, data analysis and statistical report writing presentations to FDA & programming of patient profiles for statistical reports
• Conducting, documenting and reporting computer validation inspections in compliance with 21 Code of Federal Regulations (21CFR), edit checks programs for validation, regulatory compliance, data transmission and integrity check of the existing and in-house Clinical Trial Systems .
• Developed SAS macros for data cleaning and Reporting and to support routing processing
• Created safety and efficacy reports documenting experimental antibiotic drugs, using SAS.

Environment: Rational Test Manager, Rational Functional Tester, Java, SQL,TSQL, WinNT, J2EE, JavaScript, Oracle, UNIX, COBOL II,IMS DB/DC, DB2, CICS, QMF,TSO/ISPF, JCL,SAS, SAS/GRAPH, SAS/AF, SAS/CONNECT, SAS/SQL

Confidential, Mount laurel, NJ

QA Tester

• Responsible for testing Mortgage Point of Sale and Loan Originating System.
• Extensively worked on enhancing the Mortgage Cash and LoanSpan Mortgage applications in loans creation/processing and flowing through down streams.
• Involved in developing test scenarios including various rules on PEGA PRPC application
• Involved in adhoc testing on PEGA PRPC
• Performed Security testing for unauthorized access of web application with valid and invalid data.
• Interacted with business users like Loan Officers, Mortgage Consultants and Vendors to analyze and test business requirements.
• Interacted with Developers and Business Analyst regarding requirements, test scenarios, and defects

Environment: Java, J2EE,Java script, Test director,PEGA PRPC,Sqlserver

Confidential, New York, NY

QA Tester

• Involved in executing manual and automated test scripts using Rational Manual Tester and Rational Functional Tester
• Involved in Writing test cases for AS 400 testing using Rational Test Manager and logged defects through Rational Clear Quest
• Involved in Database Testing (Oracle), loaded the test data into Oracle database by writing SQL queries and PL/SQL procedures.

Environment: HP-UX, Sqlserver, VB Script, AS400, Rational Test Manager, Rational Functional tester