PROFESSIONAL SUMMARY:

• 13+ years’ of diversified experience in the field of IT, with emphasis on Quality Assurance and Business analysis.
• Strong Testing skills include manual testing, White Box Testing, Black Box Testing, User Acceptance Testing (UAT), System Testing, Regression Testing, Integration Testing, Load Testing, Performance testing, Sprint and Smoke Testing.
• Extensive experience gathering, defining, business requirements (BRD) translating them into functional specifications (FSD) and technical specifications (TSD).
• Strong skills in creating/maintaining Test Plans, Test Strategy, Test Cases, Traceability Metrics, Test Summary Reports and Test Scripts for end to end functionality testing and configuring Defect Management Process.
• Extensive experience in SQL scripts used in back - end testing and data validation.
• Highly analytical in developing testing methods and measures to meet requirements and solve any issues that arise during the project
• Experience in conducting JAD sessions for project definition involving analyzing requirements, creating prototypes, user interface.
• Direct responsibilities include experience with requirements gathering, planning, organizing, and Change Management.
• Experienced with Medicare, Medicaid, and commercial insurances and worked on most HIPAA - EDI transactions 834(Enrollment), 835,270,271,276,277,820,999, 277CA and 837 Claims/Encounters.
• Extensive experience in E2E processing of Health care claims (837) and Enrollment (834) EDI X12 Transactions both Inbound EDI & Outbound verticals and conversant with most of the Medicare and Medicaid business requirements of different states like KY, GA, FL, IL and MO.
• Extensively used tools like Quality Center (ALM) for managing requirements and defect tracking.
• Experienced with all 837 encounters validations related to Member data, Provider Data, claims data, Void & replace logic, Duplicate logic, NPI validation, Exclusion rules, Manipulation rules, SNIP 1-7 edits Data mapping, claim adjudication system, batching of X12, reconciliation of state responses 999 & 277CA
• Experience in Business Process definition, Risk Analysis, and Use case Analysis.
• Experienced to work collaboratively with business analysts, quality testers, developers and other team members in complex projects and in overall enhancement of product quality with strong skills in planning, estimating, scheduling & controlling activities of the team.
• Strong analytical, problem- solving and communication skills with particular emphasis on clear, detailed Business Requirements and Functional Specifications, as well as reports for management.
• Experience in working with various departmental teams, developing interactive relationships with business and IT colleagues, having a thorough understanding of the constraints, needs, and perspectives of both the business users and the technical team.
• Experienced working under pressure with diverse group and individuals and capable of multitasking independently while building long lasting relationships with team members, stakeholders and end users and enhancing the customer relationship management to serve the customer better.
• Excellent work ethics, Self-starter, quick learner, team player,  driven by creative ideas and backed by strong analytical and methodical problem solving skills, identifying causes, corrective actions and providing innovative solutions, building strategic partnerships with senior business leaders and getting commitments to actions from individuals at all levels.

TECHNICAL SKILLS:

Testing Tools: HP-ALM (Application Lifecycle Management), Selenium, HP-UFT (Unified Functional Testing), HP-QTP (Quick Test Professional), IBM Rational, Mercury Testing Tools

Testing Methods: Manual, White Box, Black Box, User Acceptance Testing (UAT), System, Regression, Integration, Load, Performance, Functional, sprint testing, stress testing, GUI, and Smoke.

Operating Systems: Windows 98/XP/2000/7/8/NT, UNIX, MS-DOS

Programming Languages: C, C++, SQL, PL/SQL, Java

Querying and ETL tools: PL/SQL Developer, SQL Server Management Studio 2008/2012, Informatica

Documentation Tools: Word, Excel, PowerPoint, Access, MS Visio

PROFESSIONAL EXPERIENCE:

Confidential, Tampa, FL

Sr. BSA Analyst

Responsibilities:

• Created requirement workbooks to capture payroll and HR requirements for complex business scenarios for countries across the globe.
• Requirement gathering and documentation of the system, which includes the creating Business Requirements document (BRD), Functional specification documents (FSD) and Technical design documents (TDD).
• Performed detailed analysis and compiled data in payroll requirement worksheet for Overtime rules, WTR, Night premium, Vacation, Sick Leave, Holidays, Hourly Rate, Proration, Mob/Demob/Travel, Allowances, Bonus, Pay Premiums, Employee Benefits, Terminations, Severance, Training, deductions, holiday and payroll calendar, country regulations etc.
• Created detailed Process flow for different complex Business activity classes, to provide a clear and simplified solution.
• Create Use-cases, process flow diagram, As-Is / To-Be Document.
• Engaging stakeholders & review the solution documents
• Reviewed and enhanced the payroll requirements workbooks for countries from ASIA, EU, LATAM and Middle East and Africa region.
• Standardization of concepts like Mob/Demob, Travel, Training etc. across the region after in-depth analysis of labor laws, CBA and union documents.
• Analyzed labor law, Contracts, SOP and captured detailed payroll requirements for more than 30 countries form Asia, Europe, Middle-east and South America
• Created an understanding documents for difficult concepts/topics with analysis and variations across countries and how differently they are handled in various region.
• Facilitated Requirement review session with the Payroll and HR stakeholders
• Performed Gap and RAID analysis of payroll requirements.
• Captured detailed requirements for incoming employees from GE to Confidential payroll system.

Confidential, Tampa, FL

Sr. QA Analyst/ BA Analyst

Responsibilities:

• Worked extensively on End 2 End cycle of healthcare claims 837 EDI X12 inbound EDI claims & outbound state reporting Encounters and tested all related complex business requirements.
• Responsible for software testing activities including creating Test Plans, Test Cases, Test Scripts and Test Strategies, execution of tests and reporting defects.
• Extensively used SQL statements to query the Oracle and SQL Database with complex multi-table joins and queries and Retrieved records from multiple tables for Data Validation and Data Integrity
• Extensively worked on Enrollment, claims validation, EDI and Encounters verticals for the Medicare and Medicaid business requirements of different states like KY, GA, FL, IL and MO.
• Investigated and corrected Encounter issues through data and process analysis, Identified opportunities for enhancements, and conduct business process improvement sessions
• Extensively worked on EDIFECS X-Engine, SpecBuilder, Transaction management (TM) Web-app and HTR (Healthcare transaction repository) and Encounter repository (ER)
• Extensively ran SQL queries to analyze, review, and retrieve the back-end claims/enrollment data for data analysis and reporting and presented recommendations for business solutions
• Established testing priorities and scope, developed testing strategy, reviewed testing strategy, validated requirements and specifications, developed test plans, and develop test scenarios.
• Maintain schedules and coordinate activities of an entire group or team. Providing Level of Effort, Test Environment requirements, identify resource/skills and test schedule
• Extensively worked on 834 Enrollment to fulfillment (E2F) process.
• Performed UAT testing and full UAT support at the end of Level to ensure that the business receives the support needed to adequately test the functionality.
• Responsible for Creating/Reviewing and delivering System Test plans, End to End Test Plans, Test cases, Requirement Traceability Matrix
• Worked on multiple projects and production issues(RTB tickets) simultaneously
• Performed end to end project Management tasks for every stage of the project to ensure delivery Of all projects within established SLA's.
• Reviewed functional/design specifications and other relevant documents to extract test requirements
• Provided a weekly project report that includes Metrics and status reports
• Written Test plan for EDI transactions 834,835,270,271,276,277,820,999, 277U, TA1 and 837 claims.
• Responsible for writing the Test Cases and Test Scenarios based on the Functional Specification and technical Specification and documented in Mercury ALM.
• Worked to test the SNIP level 1-7 testing on EDI X12 transactions.
• Co-coordinating between offshore team members, facilitating knowledge transfer sessions with offshore teams, facilitating reviews and walkthroughs.
• Managed resources to the project testing and track the progress of project and communicate the issues.
• Performed full User Acceptance Testing (UAT) on numerous LOB expansion projects

Confidential, Phoenix, AZ

Sr. QA Analyst/ Tester

Responsibilities:

• Responsible for software testing activities including creating Test Plans, Test Cases, Test Scripts and Test Strategies, execution of tests, and reporting defects.
• Worked on Health care claims 837 and enrollment 834 inbound load and outbound state submission.
• Data manipulation of the EDI X12 files 834, 837 (I, P&D)
• Wrote complex SQL queries for backend data validation
• Managed schedules and coordinated activities of a team, providing Level of effort, Test Environment requirements, identified resource/skills and test schedule, testing strategy to perform ambiguity analysis, and performed risk analysis.
• Prepared test data for positive and negative test scenarios for Functional Testing as documented in the Test Plan.
• Created QA strategies, plans and tests to address end-to-end systems testing needs.
• Developed Test Cases based on Requirement Specifications and Design documents.
• Conducted walkthroughs for High level requirement to discuss data, technology and application integration.
• Compiled test cases for 4010 EDI 837, EDI 834 and EDI 835 to 5010 Changes
• Created Use Case specifications, business flow diagrams and Sequence diagrams using MS Visio, so the developers and other stake holders can understand the business process according to their perspective with all possible alternate scenarios.
• Involved in data extraction, transforming, loading, System integration testing (SIT).
• Created Traceability Matrix to uniquely trace the identified business requirements to functional requirements and to ensure that requirements have been developed into the solution.
• Worked closely with both development and testing teams to improve quality of the application.
• Analyzes, identifies, and prioritizes complex and competing business requirements across business functions.
• Coordinate with Development and QA teams to develop Unit and System test strategy and document test plans.
• Provide support to Project Managers to ensure projects meet required timelines and deliverables. 
• Consistently worked with the developers and testers to ensure bugs are fixed within the timeframe allocated for the project
• Provided support to QA to write test cases for complex business requirements and review test plan strategy documents with QA.
• Reviewed and evaluated all enhancements before delivery and deployment to ensure its meeting the standard criteria
• Meets or exceeds all defined target goals and milestone dates for the projects in order to ensure its overall success.
• Analyzed the available artifacts such as BRD, both functional and nonfunctional, Use Cases, and Data Flow diagrams.
• Analyzed system requirements and developed test cases for Functional, GUI and Regression testing.
• Used Quality Center for preparing the test case and for tracking defects.
• Acted as a single point of contact between the developers & the testers for any issues & deployments.
• Coordinated with users for User Acceptance Testing in a production environment.

Confidential, CT

Sr. QA/ BA Analyst

Responsibilities:

• Prepares detailed specifications from which programs will be written. This function may include those defining business processes.
• Responsible for software testing activities including creating Test Plans, Test Cases, Test Scripts and Test Strategies, execution of tests and reporting defects.
• Conducted JAD sessions with users, developers, and other stakeholders to understand and resolve new and open requirements and issues.
• Partnered with QA team to create and Test scenarios, Test Plans and Test Cases based on user requirements and functional specifications.
• Fully responsible for requirements gathering and documentation.
• Conducted Review meetings with the managers and responsible for documenting plans and meetings.
• Assisting the PMs in setting realistic project expectations and in evaluating the impact of changes on the organization and project plans
• Post-deployment monitoring of business rules to verify changes process correctly as well as unchanged rules continues to process as before.
• Identifies road blocks to achieving business benefits and identifies creative solutions.
• Facilitated function point analysis in support of the agile software development life cycle.
• Analyzes and troubleshoots issues. Generates innovative ideas to resolve problems.
• Fully responsible for requirements gathering and documentation.
• Helped the Database team identifying requirements.
• Formulates, defines and documents the functional system specifications.
• Worked on ANSI X12 834, Enrollment and fulfillment (E2F) process.
• Participate in the identification and reporting of risks and mitigation plans.
• Helped manage risk analysis and mitigation plans, status reports, and client presentations, prepared business process models, defined milestone deliverables, and established critical success factors.

Confidential, TN

Sr. QA/ BA Analyst

Responsibilities:

• Daily involved with the software development life cycle, documenting and working through systems issues as a part of a team.
• Analyzed system requirements and developed test cases for Functional, GUI and Regression testing.
• Played an active role in gathering, analyzing, documenting Business Requirements, Technical Requirements and business rules from the Business Group.
• Worked with numerous SQL Statements testing and validating Oracle applications.
• Gathered requirements and applied logical analytical thought to a business issue.
• Facilitated and co-coordinated all User Acceptance Testing activities
• Performed Smoke Testing, System End to End testing and Regression Testing on system used for Claim processing
• Participated in meetings with Business Analysts, QA team, Dev team and business users to discuss UAT test plan.
• Uploaded Business requirements, Test Scenarios, Test Cases and Defects from MS Excel to Quality Center.
• Conducted Business Requirements, Functional and Technical meetings with Business groups.
• Worked through systems issues as part of a team. Tracked program defects.
• Written modification requests for the bugs in the application and helped developers to track and resolve the problems.

Confidential

Business Analyst

Responsibilities:

• Understand and articulate business requirements from user interviews and then convert requirements into functional specifications.
• Interfaced with business users to prepare and update Business Requirements document (BRD).
• Performed GAP analysis of business rules, business and system process flows and requirements.
• Proper planning and clear statements of requirement was documented during the requirement gathering phases by face to face meetings and JAD sessions. Circulated the business requirements document to the stake holders and get their sign off.
• Worked closely with developers and business users, and participated in product design process and document reviews.
• Conducted business requirements, functional and technical walk-through meetings.