SUMMARY:

• 6 years of experience in testing web based and Client Server including the API Testing use of SOAPUI, WSDL, and XML.
• 4 years of Healthcare enrolment systems experience.
• 3+ years of experience in Automated testing in HP QuickTest Pro (QTP)/ UFT.
• 6 years of experience using QualityCenter/ ALM as a management tool for software defects and for executing test cases.
• 4+ years of experience analyzing 834, 837, 835, 277, 270, 271, 5010 and ICD - 10.
• Experience with TriZettos Facets Application Groups: Claims Processing, Guided Benefit Configuration, Medical Plan, Provider, Subscriber/Member, Utilization Management.
• Experienced in various QTP/UFT Automation Frameworks, including Hybrid Framework, Keyword driven Framework and function architectural framework.
• Proficient in Descriptive Programming using VB Script Programming Language.
• Experienced in Agile and Waterfall methodologies.
• Ability to maintain communication both offshore and onshore Team.
• Strong interpersonal skills both Spoken and written.
• Extensively uploaded test cases from MS Excel, MS Word to Jama & Quality Center.
• Well conversant with scripting languages like VB Script, HTML, DHTML, and XML.
• Developed SQL scripts and wrote stored procedures to validate the flow of data from Legacy source to target application database and ability to perform data validation (of ETL processes, schema and DDL check, data flow from data warehouse to application databases, data marts, return marts, referential data, repositories).

TECHNICAL SKILLS:

METHODOLOGY: Agile, Waterfall

Testing Tools: HP Quality Center (QC/ALM), HP Quick Test Professional (QTP) / UFTJama, Jira, Perfecto Mobile, SoapUi:

Languages: VBScript, HTML, Java

MS Office Tools: MS Word, MS Excel, MS Power Point

O/S: Windows XP / 7, UNIX, Linux

DATABASES: IBM-DB2, Oracle, SQL Server

PROFESSIONAL EXPERIENCE:

Confidential, Fort-Washington, PA

QA/EDI Test Analyst

Responsibilities:

• Tested core Functionalists of HEALTHsuite which includes Membership, Provider Management, Claim Processing, Billing, Plan/Product, Network Pricing, Customer Service and Utilization Management Modules
• Tested Billing Claim Adjudication, Reporting, letter, CMS encounters enhancements and Batch Eligibility Query (BEQ) response processing
• Verified XML files which converted to and from EDI file.
• Worked with Claims authorization and Claims payment process
• Created different EDI files 834, 837, 835 using ULTRA EDIT
• Tested Inbound and Outbound EDI Transactions by ran those through MQ Visual Edit
• Limited expose to Shell Scripting using SSH Secure Shell Client
• Verified log files to find the errors and analyzed them and performed Root Cause Analysis
• Developed Test cases based on BRFS/BRD, Executed them and reported issues using Departure Ticketing system.
• Performed various types of testing like functional Testing, Regression Testing, Backend Testing in-order to provide best quality software or solutions to it's clients
• Conducted backend testing IBM DB2 which run on IBM AIX 7.1 sever and used SQuirreL to connect
• Used various tools like ULTRA EDIT, MQ Visual Edi to run batch jobs and to manage Queue
• Familiar with Optum Claims Editing System, OptumInsight EASYGroup, McKesson Integration Module (MIM) and ClaimCheck which are integreted with HEALTHSuit and Pervasive Data Intergrator
• Worked in a diverse team environment

QA/EDI Specialist

Responsibilities:

• Created UAT scripts for the state Employees.
• Provided Training and Mentoring UAT Testers how to use tools like Jama and Jira.
• Attended Meetings to inform current status of testing.
• Tested interfaces using both Manual and Automation tool SoapUI.
• Conducted work flow analysis to bring out the identified gaps and documented it.
• Worked with different functional groups to arrive at the common business and technical specifications.
• Involved in testing HIPAA EDI Transactions mainly focused on Eligibility Transactions.
• Conducted user interviews, gathered requirements, and analyzed the requirements for the new health and Benefit exchange.
• Traced Requirements using Requirement Traceability Matrix.
• Performed Back-end testing on IBM-DB2 Using Putty.
• Reported daily and weekly Defect report using Jira.
• Performed validation of QA work done by UAT tester.
• Collaborated with multi-level stakeholders to collect and provide information such as CMS, VA, NIH, States governments and other government agencies.
• Validate the rules Engine developed for eligibility determination for Medical Assistance, SNAP, Child care Assistance etc.
• Performed Functional test, Cross-browser test, UAT test and Ad-Hoc test

EDI Analyst

Responsibilities:

• Worked as EDI analyst with the team supporting all phases of design development and implementation of enrollment resolution and reconciliation process for the Health insurance exchange.
• Participated in design sessions, report on project progress and identify potential risk and issues.
• Responsible for trouble shooting and resolving the errors in 834 and 820 Transactions and performing root cause analysis.
• Analyzed discrepancies in the eligibility reconciliation process for multiple stake holders and continuous process improvement of the reconciliation process.
• Provided constant to and for collaboration with training staff on training stakeholders on the transaction and reconciliation process.
• Worked as Team lead in Agile environment as additional duty.
• Co-ordinate with team members and management for day to day Agile activity
• Provided constant update to and for collaboration with training staff on training stakeholders on the transaction and reconciliation process.
• Uncovered issues and document them thoroughly using the bug-tracking tool.
• Worked with technical and development team to resolve identified issues in a timely manner.

QA Analyst

Responsibilities:

• Prepared test plan and test case, design based on the system and business requirements.
• Wrote test cases based on the requirements, in the test case management tool Jama and logged defects in Jira.
• Conducted Smoke testing for overnight builds and reported the critical issues to the developers.
• Conducted cross-browser testing using Internet Explorer, Google Chrome, and Mozilla Firefox.
• Found defects by executing test cases and logged them in Jama and Jira.
• Collaborated with developers during the defect life cycle to retest and verify that the defect was fixed.
• Developed automated scripts for regression testing using QTP. Debugged and enhanced the scripts, ran scripts, and wrote user-defined functions using VBScript.
• Performed data-driven testing using QTP and integrated descriptive programming in QTP script for dynamic object recognition.
• Performed back-end testing to ensure data consistency on the front-end, by writing and executing enterprise-level, complex SQL queries on the DB2 database, using Putty.
• Attended meetings with QA Lead, QA Manager, Functional Team (BA) and Development Team regarding requirement analysis and test case review.

QA Analyst

Responsibilities:

• Analyzed system requirements and developed detailed document for system testing using ALM and Performed Gap Analysis.
• Created tasks and test cases based on acceptance criteria.
• Performed smoke testing before the actual execution of test cases.
• Operated within an Agile environment, with daily scrum meetings, stand up meetings, burn-down charts, presentations and review.
• Defined the test criteria, project schedules and base lined the Test Plan with the help of project meetings and walk through meetings.
• Clarified QA team issues and reviewed test plans and test scripts developed by QA team to make sure that all requirements will be covered in scripts and tested properly.
• Analysed the business and functional requirements of the application and developed detailed test plans, test cases in Test Director.
• Reported defects using QC and interacted with developers to resolve defects / issues.
• Created automated scripts to perform regression test using Hybrid Framework in QTP.
• Developed both keyword-driven and data-driven frameworks using VBScript, Descriptive Programming to use with QTP Automation Testing tool.
• Developed and executed SQL queries on Oracle Database for back-end testing.
• Developed test suite and test cases, execute d test cases and generate d report in SOAPUI .
• Performed xml data validation using assertion method in SOAPUI .