SUMMARY:

• Over 7 years of diverse experience in Information Technology spanning 6 projects with an emphasis on Software Quality Assurance, performing Manual and Automated Testing of stand alone, client/server and web applications.
• Extensive knowledge of various phases of different Software Development Life Cycle (SDLC); models like Waterfall, Agile, SCRUM, RUP, etc
• Experienced in Full life cycle Manual and Automated Testing in a Web - based Applications (JAVA, .NET etc), Client/Server Applications, and mainframe applications in Multi-Tier environments.
• Experience in testing web applications developed in Java and .Net technologies.
• Extensive knowledge of different kinds of testing like Back-End Testing, Positive/Negative Testing, Black/White box Testing, Configuration Testing, Data Driven Testing, Black-box/White-Box Testing, End to End Testing, Unit Testing, Functional, Integration Testing, System Testing and Regression Testing.
• Expertise in problem solving and bug tracking using Mercury tools like Quality Center, Doors, Rational Clear Quest and Test Director.
• Expertise in querying and testing using RDBMS tools like Oracle, MS SQL server, PL/SQL, DB2, QMF, TOAD, and MS Access for Data integrity.
• Thorough understanding of Software Development with various programming languages such as, C, C++, Java, .Net, HTML, XML, etc.
• Well versed in the Internet technologies and Object Oriented Programs.
• Huger exposure to various banking, financial, health, retail and data warehouse modules.
• Expertise working in Healthcare industry with Insurance, Loans, Claim Processing, etc. Medicaid and Medicare modules as well as Interface Testing and Data Conversion.
• Expert in analyzing system and functional specifications used cases, Business Requirements and business rules to prepare Test Plans and design Test Cases from business requirements.
• Strong knowledge in Web Services, WSDL, Mainframes, etc.
• Good knowledge on different modules within healthcare (Membership, billing, enrollment, Claims, capitation, providers).
• Experience with HIPAA compliance (4010 & 5010) and Healthcare systems.
• Expert working experience in Mainframe applications including technical support, installation and maintenance, various QA testing and Legacy Mainframe environments, etc.
• Strong working experience in the data analysis, design and development, implementation and testing of data warehousing using data conversions, extraction, transformation and loading (ETL), Informatica, Business Objects, MS SQL server and Oracle.

TECHNICAL SKILLS:

Testing Tool: WinRunner, LoadRunner, Quick Test Pro, Rational Team Test

Test Reporting Tool: Quality Center, Test Director, Rational Clear Quest

Operating System: Windows 98/2000/XP/NT, UNIX, LINUX

Database: Oracle, MS SQL Server 2005/2008, MS Access, TOAD

Testing Language: VB Scripting

Programming Language: C, C++, SQL, Java/J2EE

Web Technology: JSP, ASP, XML, HTML

Other: MS Office (Word, Excel, PowerPoint), IBM Mainframe AS/400, JCL, Fileaid, Business Objects, HIPAA, EDI, HL7, MMIS (Medicaid Management Information System), Medical Claims, Trizetto Facets, Networking protocols and fundamentals

PROFESSIONAL EXPERIENCE:

Confidential, Phoenix, AZ

Sr. QA Tester

Responsibilities:

• Performing Functional and GUI testing on Facets Billing, Customer service and Subscriber application under Facets.
• Project Execution - Assign tasks to resources, monitor progress along milestones, direct the end-user acceptance testing and manage the in corporation of ad hoc requests.
• Tested EDI files: 837, 834, 820. Mocked up test data for EDI files.
• Created and maintained test cases in Quality Center/Test Director.
• Analyzed Business Requirements and written test plan and executed test cases.
• Modified previously existing test cases that were driven by the manual testing.
• Communicated and interacted with appropriate areas on problems, changes and enhancements that impact data, workflow and functionality within Health IT software.
• Actively participated in Walk though, inspection, review and user group meetings for QA.
• Planned, Documented, Evaluated and tracked testing results to ensure system applications are free from defects.
• Involved in reviewing and enhancing the codes for applications.
• Interacted with developers, discussed the Business Specifications/Requirements and also the changes and the discrepancies in the application.
• Extensively involved for Back-End Testing and related database issues.
• Extensively involved in writing SQL queries to perform Database Testing/Back-End Testing on DB2 and windows environment.
• Manual Testing for checking the flow of the application functionality.
• Met with the developers and technical content writers on a daily basis to update the test documents.
• Involved in decision making to launch new builds.
• Responsible to work on Medicaid Management Information System which includes two divisions: HIPAA compliance and Maintenance units division and Claim processing division.
• Prepared Test Plans and Test Cases based on the functional requirements, HIPAA and HL7 regulations like 834, 835, 837, NCPDP, etc.
• Developed Automation Test Scripts to perform Functionality, Security, UAT and Regression Testing using Quick Test Pro.
• Used HL7 and FACETS to receive, store and send HIPAA-standard transactions.
• Involved in testing the functionalities of the application and validated against the requirements using Test result analysis and Database testing by performing SQL Queries and Commands.
• Worked on EDI request transactions (270, 276,278) and response transactions (271, 277).
• Also, conducted different Functionality and Data Testing for the extracted data using FACETS.
• Defect tracking and bug reporting using Quality Center.
• Conducted result analysis and interacted with developers to resolve bugs.
• Interacted with developers, business analysts and discussed technical problems and reported bugs.

Environment: Windows XP, Facets, VB, SQL, HIPAA, EDI, IBM Mainframe AS/400, JCL, Fileaid, XML, Quick Test Pro, QTP, Quality Center.

Confidential, Jacksonville, FL

Quality Analysts

Responsibilities:

• Analyzing the system specifications, business requirements, worked closely with the business user to gather requirements for new development.
• Utilized Rational Unified Process (RUP) to configure and develop process, standards and procedures.
• Met with report users and stakeholders to understand the problem domain, gathered customer requirements through surveys, interviews (group and one-on-one) along with JAD sessions.
• Involved in understanding the current business process, defining scope of the project along with position statement.
• Provided HIPAA integration and applied ANSI ASC X12 standards for 270/271, 276/277 transaction.
• Experience in working with federal state entity to ensure the member insurance enrollment.
• Wrote BRD, FRD, use cases, test scenarios, test cases for testing the functional requirement
• Developed and executed various Manual Testing Scenarios and neatly documented the process to perform Functional Testing.
• Mercury Quality Centre was used to upload the Test cases and to run the test cases.
• Worked with business users to understand their requirements, worked with developer team to develop prototypes/Mockups, demonstrated prototypes to the business users.
• Worked with developing HIPAA Companion Guides Enrollments, and Eligibility Inquiry/Response, Health Plan premium payments for MMIS (Texas, Maryland, Illinois and Virginia)
• Worked with enrollment process and maintain Medicare member enrollment process.
• Worked with MMIS (Medicaid Management Information system) to analyze the subscriber eligibility.
• Worked on MITA maturity model in medicates system.
• Involve in TRR and MRR transaction of enrollment send by CMS (center for Medicare and Medicaid service, government entity).
• Involve in migration of project from web based application to another, like MHS to Diamond.
• Prepared and implemented test cases for System Testing as well as for User Acceptance testing.
• Conducted united testing after each module. And tracked Defects.
• Worked with SQL queries to derive data from data base.
• Conducted Integration Testing and Regression Testing with developers in development and QA, also conducted user acceptance testing with UAT team. Safety reporting on system-based projects, acted as a liaison, writing documentation and increased project coordination.
• Experiences in CMS transaction in getting eligibility response check the member eligibility.
• Defect Tracking with HP quality center with Clear Quest, Configuration Management with Clear Case.

Environment: SQL, XML, MS Visio, Toad, Mainframe AS/400, JCL, Fileaid, HP quality center, MS-office, MS-Word, MS-Excel.

Confidential, Falls Church, VA

Quality Analyst

Responsibilities:

• Responsible for gathering, analyzing and digesting the requirements and the critical areas of the application to setup and execute baseline tests.
• Participate in Agile SDLC using the Scrum process.
• Executed test scripts to verify the expected results based on the system requirements maintained in Quality Center.
• Responsible to report bugs using Quality Center and MS Excel.
• In depth knowledge of Health Insurance process, Claims, HIPAA & its approved transaction codes.
• Used an extensive working knowledge of Facets.
• Analyzing the Facets Requirements and thus conducting gap analysis.
• Determined user requirements and goals by conducting meetings with client.
• Drafted test strategies, test cases and test plan based on functional specifications.
• Developed test cases for manual testing.
• Establish test data for testing the application.
• Analyzed and worked with HIPAA specific EDI transactions for Claims, member enrollment, billing transactions. Worked specifically with 837, 835, 834,270/271.
• Extensively involved in writing Test scripts using Rational Manual Tester to perform Manual and Automation testing on the AUT under the different Programming Environment.
• Involved in FACETS Implementation Testing, involved end to end testing of FACETS Billing, Claim Processing and Subscriber/Member module.
• Checked the schema of Oracle database manually or using Toad after every upgrade.
• Designed, scheduled and executed test plans within the predefined timeframe.
• Conduct the testing (system and regression) of all applications to ensure application integrity both AS/400 based systems and web-based applications. Entails: Managing/executing the testing effort, logging detailed accounts of errors/defects in the systems, and coordinating with the Application Development and Operations teams to diagnose and troubleshoot any errors/defects.
• Performed Test Execution & wrote & Executed Test Scenarios/Test Scripts.
• Writing Test Plans/Test Scenarios/Test Cases/Test Matrix.
• Executing System Test, Regression Test, User Acceptance Testing (UAT).
• Developed design specification writing Test Reports & documenting test results.

Environment: Windows, EDI, Facets, SharePoint, Fileaid, JCL, Mainframe AS/400, Agile, MS Office, SharePoint, SQL, Test Director, Quality Center.

Confidential, Boston, MA

QA Analyst

Responsibilities:

• Review database design and other related documents for better understanding of the application.
• Worked on Agile SCRUM approach implementation for the whole testing life cycle for Performance Test.
• Fully engaged and mentored the development and management teams in the Agile/Scrum process.
• Maintained QA lab standards, documentation review assisted in establishing and maintaining best practices for QA and created requirements, test cases, test scripts with specified schedules in Test Director.
• Responsible for performing computer system validation for new and legacy systems.
• Assist clients in the computer systems usage best practices to avoid non-compliance. Also helped in the documentation for the same.
• Created templates to be used in assessments of the system.
• Conducted Back-End Testing manually for the purpose of Database Integrity.
• Using QC manually track all the defects in Logs.
• Wrote complex SQL queries in TOAD (Relational DB) to perform Back-End testing. Participated in data analysis for verification purposes using SQL queries, views and procedures.
• Written and maintained SQL scripts to accelerate the testing process.
• Interacted with programmers to identify and resolve technical issues.
• Initiate meetings concerning different clients at regular intervals to update them on the progress of the project.
• Manually performed User Acceptance Testing of FACETS implementation.
• Performed User Acceptance Testing (UAT) with all business users and interacted with developers for any bugs found while UAT.
• Maintained and systematized the documentation process.
• Participated in various meetings, which are done for Enhancement Request and Modification Request of applications, following the client requirements.
• Participated in walkthroughs with the management team and developer team.
• Trained the team members, presented demos in team meetings and participation in business requirement meetings.
• Coordinated with developers to fix the bugs and maintained bug status up-to-date in Test Director.

Environment: Windows XP, SQL, UNIX scripting, TOAD, Test Director, Remedy Call Tracking System, Manual Testing.

Confidential, Bronx, NY

QA Tester

Responsibilities:

• Used SDLC basis of planning approach Microsoft Project used for Planning, Control, Resource Planning and Status reporting
• Involved in daily communications and face to face discussions with individual team members, the sponsor and key stakeholders.
• Presented project proposals and status to executive management
• Writing Test Plans/Test Scenarios/Test Cases/Test Matrix.
• Tested user interface and navigation controls of the application using Quick Test Pro.
• Developed scripts using descriptive programming for testing the future releases of the application using QTP
• Developed Project Plans incorporating resources, schedule and scope using the Work Breakdown Structure
• Performed data integrity testing by executing SQL and PL/SQL statements
• Developed automation test scripts for performing regression testing on the application using Quick Test Pro
• Financial System Replacement and Warehouse Project Manager that identified the new process and software through requirements gathering and gap analysis, implemented Solomon and created a Financial Warehouse with data feeds from the core system for Claims, Service Accounting, and data required for regulatory reporting along with feeds from external sources.
• Involved in Change Management Process, Managed requirements analysis, process development
• Responsible for reporting Core System Upgrade for the Finance and Claims Module

Environment: Windows XP, SQL server, Rational Requisite Pro, MS Visio, Load Runner and Quality Center.