SUMMARY:

• 9 years of experience in the field of Information Technology with emphasis on Software Quality Assurance in Insurance, Healthcare and Retail industry, performing Manual and Automated Testing of client/web - based server applications.
• Experience with all phases of SDLC (Software Development Life Cycle) and Quality Assurance methodologies (Waterfall and Agile).
• Experience in test automation using Selenium Webdriver.
• Experience in Automation and Manual Mobile Testing with iPhone/iPad and iPod and different Payment devices. Also have experience in Database Testing of Front-End as well as Back-End of the Application.
• Specialized in system study and testing Health Care and Insurance applications developed on various technologies such as QNXT, EPIC, FACETS, CERNER/McKesson and MEDITECH.
• Extensively worked in an EPIC environment and I have gained extensive knowledge about various modules of an EPIC system such as Eligibility and Benefits, Hospital Billing, Clinical (inpatient/outpatient), Ambulatory, Scheduling, registration and Reporting.
• Experienced working in a QNXT and FACET environment and I have gained extensive knowledge about various modules of a FACET system such as Member, Provider, Claims, Billing and Utilization management etc.
• Involved in EPIC, FACET, QNXT configuration, Customization, reporting, analysis and enhancement.
• Extensively worked on EDI transaction like 837, 835,834, 820, 270/ 271, 276/277 and 278.
• Knowledge of Medicaid and Medicare Services.
• Expertise in writing SQL Queries using Oracle and SQL Server in validating data for back-end testing.
• Excellent knowledge of HIPAA standards, EDI (Electronic data interchange), transaction syntax like ANSI X12, Implementation and Knowledge of HIPAA code sets, ICD-9, ICD-10 coding and HL7.
• Motivated self-starter with exceptional team building, leadership, and interpersonal skills. Good team player with the ability to work in time sensitive environments.

TECHNICAL SKILLS:

Testing Tools: Selenium

Bug Reporting: Radar, HP ALM 11

Data Bases: MS SQL Server, Oracle, MS Access, DB2, XML

Operating System: Mac OS X, Linux, Microsoft Windows

Methodology: Agile and Waterfall

Programming Languages: .Net, Java, C++

PROFESSIONAL EXPERIENCE:

Confidential, Los Angeles

Senior Software QA Specialist

Responsibilities:

• Performed front-end and back-end testing of various projects and applications: EDI 834 Low Income Subsidy Level, Secondary PCP Assignment, EDI 837 Claims Processing, Test Release Checklist, Disease Management, QMEIS, mobile testing and so on.
• Performed planning and development of Test Strategies, Test Plans, Test Scenario and Test Cases to meet product’s business requirements and documented in HP ALM.
• Have knowledge with Testing Best Practices and Cognizant Tools
• Created Complex SQL queries in Oracle, SQL Server for back-end testing.
• Performed mobile testing of the app: L.A. Care Connect on the IOS and Android platform.
• Mapping business requirements with application functionality and test scenarios.
• Managed Test Cases, Test Execution, Defects and generated Status Reports with HP ALM (Quality Center).
• Performed regression test with Selenium.
• Performed White-box, Functional, System, Integration, Regression, End-to-End and User Acceptance Testing.
• Analyzed and documented ICD 10 requirements related to data elements, data exchange and data transmission.
• Worked on healthcare applications of Membership Enrollment, Provider, Billing, and Claim, Authorization/Referrals, COB.
• Strong knowledge of HIPAA EDI 5010 transaction 834 and 837 for Member Eligibility and Claim.
• Organize the status meetings and send the Status Report (Daily, Weekly etc.) to manager.

Environment: Agile, MS Office Tools, Selenium, HP ALM 11, QNXT, QMEIS, web based application, Oracle, DB2.

Confidential, Sunnyvale, CA

Senior Tester

Responsibilities:

• Understanding Business requirements and check the feasibility of the requirement.
• Test Plan/Test case/Test data preparations, IT testing, execution and verification of the test results using testing tool.
• Testing through Payment devices of 17 different countries used in the retail store along with the EasyPay application.
• Recorded and plays back test in Fire fox using Selenium IDE.
• Using Selenium Webdriver for regression Testing.
• Used TOAD for Oracle in creating & executing SQL queries for backend testing.
• Involving in Security Testing, functionality testing, system testing, integration testing, regression testing, Black-Box, User Acceptance Testing, Back-end, Smoke and performance testing.
• Mapping business requirements with application functionality and test scenarios.
• Creating Test Cases and Executing for various modules based on business requirement.
• Involved in design discussions to analyze scenarios for maximum test coverage.
• Estimate and obtain management support for the time, resources and budget required to perform the testing.
• Organize the status meetings and send the Status Report (Daily, Weekly etc.) to the Client.
• Check / Review the Test Cases documents.
• Maintenance of Master Scripts as per the Production fixes and new enhancements.
• Defect logging and verification after defect fix using Radar.
• Using Unix command to attach Server Log and Emv Driver.
• Extensive experience in Backend Testing on distributed databases using SQL queries statements to query the Oracle Database for Data Validation and Data Integrity.
• Ensuring IT activities are as per company standard and processes.
• Co-ordination of onsite and offshore team in terms of allocation of work.
• Interacting with clients and all stakeholders.

Environment: Agile, Mac OS X, Radar, Java, web based application, Web services, Oracle, DB2, Selenium and Linux.

Confidential, Silver Spring, MD

Test Lead/ Senior Tester

Responsibilities:

• Worked on all phases of SDLC (Software Development Life Cycle) and Quality Assurance Methodologies of Agile.
• Managed Onshore and offshore Testing Team by allocating work, fixing timeline for accomplishing the job and providing training for the newly introduced functionalities in the application.
• Participate in different phases of project from planning, designing, implementing and testing for Tapestry project.
• Performed planning and development of Test Strategies, Test Plans, Test Scenario and Test Cases to meet product’s business requirements and documented in HP ALM.
• Participated in all phases of the testing life cycle and performs unit, Security Testing, Functional Testing, System Integration Testing, Regression Testing, User Acceptance Testing, Load, Configuration and Performance Testing.
• Solid understanding of Membership, Claims Processing, Billing, Benefit/Eligibility, Authorization/Referrals, COB, and have experience in HIPAA standards and corresponding EDI transactions.
• Tested the HIPAA EDI transactions 834, 837/835, 276/277, 270/271 according to the requirement test scenarios and HL7.
• Worked on different modules of Epic such as Ambulatory EMR, Registration, Eligibility, Scheduling, Billing, Utilization and referrals, and Reporting.
• Experience in enrolling members manually or by using AutoDoc Macro for Hix testing in KMATE.
• Have knowledge and experience with Medicare and Medicaid.
• Worked on Electronic health record system as a CRM web based application.
• Identifying Test Cases to be run for Regression Testing and conducting Regression testing as and when new builds were made using Selenium Webdrive.
• Logged the errors, reported defects, determined repair priorities and tracked the defects until resolution using HP ALM.
• Extensive experience in Backend Testing on distributed databases using SQL queries statements to query the Oracle Database for Data Validation and Data Integrity.
• Motivated self-starter with exceptional team building, leadership, and interpersonal skills.
• Good team player with the ability to work in time sensitive environments.

Environment: Agile, MS Office Tools, Selenium, Python, Java, Windows XP, HP ALM 11, EPIC, web based application, Web services, Oracle, DB2 and UNIX.

Confidential, Denver, CO

Project Manager/ ICD 10 Test Lead

Responsibilities:

• Worked on all phases of SDLC (Software Development Life Cycle) and Quality Assurance methodologies of Agile.
• Managed the CERNER Core Team group of 10-15 individuals both offshore and onshore.
• Estimated work hours and milestone for different testing efforts.
• Writing and executing functional tests for Web UI using Selenium IDE.
• Served as a lead for Cerner/Mckesson testing effort, involved in the reviewing of Requirements Specification with functional manger and technical specialists.
• Lead the efforts in designing test strategies, creating test scopes and test standards for different phases of project.
• Involved Regression, System, Integration and End to End testing to test different modules in Cerner/McKesson which were upgraded from ICD9 to ICD10.
• Processed claims to adjudicate successfully to validate whether there is any price mismatch with proper ICD - 9 and ICD - 10 and HCPCS/CPT codes.
• Identified scope systems that will be modified by the ICD-10 project to accommodate ICD-10code and /or downstream impacts steaming from ICD-10 codes.
• Wrote test scenarios, test cases, prepare input data for test cases, execute test scripts manually or automatically.
• Tested the ANSI X12 Version EDI transactions (HIPAA) like (834, 837P, 837I, 835 remittances).
• Created Traceability Matrix to ensure implementation of all functionalities, identify all test conditions and test data needs.
• Validate different EDI formats and transactions under HIPPA compliance.
• Performed back-end testing by extensively using SQL commands to verify the database integrity.
• Used Mercury Quality Center to execute test cases and Report defects.
• Actively participated in the Change request meetings and defect review meetings with Business Analysts and Development team.
• Worked with BA Lead, Development Lead, Application Analysis, SMEs and Release Manager on Daily basis, and provide weekly status reports of QA team to IT Manager.

Environment: Agile, MS Office Tools, Windows XP, Selenium, HP ALM 11, Cerner/Mckesson, web based application, MS SQL, Oracle, DB2 and UNIX.

Confidential, Buffalo, NY

Project Manager/ Test Lead

Responsibilities:

• Worked on all phases of SDLC (Software Development Life Cycle) and Quality Assurance methodologies of Agile.
• Served as a lead for the Facets testing effort, involved in the Reviewing of Requirements Specification with functional manger and technical specialists.
• Develop testing strategy and test plan, outlined various capabilities of the testing process. Describe the tasks of each testing capability, outlined roles and responsibilities related to the testing process.
• Wrote test cases in Quality Center derived from the BRD and generated a Traceability Matrix for testing purposes.
• Implemented manual testing of a web-based application, including backend, functional and integration testing
• Did gap analysis forHIPAA and 837 transactions, and analyzed error.
• Wrote Test scenarios and test cases for testing the migration of EDI and the processing of member enrollment and benefits, (834) batch jobs corresponding to the claims (837).
• Involved in forward mapping from ICD 9 to ICD10 and backward mapping from ICD10 to ICD9 using General equivalence Mappings (GEM).
• Experience with Networx pricer-testing and figuring pricing for procedures and claims based on information inputted into NetworX.
• Involved in configuration testing and end-to-end testing of FACETS Enrollment, Claim Processing, Subscriber/Member, Provider and Utilization Management module.
• Identify scope systems that will be modified by the ICD-10 project to accommodate ICD-10code and /or downstream impacts steaming from ICD-10 codes.
• Tested the HIPPA EDI 834, 270/271, 276/277, 837/835 transactions according to test scenarios and verify the data on different modules.
• Involved in Black box testing, System testing, integration testing, Functional testing, Smoking testing, Regression Testing and User Acceptance Testing (UAT) manually and Automation tool.
• Executed Automated Test scripts using Selenium.
• Wrote SQL queries to test the application for data integrity and verified the contents of the data table.
• Extensively used SQL queries to check storage and accuracy of data in database table
• Managed defect tracking process, which include prioritize bugs, assign bugs and verifying bugs using QC.
• Handling/Tracking defect in the Quality center and export in to Excel by using filter.

Environment: Agile, Selenium, MS Office Tools, Windows XP, QC, Facets, web based application, MS SQL, Oracle, DB2 and UNIX.

Confidential, Louisville, KY

Senior Software Tester

Responsibilities:

• Analyzed system requirements and developed detailed Test Plan.
• Performed Manual Testing as well as Automation Testing for the EDI transactions.
• Conducted GAP analysis and filling gap according to the format set by HIPAA.
• Involved in QNXT Implementation, involved end to end testing of QNXT Billing, Claim Processing, Contract, Benefits, and Utilization Management module.
• Designed such a processing with inclusion of the Configuration of existing system with QNXT for Benefits, Contract, Eligibility & Claims, compliance check of various HIPAA mandates was maintained.
• Worked on modules related to Providers, Contract & Claims in QNXT 3.4.
• Work on coordination of benefit (COB) in a claim processing.
• Developed Test Script for Integration, Functionality, Security, and Regression testing.
• Involved in QNXT configuration, Customization, reporting, analysis and enhancement. Extensively worked on EDI transaction like 837, 835,834, 820, 270, 271, 276, 277 and 278.
• Ran the scripts on multiple environments (QA, UAT and Production) to ensure that requirements were still met.
• Performed Back-End Testing to check database integrity by writing SQL queries.
• Tested HIPAA regulations in QNXT HIPAA privacy module.
• Wrote test cases in Quality Center derived from the Design documents and generated a Traceability Matrix for testing purposes.
• Created Traceability Matrix to ensure implementation of all functionalities, identified all test conditions and test data needs.
• Used Quality Center to record documenting information useful in debugging process, evaluating test data.
• Prepared and maintained the Test Matrix, Requirements Traceability Matrix.
• Participated in release meetings and also participate in Retrospective session.
• Extensively worked on any requirement upgrade and/or change request while doing UAT.
• Worked closely with development team to ensure the application performance and stability and also ensure the application completes the whole end to end process.
• Participated in weekly status meeting with Development and Management Teams.

Environment: Oracle, QNXT, Windows 2000, IIS, Quality Center, JAVA, SQL, Facets, MS-Suit.

Confidential, Pittsburgh, PA

QA Analyst

Responsibilities:

• Thoroughly analyzed the business requirement documents and created test cases according to it.
• Implemented Standardized and Unified process throughout the Software Development Life Cycle (SDLC).
• Actively participated in all the phases of the testing Life cycle (Planning, Designing, Development and Reporting and Results).
• Developed standardized Facets testing, implementation and QA processes, and performed Integration testing, system testing.
• Used Complex SQL queries using joins and sub-queries to test the reports generated by the different modules as a part of back-end testing.
• Designed, updated and reviewed the Test Cases for member’s information, Providers according to HIPAA.
• Tested HIPAA regulations in Facets HIPAA privacy module.
• Developed and maintained the test scripts, test data and test cases.
• Involved with other team members to set up testing tools, implementation and other testing environments.
• Performed various types of testing, such as functional, regression, user acceptance testing manually.
• Created the test scripts for both positive and negative testing.
• Defect Identification and created defect tracking reports till the close of the defect.
• Preparing Test Metrics using Quality Center.
• Attended various Functional Walkthroughs and writing high level testing scenarios.

Environment: HTML, Waterfall, SQL Server, DB2, Quality Center, Facets, QTP, MS Excel, Windows XP, UNIX.

Confidential, Harrisburg, PA

QA Tester

Responsibilities:

• Developed Test Cases for manual and automated testing of an application.
• Gathering the requirements and analyzing the requirements.
• Conducted Functional, Integration and Regression testing.
• Analyzed HIPAA 5010 standards for 837P transactions, related to providers, payers, subscribers and other related entities.
• Responsible for architecting integrated HIPAA, Medicare solutions, Facets.
• Worked on 834 and 835 projects, including syntax and business rules for X12 HIPAA 4010 and5010 validation for loops, segments, elements, qualifiers and code sets.
• Defined Functional Test Cases, documented, Executed test script in Facets system.
• Analyzed the change detection process on Facets database tables to capture the daily changes done by Users through Online Facets Application.
• Worked on HIPAA EDI 4010 and 5010 with ICD-9 and ICD-10, analysis & compliance experience from, payers, providers and exchanges perspective, with primary focus on Coordination of benefit.
• Medical Claims experience in Process Documentation, Analysis and Implementation in 835/837/834/270/271/276/277/997 (X12 Standards) processes of Medical Claims Industry from the Provider/Payer side.
• Worked with providers and Medicare or Medicaid entities to validate EDI transaction sets or Internet portals. This includes HIPAA 4010; 837, 835, 270/271, and others.
• Also worked on 837 and 835 projects, including syntax and business rules for X12 HIPAA 4010 and 5010 validation for loops, segments, elements, qualifiers and code sets.
• UAT testing for HIPAA 4010 and 5010 projects including legacy testing and HIPAA requirements and compliance mandates.
• Performed back-end testing procedures using SQL statements
• Recorded scripts in QTP to perform Functionality testing.
• Using VB scripting in the expert view did enhancements to the scripts.
• Developed automation test scripts for performing regression testing on the application using Quick Test Pro
• Perform Backend testing by extensively using complex SQL queries to verify the integrity of the database.
• Performing GAP analysis for the existing systems and processes.
• Conducted Back-End Testing and Regression Testing using various phases of the application.
• Completed several HIPAA 4010 and 5010 Projects, included Medicaid and Commercial entities. Projects include claims and enrollment testing as well as NPI and medical coding and ICD-9 EDI testing.
• Validated triggers using Toad for Oracle.
• Identified, analyzed and documented defects, error and inconsistencies in the application using Quality Center.
• Created and maintained Test Matrix and Requirement Traceability Matrix and performed GAP Analysis.

Environment: HIPAA EDI, QTP, Quality Center, Oracle, UNIX, Toad, Windows.