PROFESSIONAL SUMMARY:

• 15 + years of I.T experience which includes Software Quality Assurance, Testing, Project Management, Development and Implementation for various complex enterprise applications using the latest technologies. Have Excellent Communication and coordination skills. Experience working with Medical, Pharmacy, Billing, Ecommerce, Health Insurance, Telecommunication, Financial, Confidential implementations and Health Care applicationsPossess extensive knowledge and experience in all the areas of Quality Assurance, with emphasis in Testing, Evaluation, and Validation of computer software systems in Client/Server environments using UNIX and Windows operating systems.
• Strong experience in testing software, developing test plans and test cases, identifying & tracking bugs, breaking down requirements for testing, reviewing documentation, performing reviews and inspections during software development, and being actively involved during the software development lifecycle (SDLC).
• Expert in all areas of testing including but not limited to integration, usability, performance, acceptance, functional, system, and regression testing.
• Extensive Knowledge of Agile SDLC, SCRUM process, QA Methodologies in both White box and Black box testing on a browser based and client server application environment.
• Extensive experience in performing Manual and Automated Testing.
• Develop and Implement Automation Test Strategy, test automation frameworks and test automation scripts using Selenium Web driver, Java, SoapUI and REST.
• Experience working in agile environment with emphasis on Product Backlog and User Story creation and prioritization, Story Point Estimation and risk analysis.
• Experience in working on the Healthcare mandate project i.e. Healthcare Reform Policy Implementations, Medicare & Medicaid eligibility systems as per CMS guidelines.
• Experience in MMIS, Medicaid, Medicare, Integrated Eligibility Systems and MITA business processes (including member Health Benefit Exchange, provider and claims.)
• Experience in day - to-day management of State Medicaid operations using MMIS and tools
• Experience, knowledge and Testing of EDI standards, EHR and EMR records.
• Experienced in Software analysis, Requirements Management, Quality Assurance, Modeling, Configuration Management, and Change Management
• Strong experience in developing and maintaining test automation of GUI/ Functionality/ System testing using testing tools Selenium, QTP, QC, PEGA PRPC, BPM, CRM, JTEST.
• Knowledge in developing & writing Test strategy, test specifications, test plans/cases for Health care applications like Confidential implementation (State & Federal exchanges, CMS, Confidential )
• Proficient in analyzing new business requirements and mapping it to the current business process/system Level Use Case Modeling.
• Good experience in Quality Engineering, Scrum, QS 9000, CMM, Reliability and Project Mgt.
• Performing complex testing tasks, Test management planning, scheduling and testing
• Lead onshore and offshore QA teams, implemented QA processes, drive meetings (status, checkpoint, ambiguity, test case walkthroughs, defect reviews, root cause analysis), developed metrics, coordinated with different teams
• Extensive experience in effort estimation, design and execute Test Strategy, Test Plan, Test Cases, Test Scenarios, and Test Data throughout all stages of testing lifecycle.
• Excellent interpersonal and communication skills, with high degree of flexibility and ability to adapt to change in direction.

TECHNICAL SKILLS:

Operating Systems: WINDOWS 10/XP/VISTA, UNIX, MS-DOS, MAC.

Programming Language: JAVA, C, C++, PERL, PL/SQL, .NET, WSDL, HTML, XML

Databases: JDBC, ORACLE, SQL SERVER, MSACCESS, DB2, FOXPRO.

Utilities: JAVA SCRIPT, AJAX, WEBLOGIC SERVER, EJB, JAVA, SERVLETS, JSP, ASP.

Software Tools: Selenium IDE, Selenium RC Server, Selenium Web Driver, Bamboo, Splunk, JSON, Jenkin, JTEST, XML SPY, SILK, JUNIT, QTP, QC, Dream weaver, SOAPUI, REST

Tracking Tools: JIRA, RALLY, QC, Test Director, Clear Quest, Lotus Notes and PVCS Tracker.

PROFESSIONAL EXPERIENCE:

Confidential, Mountain view, CA

Sr.QA Engineer/Manager

Responsibilities:

• Responsible for developing a test plan for the product, which included designing documenting, executing and verifying the test cases and test scenarios to cover overall QA testing cycle involving Acceptance, Functionality, Regression and End to End testing.
• Organize the testing kick-off, status meetings and send the status report to the Client.
• Develop and Implement Automation Test Strategy, test automation frameworks and test automation scripts using Selenium Web driver, Java, SoapUI and REST.
• Responsible for continuous improvement of automation frameworks & automation suites, implement latest trends, and standards in the automation projects
• Experience working in agile environment with emphasis on Product Backlog creation, User Story Creation, Story Point Estimation and prioritization.
• Verification & validation of Magi Medicaid program eligibility determination as per Confidential / Confidential thresholds.
• Validated different Types claims (Medical Claims, Hospital Claims and Dental Claims).
• Validation of Non ESIMEC updates through Confidential for Confidential eligibility determination.
• Prepare test strategy for the testing of Medicaid transactions from Confidential (federal data Service hub) to Confidential State.
• Preparation of complete Test Strategy, Test Plan and Test cases for Confidential implementation.
• Supporting operations and ticket management groups to resolve day to day consumer issues.
• Verification and Validation of Hub services i.e. Remote ID Proofing, SSA Composite, Verify Lawful Presence, Verify Non EsiMec, VerifyCurrentHouseholdIncome and IRS Servises.
• Experience with Confidential Rules engine product knowledge assisted in resolving Medicaid eligibility and benefit enrollment issues.
• Manage the testing effort by analyzing the functional requirements of project deliverables.
• Acting as a single point of contact between Projects, Development, and testing team.
• Prepare QA summary report for testing activities i.e. test case coverage, test & defects matrix.
• Participate Sprint planning, Bug review and Scrum daily status meetings with team members.
• Participates in design and code review meetings and involved customer training sessions.
• Arrange and coordinate meetings with clients to triage critical issues through Web-Ex.
• Review various reports prepared by test engineers and approve all test deliverables.
• Responsible for achieving milestones in the project in respect to QA team under high pressure with tight schedules.

Environment: Agile, Scrum, SQL, SOAP, Confidential, TQM, Web services, Jira, XML, JAVA, Rally.

Confidential

Sr. QA Consultant Specialist

Responsibilities:

• Responsible for developing a test plan for the product, which included designing documenting, executing and verifying the test cases and test scenarios to cover overall QA testing cycle involving Acceptance, Functionality, Regression and End to End testing.
• Organize the testing kick-off, status meetings and send the status report to the Client.
• Develop and Implement Automation Test Strategy, test automation frameworks and test automation scripts using Selenium Web driver, Java, SoapUI and REST.
• Responsible for Planning, Testing and Execution of health care reform applications (as per Confidential ) through State based (SBM) and Federally Facilitated Exchanges ( Confidential ).
• Verification and validation of Magi Medicaid program eligibility determination as per Confidential / Confidential thresholds.
• Validation of Non ESIMEC updates through Confidential for Confidential eligibility determination.
• Prepare test strategy for the testing of Medicaid transactions from Confidential (federal data Service hub) to Confidential State.
• Created test data files, scripts for the 834, 835 and 837 EDI transactions.
• Validated different Types claims (Medical Claims, Hospital Claims and Dental Claims).
• Experience with Confidential Rules engine product knowledge assisted in resolving Medicaid eligibility and benefit enrollment issues.
• Organized, attended and actively participated in Agile and Scrum team meetings
• Develop and Implement Automation Test Strategy, test automation frameworks and test automation scripts using Selenium Web driver, Java, SoapUI
• Develop and Implement Automation Test Strategy, test automation frameworks and test automation scripts using Selenium Web driver, Java, SoapUI
• Participate Sprint planning, Bug review and Scrum daily status meetings with team members.

Environment: Agile, Scrum, SQL, SOAP, Confidential, TQM, Web services, Jira, XML, JAVA, Rally.

Confidential

Sr. QA Consultant

Responsibilities:

• Responsible for developing a test plan and Test Cases as per functional requirements.
• Organize the testing kick-off, status meetings and send the status report to the Client.
• Responsible for Planning, Testing and Execution of health care reform applications (as per Confidential ) through State based and Federally Facilitated Exchanges ( Confidential ).
• Preparation of Test Strategy, Test Plan and Test cases for Confidential -10 project migration.
• Strong knowledge of PEGA DCO tools such as Application Profiler and Application Accelerator to implement product enhancements using process flows and business rules
• Working with business to prepare the doc’s for Case, Disease and Utilization mgmt.
• Experience with Pega Rules Process Commander (PRPC) technical and product knowledge Assisted in resolving project issues and escalating unresolved project issues as needed
• Organized, attended, and actively participated in project team meetings; researched issues surfaced in meetings and provided corresponding feedback to the project team.
• Manage the testing effort by analyzing the requirements of project and test deliverables.
• Worked on 835, 837I, 837P, 834, 270/271, 276/277 Real Time transactions.
• Arrange and coordinate meetings with clients to triage critical issues through Web-Ex.
• Review various reports prepared by test engineers and approve all test deliverables.

Environment: Agile, Scrum, TQM, SQL, SOAP, PEGA, BPM, Web services, XML, TDM, QC, Rally.

Confidential, Pasadena, CA

Sr. QA Consultant

Responsibilities:

• Responsible for developing a test plan for the product, which included designing documenting, executing and verifying the test cases and test scenarios to cover overall QA testing cycle
• Responsible for Database validation thru Backend testing, Inbound &Outbound Data Map Setup, Validations of mapped data through interface testing.
• Working with Product team to prepare the design flow diagrams for Case and Disease mgmt.
• Conducting the configuration demo and training sessions for end clients Providers & Hospital’s
• Verification and Validation of XML inbound and outbound files from 3rd party source.
• Creating the multiple prescriptions through EPS and check the statuses using IVR & KP.org
• Refill the prescriptions through IVR and KP.org using Mail and Pickup delivery types.
• Participates in design and code review meetings and involved customer training sessions.
• Supporting physicians, mid-level providers, and nurses in Epic Orders/Inpatient, ASAP and Ambulatory and elbow to elbow Support electronic medical record related work-flows for Inpatient, pharmacy, oncology, respiratory and rehab.
• Assisted end users with front desk, scheduling, and registration. Assisted physicians, nurses and medical staff with orders, in basket messaging, and ordering medications
• Worked on 835, 837I, 837P, 834, 270/271, 276/277 Real Time transactions.
• Validated different Types claims.
• Arrange and coordinate meetings with clients to triage critical issues through Web-Ex.
• Submit the Project and QA execution status along with critical issues on daily basis.
• End of each sprint provide demo to stake holders what was built during the sprint cycle.
• Maintains QA process and test methodologies to deliver better quality in shorter cycle

Environment: Agile, Scrum, SQL, SOAP, EPS, EPR, EPIC, Web services, TDM, EMR, QC, Rally.

Confidential, Woodland Hills, CA

Sr. QA Consultant

Responsibilities:

• Responsible for developing system test plans, ensures that software quality assurance (SQA) standards are met and validates business goals are accomplished.
• Performs User Acceptance, Functional, Regression and security testing.
• Designs, develops, and executes Test Cases for all the testing stages.
• Responsible for creating security and web intrusion check lists for fraud prevention.
• Conducts Bug review, QA and Project status meetings with cross-functional teams.
• Responsible for Creating and Execution of automation test scripts for Regression Testing.
• Experienced in supervising the multi-shore QA team in the U.S. and India for multiple projects.

Environment: Agile, SQL, Web services, XML, Java, UNIX, Oracle, Rally, SOAPUI and BUGZ.