SUMMARY:

• 10+ years of professional experience in Software Testing process and Quality Assurance testing which includes develop Test Plans, Test Cases/Scenarios, Test Strategy, executing tests, test reports as well as analyzing test results.
• Excellent understanding of Software Development Life Cycle (SDLC) and hands on experience working in various software methodologies including Agile and Waterfall model.
• Knowledge of Health information and Health care services regulatory environment including HIPAA, Medicare and Medicaid.
• Extensive experience in Functional Testing of Client Server and Web based applications.
• Expertise in testing EDI transactions 834,835, 837, 270/271 and HIPAA 4010 and HIPAA 5010 changes to these formats.
• Experience in Mainframe Testing, and Back - End testing using the SQL Queries.
• Working with Enrollment, Membership Enrollment/ Maintenance, Billing system, Claim adjudication in Facets.
• Extensive experience on Unified Functional Testing (UFT), Quick Test Professional (QTP) and TestDirector and ClearQuest to store and execute automation scripts and log execution reports.
• Extensive experience in White Box & Black Box Testing.
• Working Experience of Edifecs Specbuilder and X-Engine.
• Involved in GUI Testing, Functional Testing, Regression Testing, System level Load and Stress Testing, End to End Integration Testing, Cross Browser Testing, User Acceptance Testing and Database Testing.
• Experience on Mobile Testing using Ripple Emulator and actual Mobile devices (IOS & Android).
• Executed and Tested batch files.
• Strong experience in Data validation and manipulation in SQL Server database or DB2 using SQL Queries.
• Experience with source to target mappings and good understanding of ETL (Extract, Transform, Load) process.
• Maintaining the Requirement Traceability Matrix (RTM) across deliverables of a projects
• Reported and Tracked Defects by using Bug Tracking Tool such as Application Life Cycle Management (ALM) and Microsoft Test Manager (MTM).
• Involved in Web Services Testing using SoapUI.
• Good understanding of web technologies like CSS, XML, JSON, HTML, C# and JavaScript.
• Strong Analytical skills, excellent communication and interpersonal skills, team player and self-Starter.
• Ability to adapt and learn new Tools, Techniques and Approaches.
• Excellent experience in an Agile Methodology with Scrum.
• Experience with SOAP, REST-based project for the Web Service testing in SoapUI.
• Extensive knowledge on Infogix Insight and Infogix Perceive tools.
• Hands-on experience on ClearCycle -Unified Calim Disbursment System (UCDS).
• Experience with IBM WTX , Sterling B2B Integrator and mapper toolset.

TECHNICAL SKILLS:

Testing Tools: Unified Functional Testing (UFT)12.21, SOAPUI, Quick Test Pro 8.2,ETL Informatica.

Defect Tracking Tools: Application Life Cycle Management(ALM) 12.5, Microsoft Test Manager (MTM) 2013, Service and Request Tracking System (SRTS), IBM ClearQuest, TestDirector 7.0/ 8.0, Quality Center (QC)10.0, Track Record, MS TFS.

Programming Languages: Java, C#, C++.

Databases: Oracle9i/10G, MS SQL Server 2014, DB2, Sybase, IBM Netezza

Web Technologies: HTML, XML, JSON, Web Applications, VB-Script, Java-Script, JSP.

Application Packages: Microsoft Office Suite, MS Visual Studio, Facets 5.0, Claim Test Pro

Operating System: Windows 7/10.

Reporting Tools: Micro Strategy, Crystal Reports10.

SDLC Methodologies: Agile and Waterfall.

PROFESSIONAL EXPERIENCE:

Confidential,Providence, RI

QA Test Lead

• Performed test planning activities such as writing test plan, test strategy, test estimation, test reports, status reports, and project related activities.
• Participated in project team meetings to add value in the software development process.
• Collaborated with other project team members, stakeholders, vendors, partners, or other testing related resources.
• Worked on multiple projects simultaneously, documented related incidents, discussed and received business sign off on test results very tactfully.
• Implemented Quality Assurance processes for a continuous deployment pipeline.
• Designed and supported user interface testing application.
• Analyzed automated Quality Assurance processes to expose security flaws, reveal defects and identify areas of optimization.
• Followed or recommended best practices, processes, and policies which are established internally and by applying industry best practices.
• Ensured projects adhere software testing governance policies, best practices and guidelines and implement improvements.
• Performed reviews, walkthroughs, or inspections of the automated test system and its cohesion to the reporting structure.
• Provided oversight / review of vendor unit / system integrated test plans and test results.
• Provided guidance on the preparation and review of test plans.
• Prepared, reviewed, visualized, and automation of test reports.
• Communicated and published status reports of all open issues and gaps found during test phase and articulate the details to the Development teams.
• Worked with Transmission/ Communication (HTTPS, SFTP and FTP channels).
• Performed Claims, Enrolment and Pricing Configuration.
• Analyze new EDI Requirements received from Customers, Evaluate and Implement the Solutions.
• Identify Root Causes of Production Issues and Provides Alternative Technical Solutions to Solve Problems.
• Corordinated offshore and onshore team.
• Assisted QA Practice Architect with UAT test strategy and ramping up teams for individual work streams.
• Prepared, reviewed and updated UAT effort, estimates and timelines
• Participated in release & test planning meetings, leadership team meetings, project status meetings and walk-throughs.
• Designed domain based test scenarios for end to end testing, identify and establish pre-requisites for testing including test data needs.
• Designed and executed UAT test cases (if required).
• Managed defect triages and interfaces with Development partners as well as business teams to enable quicker resolutio n.
• Managed risks, issues and resolutions including mitigation and contingency planning

Environment: and Tools: Trizetto FACETS 5.0, Claim Test Pro, Sybase, IBM Netezza, HP Application Life Cycle Management (QC)12.55, Load Runner, Snagit 11, IBM Notes (Lotus Notes), Selenium WebDriver, Java, EDI, UltraEdit, Note Pad++, Service Now (SNOW), Infogix Insight, Infogix Percive 3.4, ClearCycle -Unified Calim Disbursment System (UCDS), Mercator WTX, IBM Stearling Managed File Gateway, Service Oriented Architecture(SOA), IBM WebSphere Cast Iron Cloud Integration, IBM Data Stage, EDR, IBM Message Management Software (MQ), Prime .

Confidential, Trenton,NJ

Sr. Software Test Engineer / Lead Quality Analyst

• Designed and Documented Test Procedures, Test Requirements, Test Scenarios and Test Cases for End-to-End functionality testing.
• Performed complex testing tasks requiring planning, scheduling and testing to assure that developed products meet design specifications and are within specified quality limits and standards.
• Developed and Executed Test Plan, Test Scripts and Test Cases for QNXT based on the requirements.
• Performed work on highly complex technical assignments.
• Used Application Life Cycle Management (ALM) for defect tracking and maintained the trailing history of the bugs.
• Interactively takes direction from senior test team staff; reports weekly on assignment progress and status, combines professional skill and knowledge of program timelines to ensure timely delivery of expected deliverables.
• Act as owner of assigned solution components requirement set. Ensure thorough understanding of all requirements.
• Involved in manipulation of 837/835 EDI files to generate a wide variety of valid claims.
• Used requirements to devise scenarios, and scenarios to drive creation of test cases, scripts and suites. Interacts with both ‘development team’ and solution SMEs to ensure full coverage of intended solution.
• Tracks defects and code drops related to assigned solution component; ensures their completion and in corporation into all related documentation so that DDI (Design, Development and Implementation) tasking is completed and integrity of HPA baseline is maintained.
• Worked actively with QA Automation team to get regression test script for UFT automation tool.
• Increment and execute automation test script using UFT.
• Create and maintain automation scripts using UFT (Unified Functional Testing) and other tools to increase testing productivity.
• Train and mentor QA test analyst team members on executing test scripts.
• Participates in related DDI as either an individual contributor or as a member of a team, including but not limited to testware creation, test bed development and maintenance, test execution tracking, defect documentation and resolution, test data construction and maintenance.
• Attends and supports weekly status meetings with test team to ensure an understanding of their thoughts and observations.
• Extensively uses the different types of web element locator to find the web elements, specifically, dynamic xpath and CSS.
• Automated highly transactional healthcare enrollment web application using Selenium WebDriver.
• Implemented Page Objects, Data Driven, Keyword Driven, Hybrid automation frameworks using Selenium WebDriver, JAVA, JUnit.
• Configured Maven for JAVA automation projects and developed Maven project object model (POM).
• Wrote complex SQL queries for retrieval of multi-dtabase environment.
• Involved in ensuring that the Replacement MMIS design, development, implementation, and operations are in accordance with all federal regulations and guidance regarding the Affordable Care Act.
• Worked on Claim/ Encounter Edits of the Health PAS Administrator.

Environment: and Tools: Trizetto QNXT - Health PAS Administrator (HPA) 5.01, Application Life Cycle Management (HP ALM)11.52, Load Runner, Microsoft SQL Server 2014, Visual Studio 2013, Snagit 11, MS Office, Windows 7, Selenium WebDriver, Java, EDI, Claim Test Pro, UltraEdit, Note Pad++.

Confidential, Washington, DC

Sr. Software Test Engineer / Quality Analyst

• Developed Test Scripts for automation testing using Unified Functional Testing (UFT).
• Analyzed and defined testable requirements created and implemented test plans.
• Performed functional, application, integration, system, regression and Usability Testing.
• Performed Smoke Testing, End-to-End Functionality Testing, Adhoc Testing, Regression Testing, and Integration Testing.
• Designed and Documented Test Procedures, Test Requirements, Test Scenarios and Test Cases for End-to-End functionality testing.
• Responsible to engage in day to day QA Testing activities, Daily Defect Call Management, Team Co-ordination, Conference Call attain, Future Strategies for Testing.
• Created the Test Claims for FEP member using FEPDirect Application.
• Developed and executed queries in order to verify and validate the data.
• Validating the quality of data against different plan within BCBSA.
• Communicated with development team to ensure testing issues are resolved.
• Prepared and executed different SQL Queries against the DB2 and other Database.
• Excellent experience of SOAP, REST-based project for the Web Service testing using SoapUI.
• Used HP Application Life Cycle Management (ALM) for Defect Reporting and tracking.
• Create and maintain automation scripts using UFT (Unified Functional Testing).
• Interacted with Business users and BA's regarding the Requirement Issues.
• Performed functional testing for responsive view of the application using the Mobiles and Tablets (IOS & Android).
• Performed extensive mobile testing using Ripple Emulator.
• Delivered a memorable mobile user experience.
• Experience in executing UNIX commands and good knowledge on writing SQL queries.
• Communicated with development team to ensure testing issues are resolved.
• Worked in back-end testing using SQL Queries.
• Train and mentor QA test analyst team members on executing test scripts.
• Facilitated UAT walkthrough for the vendors after completion of UAT; followed up with outstanding issues and got the final approval from them to start production.
• Performed End to End Testing with EDIs ( 837, 835, and or 834 ).
• Prepared Traceability matrix, bug matrices, weekly and daily status reports and sent to management.
• Performed Smoke Testing, End-to-End Functionality Testing, Adhoc Testing, Regression Testing, and Integration Testing.
• Reviewed and Analyzed, Business, System and Technical requirements of the application.
• Work with Test Lead in creating and maintaining weekly and daily status reports.

Environment: and Tools: Agile, FEPDirect, Application Life Cycle Management (HP ALM)12.5, UFT12.5,Rally, HP Agile Manager, Mainframe, Rocket Shuttle 9, MyBlue Customer eService, SOAPUI 4.6.4, UNIX, PingFederate, Snagit 9, Ripple Emulator, HTML, XML, JSON, WSDLs, MS Office, Windows 7, Java.

Confidential,Mountlake Terrace,WA

Sr. Software Test Engineer / Quality Analyst

• Created the Test Claims and validate claim adjudications in Trizetto Facets.
• Involved in performing functional, application, integration, system, and regression Testing.
• Developed the Test Data for different Groups in Facets
• Verified and analyzed the electronic claims submissions enhancements on existing dental claims processing procedures.
• Developed and Executed Test Plan, Test Scripts and Test Cases for Facets based on the requirements.
• Performed integration testing of the application with Facets 5.0.
• Understood the business process that included Sales processes, Rating methodology, different Products, Group Renewals and Enrollment process in Facets.
• Extensively involved in testing Facets Member/Subscriber, Billing, Medical Plan, Dental Plan modules.
• Involved in testing Facets for Group Information, Enrolling Subscribers, adding members, Related Entities, Class/Plan definition, Premium Rate Tables and all.
• Checked different Extensions into the Facets based on new requirements for ICD-10.
• Tracks defects and code drops related to assigned solution component; ensures their completion and in corporation into all related documentation so that DDI (Design, Development and Implementation) tasking is completed.
• Verified the Newly added components Editing Criteria and Admin Rules for all claims, service entries.
• Performed End to End Testing with EDIs ( 837, 835, and or 834 ).
• Gathered requirements from the users and analyzed the requirements for Facets Integration.
• Verified the Newly added components Editing Criteria and Admin Rules for all claims, service entries.
• Verified the user-defined warning messages for Subscriber/Family application for use in Claims processing and Customer Service.
• Validated 837, 835, 278, 276, 277, Institutional and Professional HIPAA Transaction sets.
• For planning purposes, generated EDI transactions daily and monthly reports from EDI Gateway Real time system for business.
• UNIX experience and batch execution experience.
• Tested OCR and Non OCR claims.
• Write and document automated tests and testing engines using software automation tools Quick Time Professional (QTP)
• Validating the quality of data against Flat file, Excel file and VSAM files.
• Excellent working experience on UB-92 and HCFA-1500 Health Insurance Claim Form.
• Prepared and executed different SQL Queries against the Database.
• Performed Functional, Regression and Usability Testing against Standard File.
• Used Microsoft Test Manager (MTM) as a Test Management tool for test case execution.
• Experience of keeping track of defects, requirements, tasks, and scenarios using Microsoft Team Foundation Server (TFS).
• Performed XML generation testing.
• Created Medical and Hospital Claims for ICD-10 testing.
• Verified the COB processing for Claims.
• Have knowledge of BlueCard System integration, batch, flip process.
• Developed Test Cases/Conditions for manual testing of the above Applications and Reports.
• Interacted with Business users and BA's regarding the Requirement Issues.
• Developed and executed different SQL Queries against the MS SQL in order to validate the data.
• Designed and Documented Test Procedures, Test Requirements, Test Scenarios and Test Cases for End-to-End functionality testing.
• Involved in backend testing using SQL queries and verified the EDI data transactions in the database.

Environment: and Tools: Agile, FACETS 5.0, Microsoft Test Manager (MTM), Team Foundation Server (TFS), Edifecs Specbuilder, Quick Test Professional (QTP), Claim Test Pro, Ultra Edit, ANSI X12, HTML, XML, HIPAA, EDI, MS Office, Windows 7, Java, MS SQL Server 2012.

Confidential,NYC NY

Sr. QA/EDI Analyst / Software Test Engineer

• Performed Mobile Testing for Interactive Voice Response (IVR).
• Involved in testing for Member Enrolled in Group Health Incorporated (GHI).
• Extensive experience with HL7, HIPPA 4010, 5010 EDI transaction codes 270/271, 276/277.
• Created and executed data driven Test scripts in Quick Test Professional (QTP).
• Closely work and co-ordinate with Business and UAT team to handle BRD and PCR update in process and accommodate such change in Test Plan.
• Hands on testing of Data Warehouse and ETL applications by writing complex SQL queries to validate test data.
• Involved performing Extract/Transform/Load of data to the Data Warehouse.
• Experience with ETL/Data Migration Testing using Informatica.
• Test the Migration all current EDI transactions- 837(I, P & D), 835, 834, 270/271, 276/277, 278-13/278-11, 820 and 997- onto a new application and environment.
• Participate in Impact Analysis and GAP Analysis for 5010 and ICD10 Baseline Testing Strategies.
• Excellent working experience of X12, Flat File, Crosswalk & Mapping Document usage with End to End Testing.
• Hands on working experience on Quick Test Professional (QTP) and LoadRunner.
• Responsible to engage in day to day QA Testing activities, Daily Defect Call Management, Team Co-ordination, Conference Call attain, Future Strategies for Testing.
• Review and Update Test Plan, Test Cases, Test Scripts for various 5010 Transactions.
• Written Test Cases for Baseline of ICD 10th and worked closely with Business and Dev people to create strategies for QA Testing.
• Work as Acting lead and co-ordinate with managers and assign work to sub-ordinates and team members.
• Write out Test Cases, generate custom reports from QC, Create Tractability Matrices, & Prepare Spreadsheet Reports for QA Activities and future plan.
• Excellent working experience on BizTalk 2009 Process, Trading Partner setup, SQL, QC, File Aid Mainframe Tool.
• Performed End to End Testing with EDIs ( 837, 835, and or 834 ), creating Member Load XML 's etc.
• Excellent working experience of MS Office Products, Outlook, Communicator, MS Share point.
• Test the claims for data accuracy and mapping into Mainframe and onto Backend Systems.
• Test claim data in bound to different mainframe systems HCS, MCS, Fastrak and Qcare systems.
• Test OCR and Non OCR claims
• Verify ODS data applying Gateway Crosswalk rules in the test environment.
• Test inbound file management for all files received in the EDI Gateway Process.
• Validate Institutional, Professional and Dental claims for claim balancing.
• Test the connectivity and setup for all trading partners- including clearinghouses, direct submitters, NY State, OCR and COBA.
• Conducted UAT testing and have the test cases and corresponding test results sign off from users, managers, and the respective vendors.

Environment: and Tools: Waterfall, BizTalk, Toad, JIRA, Informatica 8.6, Web Service, IVR, QCare, HP Quality Center 10.0, Quick Test Professional (QTP) 10.0, LoadRunner 10, Edifecs X-Engine 7.0.6, Transaction Manager, Mainframe.

Confidential, Tampa, FL

Sr. Quality Analyst / Software Test Engineer

• Involved in Gap Analysis of ‘AS IS’ system to ‘TO-BE’ system. (ODS to HTR).
• Integrated QTP with Quality Center to store and execute automation scripts and log execution reports.
• Worked on state responses including 997, 835, 277U, MO Confirmation reports, MO rejection. reports, FL 837, FL- Exception Report, FL Repairable Reports, 641, 241 and NCPDP response files.
• Created test data for testing the reconciliation of data in accordance to the state responses received.
• Responsible for loading all response files into ODS (INSTG) and performing reconciliation on the data in RSTORE.
• Performed V&R in the new system and validated its accuracy.
• Tested various reconciliation logics and provided feedback to developers and Business System Analysts.
• Experienced in building Quick TimeProfessional (QTP) frameworks.
• Executed the scripts and analyzing and reporting the results in Quality Center (QC).
• Worked with the development team and Business System Analysts to understand the business needs as well as the technology implementation to come up with test plans.
• Provided effort estimation and test plan developed using RUP.
• Developed Test scenarios, test cases, test scripts and coordinating functional and user acceptance testing.
• Documented QA Test Suites, Test Cases, Test results and defects using Mercury Quality Center Version 10.
• Created RTM for tracking back the test cases to Business requirement document.

Environment: and Tools: Waterfall, Mercury Quality Center, Quick Test Professional, Oracle SQL, Windows XP, ETL Informatics, XML, MS Project, DB2, Crystal Reports, Windows 2000/NT/XP, Java, JMS, HTML, JSP, Java Script, UNIX.

Confidential

Software Test Engineer / Quality Analyst

• Developed Regression Test cases on Trizetto Facets 4.71 application.
• Tested the different modules in Facets (Subscriber, Claims, Medical Plan, Billing, Provider, Utilization Management and Routing Rules).
• Validated and mapped various changes from Facets 4.51 to Facets 4.71
• Created and maintaining automated scripts using using Quick Time Pro (QTP) and VB Scripting.
• Used Mercury Quality Center to track, analyze, and log the defects to report them to developers.
• Validated 835, 837 278, 276, 277, Institutional and Professional HIPAA Transaction sets.
• Very good understanding with HL7, HIPPA 4010, 5010 EDI transaction.
• Validated the Batch Log files and compared with Database tables.
• Involved in developing Test Plan and created Test Cases as per the business requirements in Quality Center for Patient Registration Module.
• Prepared Claim, Member, Provider Test data for test cases.
• Worked on data validation by accessing SQL tables using SQL Advantage.
• Reviewed Technical Design documents, Mock Documents and Run Documents in PVCS.
• Involved in preparing the Test cases, Test data in Quality Center for Report Repository upgrade.

Environment: s and Tools: Agile, Facets, Windows 2000/XP, Java, Eclipse (JDBC, log4j, quartz), UNIX,Oracle 9i, Toad, Secure CRT, SecureFX, MS office, SQL, Mercury Quality Center, Quick Test Professional.

Confidential, Atlanta, GA

Jr. Software Test Engineer / QA Tester

• Executed and Tested claims in the test environment of NASCO Processing System.
• Worked on Benefit File to ensure Claim; download Claim from Production side to Model office side, applied changes on EEC to generate EOB the next day.
• Validated professional and institutional claims in EEC(HEHK) as per benefit plan design and benefit gird.
• Involved in service-oriented implementations of the HL7.
• Worked on HIQK to find provider, subscriber and other necessary information for benefit validation.
• Performed a Hex Dump, View Pending and History Claims, View Suspended Claim Summary Screen (SCSS) in Online Inquiry HIQK.
• Viewed/Updated CSR logs in PDM (Project Data Manager).
• Involved in testing the 837 claims for payment validation.
• Built test matrix for Deductible Exclusion CSR and verified the deductibles for various Medigap plans on NPS and documented the results.

Environment: and Tools: Waterfall, .NET, Oracle, MS Word, MS Excel, Mercury Quality Center, Quick Test Professional (QTP), SQL.