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Lead Qa Analyst Resume

Reston, VA

SUMMARY:

  • Six years plus years of experience in Application Analysis and Quality Assurance Testing of application systems coupled with Strong Database Knowledge in Client/Server, web - based, Salesforce, CRM and mobile applications.
  • Managed QA activities of Software Development Life Cycle for insurance and healthcare clients.
  • Strong leadership ability, can work and manage multiple projects, give direction to others, and take a lead role in improving organizational processes.
  • Proven track record of getting Deliverables delivered in highly chaotic and fast-pace environments.
  • Detail-oriented and outstanding communication, organizational and leadership skills.
  • Experience with HL7, HIPPA 4010, 5010 EDI transaction codes 270/271, 276/277, 834, 835 and 837.
  • Experience in EDI Testing, Mainframe Testing, with great knowledge of QA methodologies
  • Involved in testing Batch and Real Time updates of HIPAA-4010-mandated ANSI 270 (Eligibility and Benefit Request) and the ANSI 271(Eligibility and Benefit Response)
  • Working knowledge in ICD 10-ICD 9 Health codes in the claims environment.
  • Experience in Mobile Testing using Android Emulator and IOS Simulator
  • Extensive experience in Rational tools (Rational Requisite Pro, Rational Clear Quest and Rational Rose), and skilled in using MS office applications for day to day activities, and MS Project for prioritizing and managing individual tasks.
  • Hands-on experience working on Salesforce and CRM.
  • Worked on mobile testing of clients' websites on the following platforms (Android, iOS, Blackberry, ipad, and Windows Phone).
  • Worked with Claims, enrollment, eligibility verification for members and providers, benefits setup, and backend payment cycle in Facets.
  • Expertise in preparing and executing Batch Tests to improve testing efficiency.
  • Extensive experience working with Agile and RUP.
  • Experience in using Test Director for requirements management, Planning, Scheduling, running tests, defect tracking and defect management.
  • Integrated QTP with Quality Center to store and execute automation scripts and log execution reports.
  • Experience also includes the troubleshooting Client/Server and Web based applications.
  • Strong Problem Analysis and Resolution skills and ability to work in Multi Platform Environments like Windows 2000 / XP, UNIX.
  • Expertise in Analyzing Business Specifications and writing Test Cases, develop Test Scripts and execute them.
  • Experience of the full Software Development Life Cycle (SDLC) Methodologies and Validations to ensure the Quality Assurance Control.
  • Extensive experience in Functional, Integration, Regression, User Acceptance (UAT), Usability, Security, System, Load and Stress testing, Black Box Testing and white box testing.
  • Experience in using Automated Tools Test Director, Quick Test Professional, Quality Center, Web and Database Applications. R business system analysis of customizing the BPS Risk Management product with involvement through the whole SDLC
  • Maintaining the Requirements Traceability Matrix (RTM) across deliverables of a project.
  • Experienced in planning, delegating and tracking the test activities to meet the project schedule.
  • Experience working with SQL scripting, managed version control software and defect tracking systems.
  • Executed and Tested Batch files.
  • Strong skills in back-end testing using SQL Queries.
  • Strong Analytical skills, excellent communication and interpersonal skills, team player and self-Starter.
  • Liaison between the Project Manager, QA Manager and Testing Team. Created Data Mapping document to migrate the Data from existing system to the New System.

TECHNICAL SKILLS:

Automated Test Tools: Quick Test Pro 8.2, Winrunner

Defect Tracking Tools: Quality Center, Track Record, Rational Clear Quest, Rational Requisite Pro, and Rational Rose and Rational test manager.

Documentation Tools: MS Word 2000, MS Excel 2000, Microsoft Project, Visio.

Programming Languages: Java, VB. Net, ASP. Net, C++.

Databases: Oracle9i/10G, MS-Access & SQL Server 2000-2005. Sybase

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

Application Server: Web logic Server, IIS.

Operating System: Windows 9x/Xp/2000/NT, UNIX.

Reporting Tools: Micro Strategy, Crystal Reports10.

PROFESSIONAL EXPERIENCE:

Confidentia,l Reston, VA

Lead QA Analyst

Responsibilities:

  • Responsible for assisting the Quality Assurance group in defining, implementing and integrating quality principles and quality processes within software design and development.
  • Work on various HIX modules Enrollment and billing, Premium assistance, Notices and PDM.
  • Used SOUP UI 4.6.0 to transfer XMLS to internal vendor Dell and load effectuations to Hcetive environment.
  • Performed manual, usability and security testing of the application.
  • Assisted in creation of Test Plan, Test Strategy and estimation of test duration.
  • Manual Test case preparation for EDI 837 I, P and D, 277CA,820,835,834 in Mercury Quality center
  • Experience in Database testing using Oracle, MS SQL Server, SQL and PL/SQL queries
  • Experience in mainframe testing using AS400 for claims adjudication.
  • Experience in IBM mainframe system using File Aid.
  • Used Data Loader for insert, update, and bulk import or export of data from Salesforce.com subjects. Used it to read, extract and load data from comma separated values (CSV) files.
  • Internal creation of test data for converting 4010 EDI files into 5010 format.
  • Performed compliance testing on 837,835,834 and 820 EDI transactions.
  • Worked on NYS 837 Medicaid claims.
  • Identified new changes in each 5010 Transaction and prepared the Severity levels like, High level, Medium level and low level and prepared the line of estimation.
  • Participated in the training sessions provided by the Salesforce.com team
  • Modified the files using Ramp Manager and Edifecs Spec Builder.
  • Tested all Types of WEDI/SNIP Testing for HIPAA including Integrity Testing, Requirement Testing, Balancing, Situational Testing, Code set Testing, Specialty or Line of Business Testing and Trading Partner Testing.
  • Identified New (EHTR) Confidential Transaction Repository futures and understood the effects on existing surrounding application.
  • Was actively involved in conducting daily status meeting with internal vendors like Dell and Optum.

Environment: SQL Navigation 6.1, Microsoft SQL server 2008, Mainframe, Team track, DB2, MQ Series, SQL Advantage, Java, J2EE, XML, SOAP, Business Objects, Brio, Trizetto Facets, MS-Word, Ms-Excel, Onyx, Unix, Tools.

Confidential, Basking ridge, NJ

Sr. QA Analyst

Responsibilities:

  • Responsible for assisting the Quality Assurance group in defining, implementing and integrating quality principles and quality processes within software design and development.
  • Work on various HIX modules like Enrollment and billing (ENB), Program determination (PD), UIUX, and Notices.
  • Used SOUP UI 4.6.0 to transfer XMLS to internal vendor Dell and load effectuations to Hcetive environment.
  • Managed entire offshore team and coordinated day to day activities.
  • Work with project management team, technical team and business unit in the requirements gathering process to determine high level designs
  • Provide subject matter expertise to IT teams regarding QA and testing methodologies and processes and demonstrating responsibilities/accountabilities required to achieve quality deliverables
  • Report the results to the management and team lead in timely matter
  • Develop test scripts and test conditions to validate user requirements and defined system specifications for selected projects.
  • Was actively involved in conducting daily status meeting with internal vendors like Dell and hCetive.
  • Periodically review test scripts and test conditions prepared by DSNY test staff to ensure this documentation effectively supports the Department's software development work
  • Execute functional and performance tests according to test plans and scripts, document results, and identify and troubleshoot issues.
  • Utilized HP ALM QA tools to ensure that defects are entered and updated according to standards.
  • Work closely with DSNY IT management, PM/QA vendor and external and internal agency development teams to provide testing services and confirm application stability and functionality prior to deployment
  • Test scripts/test conditions for selected software development projects
  • Coordinated testing state UDT team.

Environment: SQL Navigation 6.1, Microsoft SQL server 2008, Mainframe, Team track, DB2, MQ Series, SQL Advantage, Java, J2EE, XML, SOAP, Business Objects, Brio, Trizetto Facets, MS-Word, Ms-Excel, Onyx, Unix, Tools.

Confidential, NYC

Sr. QA Analyst/Mobile Tester

Responsibilities:

  • Involved in creation of Test Plan, Test Strategy and estimation of test duration.
  • Manual Test case preparation for ICD10 837 I, P in ALM.
  • Experience in mainframe testing using AS400 for claims adjudication.
  • Experience in IBM mainframe system using File Aid.
  • Performed mobile testing on Android devices as a subscriber.
  • Experience in Database testing using Oracle, MS SQL Server, SQL and PL/SQL queries
  • Internal creation of test data for converting ICD9 to ICD10 in TDM.
  • Modified the files using Ramp Manager and Spec Builder.
  • Tested all Types of WEDI/SNIP Testing for HIPAA including Integrity Testing, Requirement Testing, Balancing, Situational Testing, Specialty or Line of Business Testing and Trading Partner Testing.
  • Identified New (EHTR) Confidential Transaction Repository futures and understood the effects on existing surrounding application.
  • Created and executed detailed test cases for manual testing of web-based applications as well as for mobile application using iOS devices.
  • Worked with the various Enterprise modules in android platform, testing experience with apps on mobile devices (Android/iOS).
  • Experience testing high transaction web services using Salesforce.
  • Involved in requirement gathering with multiple project managers, in an effort to better customize and utilize the full functionality of the SalesForce.com CRM solution.
  • Involved in testing the real time data flow between Salesforce and Peoplesoft using Web services.
  • Performed regression testing after replacing the (Microsoft) BizTalk (converting X12 file to flat file).
  • Wrote SQL queries to verify the data in database (ODS, EHTR, HLLAPI and SEAGULL).
  • Worked on Transaction Management in validating claims.
  • Analyze requirements and developed test plans and test cases for new modules to be integrated into a SaaS healthcare application.
  • Used ALM to store all testing results, metrics, implemented Test plan, created Test Cases, Defect Tracking & Reporting.
  • Assigned bugs to Programmer by using "ALM" bug (Defect) tracking tool (Verifying that all the reported bugs fix thru software developers)
  • Performed Test Data set up a pre-requisite to executing use cases during system testing.
  • Followed the testing progress during status meetings and prepared contingency plans when required.
  • Acted as a point of contact regarding defect status / resolution for the Development team, QA team.
  • Conducted weekly status meetings to discuss the testing progress and weekly activities.
  • Interacted with the developers in fixing all the problems.
  • Good understanding on (4010A and 5010) State Companion guides, 4010A to 5010 Side by Side changes document, Business Requirement Document (BRD), Functional Requirement Document (FRD) and also good understanding on each transaction Implementation guides.
  • Performed manual, usability and security testing of the application.
  • Assisted in creation of Test Plan, Test Strategy and estimation of test duration.
  • Manual Test case preparation for EDI 837 I, P and D, 277CA,820,835,834 in Mercury Quality center
  • Experience in Database testing using Oracle, MS SQL Server, SQL and PL/SQL queries
  • Experience in mainframe testing using AS400 for claims adjudication.
  • Experience in IBM mainframe system using File Aid.
  • Used Data Loader for insert, update, and bulk import or export of data from Salesforce .com subjects. Used it to read, extract and load data from comma separated values (CSV) files.
  • Internal creation of test data for converting 4010 EDI files into 5010 format.
  • Performed compliance testing on 837,835,834 and 820 EDI transactions.
  • Worked on NYS 837 Medicaid claims.
  • Identified new changes in each 5010 Transaction and prepared the Severity levels like, High level, Medium level and low level and prepared the line of estimation.
  • Participated in the training sessions provided by the Salesforce.com team
  • Modified the files using Ramp Manager and Edifecs Spec Builder.
  • Tested all Types of WEDI/SNIP Testing for HIPAA including Integrity Testing, Requirement Testing, Balancing, Situational Testing, Code set Testing, Specialty or Line of Business Testing and Trading Partner Testing.
  • Identified New (EHTR) Confidential Transaction Repository futures and understood the effects on existing surrounding application.
  • Performed regression testing after replacing the (Microsoft) BizTalk (converting X12 file to flat file).
  • Used EDIFECS XEngine to validate the X12 files.
  • Validated EDI 837 Institutional, Professional, Dental Claims and responses are HIPAA Compliant.
  • Validated all loops (Provider, Subscriber, Claim level, Service line loops) and segments as per the business rules and HIPAA standards.
  • Wrote SQL queries to verify the data in database (ODS, EHTR, HLLAPI and SEAGULL).
  • Worked on Transaction Management in verifying claims.
  • Assigned bugs to Programmer by using "Quality Center" bug (Defect) tracking tool (Verifying that all the reported bugs fix thru software developers)
  • Performed Test Data set up a pre-requisite to executing use cases during system testing.
  • Followed the testing progress during status meetings and prepared contingency plans when required.
  • Acted as a point of contact regarding defect status / resolution for the Development team, QA team.
  • Conducted weekly status meetings to discuss the testing progress and weekly activities.
  • Interacted with the developers in fixing all the problems.

Confidential, Horsham, PA

Sr. QA Analyst

Responsibilities:

  • Worked as the Lead Business System Analyst to improve Business Processes through investigation, analysis, review and documentation of all or part of a Data Life Cycle.
  • Responsible for analyzing and identifying gaps between the target data and required client attributes.
  • Worked with Claims, enrollment, eligibility verification for members and providers, benefits setup, and backend payment cycle in Facets.
  • Tested internal billing system for mobile products.
  • Performed GUI Testing and security testing on web and mobile applications.
  • Worked with the ETL Informatica Team to Extract Claims (UCPS), enrollment (COMPAS) and marketing (SMART) from ADW, CDW, VSAM and DB2 and Transformed the Data and Load to ISDW data warehouse.
  • Processed claims in Facets and validating the full cycle process to make sure the checks are generated and 835’s are generated all the way through check post.
  • Conduct usability testing of products based on client objectives
  • Verified member’s eligibility and updated the member’s record in Facets.
  • Validated claims process using Facets 4.71.
  • Wrote pricing BRDs for premium rating. benefits, groups, class and plans.
  • Extensively worked on 834 benefits claims files testing in enrollment and plan merger projects
  • Worked extensively on inbound transaction set 834(Benefit Enrollment & Maintenance) Claims Adjudication EDI (837), Remittance (835) and Claims Status (276/277).
  • Managed and Mentored the BA Team in achieving Project Deliverables and Deadlines on time.
  • Created Transformation Rules Document for the COMPAS Data Mapping by conducting and facilitating requirement gathering sessions with the COMPAS SMEs.
  • Done extensive Data Analysis and Validation of the Source to Target Data Mapping Using MS Excel.
  • Helped in the Generation of Production Reports with the purpose of making conclusions from the Data for Business Decision Making Process.
  • Supported the QA Team by organizing and facilitating Bug Triage Meetings to solve Data Quality issues.
  • Queried in SQL to validate data in database and Facets 4.71.
  • Created pricing BRD and FRD Documents, Test Case, Use Case and Mapping Rules Document.
  • Used MS Excel, MS Access and SQL to analyze large sets of Data from Multiple Sources.
  • Developed MS Power Point Presentations, Spreadsheets, Graphs and Analysis of project related information.
  • Conducted Daily Meetings with the Onsite and Offshore Teams.

Environment: SQL Navigation 6.1, Microsoft SQL server 2008, Mainframe, Team track, DB2, MQ Series, SQL Advantage, Java, J2EE, XML, SOAP, Business Objects, Brio, Trizetto Facets, MS-Word, Ms-Excel, Onyx, Unix, Tools.

Confidential, Tampa, FL

Mobile Tester/Sr. QA Analyst

Responsibilities:

  • Tested and processed 837 Institutional, professional and dental claims on Beacon spyglass which includes Adjustment, Pay Claim, Void Claim, Claim search, Pend Claim, Generate letters, checks and EOB’s.
  • Worked on conversion claims, reporting, Baking and payment processing once the claims were processed.
  • Worked intensively with the claims supervisors on validating data feeds sent to Anthem, which includes validating EDI in 5010 Transaction Standard, File Delivery Inbound and Outbound for Anthem, File Copies to FIC and Confirmation Email.
  • Involved in testing method for data exchange for Outbound Eligibility 834 File, Pre-Certification Transmitted from HPS to AMM and File and Medical Case Management Transmitted from AMM to HPS.
  • Worked on Validated Eligibility load from TAS to spyglass once the cases were issued on CSR.
  • Involved in developing Test Plan and created Test Cases as per the business requirements in Quality center for Patient Registration Module.
  • Executed test cases on iOS and Android according to Business Requirement Document (BRD) for mobile testing.
  • Extensively involved in creating test data and executing the test cases for the UNIX batch jobs.
  • Worked on Validated fill file (enrollment data).
  • Performed Web Service Testing using SOAP UI.
  • Worked on mobile testing of clients' websites on the following platforms (Android, iOS and Blackberry).
  • Worked on Validated member and their attributed on CSR.
  • Work on validating Broker Portal which included validating Quote Generation, Quote Output, Broker Links and Access and Discount Buckets per Producer roles as defined in requirements
  • Analyzed BRDs, SRSs to ensure 100% Requirements coverage in execution of Test cases.
  • Validated 837 (Institutional, Professional) 835, and 834 HIPAA Transaction sets and X12 messages
  • Discuss enhancements and modifications with the Project Team
  • Use team track to track, analyze, and log the defects to report them to developers.
  • Compared the parser generated XML claim data with slicer generated CU files to validate the claim match.
  • Reported the project status and activities to the Supervisor on weekly basis.
  • Involved in preparing the Test cases, Test data in Team track for Report Repository upgrade.
  • Work with the Developers, Infrastructure teams to resolve the issues.
  • Have written and executed SQL queries to ensure that member plan attributes and CIM numbers are associated with members under specific carrier appropriately and no Duplicate or Improper allocation of member attributes and CIM numbers are done.
  • Extensively used Agile Methodology and Adhoc testing for the applications.

Environment: Beacon spyglass, Mainframe, Team track, DB2, MQ Series, SQL Advantage, Java, J2EE, XML, SOAP UI, WSDL, Business Objects, Brio, MS-Word, Ms-Excel, Onyx, Unix, Tools (Reconcile, QA Director, Test Partner, CSR desktop).

Confidential, Florida

QA

Responsibilities:

  • Responsible to ensure that EDI process is HIPAA (Health Insurance Portability and accountability Act) compliant and worked on ANSI X12 standards.
  • Part of the team for migration of HIPAA - EDI X12 4010 series to 5010 series for EDI Transaction code sets:837 - Claim and encounters
  • Worked on analysis of FACETS claims processing system and to gathered requirements to comply with HIPAA 5010 requirements
  • Analyzed SQL queries that were used by the testing team to validate the data in the back-end Oracle Database.
  • Performed UAT testing for HIPAA 4010 and 5010 projects including legacy testing and HIPAA requirements and compliance mandates.
  • Performed web testing on multiple browsers and mobile testing for e-commerce applications and various web applications.
  • Created test plans and test cases for mobile testing and executed the test cases.
  • Performed usability testing of the web application.
  • Identified scenarios based on business requirements and HIPAA compliance for 837 Claim transactions.
  • Involved in Gap Analysis for ANSI ASC X12 837.
  • Experience in designing and documenting test cases for Facets 4.71 upgrade.
  • Experience in Test Execution using Rational Quality Manager (RQM).
  • Tested the claims, subscribers and providers in Facets 4.71.
  • Responsible for creating Onyx ticket at Trizetto Customer portal website if any issue is not resolved internally.
  • Experienced in performing User Acceptance Testing (UAT) and keeping testing logs & cycles to add to Software Testing Artifacts.
  • Queried in SQL to validate data in database and Facets.
  • Responsible for analyzing 837 Institutional, Professional and Dental 5-1- electronic transactions to ensure the test files are HIPAA compliant.
  • Worked on Claim Parser Program.
  • Experience in analyzing the 5010 Test files using Spec builder and Ramp manager.
  • Responsible for performing peer Review.
  • Responsible for setting up of all Trading partners associated with Med3000.
  • Involved in backend testing of the SQL database and verified if the EDI data is going without any error in respective database.
  • Performed Regression Testing for Facets 4.71 upgrade.

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