Quality Analyst Lead Resume

SUMMARY:

6+ year experience in HealthCare Domain
Worked in multiple migration projects
Experienced in working with multiple Mental Health, Pharmacy, dental and vision vendors
Proficient in writing SQL queries
Experienced in ETL & data warehouse testing
Experienced in EDI Transactions such as 837 (Claims and encounters), 835 (Payment and Remittance),270/271 (Eligibility response/request)
Extensive knowledge of different claims processing/adjudication applications (e.g. MHS, Planmate OSCAR, IPNS, FEP Direct, Health Rules)
Experienced in creation of Test Plan, Test Scripts and Test Cases for Functional, GUI, System, Regression, Integration, Performance and User Acceptance Testing based on the Design Document and User Requirement Document
Experienced with the ITS (inter plan teleprocessing system) platform
Coordinated testing for multiple ITS releases (including global cert testing with partner plan)
Experience with the Service Now customization activities with the apps Incidents, Problems, Change and Service Catalog
Professional skills in defect management tools such as HP ALM
Ability to work & manage multiple projects simultaneously
Highly Motivated and Efficient Team Player, with Excellent Interpersonal, Communication and Analytical skills

TECHNICAL SKILLS:

Healthcare Applications (IBC & HMK): EDI, CIS, Mainframe (TSO, CICS), CA View, MHS, Planmate, Phillpro, ITS, Confidential Squared, AIM, MaxMC, AEDW, PBM, Oscar, OCWA, ICIS, ECS, CPR, IPNS, Stop - loss, Customer Exp etc.

Core Competencies: Quality Assurance, Test co-ordination, Test Planning, Test Case designing, Defect Management, Testing Process, Metrics

Testing Types: Functional Testing, System Testing, System Integration Testing, Regression Testing, End to End Testing, User Acceptance Testing

Test Management & Defect Tracking Tools: HP ALM, Quality Center

Software Methodology: Agile Modeling, Waterfall

Software Packages: MS Office, MS Visio, MS Project, MS Excel

Operating Systems: Windows 2000/XP/7, MAC

Database: DB2, Microsoft SQL Server -2014

Programming: C/C++, JCL, Cobol, SQL

WORK EXPERIENCE:

Quality Analyst Lead

Confidential

Responsibilities:

Worked across different portfolios like Claims, Provider, Benefits, enrollments, portals, accumulation etc. and supported multiple enhancements, maintenance, mandates, migration projects during more than 6 years span at end client location - Confidential (Philadelphia, PA).
Streamlined and Established efficient testing process for migration projects and successfully completed medical and Pharmacy claim migration on vendor platforms for PA (year-2012/14) and NJ (year-2014/15) businesses
Introduce data validation/comparison testing for applications which source the data from the multiple sources. This helps in determining databases & ETL defects in the early testing phase
100% Automated regression testing for web-based applications (Customer Experience and Portals) which is resulted in saving of multiple hours of manual testing effort

Confidential

Tester

Responsibilities:

Create test data on the system (dummy enrollments as per test scenarios/requirements)
Prepare test cases and perform Functional and UAT
Confidential Squared release 12.0- Confidential Mandate Release- year 2012

We provide IT Staff Augmentation Services!

We'd love your feedback!

Resume Categories

Client Services

Job Seekers

Visa Sponsorship