SUMMARY:

• Skilled Software Testing Professional with over 8+ years as Systems/Quality Assurance Analyst of both Web - Based and Client Server Application
• Strong experience in performing manual and automation testing using HP Quality Center
• Knowledge in analyzing business specification documents, developing test plans, defining test cases, executing test cases, defect management and developing test summary
• Extensive experience in Software Development Lifecycle (SDLC)
• Hands on experience with all phases of Software Test Life Cycle (STLC)
• Complete knowledge of Waterfall and Agile Methodology for quality control
• Proficient in Functional/GUI/System Integration/Regression/User Acceptance Testing
• Good exposure to database technologies like Oracle and SQL Server
• Experienced in converting existing QTP Script to Selenium WebDriver Script for multi browser support
• Detailed knowledge in healthcare benefits, benefit administration, health care delivery (from either/both a payer or provider perspective), EDI, paper claim lifecycle and health insurance industry practices and standards
• Good working knowledge and understanding in EDI HIPPA 837, 835, 834, 270, 271, 276, 277 transactions
• Expertise in identifying problems and providing effective solutions
• Experience in working onshore/offshore model.
• Ability to successfully present testing solutions in oral and written presentations with strong analytical skills
• Skilled mentor for new team members and efficient leader for a team.

TECHNICAL SKILLS:

Testing Tools: HP Quality Center, Application Life Cycle Management, I-Browse, Selenium Webdriver, QTP, VMware, JIRA, and Firebug

Claims Processing System: FACETS, NASCO, Epic Tapestry AP

Data Bases: MS SQL server 2005/2008, My SQL, Oracle 10g, DB2, SQL Developer

Languages: SQL, HTML, XML, Java

Methodologies/Frameworks: SDLC, Agile, Waterfall

Operating Systems: MS Windows (9X/NT/2000/XP/2007, s2008)

PROFESSIONAL EXPERIENCE:

Confidential, Dallas, TX

Sr. Quality Analyst

Responsibilities:

• Created Test Strategy, Test Plan and Process Flow Document for the Browser Compatibility Automation Testing process
• Responsible for testing the browser compatibility capabilities of Texas Instrument’s DCIT applications like Ti.com, Product Folder, TI Designs, Myti.com and the Tools and Software Folder
• Assured quality in the execution of test plans by working within the formal test period for TI feature updates
• Performed GUI, content validation, broken link validation, css validation for web-based applications in UAT, SAT and PROD environments
• Created Test Summary Report and Defect Report

Team Lead

Responsibilities:

• Responsible for gathering requirements from the respective Application Owners
• Assisted Project Manager with deliverables, maintaining project plans and schedules, logging and tracking defects, change management, coordinating and tracking knowledge transfers, inventory management and resource management
• Performed Automation GUI and functional testing for GxP and Non GxP web based applications including Documentum, LMS and WebEx
• Used VMware to create Virtual Machine with various OS and Browser Configurations for compatibility testing
• Acted as a customer advocate in testing functionality and contributed to outstanding customer satisfaction
• Led daily standup meetings to report day-to-day activities and updates

Quality Analyst

Responsibilities:

• Collaborated with Managers and Developers on design, testing and timely deliverables
• Conducted Test scenario and Test Case review meeting with Business Analyst, EPIC and Application Build teams
• Performed end-to-end testing of claims processing including EDI 837, 277, 835 file transactions
• Executed regression and data driven testing on the system using QTP.
• Maintained, Analyzed and Communicated test progress, test results, and other relevant information to project stakeholders and management
• Organized and conduct walkthrough/meetings to review Test Strategy, Test Plan, Test Cases, and Test documents with project team to insure test coverage
• Involved in project management activities by handling all meetings, data analysis, documentation and work distribution among onsite and offshore team

Team Lead

Responsibilities:

• Actively interacted with Senior Analysts, and Managers in the analysis of EHB requirements
• Escalated the issues pertain to project requirements (Software, Hardware, Resources) to Project Manager
• Provided support, guidance, leadership and motivation to promote maximum performance
• Executed test cases to validate the current cost share accumulation (Deductibles, Co-insurance, and Co-pay) were applied to the plans based on the Group Benefits
• Adjudicated claims in FACETS for the existing and new changes made in the system
• Responsible for getting approvals for the prepared Test Plans, Test matrix, Test Scenarios, Test cases, Test data from the QR Committee

Systems Analyst

Responsibilities:

• Analyzed and provided fix if there was any environmental or data issues which were causing upfront discrepancies in the results.
• Validated new sub-particulars where the new variables are coded
• Validated XML interfaces, XML Files for NHCR ACCUM systems
• Reported the issues in a timely manner, revalidated the resolved issues to load the particulars in production as scheduled.
• Expertise in resolving Defects / Inquiry / SER which were raised by other departments like 837 mapping, 835,Voucher and EOB’s

Systems Test Analyst

Responsibilities:

• Involved in detailed analysis of HIPAA compliance requirement and worked in EDI/ANSI X12 environments
• Executed test cases in FACETS claims processing system to test the benefit changes based on HCR compliant
• Entered test data into the application in the test environment for creating groups and subscribers
• Responded to business for the 835, 837 and benefit inquiries
• Responsible for creating Test Scenarios for Institutional and Professional LOBs to validate the existing and new benefit
• Actively participated in various ad-hoc testing

Test Analyst

Responsibilities:

• Worked on Agile methodology by attending daily standup meetings, developing Test Plan and Test Cases based on the user stories (Functional Requirements)
• Extensive experience in creating 837 test data
• Executed manual tests and identified cases to be automated
• Validated vouchers, EOBs & Claim Remittance advice (835)
• Performed tests on Medicare, HMO, PPO, and HSA claims
• Involved in validation of Production EDI 837 claims as a part of production support.

Coding Specialist/Analyst

Responsibilities:

• Facilitated an efficient and effective process for coding in facility outpatient clinics and in professional encounters as assigned
• Experience working in Electronic Medical Record for billing and coding process
• Worked closely with Coding Compliance Audit Specialist to ensure that coding is supported by documentation
• Strong understanding of ICD-9, CPT, HCPCS coding protocols, and related laws and regulations affecting healthcare billing
• Good knowledge of medical terminology, pharmacology and physiology
• Effectively communicated complex coding issues verbally and through writing