SUMMARY:

• 7 + years of experience and established working knowledge on Software testing.
• Experience in all areas of Quality Testing including understanding of requirements, developing Test Plans, Test Cases, Scenarios, Test Lab and defect tracking.
• Involved in Manual Testing and Automation Testing of applications on Windows and UNIX Environments.
• Proficient in SDLC and its methodologies like Waterfall, RUP and Agile and STLC.
• Prepared and documented Test Cases, Test Scenarios, Test Scripts, Traceability Matrices and Defect Reports.
• Strong experience in all levels of testing such as Positive testing, Negative testing, Integration Testing, Functional Testing, UI Testing, System Testing, Black box testing, Regression Testing and User Acceptance Testing (UAT), Browser testing.
• Strong knowledge of web services testing using SoapUI, XML.
• Proficiency in Defect management, including Defect creation, modification, tracking, reporting using tools like Rational ClearQuest, Quality Center and Application Lifecycle Management (ALM) v11.
• Well versed in Defect Tracking & Bug Reporting using Quality Center (HP ALM), JIRA, TFS and ClearQuest.
• Experience in using Selenium (Web Driver, RC, and IDE) for web automation testing.
• Experience in Planning and execution of Performance, Load and Stress tests for Web applications.
• Proficient in writing SQL Queries using DDL, DML, Transition Control statements and develop stored procedures.
• Good team player and also have ability to work independently in a time sensitive environment.
• Good organizational and communication skills, with the ability to express technical concepts verbally and in written.
• Permanent Resident Card holder.

TECHNICAL SKILLS:

Requirements management: Rational Requisite Pro and HPQC

Testing/Defect tracking Tools: QC, Test Director, Clear quest, Selenium (IDERC, Web Drive)

Operating Systems: Windows NT/XP/2000, UNIX, Solaris

RDBMS: Oracle, SQL Server

Programming Languages: C, C++, Java, Visual C++, and PL/SQL

Web Technologies: JAVA, HTML, XML, Java Script, and VB Script.

Design Tool & Languages: Microsoft Visio, C, C ++, SQL, and Java

File Transfer tools: Filezilla

Web services tools: SOAP UI, Rest client

Test Automation tools: QTP, Selenium

PROFESSIONAL EXPERIENCE:

Confidential, Jacksonville, FL

Sr . QA Analyst

Responsibilities:

• Involved in developing test plans, Created test cases and test scripts.
• Executed Test Cases to find defects within the NIW system and tracked the defects in Quality Center
• Defined the test criteria, project schedules and base lined the Test Plan with the help of project meetings and walkthroughs.
• Involved in decision making of converting manual test cases into automated test scripts and analyzing their life time and time required to update the scripts.
• Written smoke test cases in Quality Center and modified them when they are automated.
• Involved in environment requirement gathering meetings and giving inputs to the environment teams.
• Implemented HIPAA 4010 and 5010 / ICD 10, version for all EDI transactions.
• Analyze and dissect system requirements and technical specifications to create and execute test cases for NJDC State Exchange (HIX) projects
• Worked as a SME Medicaid Management Information Systems(MMIS) including The Accredited Standards Committee X12 standard EDI Transactions - 834 and other, ICD 9 & 10, HL7, Medicare, Medicare Advantage, MediGap, HIPAA, HIE,, EHR and all other compliances.
• Lead Business Intelligence reports development efforts by working closely with Micro strategy, Teradata, and ETL teams
• Extensively interacted with the stakeholders and the IT Department in finalizing the requirements according to the CMS Compliances/Regulations and HIPAA Regulations.
• Co-ordinated with enhancement of AMISYS (Accounting and Management Systems) responsible for Billing of Claims.
• Experience with FACETS System implementation, Claims and Benefits configuration set-up testing, Inbound/Outbound Interfaces and Extensions, Load and extraction programs involving HIPAA 837 and proprietary format files and Reports development.
• Designed DataStage ETL jobs for extracting data from heterogeneous source systems, transform and finally load into the Data Marts.
• Collaborated with management and senior-level engineers to develop code for new features used within a Health Information Exchange (HIE).
• Manually tested the whole application before going for the automated testing.
• Involved in testing the conversion of the application into web application using XML web services.
• Developed and verified the request codes, response codes, and reason codes using Distributed Applications Technology using JAVA, JDBC and XML.
• Defined Business Process aligns with Company goals and existing HIPAA regulation to communicate with CMS Programmatically from Amisys system.
• Perform testing of configuration to ensure AMISYS performs according to the business requirements.
• UAT testing performed along with call center managers to make sure that application meets their requirements.
• Extensively work on EDI transactions 834, 835, 837I, 837P, 820, 270/271, 276/277, and 999.
• Used UML to perform Use-Case analysis to capture the dynamic aspect of the application.
• Interacted with stakeholders and gathered requirements as per the business needs.
• Identified AS-IS processes of claims transactions of 4010/4010A standard and TO-BE processes (ICD-10-CM and ICD-10-PCS compliance requirements) of 5010 standard using the gap analysis.
• Adhered to existing change management procedures. Recommended improvements to existing procedures.
• Identified NPI requirements for HIPAA EDI ASC X12 835 and 837 transaction sets; team member for review of HIPAA EDI ASC X12 276/277 transaction set interface with FACETS.
• Designed load tests (Stability, Stress and isolation tests) in different ways to measure the application performance.
• Conducted HIPAA Conversion Analysis - contribute in the documentation of HIPAA 5010 changes to EDI 837, 834, 835, 276, 277 transactions sets.
• Performed Analysis of ICD 9 Procedure and Diagnosis Codes in accordance with ICD 10-CM and ICD 10 PCS Conversion Compliances using GEM.
• Implemented automated COB processing of Medicare claims into Facets
• Created Data Flow Diagrams (DFD’s), ER diagrams for data modeling and web-page mock-ups using MS - Visio for acceptance from end users.
• Defined project milestones, schedules, and monitored progress using MS - Project and updated plans as required.
• Worked on FACETS to terminate or reinstate health coverage for the subscriber.
• Implemented the concepts of data warehousing by creating relational/multidimensional databases that was designed for query and analysis.
• Analyzed the change detection process on Facets database tables to capture the daily changes done by Users through Online Facets Application.
• Previous experience with Amisys configuration
• Analyzed, organized, and updated database using SQL.
• Analyzed and tested data interface needs with external systems.
• Developed Test plans, Test conditions, and Test cases to be used in testing based on business requirements and technical specifications.
• Assisted with user testing of systems and maintained quality procedures and ensured appropriate documentation in its place.
• Assisted EDI team with the testing of maps for HIPAA transactions 834,835 and 837.
• Design, analyze and performed Integration and wrote System requirements on different leading health care software’s such as FACETS.
• Used Test Director and Mercury Quality Center for updating the status of all the Test Cases & Test Scripts that are executed during testing process.
• Generated Performance strategy, reports, Benchmarking, Analysis and Tuning of the System.
• Responsible for building the frame-Work for the Automation. Successful automation of SAS Management Console, Information MAP studio, SAS ETL, Web report Studio
• Translated Business processes into Informatica Mappings for building Data marts
• Responsible for integrating with Facets (Version 4.41).Designing test scripts for testing of Claims in Development, Integration and production environment.
• Regular interaction with developers, business analyst and Logic Unit Workgroup.
• Prepared documentation for all stages according to company standards.
• Extensively involved in the automation of Regression Test Cases by scripting.
• Used Controller to organize the test scripts, Execute and Report scenarios.
• Performed Data driven testing, Correlation and check point in the scripts.
• Enhanced the scripts and developed various functions to enhance the scripts.

Environment: Windows 98/2000, Window2003, Window NT, Linux, Solaris IBM Web sphere, Apache Tomcat, COBOL, IS 6.0, Web Logic, Java, .NET, ASP.NET, Quick Test Pro 8.2, Mercury Quality Center, Mainframe, AMISYS, DB2, J2EE, UNIX, XML, Windows OS, SQL, PL/SQL, Oracle9i, Cognos, Quality Center 9.0, QTP, Quick Test

Confidential, Chicago, IL

QA Analyst

Responsibilities:

• Interacted with Business Analysts, Developers and End-Users to designed detailed test plan document for application testing.
• Provided assistance to team members to clarify functional and technical difficulties.
• Analyzed functional specifications from the front-end application with reference to requirement document
• Managed a Functional Test Environment using HP/Mercury Quality Center 9.0 to performed Black box testing
• Used SQL to test various reports and ETL load jobs in development, QA and production environment
• Understood the business process that included Sales processes, Rating methodology, different Products, Group Renewals and Enrollment process
• Wrote Test Plans in MS Word for Manual Testing, System Testing, Integration Testing, Performance Testing, Regression Testing & reviewed their consistency with the business requirements.
• Involved in testing the efficiency of healthcare delivery by using HIPAA
• Hands on experience on ICD-CM 9.
• Used JIRA tool to track Issues
• Reviewed the Requirements documents for 5010 ANSI X12 Transactions and created the Test plan and test cases for 837I/P/D,835,276/277,270/271,834,820 HIPAA EDI Transactions for Iteration Testing, Integration Testing and System Testing.
• Involved in testing HIPAA EDI Transactions (837I/P/D, 270/271, 276/277, 835,834, 820) for 5010
• Utilized corporation developed Agile SDLC methodology. Used ScrumWork Pro and Microsoft Office software to perform required job functions.
• Analyzed MMIS system impact for Windows and Interfaces.
• Ensured that ETL process steps involved in Claim Codes loads data to Oracle Db’s as anticipated.
• Managed onsite and offshore QA teams.
• Performed initial manual testing of the application as part of sanity testing.
• Was Responsible in finding the eligibility of the members and filing claims for the States Disability Insurance benefits for both short term disability who are not eligible for the Social security benefits and for the Long term disability customers who are qualified under Social security plan for the payment of benefits as a result or injury
• Performed Manual and automated testing and defect tracking and resolution of applications and solutions.
• Performed daily defect management, including reviewing and prioritizing the defects
• Involved in testing HIPAA EDI Transactions and mainly focused on 837 and 835.
• Created Test Scenarios and Matrices for various Claim transactions for various projects.
• Analyzed HIPAA 5010 impact on external Data Warehouse and data warehouse extract process and mapping of MMIS database and data warehouse.
• Design, developed and maintained SQL scripts.
• Used MQ test and SoapUI for XML response for the member information from Siebel GUI interface purpose and WSDL files uploaded in SoapUI testing using client security certs.
• Expert in HIPAA Transactions testing and in-depth knowledge of HIPAA framework (Health Insurance Portability Accountability Act) rules for ANSI X12 messages 837P/I, 835, 276/277, 270/271, 278, TA1 and 997 in 4010A1 Standards.
• Validated existing Provider, Prior Authorization, Benefit Plans, Claim and Eligibility information using Enrollment System
• Defect tracking and reporting the defects in timely manner
• Prepared user documentation with screenshots for UAT (User Acceptance testing).
• Logging defects in the Defect management tool on a regular basis.
• Tuned stored procedures/scripts, SQL queries to improve the system performance.
• Used FACETS Analytics for fast and easy retrieval, display and grouping of information for performing queries and generating reports.
• Created EDI Export and Import processes and work with EDI Trading Partners, Payers or Vendors. Perform a range of telecommunications processes, including FTP, Dial-up, TCP/IP, Web transfers

Environment: ALM, Quality Center 10.0, VB Script, SOA test, Agile Scrum, Rational Clear Quest, PL/SQL, Facets, TFS, Jira, Java, SOAP UI, SQL Server, JSP, HTML, MySQL, Oracle, XML, and Unix

Confidential, Hartford, Connecticut

QA Tester

Responsibilities:

• Responsible for decomposition of the requirements based on the functional specifications, design, development, coding, testing, debugging and documentation of applications to satisfy requirements.
• Prepared Test Plan and Test cases based on the functional specifications.
• Involved in writing UAT test cases.
• Executed SQL queries to identify and manage to eliminate Duplicate and Improper data that would load into the RDBMS via ETL.
• Performed Positive and Negative Testing manually.
• Set claim processing data for different Facets Module.
• Involved in preparation of Test Data to test the functionality of ETLSources Mappings and Targets.
• Tested HIPAA regulations in Facets HIPAA privacy module.
• Tested the configuration of Medicaid Claims and membership Sub-systems in Facets.
• Tested and delivered Inbound/Outbound Facets interfaces.
• Executed SQL queries for searching, creating and updating test data
• Extensively involved in Data Hub Back-End Testing using Oracle SQL Server; performed daily process testing using SQL scripts execution and logged test results in Quality Center.
• Created and executed test scripts for approved Change Requests, logged their test results and related documentations in Quality Center.
• Responsible for creating different sessions and workflows to load the data to Data Warehouse using Informatics Workflow Manager.
• Identified, analyzed, and documented defects, errors, and inconsistencies in the application using Mercury Quality Center.
• Transactions focused on were 270,271, 834, 835, and 837
• Worked on EDI transactions: 270, 271, 834, 835, and 837 (P.I.D) to identify key data set elements for designated record set
• Reported defects according to Defect Life Cycle.
• Document business requirements and configuring product builds, focusing on TPCT,RCCT, SPCT, SRCT,SEPY, SESE, DEDE,LTLT,SEDF, BSBS, PDBL's.
• Strong working experience in the Data Analysis , Data Verification and Validation of an ETL Applications using Backend/Database Testing.
• Responsible for defect tracking and bug reporting using Quality Center; interacted with developers and Business Analysts to discuss and resolve defects
• Created and Maintained Test Matrix and Traceability Matrix and performed GAP Analysis.
• Coordinated with the developers on Defects Status on a regular basis.
• Involved in User Acceptance Testing.
• Provided recommendations for improving testing approaches and techniques including integration testing, functional testing and user acceptance testing expertise to ensure that the configured Trizetto products and services are functioning as expected and will meet end user requirements.
• Worked in the analysis of the ICD 9 - ICD10 codes.
• UAT testing for HIPAA 4010 and 5010 projects including legacy testing and HIPAA requirements and compliance mandates.
• Inspected and worked on HTTP web services application and on SOAPUI.
• Analyzed all the bugs in the QC reported by the users during the UAT.
• Performed feedback concerning completeness and accuracy of AUT.
• Involved in documenting the defects found during AUT.
• Participate in various meeting and discussed Enhancement and Modification request.

Environment: Oracle, Facets, Windows, IIS, Quality Center, DB2

Confidential, Denver, CO

QA Tester

Responsibilities:

• Responsible for designing, developing test plans, use cases and test scripts.
• Performed Unit, Integration, Regression and system testing.
• Used Quality Centre for preparing the Test Plans and manual Test scripts.
• Experience with Medicare, Medicaid, and commercial insurances in HIPAA ANSI X12 formats including 270/271, 276/277, 834, 835, 837
• Created test cases for testing the 276/277, 270/271 and 278 transactions.
• Used TOAD for Oracle in creating & executing SQL queries for testing ETL process.
• Reviewed the Global Cert and P2P test cases from BCBSA and filtered the test cases that can't be tested and hence requested an exemption of those test cases.
• Analysis of ETL Mappings based on Facts & Dimensions from Source to target tables for directs moves and indirect moves based on transformation rules & lookup tables.
• Created the 270/271 TR3 summary and detail side-by-side document.
• Created test cases for Transaction Manager, BX audit tables, Next Iterations, Global Certification components of 27X transactions testing.
• Prepared test data for testing the 270/271 and 276/277 transactions.
• Involved in pitching various 27X transactions using the web screens.
• Used MS Sql server Management studio for Creating & executing SQL queries for testing the conversion & ETL process .
• Executed 276/277 internal system tests including the web screens.
• Executed and internal system tests.
• Defined changes to the Blue Exchange (BX) audit tables, for the conversion process.
• Followed HIPAA implementation guides for preparing the EDI files.
• Ability to work from functional Specifications to write test plans.
• Involved in manually creating 5010 version of the 27X transactions by using the TR3s as the guidance.
• Checked the HIPAA compliance of the manually created 27X transactions using the Edifecs Analyser tool.
• Used SQL queries to obtain the test data and also to perform backend testing.

Environment: Java, Edifecs, Daptiv, Quality Centre, SQL Server 2005, Facets, SQL, Windows NT/2000.