SUMMARY:

• 6 years of experience in Quality Assurance and Software Testing in Healthcare Industry.
• Proficient knowledge in various types of Software Testing such as Unit testing, and Regression Testing. Integrated testing, System Testing, Black box testing, Positive Testing, Negative testing, Performance Testing, Volume Testing, Back end Testing
• Experience with EDI transactions such as EDI 834 (Benefit Enrollment and Maintenance), 276/277 (Health Care Claim Status Request and Response), 278(Health Care Service Review Information), 835 (Health Care Claim Payment/Advice), 837P (Health Care Claim: Professional), 837I (Health Care Claim: Institutions), ICD9/ICD10.
• Involved in writing and executing test cases using HP ALM / QC based on the requirements.
• Strong working experience with HIPAA Transactions such as 834, 835, 837, 270/271, 276/277.
• Performed smoke test, functional testing, system testing and UAT testing.
• Expert in writing Test Plans and Test Cases.
• Expertise in planning and managing projects based on Waterfall, Agile methodology covering the full range of the software development life cycle (SDLC).
• Vast knowledge and experience in Health Care industry experienced in testing different healthcare ERP solutions such as FACETS.
• Solid experience in developing high - level documents, test plans and test strategy.
• System specification analysis, testing methodology and test plan formulation from Business requirements.
• Strong Knowledge of SDLC (Software Development Life Cycle).
• Experienced in supporting the UAT team in performing acceptance testing.
• Prepared test cases, plans, strategies and scripts for positive and negative testing and documented results
• Good working experience in analyzing changes and identifying areas of applications to be regression tested.
• Strong communication skills, both verbal & written, with particular emphasis on the production of clear & detailed written Test Plans, Business Requirements, & Functional Specification.
• Proven expertise in creating Test plans and testing approaches for the projects and acted as a SME in testing the requirements when needed.
• Professional with extensive experience in the development, implementation and integration of strategies within a team oriented environment, utilizing quantitative and qualitative analytical skills.
• Strong communication skills, both verbal & written, with particular emphasis on the production of clear & detailed written Test Plans, Business Requirements, & Functional Specifications.
• Worked closely with cross-functional teams to test requirements and functionality.
• Exclusively used Security Testing, Usability Testing, Positive Testing, System and Negative Testing.
• Used MS Excel spread sheet, PowerPoint, MS Visio, and MS Projects.
• Good knowledge of SQL and experience at conducting backend testing.
• Worked under Waterfall and Agile development methodology.
• Configured Test Bed environment by integrating specific Hardware, software and Operating the Test Execution.
• Extensive knowledge of deriving and writing Test Plans and Test Scripts based on Use Case and Use case realization.
• Very good experience in Back-End Testing using SQL on Windows platform to validate the consistency of data.
• Maintained Test Matrix and Requirement Traceability Matrix.
• Good knowledge of Health Insurance Plans (Medicare, managed care concepts (Medicaid and Medicare) and experienced in determining the membership eligibility, billing experience in health plans.
• Solid understanding of Medicare and Medicaid.
• Worked extensively with inbound and outbound 837/835 claim processing systems.
• Strong knowledge of SQL Queries.
• Excellent communication and writing skills with the ability to adapt to new and dynamic environments.
• Good team leader, Player and can work alone with minimal or no supervision.
• Experience working with off-shore team.
• Ability to multi-task, prioritize and work with time constraints while paying attention to details.
• Good problem solving, judgment, and decision-making skill.

TECHNICAL SKILLS:

Project Methodologies: Agile, Scrum, Waterfall

Operating Systems: Windows 7,8,10, UNIX

Testing Tools: HP ALM, Jira, MS Excel

Bug Tracking Tools: HP Quality Center/ALM, JIRA

Front-end Tools: MS Office, MS Project, SharePoint

Web Technologies: HTML, .NET

Databases: Oracle, MS SQL Server

PROFESSIONAL EXPERIENCE:

Confidential, Madison, WI

QA Analyst

Responsibilities:

• Responsible for creating and executing test cases in HP ALM.
• Involved in the development of Test Plans and Test Cases and coordinated the tests with the QA team to verify implementation of new features and enhancements.
• Preparing test status reports on daily and weekly basis.
• Responsible for creating and executing test cases around Healthcare claims, ITS, HIPAA / EDI (837/835/276/277, 270/271, 278,), NPI, Provider portals and Claims Processing applications.
• Participate in Demo sessions to client.
• Hands-on experience using various tools such as FACETS, CLAIMS Reporting Systems and vendor Managed Care Management Tools and Applications.
• Followed the Agile methodology for the entire SDLC.
• Responsible for end to end EDI file testing using HP ALM.
• Performed Back-End testing using SQL Query.
• Extensively conducted Back-End Testing using which involved complex SQL Queries.
• Performed Traceability matrix to match test scenarios to the requirements.
• Performed the Backend integration testing to ensure data consistency on front-end by writing and executing SQL statements on the Database.
• Performed Test execution and wrote and executed Test scenarios /Test Scripts.
• Created SQL reports, data extraction and data loading scripts for different databases and schemas.
• Developed design Specification writing Test reports and documenting Test results
• Facilitate knowledge sharing sessions within and across teams.
• Keeping track of Defects and closing the defects once they are resolved in ALM.
• Validating functionalities on the application based on business rules.
• Participated in daily scrum calls with the team.
• Participating in daily status calls, interacting directly with the client and updating the status to the team.
• Reviewing the work which team members does and explains them in understanding the process.
• Designed, wrote, and executed test scripts in ALM.
• Participating in daily meetings and demo sessions with platform team.

Confidential, Dayton, OH

QA Tester

Responsibilities:

• Built Product roadmap for delivering and implementing HIX features and functionality.
• Tested EDI 837, 835, 834 files in compliance with HIPPA 5010 and ICD10.
• Creating Test Cases after analyzing the BRD's.
• Set claim processing data for different FACETS Module.
• Involved in FACETS Implementation, involved end to end testing of FACETS Billing, Claim Processing and Subscriber/Member module.
• Wrote and executed test cases in Quality Center for System Testing and User Accepted Testing (UAT) as per requirement documentation and client records
• Ran the scripts on multiple environments (QA, UAT and Production) to ensure that requirements were still met.
• Utilized a database to ensure completeness and accuracy of all deliverables utilizing XML, ETL and SQL querying for specific testing needs during the SDLC process.
• Performed regression and functional testing on different components of the web portal.
• Wrote and Executed Test cases manually by composing 270, 276 EDI files and dropped inbound and check response 271, 277 using interleaves in outbound.
• Entering Claims and Customer Service Tasks into the FACETS.
• Involve in testing of FACETS Implementation, involve an end to end testing of FACETS Claims Processing module, Membership and benefits.
• Extensively worked on all kind of joins and operators to fetch data from multiple tables.
• Tested and validated the database tables using SQL queries and Stored Procedures and performed Data Validation and Data Integration.
• Conducted Data integrity and Data validation test manually.
• Checked the data flow from front end to backend and used SQL queries to extract the data from the database.
• Extensively worked on any requirement upgrade and/or change request while doing UAT.
• Oracle table data manipulation using SQL queries and UNIX commands/UNIX scripts.
• Responsible for performing User Acceptance Testing.
• Used agile methodology for the Software Development Life Cycle of the application.
• Interacted with developers, business analysts and discussed technical problems and reported bugs.
• Maintained Test Matrix and Requirement Traceability Matrix.

Confidential, Grand Rapids, MI

QA Analyst

Responsibilities:

• Working as part of Agile Scrum Development Team, conducting and effectively participating in sprint planning, task estimates, task sequencing, task assignments, sprint reviews and retrospectives.
• Worked with Developer teams to verify the Business requirement document and Vendor logic.
• Worked on detailed plans involving the update and conversion to various internal tables, extensions, back end technical considerations and internal and external interfaces.
• Submit, modify, and track change requests in Jira.
• Worked on different modules of Facets such as Members/subscriber, commissions, provider, billing.
• Membership/enrollment and billing-entered information on Facets to ensure correct eligibility, etc
• Involved in Managed Care applications, Healthcare claims, ITS, HIPAA / EDI (837/835/276/277, 270/271, 278,), NPI, Provider portals and Claims Processing applications.
• Validated the translated HIPAA files with the proprietary Common Claim Record implementations.
• Create maps to transform data from EDI to standard XML business documents, provided assessment of business and technical needs.
• Wrote Test Cases for Manual Testing and created Traceability Matrix.
• Generated reports using document generator of ALM.
• Provided Efforts Estimate and coordinated the schedule using Agile testing method UAT phase
• Involved in the peer review of Test Plans, Test Cases with the BA/QA team to verify implementation of new features and enhancements on Dev, QA, and Production Environments.
• Work closely with development team to work through issues/defects and resolution with the development.
• Work closely with development team to ensure business requirements are accurate and clearly understood.
• Participating in requirements reviews, designing reviews, and changing control activities.
• Producing and presenting formal test plans and leading the testing effort for assigned projects.
• Documenting and reporting issues discovered during testing, with follow ups for resolution with the Developers.
• Set-up, co-ordinate & conduct system & UAT testing
• Performed Use-Case analysis using UML to capture the dynamic aspect of the application

Confidential, Nashville, TN

QA Tester

Responsibilities:

• Assisted the business analyst team in preparing the Functional Specification Document
• Attended daily stand up, technical exchange meetings and documented meeting minutes to outline any action items for various teams; also participated in Sprint Grooming, Planning and Retrospective meetings
• Created the strategy document that defines the test environment, phases of testing, entrance and exit criteria into different phases of testing and resources required to conduct the effort
• Prepared Test Plans and Test Cases based on the business requirements
• Performed Security Testing.
• Conducted Back End Testing using SQL Queries to ensure proper data validation
• Performed Data Validation and Data Integration using SQL Queries.
• Performed Positive and Negative testing to ensure appropriate user authentication.
• Created multiple user scenarios to measure severe performance.
• Scheduled scenarios using Ramp-up, Ramp-down to simulate varying amount of user load on the server.
• Performed Regression testing using QC.
• Participated in the team for User Acceptance Testing.
• Involved in writing Traceability Matrix and performed Gap Analysis.
• Conducted result analysis and interacted with developers to resolve bugs.
• Used Quality Centre to Track, generate, and Report Bug. Also documented the report.
• Prepared user documentation with screenshots for UAT (User Acceptance testing).
• Conducted System Testing and User Acceptance Testing for every client and Conducted Backend testing writing extensive SQL queries.