SUMMARY:

• A result oriented professional with over 8 years of diversified experience.
• Expertise in Project Planning, Project Design, creating functional specifications and data flow diagrams.
• Expertise in translating user requirements into technical specifications and mapping the process design, work flows for SDLC with documenting and managing business requirements using Scrum, Kanban & Agile methodologies. Maintained the Requirements Traceability Matrix (RTM).
• Experienced Business Analyst in a role of responsibility encompassing Requirement Gathering, Decomposition and Analysis besides Quality Assurance.

KEY COMPETENCIES:

• Affordable Care Act (ACA)
• Project Management
• Developing Reports
• Process Development
• Structured Analysis
• ELIS (OIT) * FDNS experience
• 508 Trusted Tester
• Obamacare - Healthcare.gov
• Confidential & Confidential Expertise
• Federal Contracts Expertise
• Team Leadership
• Change Management
• Complex Problem Solving
• Training/Development
• FFM/ FFE & HIX experience

TECHNICAL SKILLS:

• SharePoint
• SDLC
• Agile
• Waterfall
• Pipkins
• MS Office Suite
• Eclipse
• 508 Testing
• MS Project
• Snag IT
• MS Dynamics CRM
• SharePoint
• DBeaver
• SQL Server
• Deltek

PROFESSIONAL EXPERIENCE:

Confidential

Software Test Engineer, Washington, DC

Responsibilities:

• Took part in development, documentation and implementation of the Test Strategy and End to End Pilot.
• Developed testing strategies for ensuring the quality of complex distributed systems supporting mission critical business.
• Conducted automated and manual testing of functionality developed by development teams.
• Documented test plans and test results for user stories.
• Conducted demos to product owners for newly built application functionality.
• Acted as a Subject Matter Expert in one or more business domains relevant to a given application.
• Participated in agile development process activities working alongside developers, business analysts, and product owners.
• Lead and supported innovation and advancement of technological improvements to the Field Operations Directorates' reporting, performance analysis, data storage, and operational analysis and forecasting.
• Supported the Directorate by identifying the requirements for reporting, analysis and business intelligence activities.
• Understood, documented, and guided the conceptualization and architecture of data quality and data integrity across multiple legacy and locally-developed databases in an agile environment.
• Used detailed statistical analysis; prepare reports regarding quality management program activities, production statistics, data integrity issues, and accomplishments in these areas for submission to appropriate offices.
• Prepared periodic reports to component officials/leaders on problems identified and any improvements recommended to improve the quality of component operations.
• Analyzed data and business problems using a variety of tools including (but not limited to) Excel and Access, Oracle Business Intelligence Enterprise Edition (OBIEE), Structured Query Language (SQL), and Statistical Analysis System (SAS) to support performance management and operations reporting and analysis.
• Communicated both orally and in writing, complex technical and analytical information in plain language to business and technical stakeholders at all levels
• Maintenance of Test Matrix and Traceability Matrix.
• Possessed thorough, in-depth knowledge of analytical tools and methodology to provide a comprehensive knowledge of management issues and programs.
• Independently coordinated the planning, designing, scheduling, and carrying out of programs, major projects and/or studies.
• Developed new or improved approaches for analyzing, developing and presenting authoritative information or analyses on complicated matters of national importance.
• Analyzed business processes and recommended new policies and procedures to correct deficiencies.
• Researched and investigated new or improved business management methods to determine the impact on program operations.
• Coordinated the planning, design and implementation of data quality, data integrity initiatives.
• Coordinated the gathering of reporting requirements to support performance reporting, analysis and quality assurance related projects.
• Used Confidential systems and operations to generate accurate data reports that are reflective of Confidential ' operations.
• Directed and coordinated the work to provide analytical studies and projects related to the generation of performance data, dashboards, and enterprise reporting;
• Lead the planning, design, and implementation of data quality, data integrity initiatives that involve the assessment of applications, databases, queries, reporting capabilities, and stakeholder collaboration;
• Served as a liaison between business stakeholders throughout process improvement and/or technological advancement initiatives related to performance management and reporting; and,
• Provided recommendations to the resolution of complex issues affecting data quality and data integrity of reported data to senior management.
• Conducted User Acceptance Testing (UAT) after going through regression testing.
• Experience in Agile/Scrum/Kanban testing methodologies, design, development of tools and technologies and deployment management.
• Played a key role in the planning, testing, and implementation of system enhancements and conversions.
• Participated in planning, report on project progress, and identify potential risks and issues.

Environment: Eclipse, RoboMongo, Dockers, DBeaver, JIRA, Tsheets, MySQL, Jenkins, Swagger, MS Office, Selenium, HP ALM.

Confidential

Sr. Business/EDI Analyst, Nashville, TN

Responsibilities:

• Took part in development, documentation and implementation of the Test Strategy and End to End Pilot.
• Extensive knowledge and experience of 1095A project and mentoring new analysts.
• QA’d different projects; Payment & Enrollment Disputes and Confidential Remediation & Confidential Validation Project.
• Researched and collaborated to meet escalated assigned objectives with CMS, Congressional Offices, Federal Agency Leadership & Confidential via CMS ROs.
• Identifying and solving customer information and processing problems and Creating design specifications for new reports.
• Developed and processed change management policy and supporting procedures as assigned in accordance with specialty assignment, organizational policies, HIPAA, State and Federal regulations.
• Developed and lead complete claims review process, from investigation through resolution, while working alongside both internal and external parties (hospitals, insurance groups, CMS, ACA etc.).
• Maintenance of Test Matrix and Traceability Matrix.
• Strong ability to understand and document critical data through effective data collection, data analysis and data interpretation.
• Experienced with enrollment & payment transactions with the Affordable Care Act (ACA).
• Worked with technical and development team to resolve identified issues in a timely manner.
• Reviewed Foundation System reports and identifying advanced analytics needs with report consumers.
• Reviewed upgrade documentation and determining how to implement those changes.
• Extensive experience with Healthcare related Federal contracts i.e. ACA, Confidential, Obamacare.
• Coordinated meetings, presented on specific topics and performed duties as described by the manager.
• Served as a SME for the whole 1095A project and acknowledged as the top performer & a great asset.
• Provided day to day guidance to assigned team members when appropriate for both BA and QA teams.
• Determined cost factor involved in integration process of third party vendors by effectively using GAP. Deep Dive and Cost Analysis.
• As Scrum Master communicated dependencies and potential risks to the completion of the sprints including resources, costs and systems.
• Experienced in creating and validating federal reports forwarded to CMS® from Medicaid programs.
• Extensive escalation experience with CMS, Congressional Offices, Federal Agency Leadership, Confidential, State Health Insurance Programs, Local Federal/State Agencies.
• Owned issues resolution and worked as a liaison between Business and IT for clarification of the project business requirements and change controls.
• Managed team(s) onsite and offsite workforce while achieving or exceeding productivity and quality.
• Identified and reviewing the appropriate technological solutions for various reporting needs.
• Problem solving, analysis and performance improvement, identification and implementation.
• Reviewed documented training material for accuracy and assist with end user training and support.
• Conducted User Acceptance Testing (UAT) after going through regression testing.
• Experience in Agile/Waterfall testing methodologies, design, development of tools and technologies and deployment management.
• Extensively facilitated meetings/conference calls with stakeholders, project managers, developers, QA Analysts and other end users based onsite/offshore to deal with business and technical issues and resolving the issues
• Played a key role in the planning, testing, and implementation of system enhancements and conversions.
• Participated in planning, report on project progress, and identify potential risks and issues.
• Served as Subject Matter Expertise in the following projects; 1095A, Confidential, Enrollment & Payment Disputes, Issuer Orphan, SharePoint, ER&R, CEDAR, CERRS-NG, Pre-Escalation and Confidential Remediation & Validation Project.

Environment: SharePoint, Lync, MS Office, Healthcare.gov FFM, HICS, CERRS NG, CEDARS, Issuer Orphan, Enrollment Disputes, Microsoft Dynamics CRM and 1095A.

Confidential

Sr. Business/QA Analyst, Columbia, MD

Responsibilities:

• Developed and maintained Test & Traceability Matrices.
• Managed a team of 14 for 2 tracks, coordinated in Defect Triage and Validated EDI 834, EDI 820 files.
• Performed root cause analysis regarding any bugs/issues.
• Created test plans and wrote test cases and developed Requirement Traceability Matrix (RTM).
• Processed and adjudicated claims as assigned in accordance with specialty assignment, organizational policies, contractual parameters, health plan requirements, and state and federal regulations.
• Conducted root - cause analysis for 1095A XML (content file) send to IRS on monthly and annual basis.
• Worked on 1095A monthly and annual eligibility with CMS® and IRS.
• Developed and lead complete claims review process, from investigation through resolution, while working alongside both internal and external parties (hospitals, insurance groups, CMS, ACA etc.).
• Wrote BRD, FRD, use cases, test scenarios, test cases for testing the functional requirement.
• Provided modification & enhancement as needed to correct the defect & make the software more useable.
• Used agile systems and strategies to provide quick and feasible solutions to the organization.
• Gave Knowledge Transfer to UAT, Production and Business team on applications with End-to-End flow.
• Manually tested the web application to ensure the flow of the application functionality.
• Participated in walkthroughs and meetings with analysts, developers, team leads and managers on regular basis.
• Effectively communicated user acceptance test results between users and development team and provided recommendations for change control requests.
• Experience in Agile/Waterfall testing methodologies, design, templates, development of tools and technologies and deployment management.
• Attended weekly defect report meetings and presented progress update status.
• Involved in preparing Test Plan and Test Cases based on business requirements.
• Took part in development, documentation and implementation of the Test Strategy.

Environment: Quality Center, Deltek, Pipkins, SharePoint, SQL, MS Office, Healthcare.gov FFM, hCentive.

Confidential

UAT QA/Business Analyst, Indianapolis, IN

Responsibilities:

• Took part in development, documentation and implementation of the Test Strategy.
• Involved in writing Traceability Matrix.
• Created Test Plan and wrote Test Cases based on business requirements and functional specifications.
• Exposed to GAP Analysis significantly.
• Provided guidance and support to facilitate accurate and timely billing and prompt collection.
• Performed monthly reconciliations of billed/unbilled vs. revenue activity.
• Identified potential problems or areas for improvement and suggest solutions.
• Manually tested the web application to ensure the flow of the application functionality.
• Involved in writing SQL queries to check for the data validation.
• Understands the basic contract document(s) as it relates to billing and revenue.
• Input invoices into web-based invoicing systems.
• Ensure the project set up/structure supports the billing requirements as specified in the contract.
• Researched and resolved unexplained reconciling items.
• Identified billable costs vs non-billable costs and creates appropriate invoices.
• Established a business relationship with internal and external customers.
• Notified the Manager of significant, reconciling items that remain unresolved for extended periods.
• Developed and maintained Test & Traceability Matrices.
• Aided with system builds to make enhancements and to provide programming support.
• Created/Processed EDI 834 and EDI 820 files.
• Processed claim forms, adjudicates for provision of deductibles, co-pays, co-insurance maximums and provider settlements
• Tested and delivered Inbound/Outbound interfaces.
• Helped in project testing efforts for doing integration tests, regression tests and user acceptance tests.
• Invoiced customers in a timely and accurate manner. Ensured more complex invoices follow appropriate contracts, guidelines and regulations. Identified issues, researches same & remedies as appropriate.
• Confirmed invoicing requirements with Project Finance, Contract Administrator & Program/Project Manager.

Environment: Quality Center, SharePoint, MS Office, Confidential .com, QADMS, MACRO, MARRS, SHACK, FISS, MCSDT & CMS.gov, ClearQuest, MS Office, ClearCase.

Confidential

Manual QA/Business Analyst, Boston, MA

Responsibilities:

• Wrote Test Plan and Test Cases per business requirement.
• Wrote User Acceptance Test Plan, Test Cases and executed them manually first and automated them using automation testing tool.
• Performed data driven testing by data driver wizard and parameterization.
• Created and updated test cases based on new and/or /updated functional or interface requirements.
• Performed RTM by setting automatic alerts for tracing changes in the requirements and system maintenance.
• Gathered, analyzed, documented business and technical requirements from both formal and informal sessions and validate the needs of the business stakeholders.
• Manually performed functional testing based on the specification documents.
• Imported test cases from MS Excel, MS Word to Test Director.
• Provided modification & enhancement request needed to correct the defect & make the software more useable.
• Developed ‘as is’ & ‘to be’ documentation including process flows, requirements, narratives & related info.
• Constantly tested SQL for joins and contexts for new object creation.
• Used shell scripting to run the scripts as a part of creation of test environment and then validate the data.
• Participated in weekly meeting with the management team and walkthroughs.
• Tested applications, documented results & bugs including documentation of info useful in the debugging.
• Generated the test execution report in Test Director to be reviewed by the QA Manager & development team.
• Performed data analysis, created data mapping and data interface documents and kept the documents updated with changes in requirements and functional specifications.
• Attended weekly defect report meetings and presented progress update status.
• Participated in walkthroughs and meetings with analysts, developers, team lead & managers on regular basis and conducted JAD sessions.
• Proficiency and demonstrated experience with report writing.
• Experienced in various testing mediums including Sanity, Smoke, Functionality, Performance, Volume, UAT, Integrated, System, Positive & Negative, Security, Stress, Load, Web Based & Client Server application testing.

Environment: Test Director, Manual Testing, MACROS, MS Office, SQL, IBM Rational Clear Quest, MS Visio.