SUMMARY:

• 10 years of experience as a Salesforce QA, Tester / Quality Analyst Quality Analyst in health care, member enrollment, subscriber, claims processing, insurance, and pharmaceuticals.
• Worked as a 3 + Years on Salesforce.com Testing administrator and Developer modules.
• Experience in Object Oriented Analysis / Design / Development / Testing and Implementation, Client/Server Architecture.
• Well experienced in testing Salesforce Custom objects, Workflow rules, Validation process, Process builder, Apex classes, Triggers etc.
• Thorough understanding of the Salesforce licensing structure and various services offered by Salesforce
• Experience in creating deployment documents and Documentation to projects.
• Exceptional proficiency in Apex Classes, Visualforce, Lightning components, Migration Tool and other programs in Salesforce developer toolkit.
• Has extensive experience in healthcare, including Medicare / Medicaid lines of business, various plans such as Blue Exchange and Blue preferred. Has excellent understanding of the business processes and the IT systems used in the US healthcare industry
• Well - experienced in Facets Testing, UAT Testing, (Facets 4.6, 4.7, 5.0), and benefit coding in Member/Subscriber Modules, Claims Modules, Payer Modules, and many more. Also experienced in running and testing claims using EEC
• Has expert knowledge of Facets data structures, data stores, and data relationships
• Skilled in comparing test matrices with coding requirements and giving error-free quality documents
• Expert knowledge of using SQL and PL/SQL to access databases (Oracle, Sybase). Also has good working experience using Java applications and Java portal on the front end and developers’ interface

TECHNICAL SKILLS:

Tools: MS-Project, MSOffice, Facets, MS Visio, MS Excel, MS word, Excel, power point. Informatica, Quality center, IBM Rational tools

RDBMS/ DBMS: SQL, MySQL, Oracle 7.x/8.x/9.x, Oracle 10g, Sybase

Rational tools: Rational Clear Quest, Rational Rose, Rational Clear Case, Rational Requisite Pro

Application/Web servers/OS: Apache 2.0.52 -Tomcat5.0.x, WebLogic8.1.6, Web sphere 5.x, Jboss, Windows XP, Novell Netware, Windows 2003.

SQA Tools: Loadrunner, Win Runner, Test Director, Quicktestpro, Quality Center.

Business Skills: Business Definition Requirements, Business Process Analysis & Research, Use Case Modeling, JAD/RAD Sessions, Requirements Gathering, Gap Analysis and Impact analysis

PROFESSIONAL EXPERIENCE:

Confidential, Raleigh, NC

Salesforce Quality Analyst/ Tester

Responsibilities:

• Gathering requirements and preparing test cases and executing the testcases.
• Experienced with defect tracking tools.
• Worked as Quality Analyst and team member, performing the roles of salesforce.com tester and Administrator and Performed high level design of Various Applications.
• Built and tested several Sales reports and Dashboards.
• Followed best coding principles and always written the code within the Salesforce governor limits.
• Created lightning Components, suggested lightning bolt solutions.
• As a part of providing effective solutions, removed several static values and developed the Idea of using Custom settings and custom Metadata.
• Participated in more than 2 migrations from other systems such as desk.com and Siebel CRM.
• Used Apex Data types, Variables, Expressions, Assignment statements, Conditional statements, Loops, SOSL
• Testing various Custom Objects, Tabs, Applications, Components, VisualForce Pages and Controllers.
• Worked with Global variables and expression language syntax to manipulate data types for conditionally executing operations.
• Worked on AppExchange applications like PBK, Big Machines & Dell Boomi
• Worked on Assignment rules to transfer the cases to appropriate queues.
• Worked with Visualforce Style sheets and Static Resources to augment all standard styling on a visualforce documents and assisted deployment engineers.
• Tested custom Apex REST services for internal applications to consume data from Salesforce.

Confidential, Rochester, NY

Quality Analyst (Tester)

Responsibilities:

• Experience in Core Pricing area and also benefits configuration.
• Well experienced fixing claims errors related to SEDF, SEPC, DEDE, LTLT ETC..
• Handles benefits, provider pricing and contracting, claims processing, hospital claims processing, and medical claims processing. Also handles Facets 5 testing, pricing validation, Medicaid, APC, and DRG testing
• Creates, updates, and configures agreements for provider of migrated states. Loads their fee schedule, contracts, and IPCD, RCRC, IDCD and EXCD Tables in Facets
• Works on conversion and supplemental Tables. Also works on Service Definition ( SEDF) and Service Rule Definition (SESE)
• Creates Product Build like Component IDs PDDS (Product), PDPD (Business Information), PDBC (Components), PDVC (Variable Components), SEPY (Service Payment application), DEDE, LTSE, LTLT, PDPX, BSBS, BSTX
• Applies Limit Rules (LTLT), Deductible Rules application (DEDE), SEPY, and Service Pricing application (SEPC)
• Handling fee schedule errors and price calculation fixing.
• Building new agreements with brand new SEDF creation from start.
• Well experienced creating service rules, Service IDs, Limits.
• Product configuration from the scratch, creating new product with Variable components, Limit prefixes, Service ids.
• Testing of the build products as per benefit grids and verifying if the configuration meets the requirements.
• Good working experience of SQL queries and Facets data model.
• Experienced working with Providers and Members / Subscribers.

Confidential, Owings mills, MD

Quality Analyst

Responsibilities:

• Gathered requirements from users and prepared functional specifications along with data flow diagrams for the Member/Group configuration, enrolling subscribers and members, and COB claims. Also configured eligibility, address, Medicare, Claims data, and other information of clients
• Handled back-end testing using complex SQL queries. Wrote test cases and executed them against test data and validation
• Performed tracking of completed matrices by building metadata information
• Created Test data by creating members and subscribers through FACETS application, and allocated them to appropriate Plans/Groups
• Handled Claims, Test plans and procedures and implemented them according to scheduled time frame. Also tested claims against data dictionary tables using SQL queries
• Worked with 837 claims, and 834 enrollment and maintenance tasks
• Worked with IBM mainframe system in Confidential benefit testing for grid control systems
• Worked with BlackBox and WhiteBox testing methodologies
• Built product variation matrix for “Blue exchange, Blue Choice & Blue preferred” products, then entered into Facets
• Developed variation matrices based on the template provided by the Subject Matter Experts for all plans and products for three jurisdictions.
• Worked on Variation Matrix for the starting point and identified what products are being built and what needs to be built for the Variation or Modified Product
• Created SEPY matrix and updated the Service Rules for the Service IDs that differ from the core and entered the rules in Facets

Environment: FACETS, ITS, FEP, Quality Center 8, Confidential Claims processing system, GENO tables, EEC, MS Office, Rational Requisite Pro,IBM mainframes Environment, Rational Rose, MS Visio, Oracle, Windows and Unix, SQL .