OBJECTIVE:

Over 7 years of experience as a Quality Assurance Analyst within Health care domain with experience in manual and automation testing. Throughout my career I have Developed Test Plans, Defined& Executed Test Cases, Designed Test Strategies, Developed and Maintained Automated Test Scripts, Lead Test & Defect Status Meetings.

PROFESSIONAL SUMMARY:

• Worked on Data migration, Facets version upgrades, Reports Implementation, letters, Inbound/outbound Interfaces and Facets Extensions. Implemented EDI transactions 835, 270/271, 276/277 and 834.
• Prepared Test Plan, Effort Estimation and Regression Checklist.
• Extensive working Knowledge of HIPAA in Facets.
• Experienced in implementing EDI Transactions such as 270,271,276,277,835, 824,837, and 997.
• Experience with EDI transactions like EDI 834 (Benefit Enrollment and Maintenance), 276/277 (Health Care Claim Status Request and Response), 835 (Health Care Claim Payment/Advice), 837P (Health Care Claim: Professional), ICD9, CPT and NDC Codes.
• Extensive experience in Functional, Negative, Regression, System integration (SIT), Acceptance (UAT), Load/Performance, Security, Browser Compatibility, and Performance testing.
• Extensive experience in QA Methodologies like Test Plan development, definition of Test Cases and execution.
• Experience in SOA (Service Oriented Architecture) tools
• Experienced in Black - Box Testing using Automated Tools like Mercury Interactive Test suite.
• Expertise in testing Client-Server and Web Applications using Mercury and Rational Tools.
• Good knowledge of UNIX and performed Manual Back-End Testing using SQL Queries.
• Expertise in Functional, System, Performance, Load, Stress, GUI, Regression and Data-Driven testing based on the user requirement document.
• Maintained Traceability Matrix and Test Matrix. Performed Gap analysis based on Traceability Matrix.
• Performed Defect reporting and Tracking through the entire defect life cycle. Expertise in using defect-reporting tools like Quality Center and Rational Clear Quest.
• Performed User Acceptance and Usability testing.
• Strong skills in backend testing on Relational database. Writing SQL queries, generating reports to ensure data integrity and validating business rules.
• Experience in backend testing of ETL mappings developed using data warehouse tools like Informatica. Excellent understanding of System Development Life Cycle.

SKILLS/TOOLS

Testing Software: HP ALM, Microsoft Test Manager, Selenium WebDriver, Maven

Programming Languages: Java, SQL, C++, FORTAN, HTML, MS Front Page

OOAD: UML, Rational Unified Process, Rational Rose

Database: SQL Server, Toad, MS Access

Operating Systems: MS Windows XP/Vista/7/8, UNIX

CI/CD: Jenkins

Framework: Data Driven Test, Behavior Driven, TestNG, Junit

PROFESSIONAL EXPERIENCE:

Confidential, Rochester, NY

Quality Assurance Analyst

Responsibilities:

• Performed Claims and Service Request testing, System testing and UAT testing.
• Created medical benefit service request checklist and implemented in testing environment.
• Performed electronic testing in System testing and UAT environment.
• Manually entered hospital claim and medical claim in iFactes 5.01.
• Utilized ClearQuest to report, track, and manage defects throughout the test cycle.
• Verified the user defined error message incorrectly entered in claims.
• Worked on claim processing application in iFacets 5.01.
• Analyzed the requirements for Inpatient, Outpatient, Physician contract, and Agreements and developed test scenario.
• Performed Requirement Traceability Metrics in test environment.
• Worked on HIPAA Transactions and Code Sets Standards according to the test scenarios such as 270/271, 276/277,837/834/835 transactions in Facets
• Worked with providers and Medicare or Medicaid entities to validate EDI transaction sets or Internet portals. This includes HIPAA 4010; 837, 835, 270/271, and others.
• Responsible for Back-End Testing Using SQL Commands using TOAD.
• Perform functional, exception and scenario testing.
• UAT testing for HIPAA 4010 and 5010 projects including legacy testing and HIPAA requirements and compliance mandates.
• Tested Facets Web Services and WSDL documents by using SOAP UI
• Authored and executed Test cases for Facets Claims and Customer Service Workflow manually.
• Logged the errors, reported defects, determined repair priorities and tracked the defects until resolution using Mercury Quality Center.
• Extensively used SQL statements to query the Oracle Database for Data Validation and Data Integrity.
• Responsible for performing System and integration testing for release.
• Identified, analyzed and documented defects, error and inconsistencies in the application using Quality Center.
• Created and maintained Test Matrix and Requirement Traceability Matrix and performed GAP Analysis.
• Performed User Acceptance Testing (UAT).

Environment: MS Visio, Word, Excel, PowerPoint, CMMI, Facets, TOAD, Oracle, J2EE, Java, SOAP UI, EDI

Confidential, Baton Rouge, LA

QA Analyst

Responsibilities:

• Involved in preparing test cases, test scripts based on use cases and BRD documents under Agile environment.
• Used QTP to write Data driven test scripts to handle positive and negative sets of data.
• Created test data for 837I, 837D, 837P to have Segments/loops information with different combination of Submitter, Receiver, Billing Provider, Pay-To-Provider, Subscriber, Payer, Patient, Claim Information, Physicians, Referring Provider, Service Line Info, Adjudication Information
• Processed 837P, 837I and 837D transactions, verified those 837 transactions were converted correctly to XML file format and verified the claims data loaded to Facets for further processing
• Worked with Accumulators, Deductibles, Coordination of Benefits and Overrides of the Claim Line detail and used them for testing various claims scenarios in Facets.
• Tested the portal application to make sure the claims, members are loading to Facets and Providers can check the member eligibility and claim status.
• Involved in testing the claims conversion from Mainframe to Facets. Also involved in testing the EDI transactions 834, 837, 835. 270/271 & 276/277 conversion to Facets.
• Involved in GUI, Regression, database, Compatibility and Configuration Testing.
• Extensively user SQL queries and procedures for data validation in both source system and target system.
• Created and maintained SQL Queries for back-end testing.
• Created and managed data base trigger and subprogram using SQL.
• Provide in using the system, using reports, executing queries and writing in SQL.
• Executed test cases found errors, reported defects, coordinate with developers and business analyst, determined repair priorities.
• Perform regression testing after the defect is resolved and closed defect in Mercury Quality Center.
• Generated test execution reports, get sign off and uploaded validation documents in share point web site for review.
• Performed User Acceptance Testing (UAT).
• Tested HIPAA transactions for multi version support (HIPAA 4010) and validating database to file elements

Environment: HP Quality Center, QTP, HIPAA, EDI, Visio, Facets, Toad, HTML, XML, XSD, WSDL, Windows, Oracle, Web/Application Server, J2EE, HTML, Agile Testing/Scrum, Clear Quest, Change Control and MS Project.

Confidential, Seattle, WA

Quality Analyst.

Responsibilities:

• Hands-on QA Analyst responsible for coordinating and performing System Integration, functional and data-related testing.
• Responsible for writing the Test Cases and Test Scenarios based on the Functional Specification and technical Specification and documented in Mercury Quality center
• Performing UAT testing of EOBs and 835 EDI transactions.
• Trading partner assessment was performed as well as corporate readiness for EDI production.
• Done validation of EDI 834 for member enrollment in the FACETS.
• Set claim processing data for different Facets Module.
• Tested HIPAA regulations in Facets HIPAA privacy module
• Entering Claims and Customer Service Tasks into the FACETS.
• Involved in Validation of HIPAA/EDI for 270/271, 276/277, 837, 837i and 835 claims used for professional, Institutional and Dental billings by Writing Test cases, Test Plans
• Tested HIPAA EDI Transactions such as 837, 997, 277, in various claims validation processes.
• Involved in validation of HIPAA for EDI 837/I/P.
• Used SOAP UI for webtesting
• Tested the EDI interfaces and X12/EDI transactions (270, 271, 835,837 and 997).
• Data extraction, Data Migration and Data conversion using ETL tools from application front-end with Oracle databases and data warehouse.
• Set up a Master Test Plan and Test schedule in regards to ETL, data warehouse repository maintenance, Meta data development, reporting engine etc.
• Developed test cases and scripts for Functionality, Security and GUI Testing.
• Database integrity testing by executing SQL statements.
• Created and maintained SQL Scripts to perform back-end testing on the oracle database

Environment: HP Quality Center, QTP, HIPAA, EDI, Visio, Facets, Toad, HTML, XML, XSD, WSDL, Windows, Oracle, Web/Application Server, J2EE, HTML, Agile Testing/Scrum, Clear Quest, Change Control and MS Project.

Confidential, Gaithersburg, MD

Quality Analyst

Responsibilities:

• Developed Test Plans, Test Cases for the test
• Worked on HIPAA Transactions and Code Sets Standards according to the test scenarios such as 270/271, transactions.
• Wrote test cases, test scenarios, or participating in testing activities for new functionality in an eligibility system.
• Tested the interface between database and the application
• Authored and executed Test cases for Claims and Customer Service Workflow manually.
• Participated in requirement walkthroughs and creation of test plan
• Involved in preparing the Test Scenarios for Health Care Claim Payment/Advice
• Worked on Unix Platform and experienced in back end testing by executing SQL Queries.
• Involved in writing extensive SQL Queries for back end testing oracle database.
• Retrieved files using SQL statements and UNIX commands.
• Maintained Traceability matrix and Test Matrix
• Enhanced Test Scripts using various utilities provided in Quick Test Pro like check points
• Performed manual back-end testing using Oracle database on a UNIX.
• Performed some backend testing using Database Checkpoints USING QC
• Investigating software bugs and reporting to the developers using Quality Center Defect Module
• Analyzed system requirements and developed detailed test plan for testing
• Generated defect reports using Quality Center for the developers.
• Reviewed Business Requirements, Functional and Technical specifications with business analyst and QA manager to learn the functionality and process.
• Involved in preparing Test Plan and defined the testing approach, resources and time lines.
• Worked with other team members and conducted the weekly status meeting to make sure the all team members are on the same page.
• Keep motivated the other team member and resources to get the job done on time.
• Wrote Test Cases in Excel based on Technical and Functional Specifications and upload them in Mercury Quality Center.
• Maintained Requirement Traceability Matrix (RTM) to make sure that test plans were written for all the requirements.
• Performed data validation according to data mapping document with data conversion logics from source system and target system.
• Involved in GUI, Regression, database, Compatibility and Configuration Testing.
• Extensively user SQL queries and procedures for data validation in both source system and target system.
• Created and maintained SQL Queries for back-end testing.
• Created and managed data base trigger and subprogram using SQL.
• Provide in using the system, using reports, executing queries and writing in SQL.
• Executed test cases found errors, reported defects, coordinate with developers and business analyst, determined repair priorities.
• Perform regression testing after the defect is resolved and closed defect in Mercury Quality Center.
• Generated test execution reports, get sign off and uploaded validation documents in share point web site for review.
• Performed User Acceptance Testing (UAT).
• Tested HIPAA transactions for multi version support (HIPAA 4010) and validating database to file elements

Environment: Windows, MS SQL Server, Test Director, Manual testing.