SUMMARY:

• I have total experience of 7 years as Senior Quality Analyst
• Expertise and Versatile experience of Confidential to work in various Payers Systems for End to End Encounter processing systems such as Confidential .
• Well versed with EDI file formats such as 837, 835, 277, 824, 999, NCPDP & Proprietary file formats used by various state health systems.
• Have very good knowledge on Encounter source data receipts from various Claim adjudication systems for Medical claims such as Confidential.
• Have very good knowledge on many Ancillary vendor service systems such as Confidential.
• Well familiar with End to End Encounter processing, involving stages - Extract Source data receipts, Loading/Adjusting/Transform the Encounter data, Generate Encounter files per specifications, Submission to State Health systems, Process state’s responses back to Encounter processing systems.
• Involved in successful implementation and Enhancements for End to End Encounter processing for 26 State Health Plans and achieved top of the line encounter acceptances from state health departments.
• Successfully identified and resolved dependencies and implemented work arounds to overcome limitations between data receipts from claim adjudication systems and State’s Encounter Health Systems.
• Successfully implemented business rules for accurate processing of Encounter Adjustments
• Excellent knowledge in identifying and implementing internal edits to prevent bad encounter data and Data Transformations as per to state submission requirements.
• Have very good knowledge in Various State’s Encounter Responses file formats (HIPAA EDI formats 277CA, 277U, 835, 824, 999, NCPDP, Proprietary Response formats) also to load and processing them back into Encounter processing systems.
• Involved in successful implementation for Encounter processing system changes for Oracle Database Migration for Oracle Client Upgrade & Facets System Upgrade.
• Involved in New HealthPlan Encounter Processing implementation Project Kick-offs, Cross-App Meetings & System Design Reviews
• Involved in both New Application development / Enhancement projects and Operation-maintenance Projects.
• Well versed in Test Management, Testing Concepts, Processes & Methodologies. Proven ability in Requirement analysis, Documenting, Test Plan/Strategy, Test Development, Test Execution & Defect Management.
• Experience in unit testing, functional testing, Regression Testing, user acceptance testing (UAT), integration testing, system testing, performance testing, White Box Testing, Black Box testing, sanity testing, exception testing, API Testing, Cross browser testing, compatibility testing & security testing.
• Involved in grooming sessions with Developer, Solution Analysts, Product Owners and other Stake holders.
• Involved in Sprint Planning, User-story creation, Sprint Retrospection meetings.
• Attending Daily Stand Ups and regular meetings to ascertain continuous user-story acceptance and actively participate in team swarming’s for any road-blocks.
• Actively discuss issues and contribute to continuous improvement for improving team’s velocity, efficiency & integrity.
• Facilitate Design and Result Reviews with stake holders for project closure.
• Developed and maintained automated test scripts for Regression testing using POM framework with Java, Selenium WebDriver and TESTING.
• Excellent understanding in web automation which includes GUI Testing, Functionality Testing, Integration Testing, Regression Testing, System Testing and User Acceptance Testing.
• Developed and maintained automated test scripts for Regression testing using POM framework with Java, Selenium WebDriver and TESTING.
• Experience in the development of Testing framework in Selenium.
• Exhaustive Experience in Designing & implementation of Automation Frameworks including data driven, keyword driven, and hybrid using Selenium Web Driver, Java.
• Excellent knowledge in SDLC, Defect life cycle and Stake-holder Management.
• Very good knowledge in working with Test Management System - HP ALM, Rally
• Very good knowledge in SQL, PL/SQL, basic UNIX.
• Proven ability to meet agreed deadlines, co-ordinate work to defined testing methodologies within a structured environment
• Test Environment Setup and Test Infrastructure Development in both Manual and Automation.
• Involved in creation and maintenance of various best practices to improve team’s efficiency Such as re-usable test beds, regression test suites.
• Involved in Knowledge transition to new joiners to the team, actively participated in technical know-how’s.

TECHNICAL SKILLS:

Operating Systems: Windows, UNIX, MacOS

Testing Tools: Selenium WebDriver, QTP, JMeter, Postman, Protractor

Healthcare products: FACETS

Programming/Scripting Languages: SQL, PL/SQL, C, Unix, Java

Test Management Tools: HP Quality Center, ALM, Rally

Packages: MS Office

Databases: Oracle, MS Access

PROFESSIONAL EXPERIENCE:

Confidential, New Jersey

Senior Data Analyst

Responsibilities:

• Worked as a senior Data Analyst and senior QA.
• Based on these we track Submission percentage, Acceptance rate.
• My roles and responsibilities involve analysis of business requirements by participating in walkthroughs and meetings with stakeholders and performing Impact Analysis to identify the dependencies, in scope and out of scope elements and identify the impact of proposed solution on the existing components.
• Using Healthcare domain and system expertise to simulate the solutions for the impact of the requirement to the existing system and thereby preparing the estimation based on the complexity to calculate the efforts required.
• We pull the data always from the FACETS here and submit to state.
• Designed database queries to validate oracle Database information.
• Using Quality Center aka ALM (Application Life Cycle Management) for test management, providing and managing access to project team, managing defects, sending out status and defect reports and providing Test and Statistics reports.
• Working as key liaison between onshore, offshore and the client. Collaborate actively with the offshore counterparts in managing project delivery on a day to day basis
• Performed EDI testing and ETL testing.
• Defect logging, performing root cause analysis, gathering data for RBT (risk-based testing).
• End to end, System, Functional testing and Regression testing for bug fixes.
• Designed Automation Test cases using Selenium WebDriver, Java
• Implemented Selenium Grid to run Regression Tests on multiple nodes.
• Mentor and guide the team members on domain and database concepts.
• Involved in requirement analysis walkthroughs.
• Involved in writing business scenarios for User acceptance testing
• Involved in test design for system testing.
• Involved in test reviews meeting to business users and the stake holders for project sign off.
• Involved in extracting data from facets and loading into Encounters system and analyzing the errors on the claims for encounters submissions.
• Involved in processing the response files received from state.

Confidential, Phoenix, AZ

Senior Quality Analyst

Responsibilities:

• I do manage and coordinate project tasks with onsite and offshore project team members and provide analysis and technical inputs in a consultative capacity for business scenarios. I provide Senior Management with timely reporting of the risk, issues and other reports on demand and escalate as needed and report the project status or progress to the Client Project Manager on a daily stand up meeting and decide the future course of testing activities in the project.
• My roles and responsibilities involve analysis of business requirements by participating in walkthroughs and meetings with stakeholders and performing Impact Analysis to identify the dependencies, in scope and out of scope elements and identify the impact of proposed solution on the existing components.
• Using Healthcare domain and system expertise to simulate the solutions for the impact of the requirement to the existing system and thereby preparing the estimation based on the complexity to calculate the efforts required.
• Validating the source file information with that of the Facets system.
• Designed database queries to validate oracle Database information.
• Using Quality Center aka ALM (Application Life Cycle Management) for test management, providing and managing access to project team, managing defects, sending out status and defect reports and providing Test and Statistics reports.
• Working as key liaison between onshore, offshore and the client. Collaborate actively with the offshore counterparts in managing project delivery on a day to day basis
• Performed EDI testing and ETL testing.
• Defect logging, performing root cause analysis, gathering data for RBT (risk-based testing).
• End to end, System, Functional testing and Regression testing for bug fixes.
• Designed Automation Test cases using Selenium WebDriver, Java
• Implemented Selenium Grid to run Regression Tests on multiple nodes.
• Mentor and guide the team members on domain and database concepts.
• Involved in requirement analysis walkthroughs.
• Involved in writing business scenarios for User acceptance testing
• Involved in test design for system testing.
• Involved in test reviews meeting to business users and the stake holders for project sign off.
• Involved in extracting data from facets and loading into Encounters system and analyzing the errors on the claims for encounters submissions.
• Involved in processing the response files received from state.

Confidential

Quality Analyst

Responsibilities:

• I do manage and coordinate project tasks with onsite and offshore project team members and provide analysis and technical inputs in a consultative capacity for business scenarios. I provide Senior Management with timely reporting of the risk, issues and other reports on demand and escalate as needed and report the project status or progress to the Client Project Manager on a daily stand up meeting and decide the future course of testing activities in the project.
• My roles and responsibilities involve analysis of business requirements by participating in walkthroughs and meetings with stakeholders and performing Impact Analysis to identify the dependencies, in scope and out of scope elements and identify the impact of proposed solution on the existing components.
• Using Healthcare domain and system expertise to simulate the solutions for the impact of the requirement to the existing system and thereby preparing the estimation based on the complexity to calculate the efforts required.
• Validating the source file information with that of the Facets system.
• Designed database queries to validate oracle Database information.
• Using Quality Center aka ALM (Application Life Cycle Management) for test management, providing and managing access to project team, managing defects, sending out status and defect reports and providing Test and Statistics reports.
• Working as key liaison between onshore, offshore and the client. Collaborate actively with the offshore counterparts in managing project delivery on a day to day basis
• Performed EDI testing and ETL testing.
• Defect logging, performing root cause analysis, gathering data for RBT (risk-based testing).
• End to end, System, Functional testing and Regression testing for bug fixes.
• Designed Automation Test cases using Selenium WebDriver, Java
• Implemented Selenium Grid to run Regression Tests on multiple nodes.
• Mentor and guide the team members on domain and database concepts.
• Involved in requirement analysis walkthroughs.
• Involved in writing business scenarios for User acceptance testing
• Involved in test design for system testing.
• Involved in test reviews meeting to business users and the stake holders for project sign off.
• Involved in extracting data from facets and loading into Encounters system and analyzing the errors on the claims for encounters submissions.
• Involved in processing the response files received from state.