SUMMARY

• Over 6+ years of progressive working experience in Software QA and testing with diverse Healthcare and Retail/Ecommerce projects.
• Experience in both Manual and Automated testing, and Analysis.
• Thorough knowledge of the Agile and Waterfall SLDC models and methodologies.
• Strong HIPAA EDI and compliance experience from, payers, providers and exchanges perspective, with primary focus on Coordination of benefits.
• Profound understanding of insurance policies like HMO and PPO and proven experience with HIPAA 4010 and 5010 EDI transaction codes such as 270/271(inquire/response health care benefits), 276/277(Claim status), 834(Benefit Enrollment), 835(Payment/remittance advice), 837(Health care claim).
• Extensive knowledge of Claims Adjudication.
• Experience in MMIS (Medicaid Management Information System), FACETS.
• Expertise in performing functional Testing techniques as Black Box Testing, System Testing, Usability Testing (User interface Testing), Integration Testing, Regression Testing, User Acceptance Testing (UAT), Sanity Testing.
• Possess excellent skills in Automation Testing using Rational Tools.
• Proficient experience in different Databases like Oracle, SQL Server, DB2 and Teradata.
• Expertise in Point of Sales (POS) applications, store systems, Inventory and supply management tools and systems.
• Experience in using SOAP UI for testing web services developed using SOAPUI.
• Experience on Web services to combine component based development and Internet standards and protocols that include HTTP, XML and Web Services Description language.
• Expertise in Software Development Life Cycle (SDLC) and QA Methodologies under multiple Operating Systems.
• Good Documentation and Process Management skills with an ability to effectively understand the business requirements to develop a quality product.
• Performed User Acceptance Testing (UAT) manually.
• Excellent project planning, design and management skills.
• Good team player with excellent communication skills and ability to lead, manage and work independently in a time sensitive environment.
• Excellent analytical, problem solving, presentation, and interpersonal skills.

TECHNICAL SKILLS

Project Methodologies: RUP, Waterfall, Agile, SCRUM.

Web Technologies: HTML, XML, JavaScript, VBScript.

Defect Tracking Tools: ALM/Quality Center, Clear Quest, Bugzilla, Jira.

Operating Systems: LINUX, UNIX, Windows, IOS.

RDBMS: MS SQL Server, Oracle, DB2.

Business Applications: Microsoft Office Suite - MS Outlook, MS Visio, PowerPoint, Outlook.

Testing Tools: Quick Test Professional (QTP), Web Services, SOAP, API.

PROFESSIONAL EXPERIENCE

Confidential, Dayton, OH

Sr. QA Tester

Responsibilities:

• Worked in Agile, scrum, and sprint environment in order to change the requirements and features set.
• Performed Business rules, Regression and functional testing for each station.
• Prepared and executing test cases for Functional, integration, UAT and regression testing.
• Analyzed business requirements, Software requirement specifications to create test plan and test cases for manual and Automation testing.
• Worked with clients to better understand their needs and present solutions using structured SDLC approach.
• Prepared Test Planning, Test Case writing, SQL Query Scripting & Execution, Report Testing.
• Functionally validated Web Services delivered in SOAP XML format as provided in specification document.
• Collaborated with billing, collection, verification, and document management department to ensure proper compliance accuracy and timeliness in the processing of claims.
• Conducted Automation testing using the Standards, guide lines and structured methodology in testing the application.
• Primarily responsible for data validation and API testing using Advanced REST client validation.
• Drove test case design, SQL scripting, test case review, execution and defect logging.
• Created re-usable common utility functions for functional library Web services and API validation using SOAP UI.
• Executed testing of the applications using Agile's Test Driven Design (TDD) technique.
• Involved in validating SOAP XML specifications as per the standards.
• Involved in project planning, coordination and QA methodology in the implementation of the Facets in the EDI transaction of the claims module.
• Created Automated Test Scripts in QTP to perform Functional and Regression testing.
• Developed strategies with Quality Assurance group to implement Test Cases in Quality Center.
• Used Quality Center documentation management and defect tracking.
• Maintained and modified the QTP scripts with user defined functions as a part of functional and regression test.
• Performed REST API testing by Soap UI.
• Performed Regression Testing by generating QTP scripts based on the business process.
• Performed Web Service Testing experience using SOAP UI.
• Performed manual testing executing all the test cases in Quality Center before switching to Automation Testing.
• Automated test scenarios for GUI, Functionality and performed data driven testing on the application inserting different data in excel sheet using QTP.
• Used Environmental variables to analyze the execution environment of QTP.
• Carried out GUI, Functionality, Integration and Regression testing using Quality Center.
• Created test cases manually to perform different types of testing such as positive/negative, Functional/regression, interface, black box, screen navigational testing, smoke/sanity testing, exploratory testing or Backend testing.
• Functionally validated Web Services delivered in SOAP XML format as provided in specification document.
• Used XML (API) for transferring the data from the client to the server.

Confidential, Chicago, IL

QA Tester

Responsibilities:

• Developed Test Plans, Test Cases to test the Screens and workflows.
• Converted Business Requirements and Design Documentation into Test Cases and Test Scripts.
• Tested defect fixes via the defect tracking system Web Services.
• Performed Regression, Functionality, System, Interface, Front end, Back end, Negative, Positive and User Acceptance Testing using manual and automation testing tools.
• Detected, reported and tracked defects using Quality Center.
• Created test plans and execute test cases utilizing Web Services.
• Created description object with specified properties and values during run time, to use instead of logical names in test scripts.
• Proficiently used Quality Center and Rational Clear Quest as bug-reporting tools.
• Tracked and logged defects in Quality Center and verify the fixes.
• Implemented Agile (Scrum) methodology throughout the Branch.
• Proficiently used Web Services with all the modules specific to defect tracking.
• Developed test scripts in SQL to check the data integrity from the databases.
• Involved in creation of Test Plan, Project Plan, Test Cases, Test procedures, Test Matrix and Defect Strategy detailing scope, resource assignments, schedules etc. for the Functional Testing.
• Performed Backend testing using SQL queries against Oracle database to perform data validation, to check data integrity etc.
• Executed test scripts using QTP, analyzed the results & reported bugs using Quality Center.
• Participated in Triage Meetings, weekly status meetings with IT and business people.
• Developed and executed test cases test Scenarios and followed-up defects using Quality Center
• Performed backend testing for data validation using SQL Queries.
• Performed Acceptance, Usability, Cross-Platform and Regression Testing during different stages of the application development.
• Categorized bugs based on the severity and interacted with developers to resolve them.
• Extensively used Microsoft Office Suite of products for documentation and data interpretation.

Confidential, Philadelphia, PA

Quality Analyst

Responsibilities:

• Responsible for testing the Navigation Flow, Functionality Testing, System Testing and User Acceptance Testing.
• Prepare Test Data, Test scenarios, Test Scripts and executed Test Cases from Quality Center.
• Involved in reviewing complex SQL queries, views, functions and stored procedures and spotting issues before/during code migration.
• Performing manual Back-end testing on the application by writing complex SQL queries.
• Validate the date from EDI transaction in the front end as well as back end.
• Testing of EDI 834, 837I, 837D and 835 Transaction sets for claims processing
• Tested 4010/5010 conversion EDI transactions, 834, 837, 835 etc.
• Worked with providers and Medicare or Medicaid entities to validate EDI transaction sets or Internet web portals. This includes HIPAA 4010; 837, 835, 270/271, ACHA1104 (Affordable Healthcare Act).
• Creating several Test Cases and Test Conditions for testing various Claims, Enrollment, Billing and Provider reports.
• Involved in coordinating with SMEs to discuss different scenarios at the time of scripting Test Cases.
• Have good exposure to modern Agile Methodologies such as SCRUM and TDD.
• Worked on EDI X12 transaction set 837 I/P/D, 276/277 feeds to allow for change in the claim number.
• Worked on Members, Providers, Claims, Configuration and Payment Modules of FACETS.
• Analyzed the FACETS Requirements/BRD’s/Gap analysis, then prepared test scenarios and test cases.
• Conducted Validations for different FACETS modules Providers, Claims and Membership.
• Extensively performing manual testing and defect reporting using Quality Center.
• Performing manual testing, considering the base line of developed test plan and test cases considering both positive and negative scenarios.
• Member and Provider Conversion, Created Keyword and EDI File and Modify the Member Data as per the Business Requirement Document and as per the test case.
• Processed EDI/X12 (834, 820, and 837) test files and verified system is able to validate certified and non-certified trading partners. Reconciliation calls for 834 files for the discrepancy.
• Involved in System and Regression testing for 278, 837 inbound and outbound process, 834 and 835 files for Medical and Institutional Claims.
• Development of SQL queries as per the request of the business team in SQL server.
• Conducting Validations for different FACETS modules like Providers, Claims and Enrollment.
• Extensively involved in managing defects using Clear Quest and interacted with the DEV team in resolving critical and high defects.
• Extensively involved in UAT support for their execution and Defect Triage.

Confidential, Columbus, OH

QA Analyst

Responsibilities:

• Involved in Cross platform and cross-browser functional, integration, and regression testing.
• Demonstrated QA Test Plan with cross-functional team to approve business logic and baseline document.
• Responsible for back-end testing/database testing, which was done using SQL queries.
• Developed Test Plans, Test Cases to test the Screens and workflows for Quality Assurance.
• Executing and writing test cases for POS applications.
• Involved in preparing the Automation Design document and framework with the automation team through BPT module of Quality Center.
• Developed test strategy and procedure for defect tracking, verification and validation of end user requirements, Regression and Black Box Testing.
• Set-up, co-ordinate & conduct system & UAT testing with Business Analysts and end-field users after the applications were all set.
• Execution of Functional and Acceptance Test Cases for a web-based Application in a fast paced Agile development environment.
• Executed Manual Testing to perform functional testing on the User interface.
• Performed Database testing using SQL queries.
• Performed Positive and Negative testing and End User Testing.
• Generated automated test scripts for regression and stress testing in Windows platform.
• Generated data driven scripts for multi user access for product information module, using the Data pool.
• Used Quality Center for Bug Tracking and investigated software bugs.
• Posted Issue/Redeem transactions for point of sale (POS) apps.
• Functionally validated Web Services delivered in SOAP XML format as provided in specification document.
• Responsible for generating weekly status report.
• Performed validation tests to ensure that the developed functionality meets the specifications prior to UAT testing.
• Developed test procedures for the role based validations.