TECHNICAL SKILLS

• CMMI Level 2 & 3, Testing back end, ETL, PS Financials 8.4, 8.9, 9.0, 9.2, PeopleSoft HR, Payroll, Benefits, T&L, Self Service, General Ledger, Accounts Payable, Fixed Assets, Projects, Grants, Purchasing, and Inventory Mercury Quality Center ALM, Microsoft SQL Server, SAP SD 4.6, Gentran, File Server, BizTalk, EDI X12 834,837, 835, 270/271, Data Stage, Oil & Gas Interface Structure, RILABQ Interface, UPK (Universal Productivity Kit)
• ACIS & VAT’s Mainframe Legacy Systems, HP Extream Live Editor, Client Letter Maintenance, HL7 JMS Engine, Trizetto NetworX Pricer, CPT, ICD, HCPCS, DRG manuals, Business Objects, Pega, Facets 4.7 & 5.01, CMS, Selenium, QTP 11.0, HP Quality Center, Rational Clear Quest & Clear case, EPIC Ambulatory Application, Cerner Application, Portico, Pervasive, Claredi, MPI Utilities Tools, Toad, Consumer Direct Workflow (Pega)
• Access QA Reporting Database, SOP Templates, Agile/Scrum Methodology, Test Data Engineering, Internal Auditor, CMMI Team Appraiser methodology, UML workflow modeling, 9001 (ISO 9001 is the International Standard for Quality Management Systems), MC400, JIRA and automated testing tools, HEALTH suite Mercator for Enrollment Claims & Authorization modules & Pervasive Mapping Tool, Opower, FirstFuel
• Web system, CC&B, First Fuel, Confidential Electric & Gas applications, Scripting in Perl, Excel MS Access, UML, Use Cases, SOA, Grants Management, Test Café, JIRA, Microsoft Office Suite, EXCEL and Business Objects, Crystal Reporting SAP/ PeopleSoft Financial & Reporting (HRPC), PCARD, Passport, time keeping system, SOAPUI, RESTful web services, Cucumber, Gherkin, Java, UNIX, SQL, core Java, SAS, UNIX, Load Runner, FDA and HP Unified Functional Tester .

PROFESSIONAL EXPERIENCE

Confidential, Baltimore, MD

BIDA Data Analytics QA Specialist

Responsibilities:

• Knowledge of the SDLC & STLC life cycle and windows based environments
• Experience with eliciting and writing requirements
• Experienced in testing cycles and practicality of different testing methods: GUI testing, functional, integration, system and regression testing
• Wrote the Test Plan, Test Cases, maintained Test Scripts, analyzed the results of scripts and interacted with Developers in fixing the errors
• Executed Test Cases in HP ALM while performing Manual Testing using the Waterfall and Agile Methodologies and Testing Tools e.g. JIRA, Rally and QTP
• Created functional and UAT Test Cases for Bill & Neighbor Comparison eHER, Bill Forecast Widget, Bill Threshold, Data Browser widget, Green Button Download, Home Profile API, My Bill Usage Graph, Inside Opower, Data Exploration Tool and Opower Metrics & Reports functional areas for Day 1 Release
• Created the Defect Management Presentation document; worked with Opower users to create the document for validating Green Button Download and other functional area PowerPoints for the BIDA SES project
• Identified, queried and registered the Residential and Commercial Customer accounts that were needed for testing in the Test and Stage Environments
• Provided knowledge transfer on UAT Testing to other Confidential Testers, using ALM Quality Center for testing, creating the Macro docs to document the Test case steps in ALM for executing a test case for start to finish and logging defects in ALM
• Performed as the SME in making other Testers understand the Confidential Browser testing through reviewing the Wireframes which contains the Scenarios and the User Interface Frames
• Prepared and generated the “How - To-guide for generating Test Result documentation in ALM a sample from previous Web Convergence project
• Generated the RTM document for Testing to tie the Test Cases to the Functional & Business requirements.
• Mapped the Functional Requirements (linking all test cases to the functional requirements in ALM in the different folders e.g. “Ready to Review”
• Validated the customer information in CC&B and captured the last bill information of the cost and usage within the bill segment
• Validated in Confidential web browser the year view, bill view, monthly and daily view of the customer’s bill usage with the Energy Cost and Usage section
• Worked with Opower users to generate the workaround document to search for the Confidential attributes for the Program Managers
• Attended the DRB calls daily to provide the open, retested, fixed and closed defect status to the Test Lead, Managers and vendors
• Logged defects of all executed failed test cases for all the functional areas; provided Confidential Account type updates for the Electric and Gas consumption shown in units of measurement (kWh or Therms), modeled rates ($) amount accounts, Rates not modeled and Budget Billing accounts
• Skilled in using different QA tools and techniques; especially in Test design and execution.
• Experienced in using ERP Agile and Waterfall methodologies
• Reviewed the testing scope and approach documents based on the Test Results and changes in the product design.
• Executed Test Cases testing around the current Confidential website to a new platform to be aligned with other Exelon utilities.
• Performed detailed oriented User Acceptance Testing experience focusing on BIDA Data Analytics processes and Functional Widgets within Confidential ’s systems
• Rewrote the Functional, System and UAT Test cases as specified by the Business and created User training materials to other Testers for understanding the different Confidential functionalities and Widgets
• Executed UAT, Pre Go-live Test Case and provided Go-live support on the BIDA SES Day 1 & 2 release

Confidential, Baltimore, MD

Web Convergence Quality Assurance Test Analyst

Responsibilities:

• Knowledge of the SDLC & STLC life cycle and windows based environments
• Experience with eliciting and writing requirements
• Performed Web based testing including GUI Testing, Regression Testing, Integration Testing, System Testing, Functional Testing and Unit Testing
• Experience in using different QA tools (ALM, QTM, Jira and techniques; especially in Test design and execution.
• Skilled in diagnosing, reporting, tracking and resolving quality issues
• Experienced in using Agile and Waterfall methodologies
• Developed formal test plans and test scripts as well as provide quality testing
• Confirmed and Report defects identified during Testing, involved in daily DRB meetings
• Reviewed the testing scope and approach based on the Test Results and changes in the product design
• Support rigorous testing practices amongst the testing team
• Executed Test Cases testing around the current Confidential website to a new platform to be aligned with other Exelon utilities. Performed functional, system testing in a test environment
• Responsible for logging defects into HP ALM Quality Center application, Confidential Customer Care & Billing (CC&B) application and retesting scripts once defects are corrected by the developers
• Performed detailed oriented User Acceptance Testing experience on a Web conversion payment website.
• Performed as the SME in making other Testers understand the Confidential Browser testing through reviewing the SRS which contains the Scenarios and the User Interface Frames
• Rewrote the Functional, System and UAT Test cases as specified by the Business and created User training materials to other Testers for understanding the different Confidential Web Browsers
• Executed UAT, Pre Go-live Test Case and provided Go-live support on the Web Convergence project
• Ran SQL queries to pull Confidential Customer Accounts Test Data for testing the browsers
• Wrote the Test Plan, Test Cases, maintained Test Scripts, analyzed the results of scripts and interacted with Developers in fixing the errors
• Executed Test Cases in HP ALM while performing Manual & Automation testing using the Waterfall and Agile Methodologies and Testing Tools e.g. JIRA, Rally and QTP
• Performed testing using the Agile tool while identifying a suitable agile lifecycle management tool (Rally)

Confidential, Glen Burnie, MD

Sr EDI Analyst

Responsibilities:

• Provided support for critical EDI interfaces between JHHC internal core processing systems external trading partners and government entities
• Proactively tested the new HEALTHsuite implementation system with different releases of the legacy systems which are IDX, MCNet & MC400
• Created Test Cases from Functional Requirement Documentations for EDI Authorization USFHP Functional Requirement Document, EDI Claims USFHP Functional Requirement Document, EDI Eligibility, USFHP Functional Document, EDI Error Editor Requirement Document, EDI Error Editor Detailed Requirement Document as well as the Visio Diagrams
• Implemented the EDI Error Editor Tool to capture all EDI error files (EDI 834 & 837) generating from the HEALTHsuite Error queue to be cleared & corrected to be reprocessed
• Interpreted companion guides & translated EDI requirements into those required by internal business systems.
• Worked strongly with healthcare/managed care & clinical business processes and terminology
• Worked on the new RAM project with different releases of the legacy system IDX, MCNET & MC400
• Created Functional Requirement Documents for the Enrollment, Claims and Authorization Departments
• Coordinated with the Directors and the Business Team for the RAM HEALTHsuite project
• Created Functional Requirement Documents for the EDI Error Editor which will capture records for the error Queue in HEALTHsuite to be corrected by the Enrollment Reps & Claims Examiners
• Created the EDI Error Editor Detailed Requirement Document containing the Business & Functional Requirement, process flow diagrams & EDI 834 & 837 XML files modified from HEALTHsuite
• Coordinated and participated in meetings with Sr Project Managers, Directors, Associate VP, the enrollment and claims depts. to discuss the As Is & To Be process of the new implementation of the HEALTHsuite
• Validated and captured the error records generating from HEALTHsuite error queue, worked and corrected in the EDI Enrollment & Claims errors in the Error Editor and the unworkable errors are routed to WMT to be fixed by Provider & Member’s maintenance/Depts.
• Processed EDI 834 & 837 X12 transactions to XML files sent from the Trading Partners integrating between HEALTHsuite inbound & outbound queues. These EDI files are processed using the EDI Daemon & Pervasive Data integrating for mapping of the files
• Created and successfully delivered EDI 834, 837 & 278 inbound & outbound Detailed Mapping Document using the HEALTHsuite EDI Mapping Guide, Trading Partners Companion Guide and HIPAA Guides
• Executed Test Cases in HP ALM while performing Manual Testing using the Waterfall and Agile Methodologies and Testing Tools e.g. JIRA, Rally and QTP

Confidential - Owings Mill, MD

PEGA QA Testing Analyst

Responsibilities:

• Performed, prepared, reviewed, revised and maintained training & SOP (Statement of Procedure) documents using training materials, quick reference guides, manuals, course materials and presentations
• Subject Matter Expert (SME) to the Consumer Direct Work Audit team for the workflow business processes in Facets and Pega applications
• Captured & evaluated training materials to confirm methodological accuracy & effectiveness of documents
• Communicated with CS learners, gathered lesson learned feedbacks to report to the QA Audit team for insight to the software development application
• Validated 50 (AE2) audits for the Enrollment Techs per month & modified created QA team SOP docs
• Conversed/retained milestone schedules to internal and external team members during the phases of the requirement production life-cycle
• Skilled in the SDLC, developed goals & objectives, established training needs and applied the instructional system development (ISD) process
• Wrote and reviewed storyboards and Instructor Led Training (ILT) materials and Web-Based Training
• Validated 250 eBill Electronic Member invoice audits whilst comparing data from Facets and Consumer Direct Workflow (Pega)
• Gathered requirements and created end to end process flows of the new EAB (Enrollment & Billing) Technicians workflow after boot camp training and nesting period
• Compiled the requirements gathered from the new EAB training and created an SOP document included with a Workflow process of the role and an EAB Technician
• Created SOP on the end to end process of an IEA (Internal Enrollment Admission), (IEC) Internal Enrollment Correspondence and (IES) Internal Enrollment Subsequent performed by an EAB Technician
• Created SOP documents for eBill invoice (Electronic Billing processes), Dual Enrollment member policies, 3rd Party Payor, TSR (Tenant Service Request), AE2 (Automated Electronic Members Enrollment) and Monthly Audit and included an in-depth workflow diagrams
• Performed validations in Facets Production Env & Pega system of the Member’s Automatic Enrollments
• Performed in-depth validation of the Subscriber/Family, Claims Inquiry, Billing Entity, Billing Summary, Receipt History, Audit Information, Billing Definition and Billing Messages
• Emphasized the SOP documents on Center of Excellent process. Documented and Peer Reviewed
• Experience in (Business Process Testing) framework in Automation Testing using QTP
• Performed multiple test cases based on Trizetto Healthcare System (Facets) to maintain its functionality
• Handled and Reviewed the annual yearly billing code procedures for the year and verified results in HP Application Lifecycle Management tool for multiple parties
• Identified defect as required, assigned defects to Developers while tracking overall progress on project
• Dedicated on regression testing, user acceptance testing, user acceptance and multiple manual testing techniques
• Coordinated meetings with small teams to understand scope, requirements and feasibility of projects.
• Identified and recorded defects whilst coordinating issue-resolution with development team and functional leads in order to help to resolve product issues

Confidential, Rockville, MD

EDI Analyst

Responsibilities:

• Processed Electronic Data Interchange documents: daily monitoring of EDI file processing, troubleshooting issues impacting successful receipt or delivery of client files; setup and testing of new trading partners
• Provided clear understanding of healthcare claims processing and HIPAA EDI protocols, supporting any issues raised by clients and/or vendors; work covered EDI 270, 271,277, 820 / 834 /835/837 / 997 / etc.
• Performed routine and ad-hoc analysis of various facets of EDI processing including but not limited to system performance, claim turnaround time, data mapping and claim volumes
• Monitored the production environment and proactively prioritized, communicated, and resolved any EDI process or system issues called in to the Confidential Service Desk
• Performed EDI processes for HCFA and UB claims including loading 837 claims in UAT, Test and EDI environment, moving these EDI claims into Hold Status / Release Status / Manual Process, claims processed in Fee Negotiation status, and send 997 EDI acknowledgements were sent back to the client
• Ran SQL queries for the totals of claims processed in the MPI, Viant and externals systems
• Executed Test Cases in HP ALM while performing Manual Testing using the Waterfall and Agile Methodologies and Testing Tools e.g. JIRA, Rally and QTP

Confidential, Owings Mills, MD

Lead PEGA & NetworX Pricer Claims Analyst

Responsibilities:

• SME on both corporate projects and business initiatives that required TriZetto Facets 4.7/5.01 configuration modifications. Strong knowledge of Facets and SQL Reporting
• Processed Professional 837 I Claims on a day-to-day basis in in NetWorX Pricer
• Gathered requirements for Professional and Institutional claims processing, including for Professional Claims for the build of NetWorX Pricer Application in TriZetto Facets for configuration of Provider demographics
• Involved in JAD sessions to gather the as Is and To Be processes, create process models / workflows, process gap analysis, data model definition, etc.
• Created system specification documents for the software development team for creation of user stories in a software development methodology environment
• Served as a Testing Consultant to assigned Health Plan(s) in the evaluation, design, testing, and implementation of required health plan benefit and payment structure changes
• Designed, developed and maintained regression test cases and prepared for test cycles
• Executed Test Cases in HP ALM while performing Manual Testing using the Waterfall and Agile Methodologies and Testing Tools e.g. JIRA, Rally and QTP

PEGA Test Lead / UPK PEGA Trainer

Confidential

Responsibilities:

• Performed migration and rule building for the conversion of the Contracts from Client Letter 2.4 to HP Exstream; HP Exstream document automation system to allow Confidential to generate contracts utilizing PEGA data extracts from the TriZetto Facets system
• Provided thorough documentation, and training aids to the users through describing the application’s functionalities, features and configuration
• Created Test Case and provided thorough testing for templates required for data migration automations
• Performed for verification of all the standard operating procedures for all processes used by each team through UPK document for formal training purposes
• Provided training to the offshore team as needed for knowledge of HPX Client Letter
• Influenced the testing process and create re-useable test assets
• Identified testable procedures and developed test cases / test scripts
• Recognized the business team needs in delivery of Center of Excellence, risk and implications to introducing new software into the production environment

PEGA Test Analyst/ Onshore Lead

Confidential

Responsibilities:

• Performed Functional Testing and System Integration for the HP Exstream Contract Generation App
• Created, developed, and identified all test scenarios against specified PEGA workflow requirements.
• Validated PEGA WOs, DLFs and PDFs against the ETL file from Facets to execute the Test Scripts
• Modified PEGA & Epic Test Cases in respect to the defined and signed off processes
• Worked with automation team using QTP to record and playback manual test scripts then analyzed the Result Viewer to troubleshoot any issues
• Manually re-ran any defect discovered during QTP run to determine if scripts update is required or defects needed to be reported for fixing. Reported regression test results and analysis and applied testing tool
• Provided Requirements Traceability matrix reports of all requirements against PEGA Test Scripts
• Compiled functional/non-functional requirements from which Test Cases were created
• Worked with modified EDI XML x12 ETL and EDI files for each Test Scenario
• Identified and resolved PEGA, ETL, and HPX application related Error Message and defects
• Executed Test Cases in HP ALM while performing Manual Testing using the Waterfall and Agile Methodologies and Testing Tools e.g. JIRA, Rally and QTP

Test Analyst / Test Lead

Confidential

Responsibilities:

• Worked on EDGS, the Enterprise Document Generation System used to create, manage and deliver communications in a secure way in the enterprise for multiple business units
• Gathered and documented EDGS Letter Generation functional and system requirements using Rational ReqPro; provided and tied Test Scripts to requirements
• Prepared Test Planning and met Test Execution time line set by the business; provided weekly execution report to the CF Test Lead and Project Manager
• Involved in System Integration Testing, compiled the function and non-functional requirements gathered by the Enterprise Requirements team and created Test scenarios and Test Scripts
• Participated in Defect Resolution Board weekly meetings explaining the defects to the Business, Developers and the Testing team and constantly retested defects to be closed on time
• Executed Test Cases in HP ALM while performing Manual Testing using the Waterfall and Agile Methodologies and Testing Tools e.g. JIRA, Rally and QTP

Confidential, Mooresville, NC

PeopleSoft Technical Lead

Responsibilities:

• Worked on Procure to Pay Direct project aimed to consolidate US and Canadian business processes related to ACIS & VATs by leveraging Lowe’s legacy applications
• Gathered the As-is and To-be functional and system requirements for Confidential and modified these requirements for business processes; integration with PeopleSoft Purchasing, AP and GL
• Identified and validated the Mainframe and PeopleSoft Jobs to be integrated simultaneously to provide thorough validation between the Mainframe systems and PeopleSoft application
• Validated and tested the complete end to end Mainframe and PS job integrating in both systems
• Executed Test Cases in HP ALM while performing Manual Testing using the Waterfall and Agile Methodologies and Testing Tools e.g. JIRA, Rally and QTP

Confidential - Dayton, OH

PeopleSoft Analyst

Responsibilities:

• Tested systems of Confidential and new functionalities to existing systems
• Reviewed Test plans and created Test Scripts and coordinated with offshore for testing activities
• Participated in reviews and status meetings and provided Incident and progress reporting
• Executed Test Cases in HP ALM while performing Manual Testing using the Waterfall and Agile Methodologies and Testing Tools e.g. JIRA, Rally and QTP

Confidential

UPK PeopleSoft Developer

Responsibilities:

• Worked with the Business Analyst & Subject Matter Experts within various Agencies of Confidential to develop PeopleSoft 9.0 Training materials and presentation documents
• Attended and facilitated UPK Storyboard review sessions with the State BAs and SMEs; capturing feedbacks & comments on the various PeopleSoft topics/processes in the system
• Created and delivered Course Outline materials, Storyboards, Job Aids, Module Exercise topic transactional scenarios, Presentation Materials and UPK training materials

Confidential

Cognos and Data Stage Analyst (Testing)

Responsibilities:

• Ensured completion of test deliverables, maintaining quality and data accuracy during refinery software release; served as expert QA Tester to assist Software Developer and Test Leads to prepare for the Integration, Assembly, Regression and Functional Testing
• Performed business process, analysis, workflow, task & requirements analysis and analyzed and verified requirements
• Developed test scenarios, test conditions, coordinated test data, executed generic and specific test scripts, worked with Test Leads to prioritize defects & resolutions for functional, system, regression testing
• Developed and improved test and defect management processes through Requirement Traceability Matrix
• Executed Test Cases in HP ALM while performing Manual Testing using the Waterfall and Agile Methodologies and Testing Tools e.g. JIRA, Rally and QTP