SUMMARY:

• Detail - oriented with outstanding communication, organizational and leadership skills and over Seven years of experience as a Business Analysis, Quality Assurance Analysis and User Acceptance Testing of application system coupled with strong database knowledge in Client/Server and Web database environments.
• Strong leadership ability, can work and manage multiple projects, give direction to others and take a lead role in improving organizational processes.
• Proven track record of getting Deliverables delivered in highly volatile and fast-pace environments.
• Worked with Claims, enrollment, eligibility verification for members and providers, benefits setup and backend payment cycle in Facets.
• Good knowledge of Health Insurance Plans managed care concepts (Medicaid & Medicare) and experienced in determining the eligibility, billing experience within life and disability in health plans with thorough understanding of CPT coding.
• Developed Test Plan, UAT test strategy, Test Scenarios, Test Scripts, UAT Test Scripts and Test Reports.
• Excellent Negotiating/Presentation Skills, Well Written and Oral Communication Skills to work with the business users for UAT Testing.
• Extensive experience in working with Agile and RUP.
• Experienced in using Test Director for requirements management, Planning, Scheduling, running tests, defect tracking and defect management.
• Integrated QTP with Quality Center to store and execute automation scripts and log execution reports.
• Expertise in Analyzing Business Specifications and writing Test Cases, develop Test Scripts and execute them.
• Experience of the full Software Development Life Cycle (SDLC) Methodologies and Validations to ensure the Quality Assurance Control.
• Extensive experience in Functional, Integration, Regression, User Acceptance (UAT), System, Load and Stress testing, Black Box Testing and white box testing.
• Maintaining the Requirements Traceability Matrix (RTM) across deliverables of a project.
• Experience working with SQL scripting, managed version control software and defect tracking systems.
• Liaison between the Project Manager, QA Manager and testing team. Created Data Mapping documents to migrate the data from existing system to the new system.
• Preparation of validation report and technical documents.
• Experienced in testing and creating test scenarios for mobile devices such as tablets and cell phones.

TECHNICAL SKILLS:

Languages: SQL, HTML, XML

Database Tools: SQL Developer, TOAD

Project Management: MS Project 2000/2003

Other Tools: Rational Requisite Pro, Clear Case, MS-Office Suite, Edifecs X-engine, Specbuilder, Biztalk, MedCompass

Data Modeling Tools: Rational Rose, Visio, ERWIN

Operating Systems: Windows 98/NT/XP

Databases: MS SQL Server 2000, MS Access

Testing Tools: Mercury Quality Center, QTP, Win Runner, Clear Quest, Share Point, RQM, VersionOne, Blueworks, TMR, MedCompass, LoadRunner

PROFESSIONAL EXPERIENCE:

Confidential, Wayne, PA

Product Test Engineer

Responsibilities:

• Worked as a part of the System Test team also worked with the UAT team.
• Created test scenarios from the User Stories created by the BA in TFS application.
• Worked with the BA to better understand the requirements.
• Tracked all defects and assigned tasks in TFS application.
• Wrote test scripts in MS Excel.
• Created end to end test scripts for Rater Station Web application.
• Also created Test Scripts for the Rater Station Client devices.
• Executions were conducted manually by paper and pen for the FDA.
• Worked closely with the development team to get defects fixed correctly and promptly.
• Involved in meetings for the Data Conflict Tool (DCT).
• Created and executed Test Scripts for the Data Conflict Tool (DCT).
• Assisted the UAT team in executions of the System Test scripts.
• Manage Scope and change throughout the SDLC process of the product.
• Involved in preparing the Functional test scripts according to functional specifications.
• Mapped requirements to the test scripts for System Test and UAT.
• Prepared and executed regression test scripts for System Test.
• Created test scenarios and test scripts for mobile applications.
• Executed mobile application for tablets and cell phone use.
• Made corrections to System Test scripts after execution for UAT.
• Documented posted Test results on Share Point.
• Resolved defects and corrected script errors for System Test scripts.
• Worked on new functionality for Rater Station Web application.
• Worked with both Rater Station Web application and the Client device.
• Attended daily standup meetings with the System Test team as well as the development team.
• Gathered Test Data for testing purposes.
• Also worked extensively with TFS & Share Point.
• Communicated with the development team to make sure that the requirements were mapped according to the requirements document.
• Performed regression tests in both System Test and UAT environments.
• Attended meetings to organize and distribute work amongst the team members.
• Worked with the development team to coordinate releases to the System Test environment.
• Reviewed requirements and the user stories to write Test Scripts that would test various scenarios.
• Executed Rater Station Client device scripts manually by paper and pen for the FDA review.
• Worked closely with the Test lead regarding Rater Station application and the Data Conflict Tool (DCT).
• Planned, designed and generated scripts for the manual testing.
• Generated traceability Matrices to ensure that all the requirements are covered by the test scripts.
• Preparation of validation report and technical documents.

Confidential, West Sacramento, CA

Sr. Test Analyst

Responsibilities:

• Worked as a part of the SIT (System Integration Testing) team also worked very closely with the UAT (User Acceptance Testing) team.
• Experienced with the Confidential (ACA) and the changes in healthcare due to the Confidential .
• Became the Lead of Care Management and Security for the SIT team.
• Assisted the UAT team with writing scripts for Member Eligibility, Member Enrollment and Provider Eligibility and Enrollment.
• Worked closely with the Provider team in testing Provider Eligibility and Enrollment.
• Also worked on Provider/payer data for Plan Management.
• Conducted meetings to organize and distribute work to team members under my lead.
• Extensive experience with writing Test Scripts, Test Cases and Test Plans.
• Gathered Test Data Conditions for testing purposes.
• Analyzed and created test scenarios from delivery team and delivery stories in VersionOne.
• Preformed SIT, UAT and Regression testing.
• Created test plans, test cases and test scripts for User Acceptance Testing (UAT) and for SIT System Integration Testing.
• Assisted the Automation team in creating transaction for Performance testing.
• Created end to end scripts for Automation team in the third party application (MedCompass) using QTP.
• Involved in performing load and stress test on the third party application and server by configuring LoadRunner to simulate hundreds of virtual users and provided key metrics to the manage ment.
• Worked closely with the Performance team in order to test load on third party application (MedCompass) using LoadRunner.
• Coordinated test results looking for inconsistencies and ways to improve Load testing for third party application (MedCompass) using LoadRunner.
• Modified and Executed automated and manual test scripts for different modules using QTP.
• Working knowledge of using QTP Scripts with Standard, Text, Bitmap, Table Checkpoints and Synchronization Points.
• Worked with Mainframe technologies ADABAS/Natural legacy systems.
• Worked with third party vendor to complete testing of third party application (MedCompass).
• Assisted UAT, Performance and several other teams with MedCompass testing.
• Held and conducted daily scrum meetings. Also held Client review meetings.
• Extensively worked with VersionOne to task story as a task tracking tool.
• Used IBM Clear Quest for writing and tracking Defect.
• Also worked extensively with RQM & Share Point.
• Created and maintained quality system documents and records.
• Extensive experience regarding Plan Management, Care Management & Security.
• Conducted end of release or end of sprint meetings with the client.
• Communicated with the development team to make sure that the requirements were mapped according to the requirements document.
• Identified several different scenarios for testing purposes.
• Involved with the preparation of the TCIM.
• Also involved in conducting and attending Peer Reviews with SIT team.
• Developed and executed high level Test Cases and Test Script for several test scenarios.
• Executed Test Plans and Test Cases manually and automatically to verify the functionality of the application against the expected results.
• Logged defects with detail information, screenshots and related documents in Clear Quest.
• Participated in functionality and regression testing.
• Experienced in SIT testing activities. Interacting with the Business Users, Execution of SIT Test Cases and Retested SIT Defects.
• Conducted meeting with the Product Owners.
• Attended SIT defect meetings and maintained SIT defects.
• Worked with Sr. Test Analysts and Test Analysts regarding Plan Management & Security.
• Used Business Objects to validate Cognos Reports.
• Worked on several different application integration testing for applications such as CRM\OLCC, CMIS, EDMS, SURS, RAIS AIS and RAIS BO, PASRR MedCompass etc.
• Accessed Reports such as COBRA, DRG Rate Reports, ePips, etc. through Health Enterprise (HE) for test scenarios.
• Used Test Matrix Reporting (TMR) to validate if Test Scripts or Test Cases were executed, and their test results.
• Also developed and executed SQL queries on claim records to validate reporting data.

Confidential, Hartford, CT

Business Process Analyst

Responsibilities:

• Analyzed the available artifacts such as BRDs, both functional and nonfunctional, Use cases and Data Flow Diagrams.
• Extensive knowledge of Confidential and Confidential.
• Documented the scope of the project and built a project plan.
• Conducted daily meetings with the development team to communicate the requirements and make sure they were mapped according to the requirements document.
• Gathered requirements, prepared Process Flow and Diagrams for the manual to automated conversion project.
• Created deployment packages for Applications using Visual studio.Net Startup Project, which involves creating native image of an assembly, installing an assembly in confidential.
• Worked extensively with Data Adapter, Dataset, Data reader as a part of ADO.NET to access and update database.
• Strong experience testing Mainframe.
• Working knowledge of using QTP Scripts with Standard, Text, Bitmap, Table Checkpoints and Synchronization Points.
• Modified and Executed automated and manual test scripts for different modules using QTP.
• Involved in maintaining and uploading the QTP Scripts to Quality Center.
• Designed and executed manual and automated test cases through QC by integrating QTP.
• Performed GAP analysis and created requirements traceability matrix of business rules, business and system process flow, user administration and requirements.
• Identified the scenarios based on business requirements.
• Worked with Mainframe technologies ADABAS/Natural legacy systems.
• Created specifications documents and mapping documents.
• Created and maintained quality system documents and records, e.g. flowcharts, procedures, forms, templates, spreadsheets and presentations.
• Experienced in UAT testing activities. Interacting with the Business Users, Execution of UAT Test Cases and Retested UAT Defects.
• Mapped UAT Test Cases with the Business Use Cases and worked directly with the QA lead.
• Involved in performing load and stress test on the third party application and server by configuring LoadRunner to simulate hundreds of virtual users and provided key metrics to the manage ment.
• Expert in using formulas, concatenations and Pivot Tables in Microsoft Excel.
• Worked extensively with MS Excel to automate UHG's testing process.
• Tested the data received from UHG clients in MS Excel using formulas, concatenations and Pivot Tables.
• Developed and executed SQL queries on claim records to validate reporting data.
• Used Macros to automate the testing process.
• Attended meetings with the QA lead about automation.
• Was responsible for three of UHG's clients.
• Helped build new Control Points for the testing process.
• Involved in writing testing directions for the Control Points.

Confidential, Columbus, OH

UAT Analyst

Responsibilities:

• Working on various subsystems related to Pharmacy, Drug rebate systems and Finance. Their file exchanges between Medicaid Information Technology System (MITS), ACS and providers.
• Served as a liaison for Business and IT/QA/UAT on both business & functional requirements.
• Involved in Gap Analysis of ICD 9 to ICD 10 code sets.
• Participated in Impact Analysis of ICD9 to ICD10 code sets.
• Involved in drafting high level test scenarios based on GAP documents and high level x12 5010 and ICD10 based business requirements.
• Extensively used Lotus Notes for database across and for mails.
• Worked on Data mapping for conversion.
• Extensive experience in testing EDI 4010 and MITS.
• Prepared Test Cased based on Use Case documents and high level X12 5010 based business requirements.
• Involved in maintaining and uploading the QTP Scripts to Quality Center.
• Modified and Executed automated and manual test scripts for different modules using QTP.
• Working knowledge of using QTP Scripts with Standard, Text, Bitmap, Table Checkpoints and Synchronization Points.
• Strong experience testing Mainframe.
• Assisted the client during the UAT phase by researching any issue, helping clients in testing and acting as the point of contact for researching issues.
• Created test plans and test cases for user acceptance testing (UAT)
• Ensured that the MMIS upgrades are able to handle the new HIPPA transaction.
• Participated in National Provider Identifier (NPI) crosswalk for 5010.
• Developed Test Plans and Test cases for 5010 transactions.
• Created workflow for HIPPA inbounds 837 Institutional, Professional and Dental Claims.
• Developed EDI X12 based implementation guides and ODJFDS's application file formats.
• Work on developing logical mapping for new trading partners, develop cross and store inbound and outbound data files.
• Reviewed & approved functional test plans and worked with UAT for acceptance testing.
• Used Clarity for status reporting.
• Involved in User Acceptance Testing and also perform testing with the trading partners to accomplish project deadlines.
• Used Quality Center for logging and tracking defects.
• Developed and executed SQL queries on claim records to validate reporting data.
• Extensively worked on Managed Care Plans (MCP), actively involved in the file exchanges of MITS architecture.
• Verified the file layouts which are inbound and outbound from MITS to various sources.

Confidential, Raleigh, NC

QA Analyst/UAT Tester

Responsibilities:

• Executed Test Plans and Test Cases manually and automatically to verify the functionality of the application against the expected results.
• Reviewed the requirements and the use case diagrams to write Test Cases/Test Plans that would test various scenarios.
• Developed and implemented test plans for System, validation, UAT, Performance and Regression Testing for various Facets 4.71 modules such as Billing, Claims Processing, Providers, Subscriber/Member and Customer Service.
• Worked on designing processes & sub-processes & confirming it against the functional requirements.
• Prepared Test Cases and Test strategies for 5010 transactions.
• Worked on upgrading HIPPA X12 4010 to HIPPA X12 5010.
• Validate to make sure that all the test cases created for Facets are processed successfully.
• Responsible for developing the test cases for Non Electronic Submissions, Provider services,
• Recipient and Call Center build teams.
• Experienced in UAT Testing Activities. Interacting with the Business Users, Execution of UAT Test cases and Retested UAT Defects.
• Worked on both Oracle database for creating, modifying and deleting queries and also for creating PL/SQL procedures and functions for validating various test data for Functional testing.
• Experience in creating the Medicaid Incentive Payments System (MIPS). Built test cases for matching and validation of attestation processes in Health Information Technology MIPS.
• Tested the Claims, Members, Subscriber and Providers in Facets 4.7.1.
• Assisted the clients during the UAT phase by researching any issues, helping clients in testing and acting as the point of contact for researching issues.
• Extensively created requirements using Quality Center and generated traceability Matrices to ensure that all the requirements are covered by the test cases.
• Used Quality Center for writing test cases and logging defects.
• Logging defects with detail information, screenshots and related documents in Quality Center.
• Planned, designed and generated scripts for the manual test cases.
• Regression testing for Facets 4.71 is conducted to ensure that newly added functionality did not break any of the previously tested functionality.
• Wrote SQL queries to validate data in database and Facets 4.7.1.