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Qa Analyst, Resume

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Syracuse, Ny

SUMMARY:

Over 6 years of IT and Management experience in Software Development Life Cycle (SDLC) and Project Life Cycle working as Quality Assurance Analyst in Healthcare domain with prime focus on claims adjudication, provider, eligibility and prior authorization for Medicaid and Blue Programs.

TECHNICAL SKILLS

  • Process Methodology / Modeling Tool,
  • SDLC, MS Visio, Quality Center, Test Director, Rational Rose, Rational RequisitePro, Rational ClearQuest, TOAD, SQL Developer,
  • Databases,
  • MS Access, MS SQL Server, Oracle,
  • Languages,
  • XML, UML & HTML,
  • Operating systems,
  • Windows, Mainframe,
  • Office tools,
  • MS Office 2003/2007, Word, Excel, Power Point, Visio,
  • Project management,
  • MS Project 2003/2007,

PROFESSIONAL EXPERIENCE

QA Analyst,

Confidential, Syracuse, NY,

Responsibilities:

  • Involved in the impact analysis, scope lockdown, and requirements gathering phases of the company's transition and development phase management of transition from HIPPA 4010 to HIPPA 5010.
  • Medicaid claims extracted from Facets to generate outbound 837 I &P for NYS submission
  • Assisted in creation of Test Plan, Test Strategy and estimation of test duration.
  • Facilitated to support for UAT testing.
  • Manual Test case preparation for EDI 837 I and P, 277CA,820 in Mercury Quality center/ALM (Version 11.0)
  • Performed End to End testing on EDI 837 I and P, 277CA based on HIPAA 5010 guidelines
  • Experience in Database testing using Oracle, MS SQL Server, SQL and PL/SQL queries in TOAD and SQL developer.
Environment: FACETS 4.71, TOAD/SQL Developer, Mercury Quality Center/ Application Lifecycle Management (Version 11.0), Oracle, Edifecs.

Quality Assurance Analyst,

Confidential, Boise, ID,

Responsibilities:

  • Worked on standardized QNXT testing, implementation and QA processes.
  • Integration, System and User Acceptance Testing experience.
  • Testing both inbound and outbound, and XML files converted by Biz Talk that were in EDI format and prepare analysis document with various results
  • Responsible for working with the State to review and modify process flows to increase productivity and effectively utilize QNXT features not provided by the legacy systems.
  • Participated in development of Functional test plans, test cases, test strategy and estimation of test duration.
  • Developed inbound load and outbound extract programs, data sweeps, etc.
  • Worked on Member Management, Eligibility, Claims, and Billing modules within QNXT..

Environment: QNXT, MS SQL Server 2005, Rational RequisitePro, Rational Clear, Quest, Rational Manual Tester, Rational Test Manager, MS SQL Server Reporting, Service(SSRS), MS Share Point.

Quality Assurance Analyst,

Confidential, Eagan, MN,

Responsibilities:

  • Developed Test Strategy for manual testing.
  • Integration, System and User Acceptance Testing experience.
  • Assisted Project Leads in all phases of the Project to review project deliverables for completeness, quality and compliance.
  • Attending meeting with other groups and explains performance objective, strategy and progress.
  • Work with development, users and support groups to understand the application architecture, use and current production issues to simulate the best possible real time 

Environment: Facets 3.1, DB2, Agile, Requisite Pro, SQL, Share point, MS Access, MS Visio, MS Project, MS Word, MS Excel, Ms Power Point, Clear Case, Clear Quest, Quality Center, Oracle.

Quality Assurance Analyst

Confidential, Minneapolis, MN,

Responsibilities:

  • Responsible for documenting and developing Data Validation Rules for our metrics based on the business needs data requirements and processes.
  • Worked on HIPAA Transactions and Code Sets Standards such as 837/835, 270/271, 276/277 transactions.
  • Worked on 837 (Institutional, Dental, and Professional), 835, 270/271, 276/277, 820, and 277U transactions with TSO, ISPF, and File Aid.
  • Involved in complete integration testing and regression testing.
  • Analyzed and plan data using reports and graphs generated in Test Director.
  • Worked as a Test Director Admin for a part of this project.
  • Enhanced test scripts using various utilities provided in Quick Test Pro like check points, Data driver wizard for testing multiple data input.

Environment: FACETS 4.X, Mercury Quality Center, Oracle, DB2, Sybase, Microsoft Outlook, ARGUS, TIBCO Web services

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