PROFESSIONAL SUMMARY:

• Certified Healthcare Management AHIP AHM - 250 professional with strong 13 years Expertise and Versatile experience in Confidential (Claims Processing Systems, Provider Administrative Systems, Plan Administrative Systems), as a System Analyst, Business Analyst, Rules Mining Engineer and QA Lead.
• Core strengths include leading testing teams, training end users, Engage with healthcare customers to understand the business problem and advice in line with business requirements, creating requirements and business rules, troubleshooting & problem solving, cross-function communication, creating test plans, test strategies & test case development, and Agile Methodology
• Having over 13 years of hands-on experience in quality assurance for systems development and implementation. Effectively able to analyze, design and assist with the implementation of Health care applications on all platforms using best practices.
• Extensively Worked with 834, 835 and 837 EDI transactions
• Extensively worked with Members, Enrollment & Billing, Eligibility, Providers and Claims Adjudication areas
• Sound knowledge on mainframe migration projects, worked with major health care migration projects (Polaris, Confidential Prime, Keystone)
• Create Project plan including aspects such as cost, schedule, scope, requirements, risk, quality, communication & stakeholder management, effort estimation, resource planning.
• Delivers high-impact solutions to the Management by identifying key issues, defining appropriate work structure, and driving workable recommendations that create value.
• Experience of working as a Systems Analyst and a QA Lead that includes requirements gathering, Leading functional and nonfunctional testing teams
• Extensive work experience with mainframes and web based applications
• Worked with different test management tools like JIRA,QC, ALM & Rally
• Played a Strategic leadership role in test design, execution and providing key project deliverables. Mentored and trained the team on methodologies, tools, and techniques
• Communicates and connects with Business Unit Heads with findings and analysis. Deliver follow-up summaries and recommend action steps based on analysis.
• Well familiar with Agile methodologies of Software Development and currently working on the same environment to defined User stories, Business Need, Epics, Test cases review
• Good interpersonal skills, commitment, result oriented hardworking with a quest and zeal to learn new technologies and undertake challenging tasks.
• Worked as a subject matter expert (SME) for customer technical staff regarding proposed solution and its design, configuration, implementation, and testing specifics
• Experience in SOAP & REST API testing and documentation and knowledge on XML & JSON formats.
• Supports opportunity pursuit when requested (eg differentiators, estimates, underlying risks, scope etc).
• Good interpersonal skills, commitment, result oriented hardworking with a quest and zeal to learn new technologies

TECHNICAL EXPERTISE:

• Good knowledge on mainframe technologies CICS, DB2, File Aid and JCL.
• Sound knowledge on web applications testing
• Test automation using Selenium, QTP and Load Runner
• Technical mentor for QA teams involved in various programs.
• Identifying optimal Testing techniques for various Projects like OATS, RBT, CPT & FTAA
• Proficient in Quality reviews, assisting teams to deliver quality artifacts.
• Test life cycle management using Quality center, ALM & Rally
• Expertise in preparing different test metrics for management review
• Good experience with Perfecto for Mobile Application testing.

MENTORSHIP EXPERIENCE:

• Coordinator for Testing Academy, Testing Center of Excellence programs & Cross Application Trainings
• Have experience in conducting Transition programs and organizational orientation sessions to lateral resources, Vendor workforce and fresher batches.
• Technical mentorship responsibilities under testing community of practice.

PROFESSIONAL EXPERIENCE:

Confidential

QA Lead

Responsibilities:

• Effectively communicating with different teams on requirement analysis
• Analyzing the existing mainframe code and translating into business rules which can easily understand by different team members
• Understanding the existing main frame application flows and sharing process flows with the functional team for new B enefit D etermination system
• Attending different brain storming session on end state flows
• Coordination between onshore and offshore teams to solve issues quickly

Confidential

Specialist Senior

Responsibilities:

• Supporting Confidential Mod & Migration testing team: to support end - to-end testing effort to deploy Confidential
• Prime environment for Enrollment, Billing and Commissions applications within Mainframe system.
• Test cases execution/Defects retest in Confidential Prime/IMSN environments
• Coordination between onshore and offshore teams to solve issues quickly
• Understanding the business requirements from clients and developing documents to map data elements, test cases/scenarios from legacy system
• Assist in implementation of Confidential C process and structures that will improve its functions alignment to business objectives by creating test cases, test data sheets and executing manual test cases
• Closely worked with Development team to retest/resolve the issues
• Ongoing effort on knowledge share to offshore team members and provide testing support on daily basis
• Test metrics report generation and sharing with different counter parts

Confidential, NJ

Responsibilities:

• Re-usable, Backend agnostic, Consumer Agnostic, Conform to Industry standards and Canonical message models, Can be leveraged by all Confidential segments and Conform to quality standards (Architecture Governance)
• Working with the Business Analysts to understand the requirements
• Working with backend API providers
• Providing a solution based on the requirement/back ends
• Documenting the flow diagrams, sequence diagrams in the Service Design document
• Providing walk through to the Scrum teams

Confidential, Bellevue, WA

Responsibilities:

• Involved in discussion with line of business for gathering and analysis of business requirements.
• Point of contact to the client from Manual/Automation team.
• Worked with software testing methodologies with all phases and stages of testing desired (Functional, System, Automation, Regression, Data Validation)
• Extensively working on data base testing with SQL
• Develop all lines of QA documentation including Test Plans, Test Cases, Traceability Matrices

Confidential

Responsibilities:

• Lead the manual and automation team of 9 members.
• Responsible for creating estimations, review of estimations and test scripts and monitoring the team
• Involved in discussion with line of business for gathering and analysis of business requirements.
• Point of contact to the client from Manual/Automation team.
• Worked with software testing methodologies with all phases and stages of testing desired (Functional, System, Automation, Regression, Data Validation)
• Develop all lines of QA documentation including Test Plans, Test Cases, Traceability Matrices
• Developed test scripts to automate process of testing in Selenium using Selkey framework
• Write easy-to-reproduce bug reports and monitor their status until satisfactory resolution
• Attending daily SCRUM meetings (AGILE methodology) to give daily testing status and discuss about the roadblocks if any
• Adaptable, organized, detail-oriented with professional work ethic
• Executing the test builds on various browsers like IE, Firefox and Chrome.
• Effectively implemented different test optimization techniques (RBT, CTP & FTAA)
• Reviewed the Test Designs with QA team members and Responsible for creating central repository and updating it.
• Responsible for creating and sharing different testing related metrics to higher management.
• Responsible for Identifying the Business components which includes Independent, Reusable Components.
• Responsible for Defect tracking and reporting using ALM
• Responsible for converting business components to scripted components
• Extensively worked with SoapUi for different web services testing.
• Responsible for sending daily status, Weekly Status Report and co-coordinating with onsite team andClients.
• Trained the Team members during the Execution in understanding the functional flows
• Worked with the Data analytical tool Tableau to generate the dashboards and status reports
• Tested the application functionalities in different mobile devices.

Confidential

Responsibilities:

• Analysis the business functionality and preparing the test scenarios.
• Identifying the required test data for the each test scenario
• Solely responsible for the entire testing related deliverables
• Involved in test execution and conducted defect triage calls with Dev, QA & Business teams
• Providing full time support to Regression testing team to implement business logic into system at the time of execution and provide the solutions.
• Providing support to regression team to help them out for creation of test data.
• Extensively worked with defect management tool ALM
• Part of SME pool of UHG- ITO to support the Production team to help developers & testers to resolve the production defects.

Confidential

Responsibilities:

• Extensively worked on 835, ICD9- ICD10 transition projects.
• Analyze and interpret complex business requirements/ workflows and determine system needs Document non-functional requirements.
• Preparing Estimations, Capacity planning for release level projects.
• Act as a liaison between business team, technical staff and QA team
• Holding review meetings to monitor progress of the project as per schedule and ensuring time completion and delivery of the project.
• Delivering and implementing the project as per scheduled deadlines; extending post implementation, maintenance and support to the technical support team.
• Creating and sustaining a dynamic environment that fosters development opportunities and motivates high performance among team members.
• Demonstrate subject matter expertise in the functional/ application area and Assist technical and QA teams.
• Provide functional advice or training to less trained and/or junior staff.
• Co-ordinate and facilitate dialogue between various legacy application teams impacted due to this program.
• Assessing various test optimization techniques against deliverables and striving for Quality compliance.
• Presenting program level updates to business teams.
• Extensively worked with QTP & QC.