SUMMARY

• Rich experience of 6.5 years in Software Testing and Health Care.
• Very good knowledge of US HealthCare with about 5 Years of experience in Facets.
• Proficient in Software Testing life cycle with proven ability to enhance the Quality of the system.
• Currently working with Confidential Health Group, Confidential State on ICD 10 Program as QA Lead.
• Holding H1B Visa which is effective from 09/22/2013 till 08/04/2016.

TECHNICAL SKILLS

• Database: SQL using Sybase
• Testing: Manual Testing, Database Testing, Web Testing, Product Testing
• Expert in Requirement Analysis, Test Design (Test Plan, Test Cases and Test Data preparation) and conducting Reviews
• Design, Development and Maintenance of Test Cases using "Test Design Techniques" as per the Requirement document
• Expert in Functional, Regression, System, Smoke and Sanity
• Test Execution as per the Test Execution Check list and Preparation of Test Summary Reports
• Good understanding of Defect Tracking and Defect Life Cycle
• Experience in Software Development Life Cycle, Software Testing Lifecycle and Testing Methodologies.
• Preparation of Test Results and Status Reports as per the Test Execution Status
• Good Understanding of SQL Queries
• Experienced in Test Management Tools: Rational Clear Quest, Rational Test Manager, Quality Centre, ALM
• Preparing Estimations for QA on Different Projects and Preparing MPTT (Metrics) for the entire Facets team
• Involved in QMS and CMMi Audits
• Good Knowledge of Groups, Sub Groups, Class Plan Application
• Claims, External Claims Editing Screens and Accounting Applications
• Involved in testing the Medical and Hospital claims
• Requested for Claims Adjudication and Payment jobs at different Steps in the Project
• Involved in testing authorization through UM screens and file loads to facets
• End to End Claims Flow Process
• Worked on Facets Application Support Screens like Diagnosis, Procedure, Supplemental Conversion
• Worked on Facets extension and Facets upgrade Testing
• Followed HIPAA implementation guides for preparing the EDI files
• Expertise in testing EDI Transactions 837 and Processed 837P, 837I transactions, verified the 837 transactions converted correctly to XC keyword file format and verified the claims data loaded to Facets for further processing
• Worked on testing EDI Transactions 835 & 276/277
• TriZetto Facets Patches Testing and Participating in TriZetto Sub Committee Meetings
• Working on ICD 10 Projects for about 3 Years and Leading the Facets ICD 10 Projects for about 2 Years Now
• Very Good Knowledge of ICD 10 changes in EDI 837 files, Facets, TriZetto Patches for ICD 10, ICD 10 Neutrality Testing between ICD 9 and ICD 10
• Worked on Neutrality Tool and EDIFECS Tool for ICD 9 to ICD 10 Conversion
• Have Published White Papers and Other Documentations on ICD 10
• Trained Resources on ICD 10 and given Presentation on ICD 10
• Testing Enterprise End to End Testing for ICD 10 to make sure ICD 9 functions the same way as ICD 9 and there are no issues created due to ICD 10
• Operating System: Windows 98, Windows 2000 Professional, Windows XP, Windows 2007
• Databases: SQL using Sybase, DB2
• Languages: C, C++
• Tools/Products: Ultra Edit, Rational Clear Quest, Rational Test Manager, ALM, EDIFECS
• Processes: Quality Management System (QMS)
• ISTQB, Cognizant Internal on Software Testing and AHM

PROFESSIONAL EXPERIENCE

Confidential,

Responsibilities:

• Working on ICD 10 Projects for about 3 Years and Leading the Facets ICD 10 Projects for about 2 Years
• SPOC on ICD 10 from Facets Team
• Trained Resources on ICD 10 and given Presentation on ICD 10
• Published White Papers and Other Documentations on ICD 10
• The Testing involved validation of ICD 10 changes in EDI 837 files, Facets, Outbound and Inbound Files which are sent to Vendors and Received from Vendors
• Validation of Duplicate Codes in IDCD table and IDCZ table and also in Front End Screen in Facets.
• Validation of TriZetto Patches for ICD 10
• Testing ICD 10 Neutrality Testing between ICD 9 and ICD 10
• Testing Enterprise End to End Testing for ICD 10 to make sure ICD 9 functions the same way as ICD 9 and there are no issues created due to ICD 10
• Testing Directly with States and Providers with ICD 10 Claims to prove the States and Providers that the Facets System is ready to accept the ICD 10 with Neutrality
• Requirement Understanding (Participating in Requirement walkthrough sessions and Understanding Functionality)
• Responsible for designing and developing Test Plan, Test scenarios, Test Cases and Test Data
• Performed backend testing using SQL queries and verified data Integrity
• Gained knowledge in Database Testing
• Execution of Test Cases
• Analysis and Review of test results
• Involved in Many Projects some of them are - All ICD 10 Testing, PRA, ERA, Overpayment and Recoveries Project, Facets Migration Projects
• Involved in EDI Testing for 837 and 835
• Preparing the QA Estimates for the Project
• Providing the Walkthrough of Test Plan, Test Scenarios and Test Results to IT and Business Teams and getting Sign Off
• Coordinating with Business, Vendor Managers, EPMO Managers, ICD 10 Program Sponsors Directly
• Coordinating all the Onsite Activities as a QA lead and handling a team of 14 Members
• Identified Tools which will help reduce Execution Efforts
• Done PoC on various tools and presented to Leadership
• Used Various Optimization Techniques like CTP
• Defect Tracking & reporting
• Involved in Overall Planning of the ICD 10 Program for Facets
• Published White Papers and Other Documentations on ICD 10
• Used Quality Centre and ALM as Test Management tool
• Conducted functional testing and regression testing
• Onsite/Offshore Co-ordination (Developers, Onsite co-coordinator, Business Analyst, System Analyst, ICD 10 Program Managers)
• Involved in Smoke Testing, Proficient in Re-testing, Regression testing
• UAT support in preparing Test Data and defect Analysis
• Involved in Metrics Activities like preparing MPTT for the team
• Involved in Other Process Activities

Test Engineer,

Healthcare,

Responsibilities:

• Requirement Understanding (Participating in Requirement walkthrough sessions and Understanding Functionality)
• Expert in designing Test scenarios, Test Cases preparation and prepared Test Data using Facets
• Used SQL for backend testing and good knowledge in Database Testing
• Execution of Test Cases and analysis of test results
• Defect Tracking & reporting using QC
• Conducted functional testing and regression testing
• Involved Onsite/Offshore Co-ordination (Developers, Onsite co-coordinator)
• Involved in Smoke Testing, Proficient in Re-testing, Regression testing
• Provided UAT support
• Lead the team of 4 members
• Majorly involved in Metrics Activities

Test Engineer,

Confidential,

Responsibilities:

• Requirement Understanding (Participating in Requirement walkthrough sessions and Understanding Functionality)
• Preparation of Detail Test Plans (DTP), Test scenarios and Test Cases
• Preparation of test data using testing design techniques
• Execution of Test Cases and Analysis of test results
• Defect Tracking & reporting
• Conducted Smoke, functional, regression, re-testing and Ad-hoc testing
• Onsite/Offshore Co-ordination (Developers, Onsite co-coordinator)
• Provided UAT support
• Acquired good Application knowledge in Web Testing
• Involved in organizing event