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Senior Quality Analyst Resume

Southborough, MA


  • Over 7 years of experience in creating innovative and cost - effective SR. Quality Assurance solutions with expertise in Confidential processes, applications using manual Testing procedures & test automated tools.
  • Extensive Knowledge and experience in all phases of SDLC, Agile, RUP, Six Sigma processes including Confidential Tools Facets, Xcelys, Epic, Meditech etc.
  • Hands on experience working with HIPAA Data formats and EDI transactions such as 837, 835, 834, 278, 270 and 271.
  • Experienced and involved in Migration from ICD 9 codes to ICD10 codes.
  • Perform a comparison of all the EDI Transaction (837,834,835,820) between 4010 and 5010 HIPAA Version.
  • Good understanding in 4010 and impact study of 5010 Transactions, 837 Claims (Institutional, professional and dental), (Inbound and Outbound), 834 Enrollment, 270/271 Eligibility inquiry and Response, 835 Remittances, 276/277 Claims Status Inquiry, 278 Referrals Pre-Cart, 820 Premium Payments and 999 or 997 Acknowledgements
  • Experienced in Testing Facets Different Modules Member Enrollment and Eligibility, Claims Processing.
  • Experience on Testing TIBCO (BW, BC) Confidential, TLM, SAP.
  • Experienced in Different types of Testing like Black box Testing, White Box Testing, Functional, GUI Testing, Systems Testing, Regression Testing, Integration Testing, Negative Testing, UAT and Performance Testing.
  • Expertise in Business Requirements Gathering, Requirement Review, Data Warehousing, Evaluating Data Sources, Translating Requirements into Specifications and Application Design.
  • Experienced in documenting Test Plan, Test Objectives, Test Strategies, Test Scripts, Test Scenarios and Test Cases.
  • Hands on Experienced Testing Different Epic Application Modules PRELUDE, ADT, AMBULATORY, CANDENCE, BEACON, BEAKER, and HIM CODER, HAR.
  • Profound working knowledge in Defect Management and Tracking Tools like Quality Center, ALM, TFS & JIRA.
  • Hands on experience performing Back-end Testing Different Testing Scenario on Confidential, SQL Server, Toad, PL SQL, DB2, Mainframe, Sybase and MS Access Databases.
  • Experience with structured QA Methodology and QA Process to ensure the Quality Assurance Control.
  • Hands on experience in writing Business Requirement, Test Plan, Test cases, Requirements Traceability Matrix and managing the Defects as per the Business Requirements.
  • Strong Experience in Planning, Load Test and Configuration. Versatile Team Player with Strong Written, Communication, Interpersonal and Analytical Skills. Experience leading team to meet deadlines and goals set by clients.


Project Methodologies: Rational Unified Process (RUP), Agile, Waterfall

Business Modeling Tools: Rational Rose, MS Visio, TIBCO

Requirement Management Tools: Rational Requisite Pro, Clear Case, Trello, JIRA, TFS

Defect Tracking Tools: Rational Clear Quest, Test Director, JIRA, ALM

Operating Systems: Windows XP/2000/NT, Linux

Databases: SQL Server, MS Access, Confidential, TeraData, Mainframe

Languages: Toad, SQL, HTML, XML, CSS, Python, jQuery, Java

Testing Tools: QTP, Selenium, WinRunner, LoadRunner and Rational Team Test, Application Life Cycle Management (ALM), Quality Center, SoapUI, Postman, JMeter

Business Applications: MS Project, Confidential Office Suite- MSWord, Outlook, Power Point

Design Tools & Languages: Confidential Visio, C++, HTML, Axure RP


Confidential, Southborough, MA

Senior Quality Analyst


  • Created Test Plan that defines the Test Environment, Phases of Testing, Entry and Exit Criteria into Different Phases of Testing.
  • Developed, Identified, build, executed Test Cases and Test Sets for Functional, Error Handling, Navigation and Regression in ALM.
  • Worked closely with the other members of the Development Team and review the designs of systems, implement test plans, and test the quality of software products.
  • Executed Medicare Enrollment Gateway Front-end Member create, Change, Term, Cancel, Reinstate Multiple Different scenarios.
  • Participated in Testing various Enrollment Interfaces (Inbound and Outbound) in Gateway.
  • Load and executed Test Scripts via HP ALM (Application Life Cycle Management) system and JIRA.
  • Use Smart Bear ALM Complete to manage bugs.
  • Developed and executed several SQL queries in DB2 as part of Back-end Testing.
  • Extensively worked with Development Engineers and Tech support personnel to recreate and resolve Business Prod and UAT deployment issues, Spot Check, Link Test through Jenkins.
  • Performed Integration, Regression and Smoke, UAT Testing for the above.
  • Involved in the user acceptance Testing (UAT).

Environment: SQL Server, PL SQL Developer, ALM, JIRA, Jenkins, DB2, MS-Visio, Angular, TFS, 7 EDIT, Main Frame, ETL.

Confidential, Nashville, TN

Senior Quality Analyst


  • Extensively worked with Development Engineers and Tech support personnel to recreate and resolve Business Artiva Weekly and POAC issues systems issues.
  • Worked individually on Multiple HCA and Parallon SSC Web App ABL, Eptac, Erequest, Insurance Denial, Bad Debt, Legal Review, Etran.
  • Extensively worked on validating Data processed from Meditech, Main Frame, Biztalk in SQL Database.
  • Planned, coordinated, and monitored project levels of performance and activities to ensure project completion before or On-Schedule with Onshore and Offshore Team. Participated in writing Data Mapping documents and performing gap and Impact analysis on the systems.
  • Used ALM and TFS to Developed Test Plan, Test Scenarios and Test Cases for projects, designed Test Data as required, prepared Test Execution, Defects and manage documents, execution for Log Defects and SQL Server to query validate Data in Different environment that coming from SSC Web App, Main Frame and related Interfaces. in ALM and TFS.
  • Performed Integration, Regression, Parallel and coordinate with UAT Team Testing related issues.
  • Developed and executed several SQL queries for Back-end Testing.

Environment: SQL Server, ALM, DB2, MS-Visio, Angular, TFS, 7 EDITS, Mainframe, Meditech, Artiva.

Confidential, Basking Ridge-New Jersey

Senior Quality Analyst


  • Worked on CSP Facets multiple customize process 837, Enrollment, Inbound and Outbound End to End Testing.
  • Planned, coordinated, and monitored project levels of performance and activities to ensure project completion before or On-Schedule with Onshore and Offshore Team. Participated in writing Data Mapping documents and performing gap and Impact analysis on the systems.
  • Worked on ALM, Confidential Database, Facets, UltraEdit, HPSM/ ServiceNow to request the batch, OTTS Tool (Optum Transaction Transfer service), DM Reader, Rally and CSP Facets, NDB etc.
  • Developed the documentation of Test Scenarios and Test Cases for EDI transactions (837, 835, 834) and Back-end system changes from Business Requirements and Mapping Documents.
  • Performed Functional Testing, Data Validations, Regression Testing of Applications and Coordinate UAT Team.
  • Created Medical and Hospital Claims/Finance/Enrollment from scratch, such as (Adjudicate Claims, Void Claims and Adjust claims, Member Creation etc.) according to Test Scenarios.
  • Performed Batch Jobs Processing in HPSM, Validation and Loading of EDI 837, 835, 271 and 834 files into Facets Database.
  • Worked on Facets Migration from 4.7 to 5.0.
  • Provided on-going Technical Support as needed to resolve complex issues that required analysis and in-depth evaluations for applications.
  • Created and Executed SQL scripts in SQL Server/ Confidential to validate Test results in the Database.
  • Use ServiceNow to create Tickets for claim related batch including any hardware software issues.
  • Responsible in Verifying and Validation ServiceNow tickets raised from the team and update them as per priority.
  • Performed Different Functionality of ServiceNow Testing.

Environment: CSP Facets, OTTS Tool, HP ALM 12.00, MS SQL Server 2008, HPSM (Health Service Manager Software), ServiceNow, UltraEdit, Confidential SQL Developer, Notepad ++, MS-Office Suite.

Confidential, Dayton, Ohio

Senior Quality Analyst


  • Worked on individual modules Member Portal, Streamline, SAP, Facets HIX enrollments testing.
  • Responsible writing User Story, Design Process Flow, Test Plan, Test Cases, Test Scenarios.
  • Used the SoapUI to test the Web Services and Validated Data with all integrated modules.
  • Worked on End to End HIX 834 Enrollment for Kentucky, Indiana, Ohio.
  • Validated enrolled Member Different Scenario in Facets GUI, SAP, TLM, Confidential .
  • Validated Add, Change, Term EDI file and Companion based on the Mapping Guide.
  • Research the scope of the Business need and created user story.
  • Performed Back-end Testing by writing SQL statements to review the returned Data to ensure that the correct Data was retrieved.
  • Planned, Coordinated and Monitored Project levels of Performance and Activities to ensure project completion before Schedule. Participated in writing Data Mapping Documents and performing gap analysis on the systems.
  • Performed Smoke, Regression, Integration, UAT Testing.
  • Help developer to understand the requirement and bug relate issues.
  • Tested Spot fire and TLM for Data validation, transaction storages and TIBCO for Design.
  • Worked on SAP Different Finance related Interfaces (ZBapi Billing History, ZBapi Account Summary, OnBase, Geo-Coding, Care Management, Print Vendor etc.
  • Attend Different level of meeting with Business to prepare a design document.

Environment: Windows Server, ALM, SQL Server, Facets, TeraData, TLM, Confidential, SoapUI, Microsoft .NET, ASP.NET, PowerShell, TIBCO

Confidential, Plano, Texas

Senior Quality Analyst


  • Extensively worked on creating Enrollment Different scenarios XML file and testing in SoapUI NG.
  • Executed Different Transaction (Add, Change, Term, Delinquent, Payment and Reinstatement) and perform End to End Testing.
  • Validated, Verified, and resolved the issues that were coming from Developers, UAT and Production.
  • Responsible in writing Test cases, Test Plan and actively resolving the issues that was coming from Developers and Team.
  • Mostly Worked on 834 XML and EDI File, validated based on the Business Rules, Mapping Document, and Companion Guide.
  • Responsible in sending EDI File daily and Monthly to the client including complete Reports.
  • Extensively Worked on Xcelys migration from version 2.0 to version 3.0 Different application CSR Light, FMS Admin, Premium Billing, Small Group, Non- Group Broker Commissions and Lockbox and Boomi.
  • Responsible in Reviewing, analysis Functional Requirement Document and giving feed back to the Business Analyst and Developers for required changes.
  • Wrote complex SQL queries to perform the Back-end testing.
  • Updated Daily and Weekly Status reports to the Team Lead, Test Groups and Test Managers to co-ordinate test cycles.
  • Analyzed Test Plans, Assist the Test-Team in writing Test-Scripts, Upload Test Scripts to Team Foundation Server (TFS), and Recommend Change Controls.
  • Used Claredi to EDI File for HIPAA Validation.
  • Extensively worked on Subsidized and NON- Subsidized Member 834 and 820 transaction.
  • Experience on working XCELYS modules like Claim processing, Claim pricing and claim adjudication, Member Eligibility, Groups, Providers & Vendors, Health Plans, Benefits, Third party Functionality, Remittance Advice, Customer Management, Correspondence, CMS, Premium Billing, HIPAA transactions and proficient in testing applications on Different browses and platforms.

Environment: Agile, SoapUI, DB2, ClearQuest, JavaScript, UML, MS Office, Windows XP/2000, Java/J2EE, MySQL, Confidential SQL Developer, TFS, FileZilla, Notepad ++, UltraEdit, Altova

Confidential, Denver, Colorado

Senior Quality Analyst


  • Tested HCPC, CPT, DX code for claim test. Coded from benefit grids and benefit booklets. Received workbooks and summaries.
  • Worked closely in All the Epic application modules PRELUDE, ADT, HIM, HAR etc.
  • Work with Developers to review Unit Test plans and review results.
  • Provided status reports and created deliverables.
  • Tracked and developed metrics for testing.
  • Work with BA, Developer and Rule Lead to add and test new Functionality.
  • Document and analyze test results for all types of testing.
  • Write clear and precise JIRA reports to communicate Defects found in all environment, work closely with developer as needed to resolve issues.
  • Arranged weekly team meeting to assign testing tasks and acquisition of status reports from individual team members.
  • Successfully mapped the ICD 9 code to ICD 10 code and Validated Epic Different modules.
  • Verify and validate all ICD 10 code charges calculated correctly in claim processing.
  • Accountable for development of Test Strategy, Test Plan, Test Cases across participating teams.
  • Works with the Technical Lead/Build Manager to plan build schedules.
  • Reviews requirements and functional specification to ensure completeness in Test Cases.
  • Responsible for obtaining sign-off of successful testing completion from all involved areas.
  • Conducted Bug review meeting to discuss resolution of issues.

Environment: Agile, SoapUI, DB2, ClearCase, JavaScript, HTML, SOA, UML, MS Office, Windows XP/2000, Java/J2EE, MySQL, SQL Server

Confidential, Tampa, Florida

Quality Analyst


  • Extensive Knowledge of benefit grids, summaries, group booklets, contract, and benefits group coding.
  • Tested 837 (Institutional and Professional), 835 Claims Different Scenarios.
  • Responsible for writing the Test Cases and Test Scenarios based on the Functional Specification and technical Specification and documented in Test Manager.
  • Tracked Defects, recorded, reviewed, analyzed using Team Foundation Server (TFS) assisted.
  • Develop and executed Test Plan and Test Cases for Business-related application running on multi-tiered platforms.
  • Monitored online transaction response times, Hits per Second, Throughput, CPU, and Memory.
  • Conducted Back-end Testing using Confidential and prepared reports by developing and executing SQL queries.
  • Performed Back-end Testing by writing SQL statements.
  • Participated in various meetings and discussed Enhancement and Modification Request issues.

Environment: Windows, Confidential, Sybase, TFS, ALM, Onyx, HP Quality Center, DOORS, Java script, Perl scripting, Unix scripting, object-oriented programming (OOP), Web logic, and Crystal reports: Strayer University (BBA)

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