SUMMARY

• 10 years of overall IT experience.
• 6+ years of professional experience in Software Quality Assurance and Implementation of QA Methodologies on both Client/Server and Web based applications.
• Experience in Manual Testing in Waterfall and Agile environments.
• Specialized in system study and testing Health Care, Financial, Insurance and Banking applications developed on various technologies such as QNXT, Facets, J2EE, JSP, Java, SharePoint, VB.Net, Oracle and SQL Server on Windows NT/2000/XP and UNIX environments.
• Understanding the Business Requirements and derive Test Scenarios, Test Cases and Test Summary Reports and ensuring Quality deliverable.
• Experience in analyzing the Client Requirements and deriving the Test Scenarios/Conditions based on the Requirements.
• Good noledge on various models like V Model, Waterfall model, Spiral model.
• Proficient in Test Case Design, Prepare& execution of Test Plan and preparing Test Summary Reports and Defect Management Report.
• Expertise in Build Installation in Test environment for Client Server and WEB applications.
• Expertise in Executing the Test cases and raising the defects using the Defect Tracking Tool - JIRA & Quality Center.
• Test Case Reviews, analyzing Test Results, attending Walkthrough sessions and scrum meetings, performing Task Assignments, Status Reporting to managers, communicating wif offshore teams and Business Analysts.
• Experience in Re-Testing, Regression Testing, Integration Testing, System Testing, Database Testing, Compatibility Testing, Usability Testing, Security Testing, Penetration Testing and User Acceptance Testing.
• Extensively involved in testing Trizetto’s Facets and mainly involved in Enrollment and Eligibility modules.
• Involved in testing QNXT Member, Provider, Claims Processing (wif proper ICD - 9 and ICD - 10 and HCPCS/CPT codes), and Utilization Management, Contracts, and Benefits modules.
• Expert in HIPAA Transactions testing and in-depth noledge of HIPAA framework (Health Insurance Portability Accountability Act) rules for ANSI X12 messages 837P, 835, 276/277, 270/271, TA1 and 997 in 4010A1 Standards.
• Experience in providing user training and halp the business users to understand QA/UAT process and how to go ahead wif it.
• Well versed in working wif Quality Center for Business Requirements, Test Cases, Test Runs, and Test Results for every iteration and store defects and link them back to the requirements.
• Expertise in Defect Tracking, Defect management and Bug Reporting using tools like Clear Quest, TestDirector, Quality Center.
• Experience in End-to-End testing of an application/process.
• Performed backend testing using SQL Queries.
• Ability to work as independent and team member in challenging and cross platform environment.
• Highly motivated team player wif excellent analytical, problem solving, interpersonal and communication skills.

TECHNICAL SKILLS

Tools: Informatica, Jira, Track-It, Bugzilla, Quality Center

Databases: Oracle and MS SQL Server

Languages: HTML,XML,SQL,PL/SQL, Java, Power Builder

Platforms: UNIX and Windows

Domains: Banking, Health Care and Finance

PROFESSIONAL EXPERIENCE

Confidential, SC

Sr. QA Analyst

Responsibilities:

• Involved in the review of requirements wif Business, IT and Technical specialists.
• Responsible for writing and reviewing the Test Cases and Test Scenarios based on the Business requirement document and Solution Requirement Document
• Responsible for scheduling review meetings wif all key stakeholders and getting approvals for all Test artifacts and Test Results
• Responsible to ensure 100% requirements coverage and preparing RTM.
• Responsible for coordination wif UAT team and halping on Test data needs.
• Manipulated EDI X 12 837, 834, 270, 271, 276,277 files as per HIPAA guidelines
• Processing claims through EDI 837 files to FACETS system and also worked on scenarios for complete claims lifecycle by running Adjudication(CLMU),and Payment (CKMM),Adjustments for Overpayment, Under Payment, Resolving the errors associated wif claims.
• Have good hands-on experience in writing complex queries using Sybase/Oracle databases
• Extensively used SQL queries to retrieve data from Oracle database using PL/SQL developer and Sybase.
• Responsible to ensure that edits are correctly applied and claims are processed successfully through 837 files and are getting adjudicated and paid correctly.
• Responsible to ensure that all the functionalities related to Billing, Providers, Authorizations, Pricing are working as expected.
• Responsible to provided Metrics in the form of Weekly and Daily Status Reports.
• Responsible for successful Go Live implementation and providing required warranty support.

Environment: Windows XP, Unix, Oracle, Sybase, Sql Server, FACETS, Informatica 8x/7x, HP Quality Center ALM 11.0, JavaScript, HTML, Outlook.

Confidential, Augusta, ME

QA Analyst

Responsibilities:

• Developed Test Cases bases on Requirement Specifications and Design Documents.
• Responsible for modification and executing of the Test Scripts.
• Involved in testing QNXT Member, Provider, Claims Processing, Utilization Management, Accumulators, Contracts and Benefits wif proper ICD - 9 and ICD - 10 and HCPCS/CPT codes.
• Involved in manual claims Adjudication process.
• Creating, Approving and Modifying PA in both Portal and QNXT.
• Involved in Adding Contracts to the Provider in QNXT and associating Providers in Portal while creating claims.
• Involved in Functional, Integration, and Regression testing of the application.
• Processed Medical claims and applied edits to the claims for testing purposes
• Involved in Processing QNXT 837 Healthcare Claims (Institutional and Professional) in PORTAL wif valid TPI.
• Worked in utilization management module for to create and test PA.
• Involved in uploading and processing of EDI 278, 276 claims in Portal.
• Prepared sample EDI test sets for files like 276/77, 278,837 and followed HIPAA implementation guide in preparing them.
• Also used BizTalk server as middle ware server to see responses for X 12 files like 835.
• Coordinated wif offshore people and updated the tasks to manager.
• Worked wif stakeholders in UAT environment to ensure Business requirements are tested properly.
• Logged defects in Clear quest and worked wif the developers to resolve any issues.
• Conducted Regression Test for the fixes of the application
• Used RMT for running the tasks like uploading, modifying, executing and taking logs accordingly.
• Updated status report on weekly Basis and submitted to the team prior to weekly meeting.
• Participated actively in conference calls, project meetings and delivered input.

Environment: ASP.NET, VB.NET, QNXT, DB2, Oracle, SQL, QNXT, UNIX, Windows95/98/NT/2000/XP, Clear Quest, RMT.

Confidential

QA Analyst (ETL Testing)

Responsibilities:

• Understanding Functionalities as per the Client.
• Data gathering, cleansing and import/export in different formats.
• Verifying the data in target database by ETL process. Involved in writing the SQL queries.
• Verified column mapping between source and target
• Prepared test data for functional & Integration testing
• Interactions wif BA & Dev teams to resolve the issues.
• Reporting daily testing status.
• Designed, Reviewed & Executed Test cases.
• Identified Test cases for Regression testing
• Defect Analyzing and Reporting in QC.
• Communication wif client for Data management..

Environment: Mainframe, Windows XP, Windows 2000, Power Builder, Oracle, Bugzilla, MS Office.

Confidential

QA Analyst

Responsibilities:

• Develop automation wif VB Script and integrate wifin HP QC/QTP tool kit.
• Write test plans and generate test cases from the requirements and functional specs.
• Review test cases and select test cases that can be automated.
• Code, implement and validate automated software/system tests cases.
• Perform manual and automatic software/system tests.
• Write clear and comprehensive bug reports to communicate and coordinate TEMPeffectively wif management, developers, network operation, and other QA team members.
• Perform various other testing/automation duties as assigned by Management/QA Manager

Environment: QTP, JAVA/J2EE, QUALITY CENTER, Oracle, MS Office, IE, Mozilla, Google Chrome.

Confidential

PMO-Business Support Coordinator

Responsibilities:

• Preparation of Utilization report, Burn report, Account Receivables and adhoc reports based on Clients requirements.
• Maintaining financial documents like SOWs, Clarity reports, maintaining database etc. Act as anchor for all the offshore financial activities.
• Billing/ Invoicing/etc database management, reporting and MIS preparation.
• Work closely wif executives in different geographic locations (both Onsite and Offshore) and report financial activities.
• Maintaining the project documents wif respective to projects pertaining on the project type and billability.
• Experienced designing reports and presenting to senior-level management.
• Assisting the Business Development Managers during Audits (both internal and external), assist them during Client Visits.
• Reading data from different sources like .csv, excel, tab delimited files and perform various business checks on the source data to confirm whether data is correct or not.
• Compare the source data wif historical data to get some statistical analysis.
• Perform transformations like Merge, Sort and Update etc., to get the data in required format.
• Generate Reports in user required format by using ODS and PROC Report.
• Developed programs using Base SAS & SAS/Macros to extract data from oracle tables.
• Used complex macro statements, stored processes and procedures like Proc SQL, Proc Means, Proc Freq, Proc Tabulate.
• Manage end-user expectation in the delivery of projects wifin agreed timelines and as per agreed quality standards.