SUMMARY

• Wif 7 years of progressive working experience in software quality assurance wif diverse projects, clients and industry.
• Experienced in preparing Test Plans, writing and executing Test Cases and Test Scripts and performing Defect Reporting and Defect tracking throughout teh entire defect lifecycle.
• Expertise in both Manual Testing and Automated Testing using Mercury Interactive Test Suite such as Quality Center and QTP.
• Strong Knowledge of all stages of Software Development Life Cycle (SDLC).
• Extensive experience in testing Client/Server and Web - based Applications.
• Expertise in Bug reporting tools such as Quality Center and Application Lifecycle Management.
• Strong Knowledge of all aspects of teh Agile Methodology.
• Proficient in manual testing of applications on Windows and UNIX environment.
• Expertise working in Healthcare industry wif Insurance, Claim Processing, etc. Medicaid and Medicare modules as well as Interface Testing.
• Thorough experience in Back-End Testing using SQL on UNIX and Windows platform to validate teh consistency of data.
• Have good knowledge of HIPPA 4010/5010 versions.
• Expertise in Back-end Testing using SQL Queries on Oracle, MS SQL Server environment running on UNIX or Windows platform to verify Data Integrity
• Expertise in Claims, Subscriber/Member, Plan/Product, Claims, Provider, Commissions and Billing Modules of Facets.
• Expert in analyzing system and functional specifications used cases, Business Requirements and business rules to prepare Test Plans and design Test Cases from business requirements.
• Medical Claims experience in Process Documentation, Analysis and Implementation in 835/837/834/270/271/277/997(X12 Standards) processes of Medical Claims Industry from teh Provider/Payer side
• Experienced in interacting wif Business Analyst, Developers and Technical Support Teams and helped them on baseline requirements specifications and testing status.
• Performed Positive Testing, Negative Testing, Smoke Testing, Functional Testing, Black Box Testing, Unit Testing, Integrated Testing, System Testing, Security Testing and Regression Testing.
• Strong HIPAA EDI 4010 and 5010 wif ICD-9 and ICD-10, analysis & compliance experience from, payers, providers and exchanges perspective, wif primary focus on Coordination of benefits
• Strong knowledge of HIPAA-ready claims and plan administration
• Used FACETS for various health insurance areas such as enrollment, member, Products and other FACETS related modules
• Prepared Data in FACETS required for Manual script executions.
• Tested teh HIPAA EDI transactions 834, 837/835, 276/277, 270/271 according to teh requirement test scenarios.
• Experience wif IBM Web Sphere.
• Maintained Requirement Traceability Matrix and Test Matrix
• Performed Gap analysis based on requirement documents
• Excellent communication, documentation and organization skills wif teh ability to adapt to new environment
• Ability to quickly master new concepts, applications and open to learn new technologies
• Good team player and ability to work independently along wif strong problem solving, learning and communication skills.
• Experienced in Health care Exchange in teh implementation of different projects under Obama care policies regulated by Affordable Care Act.

TECHNICAL SKILLS:

Testing Tools: HP Quality Center, JIRA, QTP, HP ALM

Bug Reporting Tools: Mercury Quality Center, JIRA, Rational Clear Quest

Operating Systems: Windows XP/2000/Vista, UNIX

Web Technologies: JAVA, JSF, SQL

Databases: Business Applications:

MS SQL Server, Oracle, TOAD: MS Access, Excel, Word, Outlook, PowerPoint, Visio

Project Management Tools: MS Office, MS Project

Methodologies: Agile, Waterfall, Incremental

Others: MS Office, EDI, Trizetto Facets

PROFESSIONAL EXPERIENCE:

Confidential, MD

QA Tester

Responsibilities:

• Involved in developing detail Test Plans and Test Case for different benefit packages according to business requirements documentation.
• Attended meetings wif business analysts and tracked leads in understanding teh system.
• Developed and implemented EDI applications to process health Care transactions as per teh HIPAA implementation.
• Wrote Test Cases for Manual Testing and created Traceability Matrix.
• Performed Backend Testing using SQL queries to check teh data integrity.
• Analyzed and logged defects in HP Quality Center and interacted wif teh developers to resolve technical issues.
• Reported and tracked defects using Quality Center.
• Generated reports using document generator of Quality Center.
• Involved in writing 400 Scenarios based on Medical Assistance Chart.
• Performed different types of testing like System, UAT, Regression, Smoke testing, Integration, System, Positive Negative Testing.
• Created EDI files for test cases and verified those files, debugged teh errors and corrected them according to teh respective HIPAA implementations.
• Performed Front-end Testing, Functionality Testing and Data Driven Testing using QTP
• Developed test automation Scripts using QTP
• Provided Efforts Estimate and coordinated teh schedule using Agile testing method UAT phase
• Worked Life event changes, 8001(Medicaid and CHIP), Notices, Income Verification, Outstanding Verification(90 days and 30 days) and tested 834 transaction for QHP.
• Created test planning and participated in execution for API testing using Testing tool.
• Performed multi browser testing
• Recorded scripts in QTP to perform Functionality testing.
• Performed End to End testing
• Reported Insurance Affordability (IA) for IRS bases on test result in SOAP
• Used JAMA as a defect management tool
• Used JIRA as a defect tracking tool and follow up until fixed
• Participated in weekly meetings wif management team.
• Tested 8001 transaction File for Medicaid
• Involved in 8001-MMIS data analysis

Environment: HP Quality Center, QTP, ALM, SOAPUI, Oracle, JAMA

Confidential, Tampa, FL

Quality Analyst

Responsibilities:

• Involved in developing detail Test Plans and Test Case for different benefit packages according to business requirements documentation.
• Attended meetings wif business analysts and tracked leads in understanding teh system.
• Developed and implemented EDI applications to process health Care transactions as per teh HIPAA implementation.
• Wrote Test Cases for Manual Testing and created Traceability Matrix.
• Performed Backend Testing using SQL queries to check teh data integrity.
• Performed different types of testing like Integration, System, Positive Negative, Data Driven and Performance testing on teh AUT.
• Extensive experience in client server and web based application testing including Java API Testing manual and automated software testing techniques.
• Created EDI files for test cases and verified those files, debugged teh errors and corrected them according to teh respective HIPAA implementations.
• Creates test plan, test strategy, test suite, test cases, test data for automated testing using Microsoft Test Manager.
• Performed Front-end Testing, Functionality Testing and Data Driven Testing using QTP
• Developed test automation Scripts using QTP
• Recorded scripts in QTP to perform Functionality testing.
• Develop and automate Web Services API testing using Soap UI frameworks.
• Analyzed and logged defects in HP Quality Center and interacted wif teh developers to resolve technical issues.
• Reported and tracked defects using Quality Center.
• Generated reports using document generator of Quality Center.
• Participated in weekly meetings wif management team.

Environment: QTP, Quality Center, SOAPUI, Oracle

Confidential, Louisville, KY

QA Tester

Responsibilities:

• Analyzed system requirements and developed detailed Test Plan.
• Performed Manual Testing as well as Automation Testing.
• Developed Test Script for Functionality, Security, and Regression testing.
• Ran teh scripts on multiple environments (QA, UAT and Production) to ensure dat requirements were still met.
• Performed User Acceptance Testing manually.
• Created test cases from test scenarios by using different ICD 9 and ICD 10 procedure and diagnostic code combinations.
• Wrote Test cases and developed testing strategies in HPQC.
• Involved in UAT testing during teh project.
• Used HP Quality Center to execute test cases.
• Responsible for loading teh test cases into HP Quality Center.
• Performed Back-End Testing to check database integrity by writing SQL queries.
• Perform Functionality, Security, UAT and Regression Testing for 2 different modules of Humana web application.
• Involved in FACETS Implementation, involved end to end testing of FACETS Billing, Claim Processing and Subscriber/Member module.
• Set claim processing data for different Facets Module.
• Logged defects in Quality center
• Tested HIPAA regulations in Facets HIPAA privacy module.
• Wrote test cases in Quality Center 10.0 derived from teh Design documents and generated a Traceability Matrix for testing purposes.
• Tested claims wif ICD 9 and 10 code combinations for different validity and compatibility edits issued based on teh memberships, eligibility of benefits and pricing calculations.
• Created Traceability Matrix to ensure implementation of all functionalities, identify all test conditions and test data needs.
• Used SQL queries for backend testing.
• Responsible for writing teh Test Cases and Test Scenarios based on teh Business Requirement Document (BRD) and technical Specifications and loaded in HP Quality Center.
• Used Quality Center to record documenting information useful in debugging process, evaluating test data.
• Used Quality Center for reporting and tracking bug and generating reports.
• Conducted navigational testing, functional testing.
• Participated in release meetings.

Environment: HP Quality Center 10.0, JIRA, FACETS 4.71, JAVA, JSF, SQL, TOAD, Oracle, Windows 2000, MS Word, Excel, PowerPoint.

Confidential, Cranbury, New Jersey

QA Tester

Responsibilities:

• Involved in preparing Test Plan and Test Cases based on business requirements.
• Reviewed Business Requirements wif to learn teh functionality of teh application.
• Wrote positive and negative Test Conditions in Excel based on Technical Specifications, Functional Specifications and Business rules in Excel.
• Tested HIPAA Transactions and Code Sets Standards according to teh test scenarios such as 837/835 transactions in compliance wif Implementation Guide (IG).
• Analyzed HIPAAEDItransactions in XML and X12 responses and of 837I or 837P and looked for defects for amendment.
• Responsible for setting up QTP wif macros and claims tool for running scripts to create and process claims.
• EDI Conversion from 4010 to 5010.
• Executed test scripts to verify teh expected results based on teh system requirements maintained in Quality Center.
• Worked on EDI X12 transactions, HIPAA standard transaction codes including 837, 834, 835, 270, 271, 276, 277 and performed analysis of such transactions.
• Documented all teh changes for teh enhancements and recommended changes.
• Involved in enhancements of HIPAA 4010 to HIPAA 5010 eligibility and verification transactions. Also involved in Automation of Secondary claims.
• Defect tracking and bug reporting using Quality Center.
• Used QTP to perform regression testing for monthly releases.
• Logged defects, determined repair priorities and tracked teh defects until resolution using Quality Center.
• UAT testing for HIPAA 4010 and 5010 projects including legacy testing and HIPAA requirements and compliance mandates.
• Performed model-based testing to support regression and prioritization of tests; integration wif HP Quality Center.
• Worked on mapping of ICD 9 to ICD 10 conversion.
• Involved in Meetings and walkthroughs on daily basis to ensure teh delivery of quality Product.
• Participated in meetings wif teh lead and teh business users to make sure dat application is responding as per teh business logic.
• Follow up on daily defect call about a defect status on a regular basis.
• Attended on a mini-UAT sessions wif teh team and teh business users.
• Participated in defect review board (DRB) meetings and provided technical expertise on how to resolve teh issues related to configuration and/or test scenarios.
• Performed thorough Regression testing.

Environment: HPQC, JIRA, QTP, Windows, FACETS, SQL Server, SQL, PL/SQL, HIPPA 5010, EDI 5010

Confidential, Hartford, CT

QA Tester

Responsibilities:

• Participated in setting up testing environment.
• Involved in preparing Test Cases based on business requirements.
• Tested HIPAA Transactions and Code Sets Standards such as 837/835, 270/271, 276/277 transactions.
• me have worked on test plan and test strategy.
• Tested 837/ 835, 270/271, 276/277 transactions wif File Aid.
• Executed Test cases for Claims and Customer Service Workflow manually.
• Responsible for writing teh Test Cases and Test Scenarios based on teh Functional Specification and technical Specification and documented in Mercury Quality Center.
• Recorded scripts in Quick Test Pro to perform Functionality testing.
• Executed Automated Test scripts using QTP.
• Worked wif providers and Medicare or Medicaid entities to validate EDI transaction sets or Internet portals. This includes HIPAA 4010; 837, 835, 270/271, and others.
• Responsible for Back-End Testing Using SQL Commands using TOAD.
• Participated in teh management of testing project wif teh help of Win Runner.
• Identified, analyzed and documented defects, error and inconsistencies in teh application using Quality Center.
• Performed System Testing, Regression Testing and Final Regression Testing.
• Responsible for writing teh Test Cases and Test Scenarios based on teh Functional Specification and technical Specification and documented in HP Quality Center.
• Used Test Director for setting up and maintaining projects on Test Director. Execute test cases using Win Runner scripts through Test Director
• Perform functional, exception and scenario testing.
• Logged teh errors, reported defects, determined repair priorities and tracked teh defects until resolution using Mercury Quality Center.
• Responsible for performing System and integration testing for release.
• Identified, analyzed and documented defects, error and inconsistencies in teh application using Quality Center.
• Created and maintained Test Matrix and Requirement Traceability Matrix and performed GAP Analysis.
• Performed User Acceptance Testing (UAT).

Environment: MS Visio, Quality Center, QTP, Win Runner, Test Director, Word, Excel, PowerPoint, SQL, Oracle, and EDI.

Confidential, Chicago, IL

QA Tester

Responsibilities:

• Reviewed Business Requirements wif Project Manager and Lead Developer to learn teh functionality of teh application.
• Involved in preparing Test Plan and Test Cases based on business requirements.
• Wrote Test Cases in Excel based on Technical Specifications, Functional Specifications and Business rules for online application system.
• Authored Test cases for HIPAA EDI Transactions 270/271, 276/277,278, 837/835.
• Tested HIPAA Transactions and Code Sets Standards according to teh test scenarios such as 270/271, 276/277,837/835 transactions.
• Worked exclusively on ICD 9.
• Executed Configuration Testing to check if teh application was compatible in different environment for each module of teh application
• Involved in using SOAP UI as my tool.
• Executed Test cases manually by composing 270, 276,837, 278. EDI files and dropped inbound and check response 271,277,835 using interleaves and outbound.
• Involved in working on real time test harness.
• Used VB scripting in teh expert view to enhance teh scripts.
• Worked on ICD 9 testing for claims process.
• Logged defects in Quality Center and interacted wif teh developers to resolve technical issues.
• Prepared test matrices based through defect status in Quality Center.
• Working Closely wifOffshoreteam and coordinate toDeliver teh Project wif in teh Time frame
• Authored and executed Test cases manually for Tiered Benefit and mapped from website to PMHS.
• Responsible for writing teh Test Cases and Test Scenarios based on teh Functional Specification and Technical Specification in Excel and exported them in Mercury Quality Center.
• Logged errors reported defects, determined repair priorities, did regression testing and close by using Mercury Quality Center.
• Performed Integration Testing wif PMSH, LRSP and Website, System Testing and Regression Testing.
• Responsible for performing User Acceptance Testing.

Environment:: Windows, DB2, Oracle, Mercury Quality Center, MS Excel, MS-Visio, File Aid, Oracle, HIPPA, EDI 5010, XML, Mercury Quality Center