PROFESSIONAL SUMMARY:

• 7 plus years of extensive and diversified experience in quality assurance of Software Development Life Cycle (SDLC) specializing in Quality Assurance Process and Methodologies.
• Strong Knowledge of SDLC (Software Development Life Cycle).
• Experience in different methodologies like Waterfall, Agile/SCRUM, Rational Unified Process (RUP).
• Strong business knowledge of Healthcare sectors.
• Good knowledge of SOX, EDI/HIPAA and Facets.
• Worked in various Healthcare areas like Benefits, Claims, Medicare and EDIX12 transaction.
• Excellent knowledge of code sets, ICD - 9 and ICD-10.
• Excellent understanding of enrollment Eligibility: Maidcaid, APTC/CSR, Quality Health Plan.
• Profound understanding of health insurance policies like HMO and PPO and proven experience with HIPAA 4010 EDI transaction codes such as 270/271 (inquire/response health care benefits), 276/277 (Claim status), 834 (Benefit enrollment), 835 (Payment/remittance advice), 837 (Health care claim and 278 (Health care services review information).
• Extensively performed manual testing primarily Integration, Functional, Regression, GUI, Database, Black Box, Interface Testing and Backend Testing.
• Extensive experience in writing SQL statements.
• Brief knowledge of Health Level 7 (HL7) standards.
• Good experience in creating, modifying and enhancing manual Test Scripts using Test Automation tools- Load Runner, Quick Test Pro, Rational Robot.
• Developing Test Plan, Testing Strategy and Functional Specification Analysis from Business requirements.
• Experienced in designing Test Cases covering all test conditions and developing documents like Defect Status report and Script Status Report.
• Expertise in creating Bug Reports using tools like Test Director, Quality Center, ALM (Application Life Cycle Management)and Rational Clear Quest.
• Detailed knowledge with Object Oriented Programming (OOP) environment.
• Familiar with quality assurance frameworks, methods, and practices, such as ITIL v3, IEEE829 and ISO 2000
• Experience in interacting with business analysts, developers, and technical support and help them base line the requirement specifications.
• An efficient self-starter and quick-learner with effective interpersonal and negotiation skills.
• Excellent Communication, Documentation, Analytical and Problem solving Skills.
• Extensively worked as a Quality Assurance and Test Engineer, understanding responsibilities in QA plan formulation, developing project plans, communication plans and implementation.
• Ability to understand and analyze business process and workflows with the objective of providing recommendations for the best of technology.

TECHNICAL SKILLS:

Testing Tools: Quick Test Pro (QTP), Quality Center, Test Director, Application Life Cycle Management (ALM), IBM Rational Tools (Rational Team Concert, Rational Quality Manger)

Programming Languages: C, C++, SQL, Pl/SQL, SQA Basic, VB Script

Databases: MySQL, Oracle, MS SQL Server, MS Access

Networking: TCP/IP, WAN, LAN

Operating System: Windows, UNIX

MS Office Applications: Access, Excel, PowerPoint, Word, Visio, Project

PROFESSIONAL EXPERIENCE:

Confidential, Providence, RI

Sr. Quality Analyst

Responsibilities

• Build and maintain test plans, test suites, test cases, defects, test scripts using Rational Quality Manager
• Used Rational Quality Manager for test management with collaboration with Rational Team Concert and Rational Requirement Composer.
• Was Detail oriented with excellent writing &verbal communication skills to strengthen vast knowledge of testing techniques to cover all possible corner cases for testing, verification and validation techniques
• Worked on very complex and large web based application (portal) testing built on Java, Web-sphere (presentation layer), DB2 LUW (backend database) and middleware (web-services, API calls testing using SOAP UI)
• Wrote SQL queries using joins for data validation from various data sourcesusing DB2LUW
• Knowledge of healthcare insurance domain with testing EDI transactions
• Leads and monitors progress of function test teams and their efforts for release candidates and the progress of outstanding defects during each phase of the development cycle.
• Defined test cases, test matrices, configuration test questionnaires, and write test scripts from business requirements documentation to confirm that systems meet business objectives.
• Communicates the status of potential issues and outstanding problems to project and quality assurance personnel.
• Compiles final project documentation and prepares it for client delivery.

Environment: RQM, RTC, SQL/ DB2LUW, MS Excel.

Confidential, Mount Laurel NJ

Quality Analyst

Responsibilities:

• Responsible for validating and testing clear ICD-9 to ICD-10 conversion.
• Developed test cases and test documents used for configuring software to meet needs of ICD-10 readiness.
• Tested whether EDI Transactions is in compliance with the HIPAA 5010 changes.
• Knowledge of 837, 835, 276,277, 270, 271, 834, HIPAA EDI and X12 transactions.
• Writing system test plans, test scripts, check lists and its review.
• Extensively performed Manual testing process to ensure the quality of the software.
• Involved in Manual testing using Quality Center to develop test cases, test scripts, executing the scripts and logging the defects.
• Develop scripts and test cases for Integration Testing, Regression Testing and Stress Testing.
• Designed data for interpreting negative/positive results.
• Extensively used SQL scripts/queries for data verification at the backend.
• Interaction with the legacy SME, business, IT team and HP for technical clarifications.
• Interaction with the QA Team, Business Analyst and Delta IT team for status reporting and tracking.
• Work with Release Management Team to ensure that the correct version of code is pulled from SCCS for the respective testing cycles.
• Familiar with SCCS and was involved in code review with the development team in certain cases to help facilitate troubleshooting and identify the root cause of the bugs reported.
• Worked closely with the legacy team and HP to ensure adequacy of testing through clear understanding of Design aspects and business requirement.
• The areas of online application testing I covered were Membership, Benefits, Claims processing and Billing.
• The Batch testing covered the membership, benefits validation, claims adjudication and processing, payment processing and billing batch jobs. This also covered the legacy data load for each of the functional areas.
• Prepared Robust Regression Test scripts to test each new release provided by MetaVance team.
• Conduct Critical performance tests for the claims adjudication and payment processing systems.

Environment: Oracle, PL/SQL, SQL Developer, UNIX, Windows XP, HP Quality Center, MS-Office, ALM/QTP.

Confidential, Wheeling, WV

Quality Analyst

Responsibilities:

• Established scenarios based upon parameters input into Client, Eligibility, Rates and comparing this data online.
• Responsible for system study & information gathering. Participated in-group meetings.
• Involved in creating Test Plan, Test scripts and Test cases based on software requirements.
• Developed Test Scenarios for each cycle based on system functionality.
• Executed scripts Manually in Test Director for each release based on expected results.
• Involved in HIPAA/EDI Medical Claims Analysis, Design, Implementation and Documentation.
• Executed test cases using QTP Automation tool.
• Followed HIPPA guidelines in preparing the documents for the transactions sets 270/ 271 & 276/ 277.
• Implemented theHIPAA privacy and security regulations to enhance the capabilities of the systems to process new products.
• Participated in JAD sessions and interacted with various functional leads and analysts.
• Involved System, Acceptance and End-to-End testing with downstream and upstream partners.
• Wrote SQL statements to extract data from Tables.
• Extensively worked on back-end / database testing SQL Server and validating the application against the database.
• Prioritized and documented bugs in Test Director that are found during the process of testing.
• Involved in writing TSL scripts using win runner.
• Involved in testing daily, weekly and monthly reports, which are generated after batch run.
• Involved in maintaining and updating automation scripts for every release based on business changes and new functionality.

Environment: Win Runner, Test Director, SQL, QTP, Oracle, MS Excel, MS Access.

Confidential, San Antonio, TX

Quality Analyst

Responsibilities:

• Involved in Initial Test Walkthroughs (ITA's) for business requirements and test plans.
• Played primary ITA role in collecting and analyzing requirements by interacting with client and business analysts.
• Created test scenarios based on BRD, SRS and Use Case Documents.
• Designed and Developed Test Cases and Test Scripts from SRDs, BRDs and documented them in Quality Center.
• Analyzed business requirement Use Cases and activity diagrams using Enterprise Architect.
• Involved in Regression testing using Quality Center, Toad and Oracle Financials for new Payment Engine Application.
• Conducted SQL queries in database for backend testing.
• Interacting with the developers on resolving the reported bugs and various technical issues.
• Worked on HIPAA EDI 835, 837, 270/271, 278 use cases and collaboration templates according business requirements in Claims Process.
• Responsible for designing Test Steps, Requirement Mapping to Tests, Executing Tests manually, Defect Logging and Defect Reporting.
• Analysis of Business and Requirement Specifications. Designing Test Lab and formulation of Test Strategy, Test Plans and Test Cases in HP Quality Center for the Functional, Integration, end-to-end, Usability, Security and smoke testing.
• Expert understanding of the business process and verified the functional aspect as per the Business Process and validated the interfaces with the other systems and data conversion from the legacy system.
• Used HP Quality Center log to view the test results, including verification point failures, procedural failures, aborts and also for defect tracking and maintained the trailing history of the defects.
• Performed cross platform and cross browser Testing.
• Worked closely with developers to resolve the technical issues to meet the dead lines.

Environment: Oracle, Toad, Quality Center, MS-Office, Agile methodology.