SUMMARY

• Over 6 years of experience in the field of IT with focus on QA and testing of Client - Server and Web based and web services with effective use of QA practices.
• Strong knowledge of all phases of SDLC (Software Development Life Cycle) and the Health Care Sector with prime focus on testing of claims, eligibility, provider and membership enrollment in Facets.
• Extensive experience in using Test Management tools such as HP Quality Center (QC) and Test Director for organizing and managing all phases of application testing process, including specifying testing requirements, planning tests, executing tests and tracking defects.
• Extremely proficient in Manual (QC), Automation (Quick Test Pro) and database testing tools to troubleshoot systems, integration, user acceptance, positive and negative, functional and non-functional and regression in the specific field database.
• Extensive testing experience in all phases and stages of testing with good working knowledge of testing disciplines, tasks, resources and scheduling.
• Professional experience in writing Test Scenarios, Test Conditions, Test Cases and Test Scripts for Functional and non-functional requirements.
• Designed and executed test cases for the black box testing and perform boundary value analysis, decision table analysis for business rules, and state transition verification.
• Experience in building test cases using structure-based techniques (White Box) covering statement, branch (decision), Condition and path coverage.
• Experience in regression testing using HP Quick test Professional and performance testing using HP LoadRunner.
• Experienced in testing Health Care applications and ability to think through the requirements to identify the ambiguities and build test cases for effective test coverage.
• Knowledge of industry compliance standards like HIPAA and EDI X12 transactions (834, 837, 835, 270/271, 276/277).
• Excellent knowledge in creating Test Strategy, Test Plan, Test Input Data for positive and negative testing, Test matrix creation and Defect Analysis.
• Expertise in Analyzing Business Requirements, Functional and Technical Specification and documenting Test cases and Test Scripts.
• Expertise in problem solving and tracking bug report using bug tracking tools.
• Review and analysis of Business Requirements, Development, Functional Specifications, and Detail Design of the Application.
• Formulating Test Plan based on the Design Document, Use Case and User Requirement Document.
• Ability to interact with developers and Business Analyst regarding Testing Status, Defects and change tracking using Quality center and Clear Quest.
• Expert-level experience in writing SQL queries using DDL and DML commands like Select, Create, Joins (inner and outer) and sub-queries.
• A dynamic team member with proven abilities to be a part of a team during various project phases.
• Possess excellent analytical, programming, troubleshooting and interpersonal skills.

TECHNICAL SKILLS

Methodologies: Waterfall, Agile, RUP

Project Management: MS Office, MS Project

Version Control System: Rational Clear Case, CVS, Visual Source Safe

Process/Modeling Tools: Rational Rose, MS Visio, Rational Requisite Pro, Clear Quest

Testing Tools: Rational Enterprise Suite, Test Director, Win Runner, Load Runner.

Languages: SQL, JAVA, XML, UML, .NET, HTML

Databases: MS Access, SQL Server, Oracle 9i/10g, Sybase Accelerator

PROFESSIONAL EXPERIENCE

Confidential, Woodland Hills, CA

Sr. Quality Analyst

Responsibilities:

• Elicit requirement to be able to generate the tools and info needed to process the ICD-10 information by 2013 (Claims Processing, Training etc.)
• Mapping of ICD-10 codes to procedure and diagnostic codes in Facets.
• Reviewing all codes and appropriately applying them.
• Conduct meeting with the stakeholders and assess their accurate involvement with ICD-10.
• Develop and coordinate implementation timelines with Trading Partners including readiness assessment and coordinated testing.
• Identify processes and systems to enable to trade files with non ICD-10 complaint trading partner.
• Help in preparing the ICD-10 context diagram.
• Analyzed the ICD conversion information provided by the CMS and Gained understanding of ICD-9 versus new ICD-10 codes sets
• Experience with EDI transactions like EDI 834 (Benefit Enrollment and Maintenance), 276/277(Health Care Claim Status Request and Response), 835(Health Care Claim Payment/Advice) and 837 (Health Care Claim: Professional, Institutional and Dental).
• Multiple 837 map set developed for each client (clearinghouse, internal, and external trading partners), as well unique mappings were needed in each map to accommodate various conditions dealing with Provider, Subscriber, PAY-TO and BILL-TO Provider information needed to identify multiple conditions dealing with batch processing of claims.
• Involved in the development of test plans and created test cases and test scripts needed to validate the requirement.
• Help the developers to understand the requirements in order to design the software modifications needed to support the requirements.
• Review Implementation Plan and testing types, techniques and environmental needs.
• Defect Management&triage, provide expertise to resolve defects dat raise business issues.
• Actively involved in documentation of UAT (User Acceptance Test), Functional Test, Integration Test Scenarios and Bug Log.
• Extensively used SQL statements to query the Oracle Database for Data Validation and Data Integrity.
• Actively participated in weekly status meeting with Team members, Team managers, Business analysts & Technical team and also generated Weekly Status Reports to the Team manager.
• Tracking Software defects collected from different sources and categorized severity in HP Quality center.

Environment: MS SQL Server 2005, MS SQL Server Reporting Services 2005, MS SQL Server Integration Services 2005, DTS, ERwin 7.2, Flat Files, DB2, SQL Profiler, TOAD, MS Office, XML, Windows Server 2003, Mercury Quality Center 9.2, WinRunner, Lotus Notes, Agile Scrum, Test Plan, Test Cases, Test Scripts

Confidential, Detroit, MI

Sr. QA Analyst

Responsibilities:

• Involved in Test Plans and wrote Test Scripts for Manual Testing.
• Performed Positive and Negative testing, Black Box testing, and End User testing.
• Experience with EDI transactions like EDI 834 (Benefit Enrollment and Maintenance), 277/275(Health Care Claim Request for Additional Information and Response), 276/277(Health Care Claim Status Request and Response), 835(Health Care Claim Payment/Advice), and 837 (Health Care Claim: Professional, Institutional and Dental).
• Multiple 837 map set developed for each client (clearinghouse, internal, and external trading partners), as well unique mappings were needed in each map to accommodate various conditions dealing with Provider, Subscriber, PAY-TO and BILL-TO Provider information needed to identify multiple conditions dealing with batch processing of claims.
• Involved system testing on EDI transaction 270/271 for both inbound and out bound.
• A developed standardized FACETS testing, implementation and QA processes.
• Troubleshoot any problems found within FACETS and review and modify process flows to increase productivity and effectively utilize FACETS features not provided by the legacy systems.
• Worked with Facets System implementation, Claims and Benefits configuration, set-up testing, Inbound/Outbound Interfaces and Extensions Load and extraction programs involving HIPPA 834 and proprietary format files and Reports development.
• Worked with the client and stakeholders to design and configure all the required claims processing rules.
• Created Claim Test Data and tested various scenarios.
• Assisted informational needs in mapping of Test Cases.
• Worked on the EDI claims including both the batch processing and direct data entry.
• Performed GUI testing, Integration testing, Regression testing, Ad -hoc testing, Negative testing, End to End testing, Load testing, User Acceptance testing on multiple projects.

Environment: Rational Rose, MS Office Tools, Ms Visio, .Net, C#, Windows XP, Oracle, SQL, Quality Center, QTP, Crystal Reports, Facets

Confidential, Deerfield, IL

QA Analyst

Responsibilities:

• Analyzed requirements documents and prepare the Test Plan.
• Attended review meetings and walkthroughs to discuss the status of the project.
• Involved in the setting up the test environment like preparation of test data, installation of automation tools.
• Created Test Cases and Test Scripts for the application modules like Patient Details, Medication, etc.
• Carried out Regression testing by coding automated test scripts using QTP.
• Created data driven test using actual user data such as Personal Information, Qualifications and Medical History, etc.
• Performed defect reporting and tracking using Test Director Creation and execution of SQL Queries for retrieving data from the database.

Environment: QTP, Test Director, Quality Center, SQL, VBScript, JSP, HTML, XML, Oracle, Windows 2000/NT

Confidential, New York City, NY

Business Analyst

Responsibilities:

• Gathered Business Requirements, interacted with the Users, Designers, Developers, Project Manager, and SMEs to get a better understanding of the business processes, and analyzed and optimized the process.
• Actively involved in the entire Software Development Life Cycle (SDLC) Process.
• Created reports containing all the information regarding the publishers, distributors and retailers using crystal reports.
• Facilitated demonstration of a major ACH software systems and performed evaluations with a group of experts to select a package dat best suits the need of the business.
• Extensively worked with HIPAA transactions such as 835-claim payment/advice.
• Developed Traceability Matrix for maintaining/updating current and new system requirement using MS Excel.
• Researched/Analyzed the various steps in claim processing lifecycle and then wrote the Business Requirement Document (BRD) and Functional Requirement Document (FRD) in such a way dat developers could construct the system to identify and monitor the riskier claims.
• Worked with electronic claim clearing house like Web MD and automated clearing house (ACH) for electronic payment, remittance data processing and services.
• Created the User Requirement Specifications and halped convert them to Functional Requirements, and assisted the developers with System Requirement Specifications.
• Responsible for ensuring data integrity and coordinating effort with testing and implementation responsible for the development and execution of test plans.

Environment: MS Office tools, MS Project, MS Visio, UML, RUP, Windows, National Requisite Pro, and SQL Server.

Confidential, Long Beach, California

Retail Store Manager

Responsibilities:

• Recruit, hire, train, evaluate and counsel store employees. Schedule, organize and direct assignments.
• Maintain, encourage and possess “ownership mentality”.
• Develop and implement employee performance evaluations and improvement plans.
• Effectively manage employee turnover. Provide a positive working environment and handle employee issues appropriately and in a timely manner.
• Resolve customer problems or complaints by determining optimal solutions.
• Ensure interior and exterior of store is maintained to company standards.
• Utilize labor management tools, including effective scheduling, to maximize productivity, profitability and margins.
• Encourage store employees to take ownership for their performance and career development plans; follow up on a regular basis.
• Provide exceptional customer service and ensure the employees also provide the same level of service.
• Communicate, execute, and manage marketing and merchandising programs.
• Conduct regular store meetings.
• Ensure employee awareness of safety and emergency procedures.
• Maintain and utilize surveillance equipment.
• Maintain adequate store supplies.
• Manage store revenue, including cash handling, deposit reconciliation and delivery of deposits to bank.
• Execute and monitor loss prevention and shrink programs.
• Management of all store operational issues, to include store housekeeping, store administrative duties, physical inventories, price changes, etc.