SUMMARY

• Over 7 years of IT & Management experience in Software Development Life Cycle (SDLC) & Project Life Cycle working as Quality Analyst & strong noledge & experiences of Health Care & Medicare Applications.
• Documenting the testing activities including all Test Documents, Test Execution Results & Defect Reports & Status Reports.
• Proficient in Black Box Testing, White Box Testing, Performance Testing, Integration Testing, System Testing & Regression Testing.
• Solid experience wif Test Director, Quality Centre & Quick Test Pro
• Test Automation: Developed & implemented test suites, which include features like, data driven, database checks, Batch & Functions etc.
• Provided SDLC Methodology and project management and oversight for developing ASP Web Site for Health Care and Employer Market Place
• Profound noledge of web services testing using Service Oriented Architecture tools SOAP UI.
• Strong understanding & experiences for testing & creating test cases for different EDI transaction like 271, 277, 834, 835 & 837.
• Hands on experience working on EDI 4010 & 5010.
• Responsible for performing Gap Analysis for HIPAA 5010.
• Excellent understanding of running, testing & checking claims, authorization, benefits, etc in the NPS NASCO system.
• Solid noledge & understanding of X12 transactions & their applications.
• Extensive noledge in writing SQL Queries, creating Tables, Views, Stored Procedure, Triggers.
• Proficient in writing & executing SQL Queries for Backend Testing
• Extensive experience in analyzing business & system requirements, preparation of various documents including BRD, SRS & Use Cases.
• Used Soap UI to test Web services (SOA).
• Proficient in MS Project for planning & status reporting & excellent in MS Office package for documentation.
• Extensively used Mercury Quality Center & Bug Tracking System for reporting defects.
• Extensive experience in drafting Test Flows, Test Plans, Test Strategies, Test Scenarios, Test Scripts, Test Specifications, Test Procedures & Test Cases & Test Status Reports.
• Good experience in testing Web Application, GUI (Graphical User Interface), Mainframe application & EDI transactions.
• Experience in testing database applications using Oracle 10g/9i/8i, DB2, MS SQL Server, Sybase & MS Access.

TECHNICAL SKILLS

Mercury Testing Tools: Test Director, Mercury Quality Center, Quick Test Professional (QTP), J unit, Jtest.

Rational Tools: Rational Clear case, Rational Clear quest, Rational Performance Tester

Scripting Languages: TSL, VBScript & Java Script, Ruby, Python

Programming Languages: C#, ASP.Net, VB.net, PL/SQL, JAVA

Database: Oracle 9i, SQL Server, MS Access 2003 and TOAD

Operating Systems: Windows 95/98/NT/2000/XP, UNIX, MS - DOS

Design Methodologies: UML, Rational Unified Process (RUP), Agile, Waterfall, Rational Rose

Defect Tracking Tools: Bugzilla, PVCS Tracker

Web Browsers: Internet explorer, Netscape navigator, Mozilla Firefox

PROFESSIONAL EXPERIENCE

Confidential, Minneapolis, MN

Sr. Quality Analyst

Responsibilities:

• Developed the wireframe and mockups for the prototype of the web based application in MS Visio
• Developed an implementation guide for Partners for EDI X12 transactions such as 834, 835,837,270 and 271
• Schedule meetings wif technical personnel to determine technical parameters for EDI and other related processes, including communication, security, and privacy. Create transaction sets requirements, usually wif Microsoft Excel, for transactions such as: HIPAA 270/271, 276/277, 278/278, 820, 834, 271U, 835, 837-(me,P, &D), 835 Remittances and others. Resource for UB04 and CMS1500 billing formats, transaction sets requirements, EDI development and Design, X12 protocols through Version 5010 and Errata; conversion needs and understanding of legacy EDI formats.
• Identified changes needed to make X12 transactions HIPAA compliant.
• Adhered data transition of the enrollment process, COB, Claim Status and Eligibility as per the EDI standard 834, 835, 837, 277 and 271.
• Created Mapping/Crosswalk documents for mapping data flow between systems and rules/validation documents for different processes involved in the system.
• Worked wif the Data Warehouse development team to identify business objects and their attributes and relationships.
• Developed data mapping documentation to ensure accurate data representation in the new system.
• Solely responsible for EDI Implementation for the new redesigned EOB.
• Assisted in the design of EDI solutions and represented Enterprise EDI team wif regards to EDI/XML industry standards
• Used SOAP UI for checking the correct transmission of data and to test web services
• Facilitated JAD sessions & online meetings wif the end user, business, developers & testers to make sure the requirements are captured accurately
• Analyzed and helped define “AS IS” and “TO BE” systems and has worked closely wif business process owners and stakeholders, engineers and architects
• Proficient in Membership, Claims and Billing wif noledge in Group, Subgroup, Class, Plan and Category.
• Created XML Schemas for different EDI transaction sets as well as ICD 9 to ICD 10 diagnosis codes.
• Interacted closely wif the project managers and the business, subject matter experts, analysts, architects and the development teams to gather business requirements through a variety of techniques (e.g., workshops, work sessions and interviews) to prepare detailed requirements specification and use case documents.
• Gatheird requirements and prepared Use Case/Functional Design Documents by interviewing customers, users, Managers and SME’s.
• Utilize SOAP UI to view logs generated by various transactions in the QA environment
• Documented the Business process flow as per the UML standards using Use Case Diagram, Activity Diagram and Sequence Diagram in Rational Rose & MS Visio
• Created Comprehensive requirement wif all the data requirement
• Developed Traceability Matrix between the Use Cases and the Test Scripts
• Developed detailed Test plan, Test Cases, Test scripts for testing the functionality
• Supported the testers to create, process and evaluate claims in Facets
• Documented the process flow & Business Use Case for the EDI transaction 835, 837 & tagged them in Requisite Pro
• Provided mapping, and gap analysis for HIPAA codes sets and EDI transaction processing between Trading Partners andRegence
• Used SQL scripts to verify the backend integrity of the application
• Developed detailed Test plan, Test Cases, Test scripts for testing the functionality
• After successful development and testing of the product, participated in product release and deployment to end-user using manual testing.

Environment: J2EE, .Net, UML, Rational Clear Quest, Clear Case, Informatica, XML, Soap UI, Web 2.0, RDBMS, Rational Requisite Pro, MS Word, MS Visio, MS Project, Web 2.0

Confidential, Pleasanton, CA

Sr. QA Tester/ QA Analyst

Responsibilities:

• Analyzed business requirements and developed test plan, test objectives, test strategies, test cases and Created and ExecutedManual test cases.
• Designed and Built custom QTPAutomated Testing Framework.
• Created a startup script usingAutomation Object Modelthat Standardizes QTP environment.
• Worked on Excel Files usingVBScriptwifQTP.
• Developed Coding Standards andScript Templates.
• Wrote bothFunctional and RegressionQTP scriptsfor Web Applications.
• Created data drivenQTP scripts.
• Migrated scripts from QTP 9.5 to 10.0 versions.
• PerformedSanity testingfor each build of the application.
• PerformedBack end testing, along wif testing flat file contents and comparing them.
• Involved in Integration, Implementation testing of Online Sales Channel (web Application) and Billing systems.
• Involved in testing the Pre and post implementation of theWeb application.
• Attended Weekly meeting to update status and worked closely wif QA manager, developers.
• DevelopedTraceability matrix, mapping Test cases to the Requirements.
• Involved in TestingWeb Servicesusing SOAP UI.
• Plan, Schedule and Co-ordinatetesting tasks inQuality Center.
• CreatedDefectsand tracked the defects usingQuality Center.
• PerformedLoad Testingby creating Virtual Users, usingVuGen.
• Performed testing extensively for integration and unit testing of standalone and distributed GUI-based applications and GUI-lessSOAWeb Services.
• Participated in review meetings for defect status, priority and information exchange.

Environment: Windows XP, SQL Server, Siebel 8.0, Mainframes, Qualitycenter-10, QTP-10 VBScript, .Net, Agile, My SQL, XML, SOAP UI,BB&T

Confidential, Tampa, FL

Quality Analyst

Responsibilities:

• Work on 834 and 835 projects, including syntax and business rules for X12 HIPAA 4010 validation for loops, segments, elements, qualifiers and code sets. Create export and XML processes for Lotus Notes. Create EDI Export and Import processes and work wif EDI Trading Partners, Payers or Vendors
• Analyzed the security implementation of the application wif respect to users perspective
• Worked on HIPAA Transactions and Code Sets Standards according to the test scenarios such as 270/271, 276/277,837/835 transactions
• Documented the business requirements into high-level requirements document.
• Gatheird the requirements and transformed them into high-level Process-Flow Diagram using PowerPoint.
• Involved in Managing Data modeling project from Logical design and implementation of Sybase Database
• Identified source systems, their connectivity, related tables and fields and ensure data suitably for mapping.
• Performed extensive requirement analysis including data analysis and gap analysis.
• Execute end-to-end NHIN and web testing utilizingSOAP UItest scripts.
• Reviewed backend database information andXMLfiles to ensure proper reporting of transaction data for the application
• Worked on project life cycle and SDLC methodologies including RUP, RAD, Waterfall and Agile.
• Created Error Files and Log Tables containing data wif discrepancies to analyze and re-process the data.
• Developed business process models in RUP to document existing and future business processes.
• Troubleshot the designed jobs using the Data Stage Debugger
• Created a task plan for the team identifying the key deliverables and the respective deadlines.
• Supported users wif word processing, spreadsheets, relational databases and presentation software. Created and developed the TO-BE system presentations using PowerPoint.
• Analyzed the business requirement as per the HIPAA rules and regulations.
• Adhered data transition of the payment and remittance advice as per the EDI standard 835.
• Created mapping/crosswalk documents for mapping data flow between systems.
• Generated SoDa report from the Sequence diagrams to show the sequence of interactions between the actor, boundary and the system using Rational Rose and created Use Case Realization.

Environment: J2EE, .Net, UML, PDS, Share Point, NET, UML, MS Visio, RDBMS, SQL, SQL Server, HTML, Dreamweaver, Informatica, Mercury Quality Center, Test Director, MS Suite.

Confidential, Carmel, IN

Quality Analyst

Responsibilities:

• Gatheird Business Requirements interacting wif the Agents, Medicare Users, Business Users and SME’s.
• Provided SDLC Methodology for developing EDI applications used by hospitals to completely automate payments posting for Medicare, Medicaid and commercial payers electronic payments files.
• Analyzed the business requirement as per the HIPAA rules and regulations.
• Created AS IS and TO BE documents to show the current and proposed functionalities of the system.
• Facilitate Joint Application Development (JAD), sessions to identify business rules and requirements and tan documented them for inter and intra departmental review.
• Accomplished experience from requirement analysis till deployment, using highly efficient RUP Methodology process of software development.
• Documented high level Use Cases and derived detailed low level System Use Cases and Functional Designs from it.
• Developed Traceability Matrix between the Use Cases and the Test Scripts.
• Follow a structured approach to organize requirements into logical groupings of essential business processes, business rules, and information needs, and ensures that critical requirements are not missed.
• Assisted the UI designer in creating html for user interfaces via Dreamweaver.
• Closely monitored development team to make sure, the software application fits wifin the architecture and has the required behaviors.
• Developed detailed Test plan, Test Cases, Test scripts for testing the functionality, GUI and security testing.

Environment: .NET, UML, MS Visio, SQL, SQL Server, HTML, RDBMS, Dreamweaver, Mercury Quality Center, Test Director.