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 noledge of Healthcare and Insurance sectors.
• Good noledge of SOX, EDI/HIPAA and Facets.
• Worked in various Healthcare areas like Benefits, Claims, Medicare and EDIX12 transaction.
• 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).
• In - depth noledge of HL-7 and HIX (Health Information Exchange)
• Good Knowledge of EMR/EHR, Health Care Reform and Patient Protection and Affordable Care Act (PPACA)
• Detailed noledge in Object Oriented Programming Techniques.
• Extensively performed manual testing primarily Smoke, Integration, Functional, Regression, GUI, Database, Black Box and Backend Testing.
• Strong noledge of Six Sigma methodologies.
• Extensive experience in writing SQL statements.
• Brief noledge of Health Level 7 (HL7) standards.
• Proficient in MS Visio and MS project in combination with UML diagramming techniques.
• 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 and Rational Clear Quest.
• Detailed noledge with Object Oriented Programming (OOP) environment.
• Experience in interacting with business analysts, developers, and technical support and halp them base line the requirement specifications.
• An efficient self-starter and quick-learner with TEMPeffective 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.
• Conducted extensive review and analysis of existing QA methodologies and development practices and worked on the continuous improvement to yield TEMPeffective solutions.
• 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, Quality Center, Load Runner, Rational Test Suite, Clear Quest

Programming Languages: C, C++, SQL, Pl/SQL, TSL, SQA Basic

Databases: MySQL, Oracle, HP Quality Center, SQL Server 2000

Networking: TCP/IP, WAN, LAN

Operating System: Windows, UNIX

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

PROFESSIONAL EXPERIENCE

Confidential, Wheeling, WV

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 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 the 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.

Confidential, Milwaukee, WI

QA Analyst

Responsibilities:

• Primary responsibilities involved documenting functional specification, detail design and implementation.
• Gathered requirement from the business side. Conducted JAD sessions with stakeholders to analyse needs, requirement and resources.
• Designed and prepared detail document and functional specification.
• Validate the result using SQL in Oracle SQL Developer and TOAD.
• Prepared release notes for each job. Came up with methods to reduce risks of releasing new upgrade to the system in production by doing a controlled of new features (upgrades).
• Involved in testing different interfaces and web application for FACETS.
• Actively involved in developing web-based system framework to process new business applications electronically.
• Played a key role in the planning, testing, and implementation of system enhancements and conversions.
• Prepared test scenario and test cases. Reviewed and updated test cases, test scenario and conducted unit testing in development and production.
• Measured the success/failure/demand for new or existing features.
• Designed and developed Use Cases, Activity Diagrams, and Sequence Diagrams.
• Monitored client expectations and negotiated with them.
• Conducted discussion sessions to make sure that systems built are in complaint to HIPAA.
• Assisted informational needs in mapping of Test Cases.
• Used MS Project to maintain the project schedule and track its status.
• Worked Extensively on HIPAA EDI transaction 834.
• Configured and maintained of Facets and other application software products, such as Claim check, Facets
• Supported the business and the technical team in the product development and delivery process with successfully managing cross- departmental relationships.
• Coordinated with other QA and user acceptance testing for testing purpose.
• Used SQL to test various reports and ETL load jobs in development, QA and production.
• Followed RUP methodology.
• Dealt with 834 import members lookup processes and resolving issues with member attributes, enabling multiple rules associated with member lookup process in FACETS.

Environment: Oracle 10g, Facets 4.61, MS Office Tools, MS Visio, Lotus Note, Share Point Serena Dimension CM,UML, TOAD 9.7

Confidential, San Antonio, TX

Quality Analyst

Responsibilities:

• Established scenarios based upon parameters input into Client, Eligibility, Rates and comparing dis 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: Quality Center, SQL, QTP, Oracle, MS Excel, MS Access.