SUMMARY

• Experience in gathering business requirements and writing technical specifications.
• Involved in analysis, design and quality assurance of Web applications, Client - Server and Mainframe applications
• Extensive experience in working on Healthcare, Facets, Amisys, EDI, HIPAA, Membership, Providers, Benefits, Eligibility, Enrollment and Claims Applications.
• Designed and implemented Functional, System and UAT.
• Experience with SQL queries and UNIX shell scripts.
• Proficient in both Manual and automated testing tools.
• Excellent skills in studying the existing process, Process design, Solution design and testing.
• Experienced in testing under UNIX, LINUX, and WINDOWS environment.
• Excellent knowledge in software engineering standards like CMM and RUP.
• Expertise in developing Test plan, Test scripts and Test cases.
• Experience with XML and Web services analysis
• Expertise in documentation using MS-Office Tools (Word, Excel).
• Capable of working as an individual and also as a part of team.

TECHNICAL SKILLS

Tools: HP/Mercury Tools & Rational Tools

Defect Tracking: JIRA, Track-it, Quality Center, Clear Quest, Track Record

Operating Systems: DOS, Linux, UNIX (Sun, AIX, HP), AS/400, Windows 98/00/XP//NT

Languages: C, C++, VC++, Java, COBOL, JCL, SQA BASIC, TSL

GUI: Developer/2000, Visual Basic

Database: Oracle, DB2, SQL Server and MS-Access

Internet Tech: HTML, XML, Java Script, VB Script, ASP, TCP/IP, Java/J2EE

Web Server: BEA Weblogic, IBM Websphere, IIS

PROFESSIONAL EXPERIENCE

Confidential, Boston, MA

Sr. QA Tester

Responsibilities:

• Performed Business Analysis, Requirement Analysis and Data Analysis.
• Developed Master Test Plan and Test Strategy as per Business Requirement Document and Technical specifications.
• Followed Agile / Scrum process throughout the SDLC.
• Developed Test Cases, Test Scenarios, Test Conditions and Test Scripts for each Sprint.
• Attended daily Scrum Calls, Scrum Meetings and Sprint Retrospectives.
• Tested all applications End-End Manually.
• Used HP ALM/Quality Center for Requirements, Traceability Matrix, Test Case management and defect tracking
• Developed Test Cases and Test Scripts for Regression, Integration, UAT, Smoke and System testing using HP ALM/Quality Center.
• Generated and Analyzed various Test reports in HP ALM/Quality Center.
• Tested the applications developed in Java / J2EE Framework.
• Validated the reports and files according to HIPPA X12 enforced standards.
• Tested the loading of claims data into Facets 4.61/4.81/5.01 .
• Extensively worked on Member Enrollment, Eligibility Enquiry/Response, Claim Status Enquiry/Response and conversion of Financial Claims using Facets 4.61/4.81/5.01 .
• Tested the Adjudication of Claims and Migration Process in Facets.
• Validated the integration of applications with Facets, which manages the customer service, claims, membership, care facilitation and appeals.
• Tested various interfaces of Facets.
• Checked whether the interfaces and the extensions properly integrate with the Facets application.
• Tested the Validation of claims data from HIPAA Repository.
• Worked with ANSI X12 / EDI 5010 Transactions (837, 835, 270, 271, 276 and 277) Functional Acknowledgement and Transactions (TA1, 999, 277CA, 997) & interfaces.
• Developed Test Cases and Test Scripts for Validating ICD-9 and ICD-10 Codes.
• Extensively worked on Types of changes, Additions, Deletions, Usage Modified, length changes, segment relocations, no. of repeats modified, name changes and loop relocations.
• Tested the User interfaces for the Healthcare web application
• Tested XML Data files using XML SPY.
• Created XML test files based on XML schema.
• Worked with batch jobs (JCL) on Mainframes.
• Validated the batch production of documents and transaction-driven documents.
• Developed and executed VB scripts using QTP for automated testing of each individual functionality of the applications
• Recommending continuous process improvement, maintain QA standards and artifacts.
• Wrote SQL, PL/SQL Queries and SQL Statements to validate data from multiple data sets.
• Tested the Source, Target databases and Data Marts using SQL and PL/SQL Queries.
• Worked with multiple sources/targets.
• Worked with SQL, PL/SQL and functions to test the database integrity.
• Wrote SQL statements to extract data from the Tables.
• Developed Test Summary Reports and participated in GO / NO-GO meetings.
• Tracked defects using Quality Center & Conducted Bug-Review meetings.

Environment: HP Quality Center 9.0/11.0, QTP 9.0/11.0, Trizetto Facets 4.61/4.81/5.01 , Mainframes Java, J2EE, EJB, JMS, Java script, XML, XML Spy, SOAP, Web Services, HTML, SQL, PL/SQL, SQL Server, Oracle, TOAD, Ms-Project, Visio, MS-Office.

Confidential, Concord, NH

Sr. QA Analyst

Responsibilities:

• Participated in Requirement Analysis, Business Analysis, Use-Case Analysis and Gap Analysis.
• Developed Test Plans, Test Cases, Test Scripts, Test Scenarios, Test Beds, Test Data and Traceability Matrix.
• Conducted Integration, System, Functional, GUI, Regression, Smoke, Database Integrity, User-Acceptance (UAT) and Performance testing.
• Test Management was done using HP Quality Center.
• Managed the requirements using HP Quality Center.
• Developed Test Subjects and Test Cases using HP Quality Center.
• Created Traceability between Requirements and Test Cases.
• Worked with Claims in Amisys Advance.
• Worked on Membership/Benefits in AMISYS Advance.
• Extensively Tested and Validated EDI Transactions (270, 271, 276, 277, 834, 835, 837 and 997)
• Validated all the incoming/Outgoing data from EDI 837/835 interfaces.
• Tested the Source, Target databases and Data Marts using SQL and PL/SQL Queries.
• Worked with multiple sources/targets.
• Worked with SQL, PL/SQL and functions to test the database integrity.
• Wrote SQL statements to extract data from the Tables.
• Tracked the defects using HP Quality Center and generated defect summary reports.
• Maintained Test Logs, Test Summary reports and participated in defect review / Status / GO-NOGO Meetings.

Environment: Quality Center 9.0/10.0, AMISYS Advance, Oracle 10G, UNIX, MS Office tools, XML, SOAP, Windows XP professional.

Confidential, Providence, RI

Senior QA Analyst

Responsibilities:

• Reviewed Business Requirements, Business Use Cases, and functional documents
• Reviewed the Business Use Cases for writing Integration Test Scenarios for Interfaces like FACETS, USS, FLEXX, AE/EES/MMS especially for Individual Enrollments
• Developed Test Plan, Test Cases, Test Conditions, Test Scenarios and Test Scripts using Quality Center.
• Conducted Functional, System, Integration, Regression, GUI, UAT, Smoke and Backend Testing.
• Tested Claims, Membership, Eligibility, Enrollment and Providers application in Facets.
• Participated in functional testing of Facets application.
• Tested the Inbound / Outbound Interfacesto Facets and XML files.
• Tested Custom Reports and Facets Extensions.
• Tested the data mapping to/from legacy to Facets through XML that will be used to populate the oracle database.
• Tested adding/updating/deleting of the providers, members, groups, facilities, hospitals in Facets.
• Tested the EDI/X12 transactions (270, 271, 276, 277, 837, 835, 997).
• Tested and Validated loading of claims data into Facets.
• Tested the Inbound / Outbound Interfacesto Facets.
• Tested Custom Reports and Facets Extensions.
• Tested adding/updating/deleting of the providers, members, groups, facilities, hospitals in Facets.
• Loaded Claims on Facets and checked the claims.
• Worked on GAP Analysis for Identifying the Missing Scenarios
• Involved in Mapping the Test Cases with the Requirements and Mapping Document.
• Created and Maintained Manual Test Scripts for System Integration Testing.
• Preparation of Test Data for Positive and Negative Test Cases
• Involved in Test Methodology and Test Life cycle(Initiate the Project, design the system, define the system, Build the System, Test the System, Deploy the System and Support the System)
• Reviewed the MHIP Requirements and Developed the Integration Test Scenarios
• Developed Integration Test Cases for FACETS and FLEXX Interfaces by reviewing the Business Rules, and Interface Agreement Document using MS-Excel and Uploaded in Quality Center
• Attended Work Flow Test team Meetings.
• Responsible for providing regular test reports to the management

Environment: Quality Center 8.0/9.0, QTP 8.0/9.0, Facets 4.31/4.51 Versions, TSO/ISPF, z/OS, COBOL-II, CICS, Enterprise COBOL, VSAM, DB2, SQL, Abend-Aid, JCL, Stored Procedures, SPUFI, QMF, Endevor, Fileaid, IMS, DBRC, CA-7, CA-11, Control-M, RMDS (Report Management), EOS (Online Reports), StoneBranch, ACR, J2EE, XML, Oracle, Lotus Notes.