SUMMARY

• Quality Analyst with 7+ years of experience in Software Testing, Automation Test development, testing Client /Server and web applications in various industries such as Healthcare, Insurance and Banking/Finance.
• 5 plus years in Healthcare and Facets applications.
• Proficient experience in Functional, Manual, Automated, Regression, User Acceptance (UAT), System, Integration and Black Box Testing.
• Well experienced in full Software Development Life Cycle (SDLC) (designing, debugging, testing, documentation, maintenance and enhancement).
• Involved in all phases of Test Life cycle including Design, Development, and Implementation of the entire QA process and documentation of Test Plans, Test Cases, Test Procedures and Test Script.
• Well experienced in reviewing Business Requirement Specifications, Software Requirement Specifications and system test cases.
• Experience in writing automated scripts, designing Test procedures, Manual Test cases and preparing quality feed back to QA team & manager.
• Proficient in testing methodologies, test matrices and trace matrix.
• Worked on FACETS version upgrades, Reports Implementation, letters, Inbound/outbound Interfaces and FACETS Extensions. Implemented EDI transactions 835, 270/271, 276/277 and 834.
• Experience in HIPAA 4010, X12 transactions such as 837, 835, 834, 278, 270 and 271.
• Implemented EDI transactions 835, 270/271, 276/277 and 834.
• Responsible for integrating with Facets. Designing test scripts for testing of Claims in Development, Integration and production environment.
• Expertise in Claims, Subscriber/Member, Plan/Product, Provider, Commissions and Billing Modules of Facets 4.0 /Facets 5.01.
• Hands on experience in data validation tool like SOAP UI.
• Worked with Claims, enrollment, eligibility verification for members and providers, benefits setup, and backend payment cycle in facets.
• Proficient in implementing test management tools for generating and uploading test cases, viewing test plans and defect tracking
• Experienced with ICD 9 and ICD 10 in Health Care and strong understanding FACETS and HIPAA Claim processing.
• Extensive experience in functional testing, integration testing, regression testing, GUI testing, back - end testing, browser compatibility testing, Ad-hoc testing, Black Box Testing, White Box Testing, System Testing, Build Verification Testing, and User Acceptance Testing.
• Performed Testing Life Cycle during the various phases of the application. Involved in converting manual test cases into automated scripts using TSL on Mercury Win Runner, QTP.
• Experienced in analyzing Functional Requirement Specifications (FRS) and conversant with System Design Specifications (SDS).
• Created a number of regression test scripts in Rational Functional Tester.
• Experience designing and developing SQL statements and queries for Oracle Sybase and SQL Server 2000 database.
• Extensively used Load Runner for Performance and Load Testing. The Avg. CPU usage, response time, and TPS are analyzed for each scenario.
• Experience in Test Director & Quality Center to write Test Cases and for reporting where all the Scripts are maintained using Test Director & Quality Center.
• Extensively uploaded test cases from MS Excel, MS Word to Test Director & Quality Center.
• Experienced in bug tracking system and process.
• Defect tracking tools like Clear Quest (CQ) used.
• Well conversant with scripting languages like Java Script, VB Script, HTML, DHTML, and XML.
• Ability to work productively and effectively in a team as well as individually with strong communications.
• Excellent verbal and written communication skills.

TECHNICAL SKILLS

Testing Tools: Quick Test Professional (QTP), SOAP UI, Quality Center,WinRunner, LoadRunner.

Defect Tracking Tools: Rational Clear Quest (CQ)

Conversant with Web Technologies: HTML, ASP, XML, DHTML, VB script, Java script

Operating Systems/Languages: Windows 98/ME/XP, MS- DOS, UNIX, C, C++, JAVA, SQL, VB 6.0

Quality Standards: Implementation knowledge of ISO 9001 & ISMS (Info Security Management System)

Documentation Tools: MS-Office, MS Visio, MS Project

PROFESSIONAL EXPERIENCE

Confidential

Sr QA Analyst

Responsibilities:

• Actively participated in all phases of testing lifecycle (Design, Planning, Development and Test Result).
• Coordinate with Development and Business team to develop high level Business and Technical documents.
• Involved in Designing and Analyzing of Test Scope strategies with other Test Analyst.
• Prepared Test plan and Test cases based on the functional specifications.
• Manually Conducted Positive and Negative testing.
• Involved in Testing In-bound /Outbound EDI Transactions (837,834).
• Worked on entire claims processing flow (837 File to loading in Facets).
• Tested Claims in FACETS application for various projects.
• Handle and tested the data in Facets applications.
• Worked on Subscriber /Member Module, Billing Module and tested various scenarios.
• Worked on various Web Application servers like HSA Web App, Webdenis Web App.
• Tested HIPAA Gateway Application Interface for all inbound and outbound messages (Healthcare Eligibility 270 and 271, Healthcare Claim Status request 276 and 277, Healthcare Claim 837 and 835).
• Checked the transactions especially 837, 834, 270 and 276 and verified the responses on the FACETS database and front end.
• Worked on National HealthCare Reform (NHCR) in Claims, Enrollment and Billing Module.
• Worked on Test Data Setup and Data Validation and load testing.
• Worked on ICD 9 and ICD -10 systems implementations and upgrades.
• Involved in FACETS Implementation Testing, involved end to end testing of FACETS Billing, Claim Processing and Subscriber/Member module.
• InvolvedinUAT for ProviderEnrollment, Prior Authorization, Benefits Administration, Encounter, Claims and Encounters,EligibilitySubsystem.
• Documented test results and submitted bugs into the defect database for resolution.
• Review of all Bug reported by Quality team and participated in Defect prevention meetings.
• Tracked/monitored resolution of Test defects and results for management, categorized issues and created/distributed defect reports using Rational Clear Quest.

Environment: Rational Test Manager, Rational Manual Tester V6.1, Rational Clear Quest, Facets 4.71/ 5.01, UNIX, Java, XML, Oracle, SQL Server, Sybase, SQL advantage, SQL*Plus, SQL Navigator, UltraEdit, Mainframe, SOAP UI, Manual Testing.

Confidential, Washington DC

Sr. QA Analyst

Responsibilities:

• Prepared Test plan and Test cases based on the functional specifications.
• Performed Positive and Negative Testing manually.
• Tested the EDI interfaces and X12/EDI transactions (270, 271, 835, and 837).
• Worked extensively on various EDI’s like 270/271, 276/277, 835/837
• Validating inbound EDI files for 837 Professional Claims, 837 Institutional Claims,837 Dental Claims, 835 Payment Advice, 820 Remittance Advice, 834 Benefit Enrollment and Maintenance transactions
• Performed Backend Testing by writing SQL statements to review the returned data to ensure that the correct data was retrieved.
• Wrote Test Cases and Test Plans for Testing HIPAA Transactions and Code Sets Standards such as 837/835, 270/271, 276/277 transactions
• Identified, analyzed, and documented defects, errors, and inconsistencies in the application using Mercury Quality Center.
• Reported defects according to Defect Life Cycle.
• Developed and executed several SQL queries in DB2 as part of backend testing. Involved in data validation and verifying data-integrity and also to check the data flow between different Systems.
• Involved in the optimization of SQL queries/scripts which resulted in substantial performance improvement for the conversion processes testing
• Involved in development of testplan, testschedules, testcases based on high-level and detailed designs.
• Performed feedback concerning completeness and accuracy of UAT.
• Involved in documenting the defects found during testing phase.
• Participate in various meeting and discussed Enhancement and Modification request.

Environment: Quick Test Pro 8.2, Mercury Quality Center, Facets, UNIX, XML, Sybase, SQL, PL/SQL, Oracle9i, MS Visio, MS Office, Quality Center 9.0, QTP, Crystal Report, Quick Test, SOAP UI.

Confidential, Indianapolis, IN

Sr. QA Analyst

Responsibilities:

• Responsible for coordinating and performing System Integration, functional and data-related testing.
• Executed test cases manually to verify the expected results.
• Involved in Configuration testing.
• Wrote Test Cases and Test Plans for Testing HIPAA Transactions and Code Sets Standards such as 837/835, 270/271, 276/277 transactions.
• Involved in FACETS Implementation Testing, involved end to end testing of FACETS Billing, Claim Processing and Subscriber/Member module.
• Involvedinprocessing claims and validated the full payment cycle process until it generates 835’s and EOP’s.
• Involved in the impact analysis, scope lockdown, and requirements gathering phases of the company's transition and development phase management of transition from HIPAA 4010 to HIPAA 5010.
• Performed integration testing of enrolment and benefits with FACETS
• Tested HIPAA Transactions and Code Sets Standards such as 837/835, 270/271, 276/277 and 997 transactions.
• Performed the data driven test by pumping different sets of data.
• Conducted data validation. Tested the database integrity by writing SQL queries
• Performed Backend Testing by writing SQL statements to review the returned data to ensure that the correct data was retrieved.
• Wrote several complex SQL queries for validating and verifying the data in Oracle
• Updated defects report to expedite the system test process time.
• Created UAT Plan, UAT cases and UAT scripts along with different test scenarios and creation of expected test results traceable to SRS.
• Developed, executed and documented highly complex testplans and testcases for business-related application running on multi-tiered platforms.
• Conducted Load testing to generate the load on the server by creating Database User scripts.
• Involved in ETL testing process as Extracting batch files, Transforming and Loading into database.

Environment: FACETS, RUP, Oracle, Sybase, Onyx,, Clarity, Mercury Quality center, Web logic, SQL, Crystal reports, ANSI X12, XML, SOA, Java, JavaScript, HTML and Lotus Notes, ITS.

Confidential

QA Analyst

Responsibilities:

• Reviewed Business Requirements and Functional Requirements Document to achieve better understanding of the QA.
• Generated Use Case diagrams, Sequence diagrams, Business Objects reports, Domain Object Model, in addition to creating and presenting PowerPoint presentations.
• Also involved in designing the new customer web application.
• Held and attended presentations and meetings to coordinate efforts among all the groups, leading the inception phase.

Environment: MS- Office and Windows, Linux/Unix, PHP, Oracle, Visual Basic.