SUMMARY

• To utilize my 8 years of professional experience as a QA Analyst in order to get a challenging role that will help me enhance and develop my skills further while providing effective and efficient organizational growth.
• Involved in Manual and Automated Testing of applications on UNIX and Windows Environment for both Server side and Data warehousing Applications and Mainframe testing.
• Extensive experience in Gathering Requirements, analyzing them, modeling Business Process Flows, writing Business Requirements Document (BRD), Use Case Specifications, Functional Specification Document(FRD), Workflows.
• Excellent knowledge of standard industry methodologies like Software Development Life Cycle (SDLC) models, Iterative Models (RUP - Rational Unified Process), Agile Programming Methodology (Scrum)
• Experienced using HP Quality Center test management tool to create and run manual test cases and as well as generate daily status reports.
• Extensively uploaded test cases from MS Excel, MS Word to Test Director & Quality Center.
• Optimization and Management of the different campaigns on various search engines.
• Strong FACETS and Claims background. Efficient with medical review and medical terminology, as well as FACETS systems analyst experience.
• Expertise in managing and writing SDD document for Centers for Medicare and Medicaid Services (CMS).
• Good knowledge of Business Process Modeling and Business Re-Engineering.
• Interacted with executive sponsors to identify business requirements andproject objectives.
• Estimated and prioritized work for optimal risk mitigation
• Used scope changes and scope creeps as an opportunity to learn and grow along with the software development environment.
• Skilled in Object Oriented Analysis, designedUML Models: Use cases, Use Case diagrams,
• Activity Diagrams, Class diagrams and State diagrams in Rational Rose and MS Visio.
• Experience of working in the area data management including Data Modeling, Metadata, Data Analysis, Data Mapping and Data Dictionaries.
• Conducted Joint Application Development (JAD) sessions to clarify requirements.
• Generatingdaily, weekly and monthly reportsand sending across.

TECHNICAL SKILLS

Digital Measurement Tools: Adobe Online Marketing Suite (Omniture Site Catalyst 14.0, Data Warehouse, Search Center), GoogleAnalytics

Internet Marketing: SEM, Pay-per-Click (PPC), SEO, Email Marketing

Project Management: Microsoft Project, Office, Visio

WebTechnologies: HTML, CSS, Java/JavaScript, Adobe Photoshop, Acrobat, Microsoft FrontPage

Programming: C and Data Structures

Programming Tools: MS Access, SQL, Object oriented programming through Java

Operating Systems: MS Windows, MS-DOS

PROFESSIONAL EXPERIENCE

Confidential, Detroit, MI

Sr QA Analyst

Responsibilities:

• Reviewed requirements together with QA Manager, Vice President of Human Resources & Business Analyst
• Facilitated four-hour long round table discussion with most HR directors, managers and analysts along with QA manager to get their input ad-hoc UAT in the project
• Reviewed Technical Specs together with the team of two developers
• Wrote Test Plans in MS Word for Manual Testing, System Testing, Integration Testing, Performance Testing, Regression Testing & reviewed their consistency with the business requirements.
• Processing Medicare D Enrolment, Eligibility and Claims and bill Medicare for supplies
• Performed White Box, Black Box, and Usability Testing
• Wrote Test Cases in MS Excel for user registration, access to material, and activity log-in, reviewed the test cases and finalized.
• Web testing using automated testing tool QTP
• Testing of claims to ensure product are configured correctly using Facets tables and data models to extract and validate data
• Documented the defects in the HP Quality Center.
• Reviewed the QTP Scripts developed by the team members.
• Rational ClearCase was used to manage all the changes and change requests in the projects. Worked with QA team with the aid of ClearQuest for the bug tracking and Mercury Test Director for Test Case Management.
• Tested the claims to validate the CPT codes in the EDI transactions with the benefits package opted by the members.
• Coordinated and maintains quality initiative program web pages on the CMS.
• Provided complete scope of testing activities for the project (testing data Warehouse functionality to compare data pull between SQL 2000-production) and SQL 2008
• ICD-9CM, CPT& HCPCS coding, collection of insurance co- payments. Scheduling, insurance denials, corrected invalid claims. Worked in Crener power chart.
• Involved in defining test automation strategy and test scenarios, created automated test cases, test plans and executed tests using Selenium WebDriver and JAVA.
• Developed Automation Scripts in QTP for Functional testing and Regression Testing.
• Mapped ICD9 to ICD10 and tested 270/271, 837 I/P/D and 835R transactions to migrate to 5010.
• Reviewed colleagues’ test cases for testing the development of online resume, uploading users’ documents such as application and resume, browsing through jobs, selecting and applying for the jobs.
• Involved in core architecture design and software development for Enrollment project team for HIPAA and Facets. (HIPAA Gateway, Trizetto Facets 4.71, Pervasive, EDI, 5010, ICD -10, MMS)
• Review and scanning of medical records for insurances companies to insure accurate CPT and ICD-9 coding practices.
• Involved in testing database with the online java based application and comparing current data with respect to the old data in AR registers.
• Worked closely with the Developers and Engineering Teams in the review and modification of the product and its specifications using Agile-testing methodology.
• Involved heavily in UNIX and SQL based testing for Initial, catch-up and incremental load for several test cycles.
• Documented the outcomes of all the testing in MS Word and MS PowerPoint
• Developed automated Test Scripts in Win Runner using Test Script Language (TSL) for Functional Testing, Regression Testing, Data Driven Testing, Usability Testing, and Verifying Specific content through using Checkpoints

Environment: Mercury Tools (Win Runner 7.0, Test Director 7.0/7.5, Java, Load Runner 6.5/7.0, Quick Test Pro 6.5, Quality Center 9.0), NT/00, SQL, SQL Server, XML, MS-Office, MS Project, MS-Visio

Confidential, Watertown, MA

QA Analyst

Responsibilities:

• Conducted user interviews, gathered requirements, and analyzed the requirements for the new health insurance product.
• Involved in writing Test plans, Test cases and responsible for executing the Test Scripts.
• Performed Smoke, Integration, functional, Regression, and system testing.
• Interacted with Business users and Technical team in providing clear solutions to requirements.
• Involved in testing HIPAA EDI Transactions and mainly focused on eligibility Transactions (270,271, 834, 835, and 837).
• Worked extensively with Inbound 837 I and 837 P, 835 S(Out bounds) claims processing systems.
• Performed web testing of the application for browser dependency.
• Extensively involved in managing and writing SDD document for CMS.
• Extensive use of ALMQC to log the test case and test result in Unit testing, Integration testing, Regression testing, System testing, UAT
• Defined Functional Test Cases, documented, Executed test script in Facets system.
• Analyzed and test configuration changes in FACETS
• Created and executed test cases for testing HIPAA compliancy using SpecBuilder 6.8.1.
• Validated X-12 files sent by external vendors to ensure that they are passing EDI Gateway level using SpecBuilder.
• Coordinated with Medicare D Enrolment and Eligibility to determine primary payor on various claims.
• Worked collaboratively with BI and ETL resources to design and develop effective solution..
• Prepared and Created Test Cases /Test Data according to 5010 Business requirements.
• Tested all HIPAA transactions for multi version support (4010 and 5010) and validated the database to file elements.
• Involved in the development of web platform for online transactions through e-commerce.
• Implemented Data ware house strategies to build the enterprise architecture.
• Worked with other data analysts in creating and maintaining Data functional design documents.
• Documented a detailed Gap analysis for Financial Management Systems (FMS)
• Traced Requirements using Requirement Traceability Matrix.
• Used SQL statements for Back-end testing.

Environment: EDI X12N 4010, EDI X12N 5010, ICD 10, MS Outlook, UNIX, Windows95/98/NT/2000/XP and Internet Explorer.

Confidential, Portland, Oregan

QA Analyst - (Clinical Individual)

Responsibilities:

• Developed VuGen test scripts using HTTP/web protocols
• Assisted the team lead in the preparation of the Master Test Plan and Test Strategy documents
• Worked Closed with Business Analysts in analyzing the changes in the requirements document
• Developed and enhanced scripts using Load Runner VuGen and designed scenarios using Performance Center to generate realistic load on application under test.
• Analyzed test results traced and troubleshoot performance bottlenecks
• Worked on migrating ICD-10 codes and mapping ICD-9 and ICD 10 codes and performed Gap Analysis on ICD-9 and ICD 10 codes.
• Analyzed various graphs generated by Load Runner Analyzer including database Monitors, Network Monitors graphs, User graphs, Error Graphs, Transactions graphs and Web Server Resource Graphs.
• Performed integration testing of enrolment and benefits.
• Analyzed the transaction workflows, review the change requests and customization requests to develop Test Case and Test data
• Developed automation scripts in Java using Selenium and Web Driver for Functional and User Acceptance Testing to test the features of Horizon Workspace and Horizon Application Manager.
• Record all testing documentation to one depository using HP Quality Center.
• Worked in creating and verifying EDI transactions for Medicaid (MMIS) and Medicare claims.
• Conducted detailed system analyst configuration for Benefit contracts into the Facets system to ensure proper Benefit payment.
• Worked closely on 834 transaction code for Benefit Enrollment and was involved in Validation of HIPAA for 837, 270/271, 276/277,835, 834 EDI transactions for Medicaid members (MMIS).
• Functional Testing, Integration Testing, Regression Testing of the web based applications
• Created and executed Load Tests, Performance Test and Stress Test using Load Runner
• Performance data parameterization in order to facilitate the Data-driven tests
• Close interaction with Team member, Developers, Business Analyst
• Used PVCS to keep track of the various Versions of Test scripts
• Used PVCS Tracker as bug tracking and reporting tool and followed up with development team to verify bug fixes and update bug status
• Developed and executed SQL Queries for data transaction and database integrity
• Participated in weekly status meetings, conducted walkthroughs, documented proceedings
• Provided the management with test metrics, reports and schedules

Environment: Microsoft Word, Microsoft Visio, Microsoft Excel, MS Access, Mainframe 9, Rational Rose, Rational Requisite Pro, Rational clear quest, Selenium Web Driver, Plan View, Java, UNIX/Linux, SnagIT and MS Share Point, QC.

Confidential, Marietta, GA

Quality Test Analyst

Responsibilities:

• Worked closely with the loan officers (SMEs) to obtain a detailed knowledge of the loan life cycle process, risk analysis etc;
• Interacted constantly between legal and marketing departments with the PM regarding various compliances which need to be in place before anything can be finalized;
• Gathered the business requirements;
• Mapped ICD9 to ICD10 and tested 270/271, 837 I/P/D and 835R transactions to migrate to 5010.
• Performed requirement analysis and gap analysis;
• Documented the business requirements for the developers,
• Developed Test cases for manual testing and automated them using Win Runner, Silk, Load Runner, Silk performer and QTP.
• Implemented HIPAA 4010 and 5010 / ICD 10, version for all EDI 834, 837 transactions.
• Maintained and kept track of stakeholders requests for enhancements and changes using Rational Clear Quest;
• Wrote business rules for Enrolment of Individuals into Qualified Health Plans for Special Enrolment Period.
• Utilized HP Quality Center Tool for Requirement storage, Design Test case, Execution Test Case and Reporting defect with supporting Documents of the Defect
• /enrollment and billing-entered information on facets to ensure correct eligibility
• Worked collaboratively with BI and ETL resources to design and develop effective solution
• Manually verified the validity of the failed test cases. Performed Positive, Negative and Black box testing on the application
• Create test design specs and test plans in compliance withIEEE829standards
• Created customized report using OLAP Tools such as Crystal Report for business use
• Used UML notations for Object Oriented Design and Documentation.
• Tested the system to verify the compliance with HIPAA in terms of privacy, security and standards
• Web testing using automated testing tool QTP
• Execute Test Script in SoapUI for all the existing web services at the end of each Sprint to ensure all the previous functionalities are intact.
• Providing pricing and benefits configuration on Facets
• Interfaced with the development team utilizing ASP, JavaScript and Visual Basic and produced detailed user-interface prototypes and performed usability testing.
• Manually tested and GTS modules using Quality Center.
• Wrote Test plan and Test cases for the Integration testing and system testing.
• Did Integration Testing, GUI testing, Smoke and Sanity Testing, and Acceptance testing in the new builds for Basic Functionality Checking.
• Provide implementation assessment, strategy, and mentoring services for Rational Rose, UML and RUP.
• Developed and maintained the project plan using MS Project
• Rational Clear Case was used to manage all the changes and change requests in the projects. Worked with QA team with the aid of Clear Quest for the bug tracking and Mercury Test Director for Test Case Management.
• Designed and implemented SQL queries for QA testing;
• Assisted the PM in setting realistic project expectations and in evaluating the impact of changes on the project, and conducted project related presentations;
• Prepared user manual and performed user acceptance testing;

Environment: Rational Suite (Rose, Requisite Pro), Rational Unified Process (RUP), Windows XP/2000, Oracle, PL/SQL, MS-Project, MS-Office Suite, MS Visio, MS Word, MS Excel

Confidential, Philadelphia, PA.

QA Tester

Responsibilities:

• Interacted with business heads to finalize the Business Requirements for the application.
• Performed the requirement analysis and documented the requirements using Rational Requisite Pro.
• Used the requirement attributes (priority, effort, and risk) as the basis for negotiating the inclusion of the requirement, to manage the scope of the system efficiently.
• Successfully conducted JAD sessions, which helped synchronize the different stakeholders on their objectives and helped the developers to have a clear-cut picture of the project.
• Used SDLC (System Development Life Cycle) methodologies like the RUP and the waterfall.
• Understand the As Is system and develop the To Be system concept and also prepare the System Process Maps.
• Was responsible for data mapping of HL7 messages into relational database.
• Clinical conversion of EDI 278 transactions from version . In a separate, but related project, managed the impact analysis to Clinical Analytical applications and processes for the overall conversion effort.
• Testing of claims to ensure product are configured correctly using Facets tables and data models to extract and validate data.
• Managed changing requirements which included establishing a baseline, keeping track of the history, determining dependencies that are important to trace, tracing relationship between related requirements and maintaining version control.
• Primary resource to assist coding staff with ICD 9 and CPT4 questions
• Responsible for integrating with Facets .Designing test scripts for testing of Claims in Development, Integration and production environment.
• Checked Business Readiness and determined activities of flow.
• Developed & executed several Optimized queries in SQL on this data.
• Conducted presentations of the Q/A test results with analysis to the stakeholders and users and documented modifications and requirements.
• /enrollment and billing-entered information on facets to ensure correct eligibility
• Helped in writing manuals and helped business with the on a one to one sessions.
• Employed Rational Clear Quest for effective Change Management (Requirements Creep) and bug tracking during the testing lifecycle.

Environment: Rational Rose and Requisite Pro, MS Visio, MS Project, UML, XML, Windows XP, NT/2000, HTML, Vignette Content management Tool, J2EE (JSP1.2), XML, XSL, XSLT, HTML, Oracle 9i.