PROFESSIONAL SUMMARY:

• 6+ years of IT industry experience with a proven skill in the field Software Testing
• Solid experience in documentation of User Requirements, as well as organizing interviews, User meetings, workshops, JAD sessions and requirement elicitation sessions.
• Performed data stage designing, extracting data packages, transforming and loading data packages, stored procedures, process design and implementation.
• Expertise in Healthcare and Telecom domains.
• Extensive knowledge of Software Development Life Cycle (SDLC) and Software Testing Life Cycle.
• Expertise in Test Case Execution and Defect Management.
• Expertise in Black Box, Database (backend), Functional, Regression, System, Negative, and Ad hoc Testing.
• Experience in Review of Test Scenarios, Test Cases.
• Experience in working Agile Methodology.
• Experience in working with Jenkins.
• Usage of Manual and Automation testing tools of HP Products like Quick Test Pro, Quality Center.
• Experience with v - model designing, involved in the Integration, Test, Verification stage.
• Proficiency in Defect Management. Usage of Trackers/Bug Reporters like JIRA, Bugzilla, Resolve, Rally, Quality Center.
• Experienced working with x12 version 5010 transactions and ICD -10-CM and ICD-10-PCS Code set changes analysis, design and migration strategy.
• Have excellent knowledge of HIPPA versions.
• Experience working and testing mapping for X-12 transactions using Integration tools like SYBASE, TIBCO, EDIFECS and Sterling GIS suites.
• Strong experience in Mainframe Batch Cycles & Online Real-time Processing.
• Expertise technically with database development and data warehousing concept/tools.
• Worked in the performance tuning of the programs, ETL Procedures and processes.
• In depth knowledge Rational Unified Process (RUP) methodology, Use Cases, Software Development Life Cycle (SDLC) processes, Object Oriented Analysis and Design (OOA/D).
• Experienced in SQA (Software Quality Assurance) including Manual and Automated testing with tools such as Selenium RC/WebDriver/IDE/Grid, HP Quick Test Professional and Junit/TestNG, Load Runner, Quality Center, JMeter, JIRA, SOAPUI and Version One.
• Expertise in writing SQL scripts used in manual testing both front-end and back-end
• Experienced in testing applications developed using PL/SQL, Java, J2EE, HTML, XML, ASP, Visual basic and C/C++.
• Experienced in writing test queries/scripts for data analysis and QA report testing
• Extensive experience in writing and executing complex SQL queries using TOAD 9.0.1 to validate data within SQL Server 2007 database.
• Experienced in Object Oriented Analysis, Data Analysis, Requirement Analysis, Business Modeling and Use Case development using UML methodology
• Expertise in developing QA Test Plan, Test Conditions, and Test Cases; ensuring adequate testing of software both before and after completion; conducting and documenting UAT.
• Expertise in the management of User Request Change, and handle User Conflicts
• Ability to organize, document and track changes and defects by Traceability Matrix, using Rational Requisite Pro, Clear Quest, Clear Case, RQM, RTC.

TECHNICAL SKILLS:

Language/Tools: SQL, PL/SQL

Database: MS SQL Server, MS Access, Oracle 8i/9i, DB2, LDAP, OLAP, Mainframe.

Testing Tools: Manual Testing, Mercury tools, QTP, IBM Rational Testing Tools, Quality Center

Networking Tools: UNIX, Telnet, FTP, ETL - Data Staging, LDAP Server (SSE enabled)

GUI Tools/Internet Programming Tools: Facets 4.8 & 5.1, RQM, RTM, Tibco, Edifecs, Visual Basic, Developer 2000, Power Builder and Crystal Reports, Cognos Reports, HTML, XML

PROFESSIONAL EXPERIENCE:

Confidential, MN

Sr. Quality Analyst

Responsibilities:

• Conducted user interviews, gathered requirements to help create Business Requirement Documentation, using MS Word and MS Visio
• Prepared EDI test files 837I/P 5010, as per version Implementation Guide and should comply with HIPAA rules i.e. through WTx mappings.
• Validate EDI 837 end to end data mapping using PL SQL
• Created custom JSON/XML Assertors, for validation of SOAP (WSDL), and REST API calls, and Data Banks for storing and analyzing data input/output and error codes.
• Integration system as per HL7 messaging standard.
• Involved in Testing and validation using V-model designing.
• Validate response files generated i.e. TA1, 999,277CA for claims submitted to CMS.
• Extensively used Agile Methodology in the process of the project management based on SDLC.
• Performed Use-Case analysis using UML. Worked on the Flowchart and process diagram along with sequence diagram using Microsoft Visio.
• Conducted JAD sessions with Stakeholders, Project directors and Subject Matter Experts and developed business requirements.
• Prepared business documents like User Requirements Specification, Functional Requirement Specifications Document, System Impact Specifications, Process Flow diagrams Requirement, and Traceability Matrices etc.
• Provided key initiatives in working with users in defining business and system requirements.
• Researched and understood the claims adjudication and reimbursement systems based on HIPAA X12 4010 and 5010 standards
• In depth knowledge of Medicare/Medicaid Claims processes.
• Worked on 837, 835, 276 and 277 Institutional and Professional EDI Gateways.
• Validated X-12 files sent by external vendors to ensure that they are passing EDI Gateway level using Spec Builder.
• Worked extensively with CPT/ ICD Codes, ICD-9 and ICD-10 worked on HP Quality center tool
• Performed Impact and Gap analysis pertaining to conversion to accommodate the ICD-10-CM and ICD-10-PCS code sets.
• Prepared and Created Test Cases /Test Data according to 5010 Business requirements.
• Tested all HIPAA transactions for multi version support (4010 and 5010) and validating the database to file elements.
• Conducted Claims and HIPAA Compliance to run the test case.
• Involved in the Daily Standup Meetings.
• Also have hands on experience with V-model designing
• V-model was used to regulate the software development process
• Analyzed business Requirements, performed gap analysis and segregated them into high level and low level Use Cases.
• Identified and documented issues, risks, gaps and their impact to the project life cycle. Provided recommendations and alternatives.
• Involved in testing Facets for Group Information, Enrolling Subscribers, adding members, Related Entities, Class/Plan definition, Premium Rate Tables etc.
• Maintained and submitted periodic/monthly status reports to the Program Manager to serve as the teams assessment of the project and its schedule
• Provided key input in working with users in defining project and system requirements.
• Used SharePoint to store document and version control.
• Performed Data analysis, Data Warehousing, Data Modeling, Data Mapping and Reports analysis.
• Created Source to target Mapping Matrix for the ETL developers.
• Created Requirements v/s Test Case Matrix in Excel Spread Sheet template.
• Analyze and implement the type of testing to be performed (Manual / automated) based on the re-usability of test scripts and ensured that test cases and automation scripts are traced to requirements.
• Executed test cases and test scripts for manual and automation testing. And raised Defects in HP Quality Center/HP ALM for logging, tracking and reporting bugs in the application.
• Developed and executed SQL queries to verify the proper insertion, deletion and updates into the data Warehouse supporting tables.
• Assisted business users in defining UAT test cases and plans; Established and maintained test cases and test data in Quality Center.
• Performed User Acceptance testing, developed Test logs and opened/closed as and when the issue is fixed and Quality checked with the assumed company data with all the possible Test Scenarios.
• Involved in developing Test plan and Test cases based on Use cases and Functional Specifications Documented, reviewed, and verified testing procedures for compliance to Interface Quality Assurance and Development standards and policies.

Environment: EDI X12N 4010, EDI X12N 5010, ICD 10, Requisite Pro, Uses cases, Rational Rose, MS Outlook, MS Visio, UNIX, Windows95/98/NT/2000/XP, Toad 12.0, EDIFECS Suites: Spec Builder 6.8.1, SharePoint, HP Quality Center 10.0, Oracle 10g.

Confidential, VA

QA Analyst

Responsibilities:

• Created 5010 companion guides to the state by using the X-walks, Mapping Documents.
• Exposed to using ICD-09/ICD-10 coding standards in Medicare and Medicaid domains of the healthcare systems.
• Working in team with members from different states and managing them to accomplish tasks given day to day.
• Hands on experience in manual testing of the application on mainframes for claims processing.
• Performed Analysis of ICD 9 Procedure and Diagnosis Codes in accordance with ICD 10 CM and ICD 10 PCS Conversion Compliances
• Attended meetings on cross walking between ICD9 and ICD10.
• Gathered, analyzed and documented business requirements for ICD10.
• Created Test Cases according to the ICD-10 requirements.
• Lead the creation, preparation, and conduct of QUALITY ASSURANCE/verification
• Reviews of software development artifacts.
• Experienced working with x12 version 5010 transactions and ICD-10-CM and ICD-10-PCS Code set changes analysis, design and migration strategy.
• ICD 09-ICD 10 Conversion knowledge -Worked in the analysis of the ICD 09 - 10 codes
• EDI X12 5010 and ICD 10 analysis and testing. In depth understanding of the health care business processes, resulted in well-defined workflows attained through the process of gathering, and applying complex analysis to the found results. Executed well designed Business Requirements and Test Scripts at the SIT and SQA levels.
• Performed SOA testing for Payments API's using SoapUI and Java framework for Web Services testing.
• Thoroughly reviewed and tested each new release/enhancement and analyzing data conversion needs
• Created monthly/weekly status reports to update the project schedules & deliverable plan.
• Executed ETL scripts to populate all the Priced Claim information from Backend i.e. HP9000 systems to the Frontend database SQL Server.
• Supported Post Production Implementation and Production Support for all EDI transactions.
• Resolved tickets that were opened by Service Centers in a timely manner to ensure Quality of the product.
• Executed ETL scripts to populate all the Priced Claim information from Backend i.e. HP9000 systems to the Frontend database SQL Server.
• Performed and assisted various phases of testing which include: System Testing, Smoke Testing, UAT, Parallel Testing to ensure that both 4010 and 5010 EDI files are processing as per the Business requirements and no existing functionality has been disturbed.
• Tracked the Defects in Quality Center and Clear Quest.
• Participated in defect meetings and team meetings.
• Helped to make decisions on Providers who were submitting EDI files both in 4010 and 5010 standards on the impact for downstream processing.
• Having experience in leading team and possess excellent communication and interpersonal skills, ability to quickly grasp new concepts, both technical and business related and utilize as needed.

Environment: EDI X12N 4010, EDI X12N 5010, ICD 10, MS Outlook, UNIX, Sybase, Mainframe AS/400, TSO, SQL Server. SharePoint, Quality Center, QTP, IBM Rational Testing Tool, FTP2 Gateway tool, Mainframes, Web services, SQL Navigator, Oracle and DB2.

Confidential, NJ

Quality Analyst

Responsibilities:

• Analyzed the user requirements by interacting with system architect, developers and business analysts.
• Tests were planned and managed using Rally and performed Manual Testing.
• Actively participated in Test Plan preparation.
• Communicated with development team to resolve the issues, performed regression testing to verify that bug fixes did not break some other functionality.
• Validated the data in database by writing SQL Queries in SQL Developer.
• Active participation in daily Scrum calls
• Preparing and Executing of Test cases and analysis of Test Results
• Test Environment Setup and Test Data Management
• Integration Testing, System Testing, End To End Testing and Regression Testing
• Following the Quality processes and procedures related to the project.
• Co-coordinating with Offshore Team
• Preparation and reporting of bug reports.
• Preparing the Test Data and Test cases
• Involved in UAT with the Client and assisting with various components.
• Attended status review meetings/ Daily Scrum calls.