SUMMARY:

• Over 7 years of strong experience in the IT industry as a QA Analyst / QA Tester for Web based and Client/ Server applications by involving in all phases of Software Testing Life Cycle (STLC) which includes Test Planning, Test Execution and defect tracking process for various projects using Quality Center, Excel, Quick Test Professional (QTP), Manual Testing and Backend testing skills in Healthcare and Financial domains.
• Extensive knowledge on all phases of Software Development Life Cycle (SDLC) and Software Testing Life Cycle (STLC)
• Experienced in software testing which involved development of test cases and test scripts for User Acceptance Testing (UAT), Black box and Whit box testing, System Testing, End - to-End Testing, Integration Testing, and Database Testing
• Strong analytical and QA/ testing skills, capacity to work and diagnostic ability, gathering different kind of projects requirement. Covered Agile and Waterfall models of SDLC.
• Extensive experience in functional and regression of web-based and client-server applications using Quality Center and ALM for healthcare applications
• Through knowledge and experience in using and designing Testing framework including Linear Scripting, Test Library, Data-Driven, Keyword Driven and hybrid Test Automation Framework using Quick Test Professional(QTP)
• Good Understanding ofHL7and HIPAA Standards.
• Experience in testing Electronic Data Interchange (EDI) according to HIPPA Compliance
• Performed extensive EDI testing on X12/, 837, and 270 etc., and validated inbound /outbound EDI transactions using Transaction Manager.
• Proficient in designing, reviewing and documenting system test plans, defining test procedures and creating test cases on the basis of product release features, client’s requirements and related technical documents
• Work closely with cross-functional teams to thoroughly test requirements and functionality and make sure product meets the requirement specifications
• Extensively used Quality Center and ALM for Bug tracking
• Possess In depth Knowledge of HIPAA 4010/5010 and ICD-9/10.
• Familiar with new HIPAA 5010 and ICD-10 code sets. Experience in all phases of SDLC process.
• Hands on experience in testing of Web based, Web-Services and Client/Server Applications
• Extensive working experience on Edifecs products including Transaction Manager, Claredi, Spec builder and IPSwitch,
• Expertise in Relational DBMS like Oracle and SQL Server and Database Testing
• Versatile Team player as well as independent contributor with good problem solving and interpersonal skills with great willing to learn new technologies
• Self-starter, fast learner, team player with strong personal and group communication skills and Skilled in documentation, user presentation and user s.

TECHNICAL SKILLS:

Functional Testing Tools: Quick TestProfessional(QTP) 9.0/9.5.10.0/11.0/11.5, SOAP UI pro,Selenium, Test Director, Win Runner,, Rational Test Suite, HL7and HIPAA

Mobile Testing Tools: Keynote Device Anywhere, Borland Silk

Test case Mgmt/Defect Tracking: Quality Center, Application Lifecycle Management(ALM), Ploy Version Control System(PVCS),Rational Test Suite, Teams Foundation Server(TFS), Bugzilla

Performance Testing: Load Runner, Rational Load,IBM Clear Quest

Configuration/Version Control: Visual Source Safe(VSS),PVCS,TFS

Development skills: VBScript,Java, JSP, HTML, JavaScript, C, UNIX shell scripts

DB Programming: SQL and PL/SQL Programming

Performance test: Load Runner

Database servers: MS SQL Server 2002/2005, Oracle 10g/11, My SQL, MS Access and DB2

Web Languages: VB.Net, Java Applets, HTML, DHTML, ASP, JSP, PERL, Java Script, DHTML, XML.

Program Management Tools: MS Office 2003/2007/2010, Microsoft Project 2000

Operating Systems: Windows 98/NT/XP/Vista, Windows2003/2008 Servers,Unix,Linux Red-hat versions

PROFESSIONAL EXPERIENCE:

Sr. QA EDI Analyst

Confidential

Responsibilities:

• Role in this project involves as a team of 10 testers and implementing all required documents for California Select Individual Healthcare claims processing module.
• Participated in Status Call during each release to update about the day-to-day activities and issues to System Test Manager and QA Director.
• Work environment involves with Agile and Scrum methodology and tested the application in parallel to the development.
• Worked on 837, 835, 276 and 277 Institutional and Professional, EDI Gateway.
• Experience in testing HIPAA EDI Transactions
• Experience with TriZetto Facets 4.21/4.31 and TriZetto HIPAA Gateway 4.11 - supported new business requirements by extending the functionality of the core Facets system using the Facets extensibility architecture feature.
• Experience with TriZettos Facets Application Groups: Claims Processing, Guided Benefit Configuration, Medical Plan, Provider, Subscriber/Member, Utilization Management.
• Conducted peer review meeting for Test Plan and Test Cases with business team and got approval prior to the test execution cycle start.
• Experience on 837/997, 835, 270/271, 276/277 EDI Transactions.
• Work involves preparing test data (Medical Record Number for multiple combinations of health plans) based upon the release PSDD (Physical Solution Design Document).
• Assisted EDI team with the testing of maps for HIPAA transactions 835 and 837.
• Involved in testing HIPAA EDI Transactions and mainly focused on PA and Eligibility Transactions.
• Tested the application run through CICS using In-House tools for end - end flow of Claims through different interfaces.
• Tested Data flow for Paper (using iFile), Electronic (EDI) 1500 and Manual Claims UB004 processing.
• Testes the HL7 messages for multiple modules like Resolute, Cadence, inpatient and Outpatient of EPIC.
• Verified data accessibility (transferring files on time and at the right location/directories, security).
• Involved in the Data Validation of the members converted from 4 Legacy systems (OR, UT, WA & ID) to Facets 4.81 during the ETL Process. Validate the data from source to target. VerifiedHIPAA 5010standards that are used to transmit electronic medical claims and payments,HL7- 835, 837,ICD -10 codes and performed backend testing using TOAD
• Tested claims produced electronically based on ANSI X 12, 277, 278, 810, 277A, 834 and 835 for claims implementation guide.
• Coordinate with outside vendors to performinterface testing between legacy system and all the applications for End to EndHL7messages validations.
• Created EDI Export and Import processes and work with EDI Trading Partners, Payers or Vendors. Perform a range of telecommunications processes, including FTP, Dial-up, TCP/IP, Web transfers
• Involved in Paper, EDI and Manual Claims Analysis, Design, Implementation and Documentation.
• Involved in validation of HIPAA for 837 and 835 claims used for professional, Institutional by writing Test Cases, Test Plans and Test Summary.
• Conducted End-End testing and the tests using Mercury set of tools.

Environment: LoadRunner, Test Director, Facets QTP, HPQC, Quality Center, Mainframe, VBScript, MS Excel, DAP, TOAD UNIX, HL7,Web Logic, XML, VB.net,ASP.net, Windows XP, Oracle, DOORS, MS Office Suite, MS Visio, MS Access, MS Project.

Sr.QA Analyst/UAT Tester

Confidential

Responsibilities:

• Responsible for validation testing of data from theMeditech 5.6.2, 5.6.4 and 6.0 source system to Patient Keeper Desktop Portal and Mobility Applications.
• Worked on Admissions, Laboratory, Pharmacy, Nursing, Order Entry, Non-Meditech Interface, Patient Care Inquiry, Radiology, HIS and MIS Modules of Meditech.
• Prepared Test Plans and Test Cases based on the functional requirements and HIPAA regulations like 834, 837, 835 etc.
• Tested interfaces and ANSI X12 / EDI Version 4010/5010 transactions.
• Involved in entire Patient Care Life Cycle from day one till discharge and further assistance while using Meditech and Patient Keeper test environments.
• Created patients of type inpatient and outpatient in Meditech with multiple scenarios and conditions.
• Created all types of clinical data using Meditech and performed data validation with the Patient Keeper Portal and Mobility.
• Created and executed data driven test scripts in QTP.
• Validated claims/encounter form as per HL7 format applicable in compliance with ICD.
• Conducted Functionality testing during various phases of the application using QTP.
• Inserted Check Points to Check for the broken Links, Text, and standard properties of an object using QTP.
• Involved in designing Test Cases based on all of the scenarios for the Use Cases in Rational Requisite Pro.
• Tested application with Development, Staging and Production Environments using Rational Test manager.
• Testes theHL7messages for multiple modules like Resolute, Cadence, inpatient and Outpatient of EPIC
• Performed SOA services testing including WSDL, XML, and SOAP messaging using SoapUI, XML spy.
• Performed backend testing and data validation in Oracle environment.
• Tested SOAP Envelope which is the root element of a SOAP message.
• Tested different functionalities like, Billing, Benefits, Group, Claims and Providers.
• Involved in extensive DATA validation using SQL queries and back-end testing.
• Worked onHL7interface integration for ADT, Billing and Results messages within Meditech.
• Worked extensively on Clinical Rounding Reports Module in Patient Keeper and validated data between Patient Keeper Portal and Clinical Rounding Reports generated.
• Troubleshoot any problems found within Facets 4.71 and when testing the SQL data database while validating against the business rules.
• Accessed and verified Clinical Rounding Reports of own and other physician’s patients acting as a physician in the application.
• Tested Patient Keeper thick client and thin client on Multiple Hand Held devices working under Apple, BlackBerry and Android Operating Systems.
• Created User Defined Functions in QTP.
• Also proficient with application support claims processing, and customer service modules in Facets.
• Implemented the SF modules such as Patient Access, Reimbursements, Receivables, Claims and Guarantor Billing, Financial Transactions and Remittance Processing and Follow up.
• Documented test procedure, test cases, test results and analyzed the test results to compare Expected and Actual results.
• Worked on both Expert view and Keyword view in QTP and performed Integration Testing and Batch Testing in QTP.
• Created Test Scripts and assisted in user acceptance testing (UAT).
• Tested the Registration process of common practitioner in Facets and validated the fields (Medicare or Medicaid billing number, License and DEA number).
• Provided Efforts Estimate and coordinated the test schedule using Agile testing methodology in UAT phase.
• Prepared quick test planning with Test Strategies, test schedules, build acceptance, data preparations and UAT for Production Support Issues.
• Involved in converting manual test cases into automated scripts on HP Quick Test Pro (QTP).
• Used Parameterization for using various data to test the application using QTP.
• Participated in bugs and enhancement review meetings, assigning the bugs and enhancement request to the developers and follow up. Tracked the issues, bugs in Quality Center and Spread Sheets.
• Involved in testing and reporting of errors of subsequent builds during the process of development and production.
• Part of a one week program for Splunk.
• Involved in creating dashboards and reports for various scenarios.
• Responsible to add data and maintain the data on Splunk Server
• Assigning new Users and permitting access rights to the users.
• Worked with Splunk support team to resolve the Splunk issues.
• Performing search on the data on the splunk server as per requirements.
• Creating a dashboard of the search performed for analysis purpose.
• Good experience in writing SQL queries and Power Shell scripts.
• Worked as a SharePoint Admin for the Splunk Team room where all the documentation are added and maintained.

Environment: Quality Center 10.0, Patient Keeper Portal 5.1 and Mobile, Meditech 5.6.2 5.6.4 and 6.0, MTUI, HPF, Charge Capture, Vitals Capture, Forms, Facets 4.71, HL7,BlackBerry Devices, Android Devices, Iphone Devices, Windows XP, Microsoft Excel, IE browser, Safari, DB2,Microsoft SQL Server Management Studio 2008, Splunk 4.3.2, Power Shell 1.0

Sr. UAT /QA Analyst

Confidential

Responsibilities:

• Involved in the reviewing and analyzing the requirement specification documents with business analyst, QA manager and other team members for the application.
• Participated in Daily Scrum, bi-weekly Sprint Planning/Review and Retrospective meetings with Account Manager, Project managers, Scrum Master, Business Analysts, developers and QA Team.
• Performed all phases of end-to-end testing which includes User Acceptance testing, Functionality testing, Regression Testing, GUI testing, boundary testing, negative testing, system testing, unit testing and Smoke testing of the Application, its interfaces and Client-Server Utilities.
• Tested Claim Processing (EDI 837) and Remittance Advice Claims (EDI 835) Processing according to HIPPA code by verifying and validating the data.
• Developed Test Scenario and Test cases for all 835, 276, 277, Institutional and Professional HIPPA Transactions
• Managed requirements and Test Cases using Quality Center and executed the scripts/steps using Manual runner.
• Prepared the Test file for 837 with PPN/Tax ID and NPI and validating the 835 with Correct Outbound NPI i.e. Validated all the incoming/Outgoing data from EDI 837/835 interfaces
• Extensively involved in ICD 9 and ICD 10 claims testing with 837,270 and 271.
• Involved in writing test cases applying the SQL scripts to the test database and execution of the scripts on the database.
• Participated and drafted the Master Test Plan to covers both the HIPAA 5010 Compliance.
• Involved in UAT Testing and composing manuals.
• Conducted functionality and regression testing during the various sprints of the application using Rational Functional Test.
• Involved in testing Health Information Technology (HIT) for Group Information, Enrolling Subscribers, adding members, Related Entities, Class/Plan definition and Premium Rate Tables.
• Involved in Black Box Testing and analyzed the results to compare expected and Actual results.
• Participated in bugs and enhancement review meetings, assigning the bugs and enhancement request to the developers and follow up. Tracked the issues, bugs with Quality Center.
• Performed and SupportedUAT(User Acceptance Testing) and coordinated testing activities and reported bugs
• Drafted documents to create test cases, test results and test procedure as and when required.
• Performed Backend testing by extensively used SQL/PLSQL to work on database for checking database integrity.
• Performed positive and negative testing of the application for identification of bugs.

Environment: HIPPA 5010, Edi 835, 276, 277 VB Script, SQL, HTML, RQM, Java, UNIX, XML.

Automation Engineer

Confidential

Responsibilities:

• Reviewed the user requirements and participates in the detailed test plan and test criteria.
• Reviewed manual testing methods and developed and executed automated TSL scripts.
• Created, Debugged and executed the test scripts.
• Created and Modified the Shared Object repositories, Function Libraries and Data tables under the Test Resource module of the Quality Center
• Created and Drafted Test Scenario/Test cases using Test Plan Module and mapped against the Requirement Coverage for both manual and automation purpose.
• Created, Modified and ran the Test Sets for Functional/UI and Performance/Load purpose in the Test Lab Environment by adding the Test Cases and Requirements cases to the Test Set.
• Ran the Test sets and Logged in the Defects and generated different analysis reports and graphs for the project management purpose.
• Involved in testing the functionality and GUI of the system.
• Performed Integration, system and Regression testing using QTP.
• Used SQL queries to perform Back end testing of the database.
• The bugs detected were recorded and notified to developers and managers using Quality Center.
• Closely interacted with developers to fix bugs.
• Participated in meetings and wrote weekly status reports.

Environment: Quality Center 9.0/10.0, Quick Test Professional 9.5, UNIX, Win NT,, Internet explorer.

QA Analyst

Confidential

Responsibilities:

• Analyzed the business requirements and Identified testing methodologies to groups tests as Functional Analysis, Boundary Value Testing, Exception Handling, Error Guessing, Performance Testing
• Responsible for testing theNavigation Flow, Functionality Testing, System TestingandUser Acceptance Testing.
• Interacted with developers to follow up on defects and issues.
• PerformedNegative testingto find how the functions and variables perform when they encounters invalid and unexpected values.
• TheScenario Execution, Performance Summary, Failed Transaction Reportswere generated and analyzed.
• Performed the Duration test by executing the test for longer hours in order to find out any Memory leaks, slow surface resource consumption problem.
• Checked the data flow through the front end to backend and usedSQL queries, to extract the data from the database.
• Extensively executed complexSQLqueries to query the database for data validation.
• Executedshell scriptsto test the backend database.
• Responsible to designUAT scenariosand get an approval before the application presentation.
• Responsible to present walk-through with clients as part ofUAT.
• Participated in various meetings fordiscussed EnhancementandModification Requests.

Environment: Manual Testing, Test Directory, Load Runner, SQL, PL/SQL, Web Sphere, Windows NT/2000, MS Office Tools.