SUMMARY

• Having 11+ years of strong & extensive experience in lead QA Analysis & Testing.
• Proficient in Black - box, System, Functional, Regression, Database, Interface, Web Testing and UAT.
• Having strong functional knowledge in Healthcare, Banking & Finance domains.
• Experienced in Business Requirements and System Requirements Analysis.
• Having good experience in QA Lead and Test Management activities viz., Test Estimation, QA Resource Planning, Test Strategy, Test Planning, Test Development (Test Cases and Test Data Preparation), reviews, walk-throughs and inspections, Test Execution, Defect Management & Root-Cause Analysis, Test Results Analysis, Gap Analysis, Test Metrics preparation and Test Status Reporting to various stakeholders and management through implementing QA best practice processes.
• Having 7+ years of rich experience in US Healthcare Payer & Provider domains including in XCELYS (Dell’s Managed Healthcare Proprietary Product) modules viz., Member Eligibility & Enrollment, Groups, Health Plans, Benefits, Authorizations, Vendor & Provider contracts, ICD9/ICD10 & CPT, Claims Processing, Pricing & Adjudication, Patient Liabilities, Finance, Invoicing & Billing, A/R & A/P Cycles, Customer Management, Correspondence, HIP, CMS (Center for Medicare & Medicaid Services) and HIPAA transactions (270/271, 276/277, 278, 820, 834, 835 and 837) in EDI, XML, X12 formats and EMR/EHR file transactions as per HL7 standards and iCES claims auditing.
• Having rich experience in Manual Testing and Test Management & Defect Reporting Tools viz., TFS, JIRA, ClearQuest, TeamTrack, TestDirector, HP Quality Center, HP ALM in creating/updating Releases, Requirements, Test Plan, Test Lab, Defects; Testing Tools viz., QTP, Selenium, soapUI, TestPartner and VersionOne (Agile Development Tool).
• Experienced in Leading the QA Team throughout the SDLC by meeting project timelines and ensuring high-quality software deliverables to the clients, through coordinating with business analysts, development, QA onsite & offshore teams and conducting status calls.
• Having good exposure to various SDLC models viz., Waterfall, V-Model and Agile Scrum.
• Having strong interpersonal, oral, written communication and presentation skills.

TECHNICAL SKILLS

Operating Systems: Windows, UNIX

Programming Languages: SQL, C, C++, Visual Basic 6.0, Java

Web Technologies: HTML, XML

Databases: Oracle, MS Access

Content Management System: MS Word, Excel, PowerPoint, Visio, SharePoint, TFS, VersionOne (Agile Development Tool)

Testing Tools: JIRA, TestDirector, HP Quality Center, HP ALM, ClearQuest, Team Track, TestPartner, WinRunner, QTP, Selenium & soapUI

PROFESSIONAL EXPERIENCE

Confidential, MN

Lead QA Analyst

Responsibilities:

• Involve in SIPOC, Control Charts, Swimlane review and product backlog grooming sessions to elicit system requirements and derive user stories based on the business requirements.
• Responsible for the test estimation, test strategy and test planning.
• Involve in agile scrum activities, understanding product & sprint backlogs, understanding user stories and acceptance criteria, sprint planning, daily scrum meetings, sprint review, retrospective and sprint demo meetings.
• Responsible for test case preparation based on the user stories captured in Version One and test data preparation using the MBS data de-identification tool - EDI Scrubber.
• Involve in internal and external reviews of prepared test cases to ensure test coverage based on the user stories and work items captured in Version One.
• Preparing, interpreting and analyzing 270/271, 276/277, 278, 820, 834, 835 and 837 input & output files in EDI, X12 and XML formats as per HIPAA transaction guides.
• Testing end-to-end Claims Processing work flow including but not limited to member enrollment, eligibility check, LoB, groups, health plans, benefits configuration, provider credentialing & contract management, authorizations, pricing and adjudication, patient liabilities calculation, Premium Billing, EoB, EoP correspondence and CES claim edits validation.
• Responsible for black-box and grey-box testing including smoke, functional, regression, system integration testing, web testing, database testing, user interface & usability testing and User Acceptance Testing (UAT) through implementation of QA best practice processes and responsible for post-implementation reviews.
• Responsible for the execution of functional and regression test cases and validating HealthRules configurations & upgrades along with MBS QA team.
• Responsible for Application Integration testing of various work-streams and Data Integration testing and Reporting using QuerySurge, SQL, Informatica and OBIEE to ensure data integrity.
• Responsible for logging & tracking defects and defect management using Version One and interacting with business analysts, product owners and development teams for timely defect resolution.
• Preparing status reports and participating in daily scrum standup calls, defect review, RCA and gap analysis meetings and sprint demos.
• Escalating the issues on timely manner to the management and working as a QA SME.
• Close co-ordination with MBS and MHS BA, product owner, development and QA teams to meet project time-lines and ensuring high-quality software deliverables.
• Preparing daily & weekly status reports and test summary report.
• Responsible for preparing requirements traceability matrix, test metrics and test documentation.
• Ensuring all the testing deliverables and QA documents and reports are version controlled using SharePoint and are accessible to team and other privileged users.

Environment: Windows 7, XML, Version One, TFS, MS-SharePoint, MS-Word, MS-Excel, MS-PowerPointQuerySurge, Toad, OBIEE, Informatica.

Confidential, Tampa, FL

Lead QA Analyst

Responsibilities:

• Involve in system requirements analysis and design based on the business requirements.
• Responsible for the test estimation, test strategy & test planning, test preparation and execution.
• Involve in agile scrum activities, understanding product & sprint backlogs, understanding user stories and acceptance criteria, sprint planning, daily scrum meetings, sprint review and retrospective meetings, coordinating with product owner and development teams, estimating test efforts for user stories, test case preparation based on user stories and execution, incorporating the change requests and updating test cases appropriately, defect management and test reporting.
• Involve in internal and client reviews of prepared business and test scenarios and test cases to ensure test coverage based on the requirement specifications using HP ALM.
• Preparing, interpreting and analyzing 270/271, 276/277, 278, 820, 834, 835 and 837 input & output files in EDI, X12 and XML formats as per HIPAA transaction guides and test data creation.
• Testing end-to-end Claims Processing work flow including but not limited to member enrollment, eligibility check, plan, benefits configuration, provider-vendor contract, authorizations, pricing and adjudication, patient liabilities calculation, iCES claim edits validation and CMS (Medicare & Medicaid) transaction processing.
• Validating HIPAA 270/271, 276/277, 278, 820, 834, 835 and 837 transactions using EDI, X12 and XML files through HIP (Health Information Portal).
• Interpreting, analyzing and validating ICD-10 and CPT codes as per the Xcelys claims processing and iCES business logic to return respective iCES claim edits.
• As a QA Lead Analyst, responsible for black-box and grey-box testing including smoke, functional, regression, system integration testing, web testing, database testing, mobile testing and supporting User Acceptance Testing (UAT) through implementation of QA best practice processes.
• Responsible for the execution of functional and regression test cases using QTP, Selenium and web services testing using soapUI.
• Data validation testing of front-end and back-end using SQL to ensure data integrity.
• Responsible for logging & tracking defects and defect management using HP ALM, preparing defect status reports and participating in defect review, RCA and gap analysis meetings and interacting with business analysts, product owners and development teams for timely defect resolution.
• Escalating the issues on timely manner to the management and working as a QA SME.
• Close co-ordination with BA, product owner, development and QA teams to meet project time-lines and ensuring high-quality software deliverables to the customer.
• Preparing daily & weekly status reports and test summary report.
• Responsible for preparing requirements traceability matrix, test metrics and test documentation.
• Responsible for UAT planning, test case preparation, execution and post-production reviews.
• Ensuring all the testing deliverables and QA reports are version/source controlled using SharePoint/TFS and are accessible to team and other privileged users.
• Leading, mentoring and guiding junior QA engineers throughout the SDLC.

Environment: Windows 7, XML, TFS, MS-SharePoint, MS-Word, MS-Excel, MS-PowerPoint, MS- Visio, PL/SQL Developer, HP ALM, QTP, Selenium and soapUI

Confidential

Lead QA Analyst

Responsibilities:

• Involve in the preparation of test effort estimate, test plan and test scope documents.
• Deriving test scenarios based on the requirements and preparation of test cases and test data based on the identified test scenarios using HP Quality Center/HP ALM.
• Preparing, interpreting and analyzing 270/271, 276/277, 278, 820, 834, 835 and 837 input & output files in EDI, X12 and XML formats for regular and CMS transactions as per HIPAA transaction guides.
• Involve in internal and client reviews of prepared test scenarios and test cases to ensure test coverage based on the requirement specifications.
• Performing smoke tests on various customers builds & GA builds on a regular basis along with China QA Team and leading smoke test activities.
• Testing end-to-end Claims Processing work flow including but not limited to member enrollment, eligibility check, plan, benefits configuration, provider-vendor contract, authorizations, pricing and adjudication, patient liabilities calculation, premium billing, A/R & A/P, CMS transaction processing.
• Validating HIPAA 270/271, 276/277, 278, 820, 834, 835 and 837 transactions using EDI, X12 and XML files through HIP (Health Information Portal).
• Validating HIPAA Standards 4010 to 5010 transition of the ICD-9 & ICD-10 and CPT codes.
• Responsible for the execution of functional and regression test cases using QTP and web services testing using soapUI and defects’ QAR & QAT activities using ClearQuest.
• Data validation testing of front-end and back-end using SQL to ensure data integrity.
• Responsible for logging & tracking defects through ClearQuest/HP Quality Center/HP ALM, preparing defect status reports and participating in defect review, RCA and gap analysis meetings and interacting with business systems analysts and development teams for timely defect resolution. Escalating the issues on timely manner to management.
• Close co-ordination with development team to meet project time-lines and ensuring high-quality software deliverables to the customers.
• Preparing daily & weekly status reports and test summary report.
• Responsible for preparing traceability matrix, test metrics and quality records to comply with SQA standards.
• Ensuring all the testing deliverables and reports are version controlled and are accessible to team and other privileged users.
• Mentoring and guiding junior QA engineers and supporting colleague engineers throughout the SDLC.

Environment: Windows 7, XML, MS-SharePoint, MS-Word, MS-Excel, MS-PowerPoint, MS-Visio, Toad, PL/SQL Developer, ClearQuest, HP Quality Center, HP ALM, QTP and soapUI

Confidential

Test Specialist

Responsibilities:

• Preparing test effort estimates for new requirements and change requests and involve in the preparation of work packet request and change request documents.
• Preparing system test plan and test execution plan documents.
• Involved in agile scrum activities, understanding product & sprint backlogs, user stories and acceptance criteria
• Involved in estimating and deriving test cases from the user stories.
• Involved in daily scrum meetings, sprint review and retrospective meetings.
• Involved in execution of functional test cases through TestDirector (manual run) and regression test scripts through TestPartner (auto run).
• Data validation testing of front-end and back-end using SQL commands to ensure data integrity.
• Responsible for raising and tracking defects through TestDirector.
• Responsible for raising and tracking defects through TestDirector and preparing defect reports and participating in RCA and gap analysis meetings.
• Preparing daily status report, weekly status report, client status report and test summary report and reporting as appropriate to top management.
• Participating in daily sync-up calls and client meetings.
• Preparing requirements traceability matrix, test metrics and quality records to comply SQA standards.
• Involve in peer reviews of test effort estimates, test plans of other Confidential QA projects.
• Involved extensively in guiding and supporting team members throughout the testing phase.

Environment: Windows XP, Mainframes, MS-SharePoint, MS-Word, MS-Excel, MS-PowerPoint, MS-Visio, TestDirector, TestPartner, XML, ALARM Tool, SCEMS Test Harness, SQL

Confidential

Test Engineer

Responsibilities:

• Involved in test scenario, test case preparation and internal and customer reviews.
• Involved in execution of functional and regression test cases.
• Testing end-to-end patient encounter work flow including patient registration, appointment scheduling and tracking, billing, patient encounter notes, ICD and CPT codes, clinical tests, diagnosis data files, EMR/EHR file transactions as per HL7 standards.
• Responsible for raising and tracking defects through JIRA/TeamTrack.
• Involved in preparation of defect reports and test reports.

Environment: Windows XP, MS-Word & MS-Excel, JIRA, TeamTrack (Defect Tracker)