SUMMARY

• Technically sophisticated expert with 13+ years of experience in high - demand technical environments.
• A proven track-record of efficient issue resolution, application development, and QA testing.
• Adaptable team collaborator and leader.
• An in-depth knowledge and experience with a broad range of technologies, translatable to any project team or corporate environment.
• Manual Testing / Process Development & Refinement / Troubleshooting Data Mining /Programming

TECHNICAL SKILLS

Methodologist: Agile, Waterfall SDLC, Testing Tools RMT, Rational Clear Quest, HP Quality Center, Postman Manual Testing, Regression and Smoke Testing, Test Plan, Traceability Matrix, UAT Testing, GUI Integration Testing, Functional, EDI X12 - 837I, 837P, 837D, NCPDP, 834, 835, 277CA, 999s, Scrum Meeting, Sprint Understanding, API Testing.

Project Management Tool: Jira, Azure Dev Ops.

Database: SQL Server, MySQL

Version Control Tools: It Operating Systems Windows, Linux

PROFESSIONAL EXPERIENCE

Confidential

QA Manual Tester

Responsibilities:

• Created Test Plan, that defines the test environment, phases of testing, entrance and exit criteria into different phases of testing and resources required.
• Involved in Requirement discussion from the early phase and worked on Test Strategy based on new requirements and reviewed it with the team.
• Identified, built, and executed Test Cases and Test Sets for Functional, Error Handling, Navigation, integration, UAT and Regression Testing.
• Tested 837 file for both Fee for Service and Encounters. Guided providers/clearing houses/MCOs on how to resolve 999 errors
• Worked closely on 834 transaction code for Benefit Enrollment and was involved in Validation of HIPAA for 270/271 EDI transactions.
• Monitored the progress and verified the fix of the bugs that were logged into JIRA.
• Performed validation testing on the application navigation for various scenarios and reported the errors.
• Document request/response XML's, test procedures and functional/technical findings from the test run.
• Worked in Testing of EDI X12 837P, 837I, 837D and 834, 835 Transaction sets for enrollment and claims processing.
• Created and maintained SQL Scripts to perform back-end testing on the Postgresql database.
• Performed Database testing using SQL queries.
• Tested 4010/5010 conversion EDI transactions 270/271, 834, 837, 835 etc.
• Coordinated Backend testing using SQL in Postgresql.
• Performed Back End Testing by executing SQL queries on Windows and UNIX platform.
• Bug Reporting and Tracking using JIRA.
• Verified the relationship between accounts, contacts, opportunities, and activities.
• Interacted with the developers to report bugs using JIRA.
• Involved in ASCII file creation for different functionalities according to test case scenarios and perform end to end testing from file to Staging tables till Target tables for 270/271 transactions.
• Identified various bugs/defects for ASCII file and worked on retesting.

Environment: Jira, SQL, SQL SERVER, Web Services, XML, Postgresql, Windows, MS Office, UAT, SDLC, Agile, Confluence.

Confidential - IL

Responsibilities:

• Managed multiple projects interacting with business directly and coordinated offshore with all project details and estimated deliverables with quality output.
• Executed test cases and report them with the appropriate screenshot in JIRA by raising defect.
• Analyzed legacy system, identified system interfaces that may impact the new system and developed requirements specification documents for both Mainframe and comprehensive web-based applications.
• Followed Agile Methodology to emphasize on real time communication over written documentation.
• Involved in defect reporting, defect tracking and defect reproducing in HP ALM/Quality Center and JIRA.
• Translate 834 companion guide to EDI files.
• Performed test case assignments in Test Lab modules of HP ALM/Quality Center.
• Experience working with Databases like Oracle, SQL Server, DB2 and MS Access.
• Prepared Test plan and test case for EDI 834, 835, 837.
• Used HP ALM/Quality Center to run test scripts and log defects.
• Interacted with the developers to report and use HP ALM/Quality Center.
• Involved in claims submission and payment (remittance) retrieval by using EDI 820 for the In-bound premium payments, EDI 834 for the Inbound Enrollment and Maintenance.
• Performed Smoke, Functional, Regression, System and User Acceptance Testing (UAT) in Web and Mainframe applications.
• Tested MMIS enhancements and upgrade Implementation, involved end-to-end testing of MMIS Claims Processing and Subscriber/Member module.
• Experience in creating simulated data and invoking UNIX process for data fill jobs.
• Well versed with SQL, PL/SQL and can write complex SQL queries to validate the data conditions against any database including Sybase, Teradata, SQL Server, DB2 and Oracle.
• Review application enhancements with UAT tester and business testers.
• Running queries against databases to verify the correctness of XML response.
• Updated EDI transactions like EDI 834, 837,835,277 and 276 with the HIPAA changes.
• Tested the HIPAA EDI, 834, 837/835 transactions according to test scenarios and verify the data with MMIS on different modules.
• Identified, analyzed, and documented defects, errors, and inconsistencies in the application using HP ALM/Quality Center.
• Extensively performed manual testing and defect reporting using HP ALM/Quality Center.
• Wrote complex SQL queries for database validation using TOAD also tested stored procedures.
• Testing of EDI 834, 837I, 837P and 835 Transaction sets for claims processing.
• Manage the testing process, schedule batch tests, log and track defects using HP ALM/Quality Center.
• Creating relevant UAT artifacts including test plans, test scenarios and test cases to be executed during UAT.

Environment: SOAP UI, SQL, HP ALM/Quality Center, DB2, UNIX, Mainframe, Windows, XML, UAT, JAVA, MS Office, Web Services, etc.

Testing Analyst

Confidential - Boston, MA

Responsibilities:

• Test all facets of the system integration process for EDI while adhering to the 5010 health care industry standards.
• Healthcare Care Service Review (278), Benefit Enrollment Maintenance (834) and Health Care Claim (837) transaction set.
• Validated newly configured packages for commercial, HMO, and PPO provider networks.
• Validated file content and layouts produced by SSIS packages and web portals.
• Analyze user input to create test cases, plan, design, and implement manual test scripts.
• Adhere to agile methodology, and routinely attended SCRUM meetings to provide helpful input.
• Prepared test place and test cases for 837 companion guide for the providers
• Tested clearing house integration with the health plans
• Tested provider portal functionality of provider enrollment, provider pricing, and configurations.
• Key Achievements: Provided integral testing and validation of important systems and processes.
• Involved in Maintaining data integrity for Facets core system and data warehousing.