SUMMARY

• Have an 10 years of Expertise as SDET and Business Analyst.Understanding project documents, customer demands, and product objectives to create and execute test cases.
• Setting up, maintaining, and performing test automation frameworks on multiple application platforms, such as Mobile, Desktop, and Web, and building test scenarios and acceptance tests.
• Analyzes functional business requirements and design specifications for functional activities.Conducted security testing, system testing, and positive and negative testing for web and mobile applications.
• Performed EDI transaction testing for 820, 834, 837, 835, and 270/271 using Soap UI, C#, Java analyzing XML and X12 responses and looking for defects for amendment.
• Tested consumer web portal for the enrollment of Medicare members.Automated test scripts to carry out regression testing and backend testing.
• Developed detailed test plans and test cases, analyzing user/business requirements and creating a system test plan.

PROFESSIONAL EXPERIENCE

Confidential, VA

Sr SDET (Software Development Engineer in Test)

Responsibilities:

• Analyzes functional business requirements and design specifications for functional activities.
• Conducted security testing, system testing, and positive and negative testing for web and mobile applications.
• Performed EDI transaction testing for 820, 834, 837, 835, and 270/271 using Soap UI, analyzing XML and X12 responses and looking for defects for amendment.
• Tested consumer web portal for the enrollment of Medicare members.
• Automated test scripts to carry out regression testing and backend testing.
• Developed detailed test plans and test cases, analyzing user/business requirements and creating a system test plan.
• Conducted requirement traceability matrix (RTM) for requirements to be mapped with test scenarios.
• Worked with providers and Medicare or Medicaid entities to validate EDI transaction sets or Internet web portals.
• Supported documentation across extending testing team as directed by UAT Manager and SIT Manager.
• Participate in utilizing a variety of AWS services such as EC2, S3, RDS, C#, Lambda, and CloudFormation to build scalable and highly available solutions.
• Strong understanding of cloud architecture principles, including security, networking, and data management.

Confidential, Falls Church VA

SDET Engineer

Responsibilities:

• Worked on ER&R project with Issuer disputes’ workstream.
• Perform root cause analysis on the I record and give recommendations to issuers.
• Worked on UIR project with Issuer disputes’ workstream.
• Analyzed and categorize the UIE records.
• Performed escalation research and creates PowerPoints slides for management and client facing for new rules.
• Knowledge of software development lifecycle (SDLC) and agile methodologies.
• Ability to write and execute test cases, test plans, and test scripts.
• Proficiency in debugging and troubleshooting skills.
• Experience with CI/CD pipelines and source control tools like Git.
• Familiarity with cloud - based testing and deployment tools like AWS or Azure.
• Excellent communication skills and ability to collaborate with cross-functional teams
• Analyzed user requirements and adapted the database specifications using SQL.
• Automated test scripts to carry out Regression Testing and Backend Testing.
• Supported documentation across extending testing team as directed by UAT Manager and SIT Manager.

Confidential, Falls Church VA

SDET/EDI Analyst

Responsibilities:

• Indented and categorized UI records per business rules to align issuer and client system.
• Analyze, design and implement complex software systems to meet business requirements.
• Analyzed individual cases from consumer that had discrepancies on their 1095A form.
• I was part of QA team and recommended correct resolutions to the analyst.
• Actively participated in testing phase when migration of old system to CERRS NG environment.
• Monitored the flow of data through EDI applications to ensure all operational systems are functioning properly when needed.
• Worked as a Business Analyst, for the Web Portal, which provides communication, data exchange, and self-service tools to the) provider and recipient communities.
• Created PowerPoints slides for management and client facing for new rules.
• Involved in UIE merging process and made recommendations to the client.
• Experienced in resolving enrollment disputes (EDI 834 transactions).
• Monitored all EDI file processing and perform troubleshoot on processes to resolve all transaction file issues and perform tests on same and provide support to all client issues and maintain documents for all operational procedures according to data requirements.
• Provided support to EDI Analyst during manual categorization.
• Was part of ER&R project with Issuer disputes’ workstream.
• Done research on 834 disputes for escalation assignments and created PowerPoint slides.
• Maintain departmental documentation of job duties, monitoring functions and production support activities.
• Experienced in working with different Java CMS’s systems like HICS, MCU, MCR and CERRS NG

Confidential, Columbus, OH

Business Analyst/EDI Analyst

Responsibilities:

• Worked as a Business Analyst, for the Ohio Web Portal, C, C#, Java which provides communication, data exchange, and self-service tools to the Ohio Department of Job and Family Services (ODJFS) provider and recipient communities.
• Conducted Functionality, GUI, End to End, Security, Performance, and Stress Testing during the various phases of the development of the application
• Performed Security Testing, System Testing, Positive and Negative Testing
• Performed 820- Premium Payment for enrolled health plan members, 834- Enrollment /Dis-enrollment to a health plan, 837, 835, 270/271 testing using Soap UI
• Analyzed HIPAA EDI transactions in XML and X12 responses and of 270 and 276 and looked-for defects for amendment. Did data analysis for various version changes of EDI messages on different sub-systems
• Done testing of consumer web portal for the enrollment of Medicare members
• Experience in Claims, Prior Authorization, and/or Provider
• Automated test scripts to carry out Regression Testing and Backend Testing. Met with external team/vendors and study investigators to understand the problem domain and gathered requirements through surveys, interviews (group and one-on-one) along with JAD sessions.
• Formulated detailed Test Plan after analyzing business rationale and software requirement artifacts
• Analyzed user/business requirements and developed System Test Plan and Test cases.
• Expert in Medicaid/Medicare claim processing
• Conducted Requirement Traceability Matrix (RTM) for requirement to be mapped with Test scenario
• Supported documentation across extending testing team as directed by UAT Manager, and SIT Manager
• Worked with providers and Medicare or Medicaid entities to validate EDI transaction sets or Internet web portals. This includes HIPAA 4010; 837, 835, 270/271, ACHA1104 (Affordable Health Care Act)
• Performed 837, 835, 270/271 testing using Soap UI
• Manually tested the web Internet portal application to ensure the flow of the application functionality.
• Designed, Communicated, and enhanced QA testing plan for the application
• Prepared and executed test cases manually for different modules
• Used Visio to generate UML diagrams like state diagrams, Classic diagrams, business process flow diagrams and Entity-relationship diagrams
• Met with external team/vendors and study investigators to understand the problem domain and gathered requirements through surveys, interviews (group and one-on-one) along with JAD sessions.
• Used HP ALM Quality Center11.0 and as the bug-reporting tool and testing tool.

Confidential, Louisville, KY

SDET/EDI Analyst

Responsibilities:

• Conducted User Interviews, Gathered Requirements, analyzed, and documented business requirements
• Used standard Business Analysis methodology centered on RUP
• Worked closely to project managers and developers in agile and waterfall environment.
• Designed and developed Use Cases, Activity Diagrams, and Sequence Diagrams using MS Visio.
• Formulated detailed test plan using Rational Test Manager, after analyzing business rationale and software requirements
• Used Rational Robot for GUI tests and tested GUI standards of this application
• Developed test automation scripts using Rational Robot for Unit testing, System Testing, Regression Testing, Functional Testing
• Created PowerPoint presentations for Stakeholders and SME’s
• Created project plans using MS Project.
• Responsible for attaining HIPAA EDI validation from Medicare, Medicaid and other payers of government carriers.
• Created extensive Data Driven Test Scripts for reading data from Data Pool.
• Performed the Backend Testing to ensure data consistency on front end by writing and executing SQL Statements on the database. Conducted User Acceptance Testing
• Interfaced with developers to resolve technical issues and investigate software faults.
• Enhanced Test Scripts using SQA basic to achieve test objectives.
• Responsible to meet the information demands of our business users by delivering timely, accurate, meaningful and standardized data and reporting.
• Incorporated HIPAA standards, EDI (Electronic data interchange), Implementation and Knowledge of HIPAA code sets, ICD-9, ICD-10 coding and HL7.
• Validate EDI Claim Process according to HIPAA compliance. Tested HIPAA regulations in Facets HIPAA privacy module.
• Designed and updated Test Matrix and Traceability Matrix.
• Used Rational Clear Quest for Tracking Defects, Enhancement Requests, assign work activities and assess real status of project throughout life cycle
• Took part in meetings and reviews with the project team to ensure that bugs are fixed, and their status is updated
• Involved in Verification Process on a regular basis using checklists.
• Interacted with end users for conducting User Acceptance Testing and signing off.
• Updated the Project Manager on a weekly basis with Status Reports.