SUMMARY

• Over 7+ years of experience in Client/Server, Web based application testing.
• Implemented and experienced in various QA methodologies.
• Experienced in every phase of Quality Assurance Life Cycle (QALC) and Software Development Life Cycle (SDLC)
• Performed planning and development of Test Plans, Test Strategies, Test Cases and Test Scenario to meet product’s business requirements.
• Proficient in Defect Reporting and Tracking throughout the entire defect life cycle.
• Possess strong problem solving skills with the ability to adapt to a new environment and meet deadlines.
• Strong knowledge of software development methodologies including the Agile methodology, Waterfall, and V - Model and SOA Methodology.
• Skilled in bug reporting and tracking using Test Director, HP Quality Center.
• Strong in IT research, software analysis and design skills.
• Strong experience of developing, implementing and maintaining application systems under UNIX Operating System using SQL, PL/SQL, Oracle 10g/11g database
• Performed backend database testing by writing SQL and PL/SQL scripts to verify data integrity.
• Extensive experience in Backend Testing on distributed databases using SQL queries.
• Experience in Functional Testing, System Integration Testing, Back End Testing, GUI Testing, configuration Testing, User Acceptance Testing.
• Solid understanding of Membership, Claims Processing, Billing, Benefit/Eligibility, Authorization/Referrals, COB, and have experience in HIPAA standards and corresponding EDI transactions.
• Knowledge of Medicaid and Medicare Services.
• Tested different web services using SOAP UI.
• Experience in performing functional testing using Quick Test Pro.
• Followed Workgroup for Electronic Data Interchange standards for testing that need to comply with the HIPAA guidelines.
• Thorough understanding and hands-on working experience with standards for medical transactions like 820 (enrollment), 834 (premium payments), 835 (medical claims payments), 837 (medical claims), 270 (eligibility inquiry), 271 (eligibility response), 276 (claim status), and 277 (claim status response).
• Optimum use of documentation to avoid any form of miscommunication or misinterpretation during the entire software development process
• Excellent communication and organizational skills with the ability to adapt to a new environment.
• Experience in facilitating meetings with clients to discuss and sign-off on the document.
• Conducted User Acceptance Testing (UAT)
• Motivated self-starter with exceptional team building, leadership, and interpersonal skills. Good team player with the ability to work in time sensitive environments.
• Proficient in working with FACETS, claim processing systems.
• Extensive experience inWeb services testingusing SOAP UI & SOAP UI Pro.
• Experience on Web services to combine component based development and Internet standards and protocols that include HTTP, XML, SOAP and Web services Description language.
• Proficient in Black Box testing, QA Methodologies and Integration Testing, System Testing and User Acceptance Testing.
• Well versed in creating test strategies that ties test plan and test scripts together to enhance the quality assurance process. Good knowledge in Test Matrices, Requirement Traceability Matrix, Agile Methodologies, bug statistics, weekly and daily status reports.
• Having Excellent Training and presentation skill.
• Excellent verbal, written and analytical skills with ability to work in a team as well as individually. Strong inter-personal communication skills.
• Specifically used SQL for Backend testing to validate the data.
• Have good knowledge of SQL, Triggers, Stored Procedures and database connectivity for Back-end testing

TECHNICAL SKILLS

Methodologies: SDLC, RUP, Agile, Waterfall, Hybrid.

Platforms: Windows, Linux

Testing tools: SOAPUI, WinRunner, LoadRunner, Quick Test Professional, Jira, QA Complete

Change Management Tools: Rational ClearQuest, TestDirector, HP Mercury Quality

Office Tools: MS Project, MS Office, MS Visio

Database: MS SQL Server, Oracle SQL pro, MS Access, Oracle, Toad

Programming: Java, C++, JavaScript, HTML, XML, Ruby on Rails

PROFESSIONAL EXPERIENCE

Confidential, Topeka, KS

Sr. Quality Analyst

Responsibilities:

• Identified the requirements for accommodating HIPAA 5010 standards for 837P transactions and captured these requirements to develop new GUI for the internet based application.
• Participated in setting up testing environment
• Involved in preparing Test Cases based on business requirements
• EDI Conversion from .
• Tested HIPAA Transactions and Code Sets Standards such as 837/835/834, 270/271, 276/277 transactions
• Tested 837/ 835, 270/271, 276/277 transactions with File Aid.
• Authored and executed Test cases for Claims and Customer Service Workflow by manually.
• Responsible for writing the Test Cases and Test Scenarios based on the Functional Specification and technical Specification and documented in Quality Center.
• Executed Automated Test scripts using QTP.
• Performing Functional and GUI testing on Facets. .
• Involve in testing of FACETS Implementation, involve in end to end testing of FACETS Claims Processing module, Membership and benefits.
• Recorded scripts in Quick Test Pro to perform Functionality testing.
• Worked with providers and Medicare or Medicaid entities to validate EDI transaction sets or Internet portals. This includes HIPAA 4010; 837, 835, 270/271, and others.
• Responsible for Back-End Testing Using SQL Commands using TOAD.
• Working with others on 820 for Premium Payment Processing
• Perform functional, exception and scenario testing.
• UAT testing for HIPAA 4010 and 5010 projects including legacy testing and HIPAA requirements and compliance mandates.
• Logged the errors, reported defects, determined repair priorities and tracked the defects until resolution using Quality Center.
• Extensively used SQL statements to query the Oracle Database for Data Validation and Data Integrity.
• Responsible for performing System and integration testing for release.
• Identified, analyzed and documented defects, error and inconsistencies in the application using Quality Center.
• Created and maintained Test Matrix and Requirement Traceability Matrix and performed GAP Analysis.
• Performed User Acceptance Testing (UAT).

Environment: MS SQL Server, Quality Center, XML, Windows, DB2, MS Office, EDI, TOAD, Manual Testing.

Confidential

QA Analyst

Responsibilities:

• Developed Test Cases bases on Requirement Specifications and Design Documents.
• Responsible for modification and executing of the Test Scripts.
• Involved in testing QNXT Member, Provider, Claims Processing, Utilization Management, Accumulators, Contracts and Benefits.
• Involved in manual claims Adjudication process.
• Creating, Approving and Modifying PA in both Portal and QNXT.
• Involved in Adding Contracts to the Provider in QNXT and associating Providers in Portal while creating claims.
• Involved in processing Claims, EE, and CM Subsystem as part of UAT.
• Involved in Functional, Integration, and Regression testing of the application.
• Processed Medical claims and applied edits to the claims for testing purposes
• Involved in Processing QNXT 837 Healthcare Claims (Institutional and Professional) in PORTAL with valid TPI.
• Worked in utilization management module for to create and test PA.
• Involved in uploading and processing of EDI 278, 276 claims in Portal.
• Prepared sample EDI test sets for files like 276/77, 278,837 and followed HIPAA implementation guide in preparing them.
• Prepared GAP documents involved with 834, 820 transactions in collaboration with other team members.
• Experience with developing HIPAA Companion Guides for 834 Enrollments, 270/271 Eligibility Inquiry/Response & 820- Health Plan premium payments for MMIS.
• Coordinated with offshore people and updated the tasks to manager.
• Worked with stakeholders in UAT environment to ensure Business requirements are tested properly.
• Logged defects in Clear quest and worked with the developers to resolve any issues.
• Conducted Regression Test for the fixes of the application
• Used RMT for running the tasks like uploading, modifying, executing and taking logs accordingly.
• Updated status report on weekly Basis and submitted to the team prior to weekly meeting.
• Participated actively in conference calls, project meetings and delivered input.

Environment: ASP.NET, VB.NET, QNXT, DB2, Oracle, SQL, QNXT, UNIX, Windows95/98/NT/2000/XP, Clear Quest, RMT.

Confidential, OH

QA Analyst

Responsibilities:

• Analyzed and defined testable requirements created and implemented test plans.
• Developed Test Cases/Conditions for manual and Automation testing of the above Applications and Reports.
• Gathered requirements from the users and analyzed the requirements.
• Involved in performing functional, application, integration, system, and regression Testing.
• Developed the Test Data for different Groups
• Communicated with development team to ensure testing issues are resolved
• Performed Screen Navigation Test to ensure that the links are established as per the documentation provided.
• Prepared and executed different SQL Queries against the Oracle and Sybase Database.
• Entering Claims and Customer Service Tasks into the FACETS.
• Recommend on implementation of HIPAA 5010 (EDI X12 837,834, 820, 278,270,999) in the new System.
• Verified and Validated the Rates Calculations and Rate Renewal Calculations for different Products and ValidateEDI Claim Process according to HIPAA compliance.
• UsedFacetsAnalytics for fast and easy retrieval, display and grouping of information for performing queries and generating reports.
• Analyzed forms and successfully crosswalk details to corresponding ANSI X12 formats.
• Tested the changes for the front-end screens in Facets related to following modules, test the Facets batches (membership, Billing, Provider, etc).
• Worked on HIPAA Transactions and Code Sets Standards according to the test scenarios such as 270/271, 276/277,837/835/834 transactions.
• Created reports that included a general overview, open bugs, new bugs and enhancement requests. Entered new bugs and maintained the current status of those bugs.
• Involved in testing web testing with automated tool SOAPUI.
• Used Quality Center to enter and Report defects for Rate Quote Remediation
• Prepared Application Testing Metrics Reports using MS Project.
• Prepared and submit the weekly test status reports to QA Lead and Manager
• Followed and Implemented the SDLC to improve the Testing Process and Efforts.
• Coordinated with the Business users, BA’s and Testers in order to perform UAT Testing.
• Involved in Weekly Testing Status meetings with Testing Team and Weekly Rate Quote Task force meeting with Business Users and Developers.

Environment: HIPPA, EDI, Rate Quote System, Rate Quote Remediation,Mass Transfer, Quality Center, QTP, UNIX, Shell Scripts, Java, J2EE, Web sphere, Web Logic, TIBCO, MQ Series, PowerBuilder, Visual Basic, MS-Windows, MS Project 2003, Sybase, Oracle, SQL Plus, Access, SOAP UI, XML, SQL, .NET

Confidential, Augusta, GA

QA Analyst

Responsibilities:

• Reviewed the Business Requirement documents and the Technical Specification documents
• Developed Test Plans, Test Cases and Test Scripts to define scope of overall quality assurance testing
• Performed web application security vulnerability testing.
• Used parameterization to test the application for different kinds of data.
• Uncovered multiple issues related to the data population in the backend database manually.
• Conducted GUI Testing manually.
• Performed Security Testing manually using Positive and Negative Testing to ensure appropriate user authentication
• Worked on Soap UI to execute and test Real-time Transactions
• Performed Web Services testing and Validated XML request/response data using SOAP UI.
• Participated in various meetings and discussed Enhancement and Project Change Requests
• Coordinated with offshore teams on a daily basis to get the status updates.
• Performed negative testing heavily to encounter invalid unexpected values
• Actively participated in project enhancement meetings

ENVIRONMENT: Quick Test Professional, Quality Center, Internet explorer, MS Office, Soap UI