PROFILE:

• Over 8+ Years Professional experience as a Sr. Business Systems Analyst and QA Analyst/Tester in Healthcare Industry.
• Comprehensive knowledge of SDLC Methodologies, RUP, Waterfall model, RAD and JAD methodologies.
• Experience in managing the changes in requirements by Unified Change Management Tools (UCM) like Rational Clear Quest.
• Good documentation knowledge in maintaining the BRD and FRD using the requirement documentation management tool like Requisite Pro.
• Extensive experience in testing client/server, Internet and intranet applications developed using J2EE Technologies and .NET Technologies.
• Experience in testing using Health Level Seven (HL7) Protocol and good understanding and exposure to HL7 and Validated HL7 messages
• Well versed in Health Care with HIPPA, HL7, EDI and x12 data formats
• Familiar with HIPAA EDI transactions such as 834, 835, 837 (P, D, I) 276, 277, 278 etc.
• Experience in development methodologies like RUP, SDLC, AGILE, SCRUM and Waterfall.
• Ability to manipulate and organize the requirements and defects by Traceability Matrix.
• Efficient in Business Modeling by using UML methodologies like use case diagrams, object diagrams, class diagrams, activity diagrams and sequence diagram.
• Depth knowledge of Defect management tools and Bug Reporting Tools including Bugzilla, Jira, TFS and Quality Center, IBM Rational Quality Manager.
• Hand - On experience with various testing tools such as Quality Center, Quick Test Professional(QTP), LoadRunner, Rational Robot, Version One and SOAPUI.
• Strong Experience in Parameterization, Check points, Data Driver, Object Repository concepts and Writing own Functions in QTP.
• Knowledge in the ETL (Extract, Transform and Load) of data into a data ware house/date mart and Business Intelligence (BI) tools like Business Objects Modules (Reporter, Supervisor, Designer, and Web Intelligence).
• Experience in creating Actions, Calling Actions, Making actions Reusable and calling the Reusable Actions in other test scripts using QTP.
• Developed VBScripts for the automation by using Quick Test Pro(QTP)/UFT.
• Checked the data integrity in between front end and backend with database checkpoints created in VBScripts using DB connection and also by manually queries in the database.
• Good experience in testing applications developed using C, C#, .NET Frame Work 2.0, Visual Studio 2005, ASP.NET, VB.NET, ADO.NET and SQL Server 2005.
• Experience in working with Servicenow Workflows, Import Sets, and Update Sets.
• Experience with HIPAA/EDI and working on ICD9/ICD10 initiative.
• Expertise in manual testing & Mobile Application Testing.
• Involved in end-to-end testing of the Mobile Applications.
• Hands on experience on Mobile App Testing (iOS, Android and Web OS)
• Extensive experience of working with SOAPUI tool for functional, data driven and load testing.
• Extensive knowledge and hands-on experience in SDLC methodologies (Waterfall model and V-model), Software Testing Life Cycle, Defect Life Cycle and various types of testing like black box testing, white box testing, Grey Box testing, regression testing, smoke and sanity testing, and functionality testing(positive & negative).
• Expertise in broad range of technologies, including business process tools such as Microsoft Project, Primavera, MS Access, MS Visio, technical assessment tools, Data Warehousing concepts and web design and development.
• Proficient in analyzing the BRS (Business Requirement spec), SRS (System requirement spec) and FRS (Functional requirement spec) for preparing and documenting the test plans/test rules, test cases and executing the test cases for both manual and automation testing.
• Highly efficient in using the change management tools of Version Control System like Document Center/Documentum and IBM Rational Clear Case.
• Strong knowledge and experience in writing and executing SQL queries for database testing.
• Manual testing experience on Digital platforms - Hybris, Sitecore, Share Point, WCS.
• Experience in developing QA test cases, test scenario and leading towards UAT and Beta Testing for ensuring the application’s successfulness.

SKILL SET:

Methodologies: SDLC, RUP, UML, Agile, XP, RAD, JAD, Prototype

Tools: MS Visio, MS PowerPoint, MS Word, MS Excel, Rational Clear Quest, Rational Clear Case, Remedy, Rational Rose, Requisite Pro, HP ALM, HP UFT/QTP, Smartbear Test Complete, SoapUI, Visual Studio

Database: ORACLE SQL & PL/SQL

Languages: C, C++, VBScript

Operating System: Windows (95, 98, ME, XP)

WORK EXPERIENCE:

Confidential, Norfolk, VA

Sr. BSA/ QA

Responsibilities:

• Supporting all phases of the design, development and implementation of an enrollment resolution and reconciliation processes for health insurance exchanges.
• Lead multiple project teams of technical professionals through all phases of the SDLC using technologies including Oracle, Erwin, Data Stage, Data Warehousing, Websphere and Cognos.
• Participating in design sessions, report on project progress and identify potential risk and issues.
• Facilitated and led group discussions to elicit requirements in Joint Application Development (JAD) sessions by communicating with various background and skills, documented Scope Definition, Functional Specifications, and Software Requirements Specification (SRS) and created User Interface Mockups/Prototypes.
• Strong experience in the Data Analysis, Data Profile, Data Quality, Design, Development, Implementation and Testing of Business Intelligence applications using ETL and ELT methodology.
• Validated the HIPAA/EDI transactions, tested the claims processing and Adjudication (EDI 837 & EDI 835).
• Worked on EDI transactions: 834, 835, and 837 (P.I.D) to identify key data set elements for designated record set. Interacted with Claims, Payments and Enrollment hence analyzing and documenting related business processes.
• Done claims processing, benefits, provider reimbursement, provider set, billing and accounts receivable.
• Designing the Business Requirements Document and working with system developers to ensure that the requirements are effectively communicated and well understood.
• Coordinated User Acceptance and Quality Assurance testing of mainframe and GUI applications, identified test data, prepared user manual and conducted training seminars, installed applications on users.
• Updated EDI Inventory Control system greatly increasing data integrity.
• Assessment and documentation of current EDI programs to complete the migration of a new client server system.
• Analyzed the change detection process on Facets database tables to capture the daily changes done by Users through Online Facets Application.
• Developed straightforward DBMS queries, knowledge of HL7 and xml interface messaging.
• Troubleshooting and resolving errors in 834 and 820 transactions for health insurance exchanges and performing root cause analysis.
• Analysis of discrepancies in the eligibility reconciliation process for multiple stakeholders and continuous process improvement of the reconciliation process.
• Worked in mainframe environment and used SQL to query various reporting databases
• Providing content and training to and for collaboration with training staff on training stakeholders on the transactions and the reconciliation process.
• Reviewed the data model and reporting requirements for Cognos Reports with the Data warehouse/ETL and Reporting team.
• Participation in all phases of testing.
• Defined Maps to customized Claims daily load into FACETS for processing the transactions.
• Perform testing and thoroughly document issues
• Work with the technical and development team to resolve identified issues in a timely manner.
• Review documented training material for accuracy and assist in end user training and support.
• Reviewed Stored Procedures for reports and wrote test queries against the source system (SQL Server) to match the results with the actual report against the Data mart.

Environment: Windows, UNIX, SQL Server, .NET, XML, XSD, Biztalk server, MS Office, MS Visio, MS Access, MS Project, Rational Tools, UML, JIRA, SAS, Cognos, SOAPUI,Tidal

Confidential, Baton Rouge, LA

BA/ QA

Responsibilities:

• Performed Requirement Gathering & Analysis by actively soliciting, analyzing and negotiating customer requirements and prepared the requirements specification document for the application using MS Word.
• Developed test plan for the application and different tools associated with it.
• Responsibilities include gathering business requirements, developing strategy for data cleansing and data migration, writing functional and technical specifications, creating source to target mapping, designing data profiling and data validation jobs in DataStage, and creating ETL jobs in DataStage.
• Developed test cases from test conditions derived by decomposing functional requirements
• Reviewing and updating Test Cases as per requirement for different releases.
• Involved in project from the kick off phase.
• Extracted the Business & Technical Requirements from the client and end users keeping in mind their need for the application (Internet, Claims, Provider, and Recipient) and documented it for the developers following the HIPAA Guidelines for an Individual functional area by conducting JAD sessions.
• Supported iOS device operations on mobile operating systems.
• Performed functional testing on the application.
• Involved in Gap Analysis Testing, Smoke testing, Integration testing, Porting Testing, Localization Testing (Repository Testing), Branding Testing, Regression Testing.
• As an independent contractor, planned, designed and implemented a project management / knowledge management and business analysis process framework based on the Rational Unified Process (RUP).
• Bugs reporting on bug tracking tool & updating the status of the bugs.
• Involved in regular discussions with developers regarding defects
• Maintaining the traceability between requirements and test cases for each control.
• Used SQL for Querying the Oracle database in UNIX environment.
• Responsible for architecting integrated HIPAA, Medicare solutions, Facets.
• Responsible for integrating with Facets.
• Designing test scripts for testing of Claims in Development, Integration and production environment.
• Tested HIPAA Gateway Application Interface for all inbound and outbound messages (Healthcare Eligibility 270 and 271, Healthcare Claim Status request 276 and 277, Healthcare Claim 837 and 835)
• Assisted JAD sessions to identify the business flows and determine whether any current or proposed systems are impacted by the EDI X12 Transaction, Code set and Identifier aspects of HIPAA.
• Ensure consistent and effective communication among all parties.
• Tested the Members, Claims, Providers and Services in Facets.
• Worked on projects independently and also managed a Facets testing effort.
• Creating test data for testing based on the requirements.
• Involved in meetings with regarding tests optimization, User Story Description, Acceptance Criteria, Test Scenarios, Sprint Planning, and Retrospective.
• Involved in Estimations and Project implementation meetings
• Involved in the user acceptance testing to make sure that the application should work according to the requirements.
• Worker on multiple project teams of technical professionals through all phases of the SDLC using technologies including Oracle, Erwin, DataStage, Data Warehousing, Websphere and Cognos.
• Loaded data to different databases using SQL scripts and maintained a repository for data loading scripts.
• Collaborating with cross functional teams in the implantation, validation and release of ServiceNow application for Incident, Problem and Change Management system and create new SOPs and trainings to for all ServiceNow application modules.
• Coordinated various kinds of User Acceptance Testing (UAT) including regression testing, system testing, integration testing, functional testing, alpha & beta testing.
• Played an active participant role in testing of the sync related applications to identify more defects.
• Execution of Batch jobs using Autosys and validation the backend tables using SQL.
• Developed and maintained QuickTest function library using VBScript.
• Created checkpoints and synchronization points for functional testing using Quick Test Pro (QTP)/UFT.
• Performed the analysis on automation of manual test cases and Developed QTP/UFT Scripts.
• Optimized QTP/UFT scripts for Integration/Functional testing of the application with various data sources and data types.
• Performed Data mapping, logical data modeling, created class diagrams and ER diagrams and used SQL queries to filter data.
• Provided technical and functional consulting to corporate and divisional users for Cognos.
• Used SQL to test various reports and ETL load jobs in development, QA and production environment
• Enhanced QTP/UFT script using recovery scenarios for error handling.
• Performed regression testing for every modification in the application & new builds using QTP/UFT.
• Took a leading role in test automation for testing the Statement of Benefits in Direct Enrolment agile project.

Environment: Agile, Quality Center, ServiceNow, MS Visio, MS Access, Word, Excel, PowerPoint, CMMI, Facets, SQL, SSRS, XML, VB Script, SOAP UI, EDI, QTP/UFT, SAS, ETL, Cognos

Confidential, Jacksonville, FL

QA Analyst

Responsibilities:

• Developing Test Plan with a Test Strategy for the System testing. Instrumental in creating design and frame work for automation.
• Worked in agile development environment with frequently changing requirements.
• Analyzed the business and functional requirements of the application and also helped in developing detailed test plan and test cases.
• Defined the test criteria, project schedules and base lined the Test Plan with the help of project meetings and walkthroughs.
• Helping development team in defining the scope for Unit testing. Although Unit testing is not in the scope of QA efforts but QA team helped delivery team in putting a process in place for Unit testing activities.
• Backend testing of the DB by writing PL/SQL queries to test the integrity of the application.
• Involved in testing various New Policies, Amendments, Renewals, and Cancellations etc.
• Involved in end to end testing from Quick Quote to the policy activation in both frond end application and in the mainframe.
• Involved in testing HIPAA EDI Transactions (837I/P/D, 270/271, 276/277, 835,834, 820) for 4010
• Used the SOAP UI to perform automated testing.
• Used Visual Studio Team Foundation Server (TFS) 2008 and 2010 later used to Microsoft Test Manager(MTM) for Defect Tracking and Documentation
• Understood and articulated business requirements from user interviews to translate requirements into functional and technical specifications.
• Managed Acquisition projects by coordinating and tracking issues via weekly deal status reports for the team.
• Capture test results in TFS.
• Performed the data driven testing using the SOAP UI tool.
• Creating defect tasks in VersionOne, and integrating it with JIRA .
• Testing (that includes unit, integrated, regression, and UAT) a new .NET application which uses Microsoft Visual Studio under the Scrum (Agile) Methodology Worked with users, systems analysts, designers and programmers to create/analyze various required project/test documents.
• Tested HIPAA Gateway Application Interface for all inbound and outbound messages (Healthcare Eligibility 270 and 271, Healthcare Claim Status request 276 and 277, Healthcare Claim 837 and 835)
• Assisted JAD sessions to identify the business flows and determine whether any current or proposed systems are impacted by the EDI X12 Transaction, Code set and Identifier aspects of HIPAA.
• Ensure consistent and effective communication among all parties.
• Tested the Members, Claims, Providers and Services in Facets.
• Involved in various HIPAA and HL7 testing and validation for EDI transactions using 820, 834, 835, 837, 270/271, 267/277, 278.
• Developed automated test scripts to test ASP.NET web pages server controls, user controls and custom controls.
• Performed the retesting by scheduling the QTP scripts on timely manner using windows scheduled tasks.
• Developed VBScripts for the automation by using Quick Test Pro(QTP).
• Performed the functional and regression testing using QTP/UFT.
• Very good experience in creating the 837 I and 837 P claims and verify the all the data elements are mapped correctly on the 835.
• Followed HIPAA Standards ( ), EDI and Compliance issues, Medicare, Medicaid, ICD 9, ICD 10
• Testing on EDI scenarios (EDI 270/271, EDI 275/276, EDI 834/837)
• Research in design methods to create scenarios for adequate test coverage.
• Performed database validation in the Mainframe to ensure the data entered through the front end reached the database.
• Tested and verified coverage/s including Rental Reimbursement, Towing, Medical limits, Medical coverage premiums, bodily injuries etc.
• Tested the various coverage premiums such as Liability only, Comprehensive and Collision, Comprehensive only, Collision only etc. and verified the calculations based on the premium.
• Worked on documenting Master QA Strategy (a new template per ESDM guidelines). Defining the QA tasks for Java and data intensive projects. Customizing the scope of various QA activities based on nature of projects.
• Defined Functional Test Cases, documented, executed test script in Facets system.
• Extensively involved in the automation of Regression Test Cases by scripting.
• Worked on ‘Segmentation Rule Analysis’ document, which will be made as a QA artifact and will be used as a KS tool (Knowledge Session) tool for any new team member.
• Actively involved in Source Driven Testing, Target Driven Testing, Business Cycle Testing, Business Scenario Testing and Data Integration Testing.
• Worked on different database like Oracle to check the data consistency.
• Involved in the Production Validation for each Release Project and also took part in post- production support.
• Executed the test cases manually and reported the defects using Rational Quality Manager.
• Involved in Mobile Testing of BBCBSFL mobile app on android, iOS platforms.
• Involved in testing the Customer Engagement platform project on SAP hybris e-commerce platform.
• Worked with the hybris e-commerce vendor team to implement the changes and resolving any issues.
• Hand on experience on different SQL tools like Query Man was used to test the complex queries.

Environment: J2EE, Java Web logic Server, SAP hybris e-commerce, UNIX, VersionOne, Web Services Clear Quest, Oracle 8i, XML, HTML, DHTML, PL SQL, Windows NT,.net, Mainframes, SOAP UI,QTP, Mercury Tools (Win Runner 7.0, Quick Test, Test Director 7.0/7.5, LoadRunner 6.5/7.0, Quick Test Pro 6.5, Quality Center 9.0), NT/00, XML

Confidential, Saint Louis, MO

QA Analyst III

Responsibilities:

• Attended walkthrough meeting with QA team, Business Analyst, Project manager, and Business manager.
• Attend daily scrum meetings with development team to discuss software issues found in nightly build.
• Worked in agile environment project for Team Real Time.
• Facilitated and collaborated in the execution of the information technology audit process including definition of audit scope, control evaluation, validation of test activities, audit reporting and risk assessment for assigned audit goals.
• Reviewed and clarified the validity of transactions, artifacts, records, reports, and audit method utilized during the audit process to determine adherence to policies and procedures, IIA's standards, and regulatory compliance (HIPAA).
• Used Team Foundation Server (TFS) and MTM for defect tracking and maintaining test cases.
• Involved in testing HIPAA EDI Transactions (837I/P/D, 270/271, 276/277, 835,834, 820) for 4010
• Aided the audit team for work assignments and developed appropriate audit steps to complete audits.
• Contributed for improvements and refinement of QA practices by conducting awareness sessions, audits and judicious process enhancement.
• Used Team Foundation Server (TFS) as Bug Tracking tool
• Used SOAPUI to perform the test automation.
• Executed test cases to test the ASP.NET Web Pages including various controls like server controls, user controls and custom controls
• Performed regression test using Test Complete.
• Generated and executed VB scripts using Test Complete.
• Performed the functional and data driven testing using SOAPUI.
• Set up a check-list for the individuals for Medicare Benefits that would help them verify their eligibility.
• Verified the individuals that are eligible for Medicare program.
• Formulated and documented test plan, including test cases and schedules in Test Director by reviewing Business Requirement Document and Use Cases
• Created manual test cases using HP QC, automated Test cases using HP QTP and executing and analyzing the test results as a part of the Test Director.
• Included various verification points in the GUI scripts like Window existence, Menu, Object, File existence to compare the recording with the playback of the scripts.
• Executed test cases and analysed test results and found bugs and reported bugs to VersionOne and keep track of bugs.
• Executed the test cases manually and reported the defects using Quality Center.
• Developed positive and negative scenarios for GUI testing/Validation.
• Logged defects with detail information such as attach screenshot and related documents and traced them through the whole Bug Lifecycle.
• Documented defects and the trailing history in Clear Quest and helped developers identify the modules and code sections to be fixed by executing the related scenarios with different combinations of data.
• Participated in User Acceptance Testing (UAT) of the application with the prospective users.

Environment: Facets, Test Complete, ASP.NET, VBScript, C#, SQL SERVER 2000, IIS, XML, Mainframes TSO, JCL, DB2, l, CICS, SOAPUI,UNIX, Agile, VersionOne, Team Foundation Server (TFS).

Confidential, Hartford, CT

EDI QA Tester

Responsibilities:

• Managed requirements using Requirements tab in Quality center.
• Analyzed the business requirements and wrote a Test Strategy and Test Plan.
• Executed test cases, recorded results and reported defects in Jira and Version One.
• We have followed Rational Unified Process (RUP) throughout the Process of application.
• Analyzed Functional specifications and requirement documents and identified gaps.
• Created test Cases as per the business requirements and executed them.
• Developed Test Plans, Test Cases in Test Plan tab in Quality Center.
• Involved in writing and implementation of the various test cases and test scripts.
• Involved in Manual testing and automation testing using Mercury Suite.
• Tested application performance with a tools like SOAPUI
• Involved in Grey Box/Black Box Testing.
• Involved in Integration, System, functional, GUI, Regression and User acceptance Testing.
• Tested the data conversion from Legacy systems to Facets.
• Tested the add/update/delete of members, providers, groups, facilities and hospitals in Facets.
• Validated the HIPPA/EDI transactions.
• Validated XML files as per requirements and XML XSD’s.
• Tested the claims processing and Adjudication (EDI 837I, 837P, 837D & EDI 835).
• Interacted with developers, Business & Management Teams and End Users.
• Interacted with programmers to identify and resolve technical issues.
• Participated in Walkthrough and defect report meetings periodically.
• Developed SQL queries to extract data from the source tables.
• Extensively worked on Defects tab in Test Director for bug reporting/tracking.
• Involved in bug review meetings.
• Experience in Test Summary reports and Traceability Matrix.

Environment: Facets, ASP.NET, VB.NET, C#, SQL SERVER 2000, IIS, XML, Mainframes TSO, JCL, DB2, Cobol, CICS,MQ Series, Facets, Lotus Notes, SOAPUI,UNIX, Windows 2000, Mercury Quick Test Pro*, Quality Center.

Confidential, North Richland Hills, TX

QA Analyst

Responsibilities:

• Designed and development of test cases based on functional requirements for Institutional and Professional claims for EDI and HIPAA Transactions 837/835, 834, 276/277, 270/271 testing.
• Discussed with SMEs across different business units to gain solid knowledge of the existing Derivatives Exchange Systems and assisted in preparing an advanced Derivatives Valuation and Risk Management.
• Assisted in GAP Analysis; identified and documented improving area to meet the end state requirements.
• Designed and developed Use Cases through visually modeled UML diagrams to both management and development teams to ensure uniform understanding of the business scope, and detailed business and functional requirements.
• Experience in EDI automated first-pass claim adjudication, requiring thorough understanding of claim processing, both front and backend operations.
• Developed HIPAA EDI Transmissions. Work includes complete business cycle management and hands-on production as well. Create EDI Testing process, documentation, and performance matrices.
• Technical Specification Creation for EDI. Schedule meetings with technical personnel to determine technical parameters for EDI and other related processes, including communication, security, and privacy.
• Collaborated with the development team to enforce the implementation of requirements throughout the entire coding cycle and managed change request using Rational Clear Quest.
• Developed test plans with QA team and helped to develop test scenarios for system testing, integration testing and performance testing.
• Implemented HIPAA 4010 and 5010 / ICD 10, version for all EDI transactions.
• Interpreted and calculated the option issues like Option Premium, Strike Price, and Option Intrinsic Value for America/Euro Options in the user manual.
• Conducted Functional Testing, Joint Functional Testing and UAT, documented and reported user feedbacks to management team.
• Used Quality Center/Test Director for requirement management, test planning, scheduling, executing test cases, managing and tracking defects.
• Utilized corporation developed Agile SDLC methodology. Used Scrum Work Pro and Microsoft Office software to perform required job functions.
• Automation of test scripts was done using QTP for test re-usability of different online transaction modules.
• Performed Defect Tracking and Change Control Procedures using Rational Clear Quest and Configuration Management and Version Control using Rational Clear Case.
• Responsible for the User Interface, including screen presentation and reports.
• Involved in Regression testing of each build during the various phases of the application using QTP.
• Coding of QTP automation scripts was done by using VB Script.
• Involved in developing automated test scripts using HP Quick Test Professional and Smart bear’s Test Complete.
• Performed sub-system integration test, system test, functionality test (positive and negative), and re-test and regression test.
• Assisted JAD sessions to identify the business flows and determine whether any current or proposed systems are impacted by the EDI X12 Transaction, Code set and Identifier aspects of HIPAA.
• Involved in the full HIPAA compliance lifecycle from GAP analysis, mapping, implementation, and testing for processing of Medicaid Claims.
• Worked on EDI transactions: 270, 271, 834, 835, and 837 (P.I.D) to identify key data set elements for designated record set. Interacted with Claims, Payments and Enrollment hence analyzing and documenting related business processes.

Environment: Load Runner, Test Complete, ASP.NET, Java, Oracle, XMLSPY, TOAD, Windows NT /2000, SQL Server 2005, Microsoft Word, Project, Excel, PowerPoint, MS-Visio, GIS Tools, MS Project