PROFESSIONAL SUMMARY:

• Over 8 years of Experience in the IT industry with emphasis on Quality Assurance with specialization in Health Care
• Experience of the full Software Development Life Cycle (SDLC) Methodologies and Validations to ensure the Quality Assurance Control
• Experienced in analysis of all phases of Quality Assurance Project life cycle
• Well versed with Pharmacy Benefits Claims processing
• Experienced in analyzing business requirements at different stages of software development life cycle (SDLC) models such as Agile, Scrum, Waterfall, and RUP.
• Development of Test plans, execution of Test cases and Test scenarios to meet the product’s business requirements, and Proficient in both Manual and Automated Testing Techniques.
• Tested software applications including Client - Server and Web based applications.
• Involved in developing and maintaining Requirement Traceability Matrix and Gap Analysis.
• Experience in Front-End Testing and Back-End Testing.
• Performed back-end testing manually on the Oracle database by writing SQL queries.
• Participated in designing Walkthroughs and verify QC Test Scripts and generated reports.
• Worked on different types of testing including Unit, System, Integration, End2End and Web services testing, performance testing, black box testing, functional testing and regression testing.
• Experienced in using Quality Center, Clear Quest and other bug reporting tools. 
• Knowledge about ICD-9 to ICD-10 with GEM, analysis & compliance experience from, payers, providers and with primary focus on Coordination of Benefits
• Tested the HIPAA EDI transactions sets 834, 837/835(P&I), 276/277, 270/271 according to the requirement test scenarios.
• Well Understanding of Service Oriented Architecture(SOA), Experienced in Claim processing, Claim Adjudication, EOB, and EOP
• Using FACETS for various health insurance areas such as enrollment, member, Products and other FACETS related modules, Logged and tracked defects.
• Strong communication skills, both verbal & written, with particular emphasis on the production of clear & detailed written Test Plans, Business Requirements, & Functional Specifications.

TECHNICAL SKILLS:

Business Methodology: Waterfall, Agile, RUP

Business Modeling Tools: Microsoft Visio, Rational Rose,

Project Management Software: MS Project

Testing tools: HP Quality Center, HP ALM, Rational Clear Quest, JIRA, Bugzilla, QTP, Load Runner

Database: MS Access, SQL-Server, Oracle

Other Tools: TOAD, Putty, Notepad ++, Editor ++, Rally v1

WORK EXPERINCE:

Confidential, Boston, Massachusetts

QA Analyst, Test Lead

Responsibilities:

• Elicited information from Business users to create requirements, application specifications, test plans and test scripts
• Performed integrated and functional tests
• Logged Defects in ALM software and Executed test cases before and after bug fixes for each build
• Led the daily testing activities for offshore test team, mentored the resources in creating test cases, exporting test cases from excel to ALM
• Performed Manual Testing prior to Automated Testing of the application.
• Tested the HIPAA EDI transactions sets 834, 837/835(P&I), 276/277, 270/271 according to the requirement test scenarios.
• Identified Test Cases to the run for Regression Testing and conducted Regression testing as and when the new builds were made.
• Prepared Test Cases and detailed test procedures using Excel for testing the application under test.
• Worked on Claims Test Runner tool developed by HealthEdge
• Created claims both professional and institutional for various service categories based on the Benefit Plan Components
• Created and executed test cases for the Product benefits, service categories and Benefit plan components
• Configuration testing is conducted using Health Rules Manager
• Experience with ALM, test management tool on various modules, test plan, test lab, defects module.
• Collected information from user stories stored in JIRA application software.

Environment: HealthRules Designer, HealthRules Manager, Claims Test Runner, Excel, Word, ALM, JIRA, MS SQL Server, MS Access

Confidential, Minnetonka, Minnesota

QA Analyst

Responsibilities:

• Involved in end-to-end testing of Health Rules Manager Application for Billing, Enrollment Claim, Processing and Subscriber/Member module.
• As a Quality Analyst I was responsible for testing Health Rules Application health plans for subscribers
• Logged Defect in Version one software and Executed test cases before and after bug fixes for each build
• Prepared Test Cases and detailed test procedures using Excel for testing the application under test.
• Good understanding of 5010X12.
• Responsible for attaining HIPAA EDI validation from Medicare, Medicaid and other payers of government carriers
• Experience with Claims and Benefits configuration set-up testing, Inbound/Outbound Interfaces and Extensions, Load and extraction programs involving HIPPA 837 and proprietary format files and Reports development
• Implementation of 5 key aspects of HIPAA - Transactions, Identifiers, Codes, Privacy and Security, Non-Compliance issues and penalties
• Perform HIPPA Validation of Clearing House application.
• Extensively involved in Back-End Testing, database table manipulations of relational database systems by writing complex SQL queries manually
• Maintained Requirements Traceability Matrix (RTM) to make sure that the test plans were written for all the requirements and conducted Gap analysis.
• Analyzed system requirements and developed detailed Test Plan for testing.
• Developed, executed and documented test plans and test cases.
• Performed Sanity and Smoke tests manually. Performed Positive Testing and Negative Testing Manually.
• Detected, reported and tracked defects till close.
• Created QA Analysis and Weekly status reports, including test results by dates, test script summary (coverage, pass, fail), Defect Status and Defect trending.

Environment: Health Rules Application, Oracle, SQL Server, AQT, UNIX, Soap UI, MS Visio, MS Outlook

Confidential, Franklin Lakes, NJ

Quality Analyst

Responsibilities:

• Performed all testing related activities related to pharmacy claims processing for new installations, worked with various Medicare, Medicaid, Commercial client implementations as well as few group rolls for existing clients and plan changes.
• Support the QA Test Manager in establishing the test strategy and quality expectations for a project, followed by managing the testing activities in alignment with those expectations
• Design, implement and execute test scenarios for the testing of new clients.
• Identify record and assist in the resolution of testing issues.
• Reporting the progress of testing to the Implementation team and senior management.  
• Nominate tests as candidates for automation and work with the automation team to ensure successful operation of an automated test suite
• Represent BVG & Testing in project status meetings which may include project team members, business members, external vendors, leadership teams and stakeholders
• Maintaining a cordial relationship with the upstream partners and managers to communicate the issues in setup and effectively communicating the issues in the setup based on the results. Communicating the various issues in setup by conducting meetings with different project teams and work towards resolution.
• Keep up to date of the latest emerging trends in the testing tools internally.
• Help coordinate project deliverables and resolve issues, identify dependencies and roadblocks and effectively communicating to the respective upstream partners to work with and make sure they correct the setup and further complete the testing.
• Provided mentoring and training to the peers along with helping the team to have the up to date test templates that needs to be used by the members of the team for various scenarios. Actively maintained the notes for future references in share points.
• In collaboration with the Test Manager, initiate ongoing quality improvement activities
• Coordinated with Implementation managers and client benefit analyst to identify the client intent in multiple categories of the benefits and further created the test scenarios.
• Environment: Mainframe, Rumba/Client profile, Client Benefit Manager(CBM), CRT /POS,TSG, Titan and Modular tools, MS access, RNM,SPS, MNM, FRS, DCRS, CBPS, Epicenter, MS Excel, CERT - CAT Environments, client website(ESD), share point

Confidential, PA

Sr. QA Tester

Responsibilities:

• Involved in Business Requirements Design and Test Scripts Meetings.
• Analyzed the Requirements Documents and identified the test scenarios and test cases.
• Created the Manual Test Cases, Test sets based on FSD and BRD
• Performed white box testing on the application while testing block of code output.
• Analyzed application to find out which part can be automated and which can be manually tested.
• Performed black box on application while making sure all functionality got implemented as written in functional specifications.
• Executed test scripts in Quality Center
• Experience in working in white box, black box and gray box testing
• Successfully implemented Mercury Quality Center for Test Planning, Test Case writing, Test Execution and Requirement mapping with Test Cases.
• Attended team meetings to gather requirements and give the update
• Prepared Requirements Traceability Matrix on various projects
• Developed test plan based on FSD and BRD
• Worked on multiple projects and coordinated with the management
• Defects are raised and tracked in Quality Center.
• Processed exim bills in AS/400 back office ERP
• Browser Testing IE 7.0/IE 8.0/IE 6.0 for the TradeXchange application

Environment: .Net, Java, J2EE,Quality Center 10.0, SQL Server, Windows XP, Windows 7, QTP 10.0

Confidential, Herndon, VA

Sr. QA Tester

Responsibilities:

• Reviewed the Requirements and Specification documents for all the concerned Functionalities
• Prepared system test plan by conducting requirements analysis.
• Worked with Product team and Business Analyst to define and design test scenarios and test data
• Extensively worked on the functionalities like Contract, Customer, Transactions, Billing, Schedule Events, Suspense, Claims, Funds, Relationships
• Responsible for Test planning and overseeing all QA activities in the project
• Extensively used Mercury Quality Center for converting requirements into tests, development of test cases, test execution and defect tracking
• Performed end-to-end testing of the functionality on the screens and web Pages in the application
• Reviewed existing test cases and adding additional, more complex test scenarios based on the application functionality
• Established connectivity between QTP and Quality Center for scheduling and execution of automated tests
• Developed and maintained automated QTP test scripts for regression testing purposes
• Executed appropriate automation test scripts whenever a Change Request was completed
• Implemented Data Driven testing in QTP by importing data from Database and external Excel files
• File manipulation and monitoring of user and host servers and processes using UNIX
• Developed UNIX Shell Scripts to assist in QA testing
• Monitored the test process by creating reports and graphs using Quality center.
• Sent the weekly status reports in XL sheet which covers number of hours spent by each member, expected hrs, actual hrs, etc. by using formulas for each team member in XL sheet to the Manager.
• Created charts in XL sheet for the reports
• Kept track of changes made to the requirements using Quality center.
• Tracked all the activities doing at both onsite and offshore and updating the same to the manager.
• Reviewed the Requirements and Specification documents.
• Helped the team members in completing their tasks in given time.
• Wrote/modified the Test Plan, Use Cases, Test Scripts, Test cases, Test conditions, and Test data based on the Enhancements in the Excel sheet.
• Generated the Test scenario, Test scripts, Test Conditions and Expected Results for Use Case
• Performing workflow tests at the integration level after new build is incorporated
• Participated in QA team meeting and bug tracking meetings.
• Extensively used Defect tracking tool Quality Center for posting the bugs, Validating and tracking them throughout its life cycle.
• Proactively interacted with Business Analysts and Developers regarding testing status and defect tracking.
• Reported and maintained application bugs and errors, verified fixed defects, and prioritized outstanding defects.
• Documented the test results and test procedures.

Environment: C#, ASP.NET, XML, VB.NET, ADO, SQL Server, VB 6.0, Toad, Oracle9i, Sybase 11, MS Access 2003, Windows NT/2000, Quality Center.