SUMMARY:

• Solutions - oriented and innovative professional with over 7 years of experience in IT industry; poised to offer expertise spanning a range business and design best practices in as Sr. QA Analyst and Software Testing specific to Health Care Insurance, Excellent communication and problem solving skills
• Proficient in using test automation tools such as Selenium WebDriver/RC/IDE/Grid, QTP and Mercury Quality Center to develop automation testing scripts for web and client server applications.
• Expertise to design mock up for UI solution using Photoshop, HTML, DHTML and XHTML.
• Proficient in both Manual and Automated testing using HP interactive products like - HP Quick Test Professional (QTP), HP Load Runner, ALM/Quality Center (QC) and Test Director.
• Strong experience in using QTP Integrated Environment (Step Generator, Synchronization, Data Table, Actions, Recovery Scenarios and Methods etc.).
• Experience in white box test frameworks like Junit & Web services using SOAPUI.
• Extensively used Quality Center (QC)/ALM, Microsoft Team Foundation Server (TFS) to Test Cases, Test Execution and Defect tracking.
• Experience of Quick Test Professional features like Descriptive programming, Exception handling, Object Repository & Checkpoint.
• Worked on Data migration, FACETS version upgrades Reports Implementation, letters, Inbound/outbound Interfaces and FACETS Extensions. Implemented EDI transactions 837, 835, … 276/277 and 834.
• Familiarity with current industry standards such as HIPPA guidelines (4010 & 5010) and EDI Transaction. Extensive experience in EDI implementations (Real and Batch Processing).Excellent experience in EDI transaction like 270, 271, 276, 835, 837
• Extensive experience in Quality Assurance and Analysis with expertise on Black Box testing, Regression testing, Integration Testing, GUI Testing, Compatibility Testing, Front End Testing (Functional Testing & GUI Testing), Automation, and Gray Box Testing.
• Expertise in Functional, Regression, User Acceptance (UAT) and Black Box testing.
• Good knowledge on different modules within healthcare (Membership, billing, enrollment, claims).
• Experience with HIPAA compliance and Healthcare systems.
• Experience providing primary analysis for business processes running on the EDI (Electronic Data Interchange) standard.
• Experience handling HIPAA ANSI X12 … 834, 835, 837, ICD 9/10.
• Experience with health care Systems: FACETS, ITS (Interplan Teleprocessing Services), QNXT, Medicare Part D and Medicaid systems.
• Claims, Provider, Recipient, Procedure Drug and Diagnosis (PDD), Explanation of Benefits (EOB).

TECHNICAL SKILLS:

Automated Testing Tools: Selenium WebDriver/RC/IDE/Grid, Junit, TestNG, Jmeter, SoapUI, Cucumber, QTP, Win Runner, Load Runner, Microsoft team foundation server (MS TFS)

Test Management Tools: Test Director, ALM, Quality Centre Waterfall, Agile, RUP, Scrum

Scripting Languages: TSL, VBScript, Java Script.

Languages: C, C++, Java/J2EE, VB, HTML, XML and SQL

Build Tools: Ant, Maven

Continuous Integration tools: Hudson, Jenkins and Cruise Control

Browsers: Internet Explorer 6/7/8, Firefox, Google Chrome

Protocols: HTTP/HTTPS, FTP, TCP/IP.

WORK EXPERIENCE:

Confidential, NJ

Sr. QA

Responsibilities:

• Performed extensive UAT and regression testing of Medhok application.
• Used ALM/Quality Center to prepare Test cases, procedures, Requirements Traceability Matrix and managing the Defects as per the Business requirements.
• Developed and executed SQL queries for back-end testing in Sql Server 2012.
• Scheduled and run the Jobs on daily basis.
• Designed and developed automation test scripts using Quick test Professional and managed testing activities using Mercury ALM/Quality Center.
• Design and Implementation of the Automation framework, formulating the driver script and the requisites
• Designed Functions Library, Functions, Subroutine's, Common functions, Utilities functions, Regular Expressions and Environmental variables using UFT/QTP in VB scripts.
• Executed automated test scripts, analyzed the results and reported bugs in ALM/Quality Center.
• Managed multiple OLAP and ETL projects for various testing needs.
• Debugging the SQL-Statements and stored procedures for various business scenarios.
• Performed extensive Data Validation, Data Verification against Data Warehouse
• Loading Flat file Data into Teradata tables using Unix Shell scripts.
• As an ETL Tester responsible for the understanding the business requirements, ETL and subsequently design
• ETL testing strategy using SQL scripts.
• Tested several BO Reports for several business needs including Dashboards, Drill-Down, Master-Detailed,
• Modified and Executed automated and manual test scripts for different modules using UFT/QTP.
• Followed a Hybrid framework to adopt key word driven, data-driven and script modularity methods.
• Created repeatable user defined functions and stored them as function libraries (.vbs files)
• Required to use Descriptive Programming at certain situations to complete the scripts.
• Created Recovery Files using Recovery Scenario Manager, associated the recovery scenarios to tests to instruct UFT/QTP with specified trigger action on unexpected event/popup.
• Involved in maintaining and uploading the UFT/QTP Scripts to ALM/Quality Center.
• Performed System Testing, Functional Testing, Sanity Testing, Regression Testing and Usability Testing. Used manual and automated scripts for testing the Application.
• Coordinated with Project Managers, Business Analysts and System Analysts to set up the pre-validation and validation environment to execute the scripts.
• Handled the tasks of assisting senior SOA testers in developing test strategies and in gathering testing requirements
• Performed other essential job responsibilities under the guidance of senior SOA testers
• Tested critical bug fixes including critical fixes and coordinated with developers in release of bug fixes meeting tight timeline
• Testing the integrity of the prior authorization (PA) system use for Medicare Part D Coverage Determinations and Appeals.
• Testing utilization management requirements in the prior authorization system for all Medicare clients such as Aetna, Fidiles and Tufts.
• Thorough understanding of different components in the grievance work flow in Medhok application.
• Ensure the quality of prior authorization products for business users by testing cases and doing regression testing.
• Testing to make sure all information systems products and services meet minimum organization standards and end-user requirements.
• Validating the utilization management criteria, decision trees, drug lists, and letters that are loaded into Medhok application.
• Involved in testing the intakes and generating faxes for Medhok application.
• Participated in the walk through calls for observation every day with Managers and Leads.

Environment: Windows 7, Manual and Automation Testing, ALM, QTP, SQL server, Agile, Share point, Microsoft Office, Microsoft Word

Confidential, NJ

Sr. QA

Responsibilities:

• Writing Test Strategy, Test Cases (Huge test claims data with formulas on Excel and Exporting to QC), Data Setup, Testing (Adjudication of the claims, Regression Testing, Database Testing, Batch Testing)
• Presenting and Reviewing Test Cases with QA Managers, BA's, Developers and Development Leads before the new code is applied for testing.
• Coordinating with QA team, Developers and BA's to understand and work on quality test for a smooth release of projects.
• Providing inputs / suggestions when needed for the team.
• Worked with iOS, Android, WP7 and BlackBerry mobile platforms simultaneously.
• Worked with mobile app IOS and Android native application.
• Performed browser compatibility and configuration testing on various operating systems such as Blackberry OS, Android OS, and
• IOS etc.
• Worked with three mobile applications simultaneously: iOS (iPhone & iPad), Android and WP7
• Found many external defects that were in production for few years.
• Leading Automation team (Off shore and Onsite) for Creating, fixing, running and maintaining scripts for Regression Testing
• Created reference document that provides Objectives, Goals, Policies, Procedures and steps for the Automation team to follow the standards that helped keeping the team work without any conflicts.

Environment: QTP/UFT, HP ALM/Quality Center/ALM, Oracle 11g/10g, VB, Android, Mobile Devices for IOS, Blackberry, Perfecto Mobile ASP.net, C#, Windows 2007/XP/2000, Oracle Application Server 11g

Confidential, San Francisco CA

Sr. QA

Responsibilities:

• CMS - Medicare Part D (Med D) Projects
• Commercial (Non-Med D) Projects
• User specific Projects
• Involved in complete SDLC Process, Requirement gathering Phase, Design Phase and Testing Phase.
• Responsible for developing test plans, strategies, scenarios and execution of test cases
• Participated in writing Test Plan, Test Approach, and Test cases
• Involved in business reviews, design review along with company stake holders
• Manually tested some reports which was not falling under migration Process
• Involved in writing the queries in SPUFI based on business requirements
• Involved in taking the backup of the DB2 tables
• Executed JCL's to restore the data into the db2 tables
• Involved in defect tracking and root cause analysis

Environment: IBM Mainframe, DB2, SPUFI, SharePoint

Confidential, St. Louis, MO

Sr. QA Analyst/ Automated Testing

Responsibilities:

• Integration, System and User Acceptance Testing experience.
• Testing both inbound and outbound, and XML files converted by Biz Talk that were in EDI format and prepare analysis document with various results
• Involved in writing Test plans, Test cases and responsible for executing the Test Scripts.
• Responsible for designing, developing test plans use cases and executing test scripts.
• Performed Smoke, Integration, functional, Regression, and system testing.
• Interacted with Business users and Technical team in providing clear solutions to requirements.
• Participated in development of Functional test plans, test cases, test strategy and estimation of test duration.
• Designed and executed automated Test Suites using Selenium WebDriver and Junit framework.
• Developed inbound load and outbound extract programs, data sweeps, etc.
• Worked on Member Management, Eligibility, Claims, and Billing modules within QNXT.
• Tested the changes for the front end screens in QNXT related to following modules, test the QNXT batches (member load, Billing, Provider,
• Analyzed business requirements, system requirement specifications and responsible for documenting functional requirements in ALM
• Used Microsoft team foundation server (MS TFS) for defect management tracking purposes Logging defects,
• Worked on Web Services and Tested XML data for validity. As part of Web Testing used SoapUI for verifying Request-Response data.
• Inserted Check Points to Check for the broken Links, Text, and standard properties of an object using QTP.
• Used SQL Queries to find out test data and validation through DB2.
• Provided Efforts Estimate and coordinated the test schedule using Agile testing methodology in UAT phase.
• Compliance check of various transactions (270/271, 834, 835, and 837).
• Manual Test case preparation for EDI 837 I and P, 834 and 820 in Rational Test Manager
• Performed End to End testing on EDI 837 I and P, 834 transactions.
• Experienced in EDI, MMIS, Medicare, Medicaid, HIX, ICD, 270, 271, 834, 835, 837 payer Claim processing enroll Provider Billing X12 Edifecs HL7 Part D Pharmacy Health Insurance Exchange HL7 facets QNXT X12 HIPAA EDIFACT CTP claims test pro AMISYS PowerMHS COB
• Used FACETS Analytics for fast and easy retrieval, display and grouping of information for performing queries and generating reports.
• Configured FACETS.to adhere to customers work flow for claims processing, claims automation and group administration
• Worked on Value added routines in Facets and provider and subscriber modules.
• Ongoing membership maintenance load programs, input files being both Proprietary and HIPAA 834 file formats.
• Vendor outbound extract programs, files being in both Proprietary and HIPAA 834 formats.
• Worked with HIPAA Team for RIMS Companion Guide of X12 ANSI 270/271 and 276/277 Companion guides for Professional and Dental claims. Cross-functional team member in the implementation of the ANSI X12 involving 837 HIPAA compliance and 835 Remittance Advice.
• Used Parameterization to fetch data to test the application using QTP.
• Used Process log browser to view different types of log history files to figure out issues with 834 transactions.
• Performed Data driven testing using Selenium and Test NG functions which reads data from property and XML files.
• Analyzed 824 and BRR reports to find the issues with 837 I and P, 834, and 820 transactions.
• Tested the changes for the front-end screens in Trizetto FACETS, related to following modules, test the Trizetto FACETS (membership, Billing, Provider, etc).
• Interacted with Business Users, Developers, and Testers to resolve High Severity issues within TFS throughout Software Development Life Cycle (SDLC)
• Co-ordination of front-end changes in multiple development and testing environments.
• Reviewed Test Strategy and Test Plans to ensure that they reflect and include all functional, Performance, Usability and Security requirements.
• Execution of scripts and generated the defect reports using MS TFS for ADT
• Used MS SQL Manager Studio 2005 to query the MS SQL database.

Environment: CD10 EDI X12N 4010, FACETS MS SQL Server, Microsoft team foundation server (MS TFS),, Soap UI, Selenium, Quest, Rational Manual Tester, Rational Test Manager, Frameworks Agile QTP, Load Runner MS SQL Server Reporting, Service(SSRS), MS Share Point.

Confidential, St. Louis, MO

QA Analyst/ Automation Test Engineer

Responsibilities:

• Professional experience in various Testing suites, agile methodologies and monitoring tools for the above projects
• Developed Test Cases for Functional, Integration and Regression Testing.
• Write complex SQL queries in DB2
• Authored Test cases for HIPAA EDI Transactions 270/271, 276/277,278, 837/835
• Executed Test cases manually by composing 270, 276,837,278 EDI files and dropped inbound and check response 271,277,835 using interleaves and outbound
• Extensively used SOAPUI to test the Web Services
• Identified the bugs and kept track of the defect report using ALM ALM/Quality Center, and also analyzed the root cause for defects.
• Performed regression, integration and functional testing on the builds of the application.
• Conducted Backend test using SQL queries to verify the Integrity of the Database.
• Created and executed data driven test scripts in QTP.
• Follow up for fixes and verification, defect tracking and reporting using Team Foundation server (TFS)
• Used SQL Queries to retrieve the data from various Tables and to test the database.
• Tested modules developed using spring and Hibernate for transaction handling.
• Logged the defects using ALM/Quality Center and TFS and used Agile/Scrum methodology
• Written and maintain automated testing scripts using QTP.

Environment: ICD 10, EDI X12N 4010HP Mercury Quick Test Pro, ALM/Quality Center, FACETS, MS Outlook, Soap UI, Frameworks MS Java, Eclipse, JUnit, Selenium, (TFS) Agile, XP, UNIX, EPIC Web Driver, Java Script, Tomcat, Ant, SQL server, XML, Pivotal Tracker.

Confidential, Chicago, IL

QA Analyst

Responsibilities:

• Used Firebug/Fire Path Add-on tools to identify the Object's id, Name, XPath, link in the application.
• Checked all import/export and Data Transformation into the Staging, Production and Data Warehouse environments.
• Prepare test cases for ETL testing and execute them. After execution do reporting of defects.
• Prepared, distributed and tracks defect reports using defect tracking tool Pivotal Tracker.
• Run script as a batch file through ANT and generated testing report.
• Defect logging and tracking using TFS.
• Understood business requirements and program specification project deliverables to develop test validation matrix, test cases, test data in ALM and manually test the web application. Follow up for fixes and verification, defect tracking and reporting using Team Foundation server (TFS)
• Validated SOAP responses by using assertions like XPath match, schema compliance, contains, SOAP fault etc.
• Validated Request / Response WSDL/SOAP using SOAPUI.
• Developed automated scripts using QTP to perform functional and regression testing.

Environment:, VB Script Crystal, QTP, HTML, CSS, Web server-, MS Office Suite, SQL and Windows. HP-ALM, Unix. IBM Mainframe. Foundation Server (TFS), Share Point

Confidential, Gaithersburg, MD

QA Tester

Responsibilities:

• Project Description: CNSI is a vendor who provides web-based systems for Medicaid claims processing, HIPAA transaction support, Provider enrollment and Prior Authorization. WAMMIS project is a State of Washington's new generation web based MMIS Project.
• I've Involved in testing the Common components and Claims adjudication. MeCMS is the MMIS project of state of Maine. MeCMS is already in production and the recent addition to it is the enhanced functionality to Void and Adjust the already paid claims along with regular patch CCF's, Claims loading, adjudication, Member eligibility, Provider enrollment, Pricing, Paper RA generation etc.

Confidential, Charleston, WV

QA Analyst

Responsibilities:

• Analyzed the Business Requirement Document (BRD), Explaining requirement to team members and review Test Cases, Test Strategy created by Team Members and report to QA Manager.
• Worked on Integration of billing from multiple billing systems using Amdocs.
• Tested the companion guide of HIPPA 4010 with Quick Test Pro.
• Responsible for trouble-shooting and testing of ICD-9 coding logic sets.
• Involved in GUI configuration, Functional and Regression testing during various phases of development of the application using Quick Test Pro.
• Involved in testing HIPAA EDI Transactions and mainly focused Eligibility Transactions.
• Participated in the conversion of ICD9 to ICD10 using the mapping tool GEM.
• Authored Test cases for HIPAA EDI Transactions 270/271, 276/277,278, 837/835
• Performed testing and implementation of X12 HIPAA standards for 837.
• Utilized techniques such as Ramp Up, Ramp Down, Transaction Point in Load Runner
• Performed sanity, smoke, unit, integration and functional testing manually
• Recorded and enhanced User Scripts by inserting Transaction points, Rendezvous points into User Script in WAPT.
• Performed project customization, reporting and bug/defect tracking using Bugzilla.

Environment: ICD10EDI X12N 4010HP Mercury Quick Test Pro, QC, QTP ALM/Quality Center, SQL, Load Runner, Bugzilla, Oracle 10g, VB.Net, UNIX,