PROFESSIONAL SUMMURY:

• Over 8 years of extensive experience in Software Development Life Cycle (SDLC) working as Business/System Analyst and Quality Assurance analyst in insurance, and Health care domains and State contract
• Experience with working in ‘ Agile scrum’ and Waterfall software development methodology
• Over 6 years’ experience in writing Test Strategy, Test Cases and conducting both manual and automation using selenium, Web base Apps testing and defect management processes
• Strong HIPAA EDI 4010 and 5010 and ICD - 9 and ICD-10 processes for member, payers, providers including Coordination of benefits, Copays, benefits and etc.
• Good knowledge in validating XML and X12 files and to extract data utilizing SQL (Oracle and DB2)
• Expertise in Claims, Subscriber/Member, Plan/Product, Provider, Commissions and Billing Modules of Facets.
• Excellent knowledge in Facets Output generation, Interface development and data Migration Projects.
• Possess disciplined, professional and strong analytical and problem solving skills.
• Able to work under pressure in a dynamic cross-functional and multi-cultural environment.
• Strong knowledge of SoapUI testing
• Excellent communication, presentation and interpersonal skills.

TECHNICAL SKILLS:

Testing Tools: RTC, RQM, JIRA, ALM/ HP QC, Load Runner, Toad for DB2, DBeaver, SoapUI

Databases: IBM DB2, SQL Server, Mainframes, Oracle and Microsoft Access

Documentation Tools: Lotus Note, MS Excel, MS Office, SharePoint, Requisite Pro

Languages: Visual Basic, HTML, XML, SQL, PL/SQL

PROFESSIONAL EXPERIENCE:

Senior Test Engineer

Confidential, Rensselaer, NY

Responsibilities:

• Develops Test Cases and Test Data and performs various tests including, system, Integration, Smoke, Regression and Sanity Testing on the HIX Market Place and State Exchange (NYSOH).
• Performs test execution in SIT, UAT and other environments including defect logging and tracking
• Works on Provider systems, Notices, MMIS, EDI, APTC, Plan Management, Eligibility, Program Determination, FPL validations, CMS / Federal Hub Testing).
• Writing SQL using joins for data validation from various data sources using DB2 LUW.
• Adheres to and advocates use of established quality methodology and escalates issues as appropriate.
• Participate in team Scrums, planning, retrospective, and design sessions to validate requirements, improve products/processes, and infuse testing needs.
• Analyzes, communicates, report and document test progress and results.
• Performs back-end data validation and interface interoperability verification
• Performed cross browser testing to ensure compatibility of the application on IE, Chrome and other browsers.

Test Analyst

Confidential, Raleigh, NC

Responsibilities:

• Identify, created, and developed ICD-10 test data, Test Plans, Test Scenarios and Test Scripts for Manual Testing requirements per applicant/vendor and payer(s)
• Identify scope systems that will be modified by the ICD-10 project to accommodate ICD-10 code and /or downstream/upstream impacts steaming from ICD-10 codes.
• Conduct meeting with the stakeholders and assess their accurate involvement with ICD-10.
• Develop and coordinate implementation timelines with Trading Partners including readiness assessment and coordinated testing.
• Tested systems across 3rd party payers and insurance providers.
• Create/manage test cases and test scripts for financial and clinical ICD-10 applications

QA Tester

Confidential, Jacksonville, FL

Responsibilities:

• Designed and prioritized test scenarios and test cases that will provide efficient coverage of requirements consistent with acceptable level of risk.
• Facilitated User Acceptance Testing by providing the necessary support to the business users
• Performed Functional, Regression, and system testing for claims processing, members and providers.
• Extensively used SQL statements to query the Oracle Database for test data.
• Attended review, defect and team meetings.

Quality Assurance Analyst

Confidential, Hartford, CT

Responsibilities:

• Worked closely with software engineers, internal and external customers to gather comprehensive testing criteria and plan requirements to ensure accuracy and timeliness of projects.
• Developed and maintained innovative Test cases based on Functional Requirements, Use Cases, user interface designs, system design documents and domain knowledge
• Worked on HIPAA Transactions and Code Sets Standards according to the test scenarios such as 270/271, 276/277,837/835 transactions.
• Maintained strong relationships with developers which helped in better execution of test plan.

Quality Assurance Analyst

Confidential, Durham, NC

Responsibilities:

• Developed Test Plans, Test Cases for the test
• Involved in Up-gradation of HIPAA X12 4010 transactions to HIPAA X12 5010.
• Involved in testing the claims conversion from Mainframe to Facets. Also involved in testing the EDI transactions 834, 837, 835. 270/271 & 276/277 conversion to Facets.
• Tested the interface between database and the application
• Participated in requirement walkthroughs and creation of test plan
• Worked on Unix Platform and experienced in back end testing by executing SQL Queries.
• Involved in writing extensive SQL Queries for back end testing oracle database.

Manual QA Tester

Confidential, Jacksonville, FL

Responsibilities:

• Performed evaluation of migration paths for legacy BASIC applications and data to a relational database/GUI client-server environment.
• Created Test Plans and Test Cases in Quality Center for the Functional, Integration, end-to-end, Usability, Security, and smoke testing.
• Developed and executed test cases and extensively participated to prepare test procedures.
• Performed functional, Regression, System, Compatibility, User Acceptance Testing, for verifying application functionality.