SUMMARY:

• Over 7 Years Professional experience as a 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.
• Familiar with HIPAA EDI transactions such as 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, LoadRunner and Rational Robot, SOAPUI.
• 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, 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.
• Expertise in using the testing tools such as Mercury Quality Center (QC) and Quick Test Pro (QTP)/HP UFT.
• 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.

TECHNICAL SKILLS:

• MTM
• TFS
• VSTS
• UFT
• Visual Studio
• ALM
• ETL
• Data Warehouse
• SQL
• BACKEND
• Cognos
• Informatica
• SQL
• BI
• BO
• Business objects Business Intelligence
• Microstrategy
• SOAP
• SOA
• API
• XML as400 Mainframe
• CICS
• LISA ITKO gherkin TDD BDD cucumber automation framework XML
• SOAP
• SOA teradata clarity ppm Rest API Shell scripting VB script coded UI FIDDLER RALLY UNIX LINUX JIRA Equity equities
• Options
• FOREX
• Mutual Funds
• Hedge Funds trading trade
• Swaps
• Swaptions
• Futures
• FRAs
• Escrows
• API
• Risk management wealth securities fixed income
• Commodities
• Mutual Fund loan
• LOS loan mortgage Origination
• FX
• FIX
• Derivative Capital Market Asset Risk ACH SWIFT AML Wire transfer salesforce Device Anywhere
• Perfecto Mobile iOS Android mobile testing native Blackberry simulator emulator handset iPad ATG
• Commerce
• POS
• ATM Credit Debit e-commerce mPOS
• OMS rder management system
• WMS warehouse management system cart Merchandizing PCI EMV PINPAD Supply Chain Logistics SEO PAS
• Underwriting Reinsurer Reinsurance
• Annuity annuities
• Casualty life insurance claims IRA PAS policy administration system retirement Guidewire 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 Manufacturing
• Retail
• Insurance
• Airlines
• Energy
• Utility
• Hospitality
• Agricultural

WORK EXPERIENCE:

Confidential, Camp Hill, PA

Sr QA Analyst

Roles and Responsibilities:

• Access Health CT, Connecticut's official online marketplace to help more people get insured, improve health care quality and increase transparency of health care coverage costs. Enrollment functions within State of Connecticut Health Insurance Exchange (CT HIX) solution include Pre-Application shopping and Post-Application shopping.
• Designing, Developing and reviewing the test cases based on functional requirements and business scenarios.
• Involved in System & Integration Testing at QA and Stage environments.
• Involved in the regression testing of CT-HIX application
• Documenting and tracking defects in JIRA
• Ensured the Build is acceptable for testing by verifying the associated documentation.
• Updated the Member Accounting module to keep track of co-pays and deductible when member(s) switch between plans for HIX Members.
• Strong knowledge on Provider systems, Notices, MMIS, EDI, APTC, Plan Management, Eligibility Program Determination, FPL validations, CMS / Federal Hub Testing.
• Provide support to end users while Manual execution of UAT with proper test scenarios & test data working in Agile environment.
• Gathered data and performed analysis on frontend and backend interfaces of HIX Web application/portal.
• Tested Mobile Devices for Application (IPhones, Android, and Blackberry).
• Analyzed Checklists from the Development team.
• Validated the online application's compatibility on mobile devices like iphone, ipad & other PDA's.
• Executed the scripts with various test data and reported the defects.
• Participate in Daily meeting with Business Team
• Identifying and recommending improvements to review processes to minimize business risk and maximize efficiency.
• Tested and analyzed the figures that QlikView produces in the UI by pointing it to a test database with known data that the figures produced in the UI are the expected results.
• Team member in warranty support & Responding to immediate production issues, and validating the fixes for deployment in production.
• Involved in identifying RCA for the defects.

Environment: Manual, SDLC, Agile, QlikView, SCRUM, JIRA, JAMA, DB2, Web Services API's, SoapUI, WSDL, Restful, XML, XPATH, HTML5, Unix, Linux.

Sr QA Analyst

Responsibilities:

• Developed test plan for the application and different tools associated with it.
• 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
• Involved in end-to-end testing of the Applications.
• Performed compatibility testing for Android and iOS mobile devices to ensure that functionality works fine.
• Supported iOS device operations on mobile operating systems.
• Perform functional testing on the application.
• Involved in Gap Analysis Testing, Smoke testing, Integration testing, Porting Testing, Localization Testing (Repository Testing), Branding Testing, Regression Testing.
• 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.
• Provide testing Status Reports.
• Formulated customized dimensional data reports using SSRS.
• Created checkpoints and synchronization points for functional testing using Quick Test Pro (QTP)/UFT.
• 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.
• 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.
• 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.
• 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, Word, Excel, PowerPoint, CMMI, Facets, SQL, SSRS, XML, VB Script, SOAP UI, EDI, QTP.

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 Test Manager 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.
• 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.
• 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.

QA Analyst III /Tester

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

EDI QA Tester

Responsibilities:

• Managed requirements using Requirements tab in Quality center.
• Analyzed the business requirements and wrote a Test Strategy and Test Plan.
• 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
• Experienced in 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.

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.
• Coding of QTP automation scripts was done by using VB Script.
• 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, ASP.NET, Java, Oracle, XMLSPY, TOAD, Windows NT /2000, SQL Server 2005, Microsoft Word, Project, Excel, PowerPoint, MS-Visio, GIS Tools, MS Project