SUMMARY:

• Total fifteen years of IT experience in systems analysis, design, development and testing of Business applications in the Healthcare, Insurance and Finance domains.
• Over eight years IT experience in the projects related to data integration services and migration of EDI/DWH/ETL related projects.
• Over eight years of testing experience as a Manual and Automated Testing.
• Extensive experience carried out as QA Consultant/BA Consultant in creating test scenarios and executing Test cases for both web based and client - server applications from business and end user perspective.
• Experience in complete software development life cycle (SDLC) methodologies- Agile/Scrum, Waterfall and V-model.
• Worked extensively on legacy modernization, data integration, data migration, data design, data profiling, data modeling, data quality and data management.
• Experience in Requirements Elicitation, Requirements Analysis, GAP Analysis, data Analysis, Systems Analysis, business process reengineering and Root Cause Analysis (RCA).
• Experience in creating BSRD, FRD, Requirement Traceability Matrix, Use Cases, Test Cases, and Test Plans.
• Experience in integration testing, system testing, user acceptance testing (UAT), functional testing, black box testing, regression testing, GUI testing, performance testing.
• Adept at writing Source to Target mapping(STM) documents, data transformation rules, maintaining data dictionary, data migration documents and interface requirements documents.
• Experience in gathering reporting requirements from the business users for business intelligence, data warehouse application.
• Extensive experience in data analysis, ETL techniques for loading high volumes of data and smooth structural flow of the data.
• Experience in various aspects of project/program management/PMO, coordination among the offshore/onsite/client teams.
• Experience in the development of tasks according to Capability Maturity Model Integrated (CMMI) Maturity Level 3.
• Proficient in the application of EDI ANSI X12, EDIFACT, FACETS and HIPAA Standards.
• Experience in Health Edge products such as Health Rules Manager and Health Rules Designer.

TECHNICAL SKILLS:

Languages: COBOL, SQL, PL/SQL, VB, C++, C#, Java, JavaScript, HTML, XML

Databases: MS Access, Oracle 8i/9i, DB2, MS SQL Server, Teradata

Operating Systems: Windows, MVS/ESA,UNIX, Linux, Z/OS and AIX

OOAD and DESIGN: RSA (Rational Software Architect), Rational Rose, UML with Class, Sequence and Use case diagrams, Rational Requisite Pro, Visio and Enterprise Architect

Packages: Rational Rose, Requisite Pro, Clear Quest, I log J-Rules

BizTalk server, Tibco, IBM: WTX, IBM Sterling Gentran Integration Suite 3.1/4.1/4.2/4.3, ANSIX12,Gentran Server

Office tools: MS Office 2003/2007 (Word, Excel, Power Point, Outlook), MS Visio, Lotus Notes, Microsoft Share Point, and MS Project.

Testing Tools: QTP 8.0, UFT,Rational Functional Tester, Quality Center, Load Runner, Win Runner, Clear Quest, SOAPUI, Selenium WebDriver, Postman, Protractor and Bugzilla

Data warehousing(DWH)

Informatica Power Center, Informatica Power exchange, IDQ, Erwin, Evoke, Business Objects, Crystal Reports, Cognos, MSBI,BTEQ and Teradata Data Warehouse

Version Control: PVCS, SVN, CVS, Clear Case

PROFESSIONAL EXPERIENCE:

Confidential, Brooklyn, NY,

Quality Services Test Engineer (Integration)

Responsibilities:

• Currently working on the Capital Blue Cross( member portal and employer portal) and Providence broker portal projects.
• Analyze and understand the business requirements and develop detailed test plan.
• Create high level Test scenarios and Test Cases in JIRA and Confluence.
• Create the environment smoke testing process and support the automation.
• Create the test data and run the test cases and report the defects using the JIRA.
• Perform the API testing and load testing as required by the client.
• Participate in daily scrum calls, defect triage and product release meetings.
• Validate the components developed in Java, Angular, Django, Python and AWS
• Test the broker portal using the Selenium WebDriver, Postman
• Create new automation scripts for the Broker portal regression.

Environment: AWS(Amazon Web Services), Java Script, HTML, Python PEP(8) WCF, XSLT,J2EE,GIT, Angular JS framework, my SQL, SOAPUI, Selenium WebDriver, Postman, Protractor, JIRA and MS Office.

Confidential, Philadelphia, PA

Senior Quality Analyst (Lead) - Business SME

Responsibilities:

• Analyze Requirements and develop Business Testing Requirement Definition (BTRD).
• Create Test Cases in Quality Center Test Plan.
• Complete Test Execution and Report Defect Findings.
• Participate in scrum calls, Defect triage and product release meetings.
• Create subscription records, enroll and maintain members in HealthRules Manager
• Create enrollment data for EDI 834 validations such as add new member, term, reinstatements.
• Validate and review the EDI 834 feed to Health Rules Manager.
• Create the spec file and configuration files for testing the EDI web portal using the protractor.
• Also identified the various elements missing from the UFT automation to include in the web portal automation.
• Test the member web portal using the Web Services (SOAP) and REST services in SOUPUI Pro
• Create claims, searching for and editing claims in Health Rules Manager

Environment: BizTalk server, HealthRules Manager, HealthRules Designer, C#, WCF, XSLT,J2EE, .NET Framework 4.5, ASP.Net, DB2, Angular JS, SQL Server 2014,Business Objects, Crystal Reports, SOAPUI, Facets, Selenium WebDriver, Postman, Protractor, HP UFT and MS Office.

Confidential, Tampa, FL

Quality Analyst Lead

Responsibilities:

• Perform business requirements analysis, design documents for completeness and testability.
• Develop system integration test plans, test scenarios, test cases, test data and test scripts.
• Run the 834 enrollment cycle end to end and validate the data as per carrier standards.
• Perform the execution of QUA test cases, test scripts; captures test results, test metrics and reports.
• Co-ordination with multiple/cross functional platform teams of Service Link and Exchange Link
• Conduct integration testing of the functionality WTX EDI developed components.
• Good knowledge on web services tools Rest API and understanding of HTTP code responses.
• Involved in testing REST services using Rest Assured and tested both XML and JSON formats.
• Tested the member portal and service link web portal using the Web Services (SOAP) and REST services in SOUPUI Pro
• Tested the member portal in multiple browsers
• End to end system testing for connectivity with Carrier and retest SIT defects
• Smoke test Environment for the readiness in UAT region.
• Validate the data using the DB2 SQL for the various enrollment scenarios across SIT, QUA and UAT regions.
• Validate and test the claims feed from sample Enrollment database.

Environment: IBM WebSphere, IBM WebSphere Transaction Extender, PHP, CMS, JAVA, XML, ETL frameworks, EDI 834, IBM DB2, SOAPUI, WSDL, REST, HP Quality Center, Share point and MS Office

Confidential, Fort Washington, PA,

Senior Test Analyst (IT)/Quality Analyst

Responsibilities:

• Analyze Requirements and develop Business Testing Requirement Definition (BTRD).
• Create Test Cases in Quality Center Test Plan.
• Complete Test Execution and Report Defect Findings.
• Participate in Defect Meetings with Development team.
• Create claims, searching for and editing claims in HealthRules Manager
• Work with claims batches, adjusting claims financials.
• Validate and review the EDI 837 feed to HealthRules Manager.
• Create and execute SQL queries to fetch enrollment, claims data and compare expected results with those actually obtained.
• Worked on HealthRules Payor 5.3 regression testing.

Environment: BizTalk server, HealthRules Manager, HealthRules Designer, C#, WCF, XSLT,J2EE, .NET Framework 4.5, ASP.Net, DB2, Use cases, SQL Server 2012,SOAPUI, HP ALM 11.00, HP UFT and MS Office.

Confidential, Costa mesa, CA

Senior Quality Analyst -Lead

Responsibilities:

• Worked closely with the business leads, project managers and product manager to baseline the business requirements and identify the test requirements early in the project lifecycle and helped to identify the requirement gaps.
• Created Input/output mapping, business rule, and data load/ validation documents.
• Co-ordination with multiple/cross functional platform teams.
• Participate in defect triages with project manager, product manager, and development teams.
• Defect management - Raising defects In Clearquest, assigning to the concerned developer.
• Documenting the testing process and actual results in Quality tracker.
• Closely worked with scrum masters, product owners in identifying the user stories, EPICS and helped weekly product demo to the client.
• Test and observe defects, add or remove features, track bugs assigned to developers and keep up on their status Via Version One.

Environment: JAVA, ECLIPSE, DB2, CEARQUEST, Toad, Informatica, Pentaho, Kettle, SQL, MS Visio, User Stories, JIRA and Version One

Confidential

Senior Quality Analyst (IT)-Data Migrations

Responsibilities:

• Worked on the LA Medicaid and 5010 HIPAA 834 compliance project.
• Main responsibility is to test software functionality, compatibility, and system integration as per CMS mandates.
• Participated in user requirement gathering, product design, and testability of products.
• Created as-is, to-be process flows, RTM and Test Plans.
• Create Documentation to record all testing progress for overall testing results.
• Developed, maintained and executed manual and automated tests (system, integration, and regression).
• Performed the extensive testing on the 834 enrollment files for validity and business rules.
• Coordinated with business partners to gather test data necessary for test execution.

Environment: IDX,.NET,FACETS, SQL Server, Teradata, Informatica, Teradata SQL Assistant, See Beyond, CMS,Medicaid,ICD10, HIPAA,MS office, MS Project, MS Visio and Rational RequisitePro

Confidential, North Haven, CT

CIS Phase II - EDI Business System Analyst

Responsibilities:

• Created requirements document and data mapping for phase II for sources systems WMDS,ECC.TRIMED,CP
• Research and analyze the data gaps among source systems and provide resolution.
• Created and executed test plans, scenarios and peer reviews to test Mainframe and ETL Applications.
• Tested 837 Confidential process and validated the results against source system applications WMDS, ECC.TRIMED and CP.
• Created and executed SQL queries to fetch data and compare expected results with those actually obtained.
• Tracked, reviewed, analyzed, and compared defects using Quality center.
• Tested the Utilization and CASE Management modules of FACETS
• Created GAP ANALYSIS document for BI Reports migration
• Conducted internal knowledge sharing session in areas of domain

Environment: ACES, FACETS, Informatica Power Center Version 8.6.1, Teradata SQL Assistant, SAS,UNIX, Business Objects XI R3,EDI,ANSIX12,MS office, MS Project, MS Visio and RationalRequisitePro

Confidential, Naperville, IL

EDI BA Consultant/Lead

Responsibilities:

• Created GAP ANALYSIS document for EXTOL (old system) to GIS (new system) migration.
• Requirements analysis for the new system - Converted business process needs into technical requirement document.
• Created requirements document for phase1 migration.
• Developed process flow diagrams for as is and to be systems.
• Prepared test data and unit tested maps.
• Performed functional and Integration Testing of the applications.
• Tested the 837claims-professional/institutional. File level comparisons, claim level comparison.
• Tested the business logics on Claims Processing /reprising in PPO, Medicaid and Medicare.

Environment: Gentran Integration Suite 4.3, IBM I Series for AS/400, HIPAA, ANSIX12, EXTOL integrator, NASCO, Medicare, ICD 10,HSA, FSA,UNIX, JAVA, TOAD MS office, MS Project, MS Visio and ORACLE.

Confidential, Plainfield, IN

EDI Support - EDI QA Consultant

Responsibilities:

• Identifying all the stakeholders and their requirement needs.
• Worked with technical team for solution design documentation and s/w development.
• Tested the inbound and out bound mapping transactions(EDI ANSI X12 850,855,856,857,810)
• Performed SIT, UAT and Regression test cycles.
• Responsible for the successful production implementation and client sign offs.

Environment: Gentran Integration Suite 4.1, Gentran Server 5.2 for UNIX, ETL, JAVA, SQL Server, Oracle 10 g, Shell Scripting, SQL, TOAD and MS Office.

Confidential, Minneapolis, MN

QA lead/Project Lead

Responsibilities:

• Understand the requirement (PRD), develop the project test plan and guide the QA team throughout the test life cycle.
• Developed Requirements Traceability Matrix (RTM) to track requirements.
• Project review and status meeting with deployment teams and proactively look for risk signs.
• Executed d SIT, UAT and Regression test cycles.
• Manage Knowledge Transfer Process and induction plans.
• Offshore-onsite coordination.

Environment: JAVA, SOAP, JavaScript, Information security Access Management (ISAM), SSO (Single Sign On), WAS 5.1, IBM DB2, EPIC, Data warehouse, Lotus Notes, Quality Center and Microsoft Project.

Confidential

Confidential - EDI Analyst

Responsibilities:

• Requirements analysis - Converting business process needs into EDI requirements.
• Created cross-reference documents to aid in mapping phase.
• Configuring the EDI documents such as 270,271,274,276,277,834,835 and 837.
• Developed test plans, Unit testing, assisted in system and user acceptance testing.
• Tested the EDI transactions as per the implementation plan.
• 24x7 Production Support and onsite coordination.

Environment: Gentran Integration Suite 3.1/4.1, HIPAA, EDI ANSIX12, UNIX, Oracle, 8i, SQL, MS Visio, Use cases, Mainframe,cobol,db2 and MS Project

Confidential

Lead Quality Analyst

Responsibilities:

• Developed test cases after analyzing the specifications document
• Prepared test scripts using SQL queries.
• Understood requirements and job flows from the development team
• Created and executed SQL queries to fetch data and compare expected results with those actually obtained
• Tracked, reviewed, analyzed, and compared defects using Quality center.
• Offshore coordination with the client / users and offshore team.

Environment: IBM 3090, VS-COBOLII, JCL, VSAM, DB2, Informatica Power center, UML, Informatica Power exchange, Quality Center 7.0, Data Warehouse, SAP,PEOPLESOFT, ERWIN and MS Project.

Confidential, Jacksonville, FL

Project lead/Business Systems Analyst

Responsibilities:

• Worked on compliance project - APECS-Regulatory reporting to States.
• Also worked on Account Generation (AGEN) project which provides new accounts to entire bank customers.
• Project/work requests estimations and preparation of SOW.
• Performed Modification / Enhancement of COBOL programs and JCL’s.
• Production support and business continuity testing(Disaster Recovery testing)
• Participated in Process Improvement sessions.

Environment: APECS, JCL, COBOL, SAS, VSAM, ENDEVOR, BTEQ, Teradata and MS office.

Confidential, NJ

Programmer Analyst

Responsibilities:

• Analysis of the specifications provided by the client. Preparation of Detailed Design Documents.
• Coding, unit testing and system testing.
• Set up penny sweep, close and redemptions, change back to $500.00 set up.
• Managed the Defects from initiation through closure of the defects and Production support.

Environment: COBOL, JCL, VSAM, CICS, MQ series, NetX360, SAS and MS Office.

Confidential

Product Designer Workbench / Programmer Analyst

Responsibilities:

• Analysis of needs assessment document and creation of product requirement documents.
• Create process and data flow charts, functional specification for various health plans.
• Preparation of Detailed Design Documents.
• Testing - Unit testing & System testing. Review of the Deliverables.

Environment: Visual Basic, MS Access, IPMS, MS Visio and MS Office