SUMMARY:

• Expert in Project Management, QA & Configuration | Health Care, Pharmacy, Insurance & Retail
• 14 Years of IT Experience
• Scrum Master facilitating Daily Scrum meetings, Sprint planning, Sprint Review & Spring Retrospective.
• Project Lead with full system development life cycle experience, including designing, developing and implementing test plans, test cases and test processes fueling swift corrective actions, significant cost savings and fault - free audits.
• Project Manager with 5+ years of hand on experience in leading Onshore/Offshore project model for multi-Vendor clients.
• Having 14 years of IT experience in Technologies Mainframes Development, QA Testing, Tapestry Provider Configuration, Release Management, Defect Management and Project Management.
• Scrum Master in facilitating Scrum Meetings & work with Product Owners on Artifacts.
• QA Manager for Health Domain Projects Outpatient Pharmacy, Rating Quoting & Underwriting Projects. Expertise in Project Management, Defect Management, Release Management, Status Report, Phase Containment Reports, CAR & Traceability matrix for client.
• Have exposure on Mainframe background in COBOL, JCL, DB2, VSAM software development. Expertise in Client Proprietary Tool Medical Record Number Request Tool (MRT) & HIPAA Standards. EPIC Proficiency Certified in Tapestry Core and AP Claims.
• Worked Tapestry Contract Config, Pended Claims, Triplet (SER/VEN/EAF) Build & Import Spec.
• QA Project Manager following Six Sigma Standards, Scrum and implementing quality assurance and compliance processes for IT Organization.

SKILLS SUMMARY:

• Test Planning & Execution
• COBOL
• ORACLE
• Test Data Management (PHI)
• IBM-DB2
• DB2 700 Certification
• Test Management
• KP.ORG/ IVR System for Pharmacy
• SQL
• Test Planning
• Epic Tapestry Provider Configuration
• Banking Domain Certification
• Time Management
• Epic Triplet Build and Configuration
• OBIEE
• Project Management
• EPIC Tapestry Pended Claims
• MIM Process Monitoring
• Risk & Issue Management
• EPIC Contract Configuration
• Health Insurance Domain
• KPHC ICD10
• EPIC KP Health Connect
• RETAIL
• Scrum Master
• Data Stage - ETL
• DB2 UDB in UNIX
• WaterFall /Agile Methodology
• UNIX
• Soap UI - HL7 Message

SOFTWARE AND TECHNICAL SKILLS:

Testing Tools: Quality Center, ALM, Quick Test Professional, Rational Suite, Rally, JIRA, Test Rail, Remedy. Soap UI/HL 7 Message Injection, ETL (Data Stage ) & OBIEE

Operating System: Windows 7/XP/Unix.

Utilities: MS Word, MS Excel, MS Power Point, MS Visio, MPP & Lotus Notes, Filezilla, Notepad+

Software quality Assurance: Test case design, executing and logging the defects using quality center, PHI Data management

Domain: Health care, Insurance, Pharmacy & Retail

Virtualization technologies: VMWare. Version Control Tool SharePoint.

WORK EXPERIENCE:

Confidential, CA

Project Manager

Responsibilities:

• Analyze project requirements and Testing for Supply Chain Merger Project like jewel Osco, Intermountain and SOCAL Conversion by collaborate with Product Owner and Scrum Team.
• Facilitate and Organize following meetings Daily Scrum Meetings, Sprint Planning Meetings, Sprint Review Meetings & Sprint Retrospective Meeting.
• Worked Extensively on Non Merger Order Management Project which helps to Store Date in a Single Oracle from EXPRESS Tables, COM Order File and EXE Invoice file for Phase 1, 2 and 3 using ETL Load Processing.
• Worked on E2E by working closely with Retail, M&M, Supply Chain and Accounting Team.
• Mentor Analysts/Senior Analysts on Hybrid Agile/Water Fall methods.
• Working with Product owner On Artifacts Such as Product Backlog, Spring Backlog, Sprint Burndown, Release Burndown.
• Working on Onshore/Offshore model on overlap hours and coordinating with client team.
• Guard the Scrum Team from external requests and disruptions & Coach Scrum Team.
• Configure, test and deliver the solution as per requirements, Effort Estimation and Schedule.
• Send weekly status report with progress on tasks, risks and issues to Leadership on a weekly basis.

Environment: Mainframe, SQL, QMF, Change Man, ALM, Data Stage, UNIX, ORACLE, OBIEE,Sharepoint & Rally.

Confidential, CA

Risk Issue - Project Manager

Responsibilities:

• Work closely with Joining KP Product Owner & Scrum Team for sprint achieving the sprint goal.
• Facilitate and Organize following meetings Daily Scrum Meetings, Sprint Planning Meetings, Sprint Review Meetings & Sprint Retrospective Meeting.
• Lead Teams across broad technical, financial and business disciplines. Focused teams on business objectives and tracked progress to ensure project milestones were completed on time.
• Mitigated Risk factors through careful analysis of financial and statistical data. Anticipated and managed change effectively in rapidly evolving global business environment.
• Defined Process and Tools best suited to each project. Moved between Agile and Waterfall approaches depending on project specifies and client goals.
• Lead Project planning, Status Reporting,Budget and Expense Control,Task Management,Risk and Issue Management, Meeting Facilitation and ensure team cohesion.
• Publicizing the team's progress and successes to make sure they are highly visible to product owner / stakeholders.
• Facilitated Team that made breakthrough improvements using processes, Quality methodologies and workflows to identify business process defects which eliminated non value added work results in productivity increase.

Environment: Sharepoint, Rally, Product Backlog, MPP & Agile method

Confidential, CA

Project Manager

Responsibilities:

• Effectively plan, schedule, estimate, coordinate, manage, and deliver business requirements on time while meeting high quality standards
• Participate in client meetings representing Confidential - to provide status of ongoing Contracts for Region.
• Worked on Non Con In/Out Area tracker to remove duplicates, investigate hidden records, identify Providers associated with one Vendor.
• Worked on running Automated Triplet Linkage Tool (ATLT) for SER-VEN Linkages for Non Contracted In Area Triplets.
• Build Import spec for SER-VEN, SER-EAF Linkage and New/Update Import Spec for SER/EAF.
• Creation of new SER/VEN/EAF.
• Triplet (SER/VEN/EAF) Configuration.
• Worked on resolution for Pended Claims.
• Mentored and coached Production Teams that decreased defective rate by 10%.
• Conducted internal EPIC Compliance audits and maintained standards
• Develop and maintain the project management plan and all related components plan.
• Defining scope of the project and identifying all the relevant activities required to produce the project deliverables.
• Estimate the time and resources to determine the duration of each activity.
• Estimating the cost of individual activity so that the project can be complete within the approved budget.
• Identifying quality requirements and/or standards and ensure project demonstrate compliance.
• Responsible for communicating relevant information to all relevant stakeholders.
• Collecting and distributing status reports, progress measurements and forecasts.
• Determine the human needs for the project and their required competencies.
• Identify project roles and responsibilities and create staffing management plan.
• Tracking team performance, providing feedback, resolving issues etc.
• Monitor and control changes to the project work, review of change requests, approving and managing changes to the deliverables.
• Identify risks and issues that may impact the project and plan risk response.
• Review the deliverables created by team before the same are delivered to the client

Environment: Epic Hyperspace Provider, Vendor, Place of Service Master FileImport & Export Utility, Share Point PHI Data Management & EPIC Compliance.

Confidential, CA

Test Manager

Responsibilities:-

• Work closely with the client partners and involve in manage Delivery
• Project planning, execution, monitoring and controlling OPPR test project.
• Tested E2E IVR SYSTEM for Kaiser Pharmacy implementation for 7 Regions and triaged defects with ESB and IVR Logs.
• Managed Test Data for All Region and team including Business/IT.
• Managed Testing ICD10 Diagnosis code in KPHC.
• Played Scrum Master For R4 Release for eScript/KP.ORG/IVR/ECIMS tracks.
• Prepare the detailed work plan for the assigned scope and provide functional knowledge and technical
• Understand business requirements for changes to the pharmacy application and implement test cases and test scenarios.
• Defect Management using QC
• KPHC/PIMS Processing for Region.
• Helped in triaging critical showstopper Defects for OPPR.
• Conducted internal Audits and maintained standards

Environment: KP.Org, IVR, WPP, ECIMS, EPIMS & PIMS Apps, SQL,QC,& HIPAA Standard & Soap UI.

Confidential, IN

Project Lead

Responsibilities:-

• SME for the Application & Responsible for Test Planning, Test Execution & tracking progress,
• Clarifications, Peer review, Risk Management, Metrics and Defect Management using HDF
• Represent testing team on various leadership forums
• Provide testing status and defect report to leadership
• Address or escalate testing issues to the program leadership.
• Submit SIT Estimation and get PV Authorization from ITPM using Health Domain Framework(HDF)
• Represent SIT team in the Discovery meeting and submit LOE's for SIT Phase for each Projects.
• Involve in Business calls to understand the BTRD and convert them into Test Cases & scenarios

Environment: Well Quote & BMS Apps, SQL, Rally & QC.

Confidential

Test Lead

Responsibilities:

• Design, build and implement a more efficient and accurate calculation of commissions for Brokers for selling products of Kaiser using Rating & Underwriting suite (RUW).
• Design, build and implement a more efficient and accurate Rating and Underwriting application using Rating & Underwriting suite (RUW).
• Enable the KP business to adjust rating formulas, and automate a level of standard Pricing workflow pro-cesses using the Rating & Underwriting suite (RUW)
• Integrate the application with Confidential (KP) legacy systems using Rating & Underwriting suite (RUW) to automate the quoting process, and track the quoting and re-quoting process with back- 5 end systems and IVR for Insurance Quotes.
• Implement a new organizational structure utilizing National Pricing System (NPS) Rating and Under Writ-ing Technology using the Healthcare Domain Framework (HDF).
• We are hired to Develop Testing frameworks for specific designs and applications, implement Quantita-tive Test Process Methodologies for NPS project.
• Preparing the NPS Defect Management & NPS Status Report for client on daily basis using Health Do-main Framework.
• Preparing the Traceability matrix & Phase Containment Reports.

Environment: NPS RUW App, QC, Remedy and SharePoint, Middleware Interface & IVR Testing

Confidential

Senior Software Engineer

Responsibilities:

• Project engineer in Confidential Agility-CICA supporting maintenance and enhancement work.
• Responsible for the Life/ health/Seniors modules.
• Providing Enhancements and production support to the applications in Life/ health/Seniors Module.
• Test the batch/on-line application module(s) to verify whether the changes meet the new business re-quirements.
• Testing CICS mappings manually and checking the validation of the Mapplets.
• Analyzed the data using QMF.
• SQLs are written using QMF to query the DB2 database on mainframe.
• Testing with Batch programs are compiled and executed using JCL.
• Prepared detailed Test Plan & Test Cases by understanding the business logic & requirements.

Environment: CICS, JCL, QC & COBOL, VSAM.

Confidential

Software Engineer

Responsibilities:

• Performing developments according to the business requirements. This includes analyzing requirements, understanding business process, writing program specifications, developing programs, developing test plans and testing cycle, evaluating test results and preparing documentation.
• Created traceability matrix between requirements and test cases
• Wrote Test scripts for Regression testing.
• Debugging the application in Xpeditor/TSO and made changes to the values according to Test Cases such as Test condition and Expected results.

Environment: REXX, COBOL,JCL