SUMMARY

• Over 5 years of experience as a Quality Assurance Analyst with extensive knowledge and experience across the project life cycle in Systems Development Life Cycle SDLC in the fields of Insurance, HealthCare and Pharmaceuticals.
• Implemented and experienced in various QA methodologies.
• Experienced in developing Test Plans, Test Cases and Test Script.
• Experienced in every phase of Software Testing Life Cycle STLC and Software Development Life Cycle SDLC .
• Performed planning and development of Test Plans, Test Cases and Test Scenario to meet product's business requirements.
• Proficient in Defect Reporting and Tracking throughout the entire Defect Life Cycle.
• Expertise in Testing of Client/Server and Web based applications.
• Proficient in Functional Testing, System Testing, Configuration Testing, Regression and End to End Testing.
• Skilled in bug reporting and tracking using Mercury Quality Center/ Test Director.
• Experience in developing, trouble shooting and customizing automation test scripts using Quick Test Professional QTP /HP UFT for Functional and Regression Testing.
• Extensive experience in Backend Testing on distributed databases using SQL queries.
• Wrote SQL Statements to extract Data from Tables to verify the output Data of the reports.
• Solid understanding of Membership, Claims Processing, Benefit/Eligibility, COB, Authorization/Referrals, and have experience in HIPAA standards and corresponding EDI transactions.
• Knowledge of Medicaid and Medicare Services.
• Followed Workgroup for Electronic Data Interchange standards for testing that need to comply with the HIPAA guidelines.
• Tested the HIPAA EDI transactions 834 X12 , 837/835, 276/277, 270/271 according to the requirement test scenarios.
• Conducted User Acceptance Testing UAT .
• Optimum use of documentation to avoid any form of miscommunication or misinterpretation during the entire software development process.
• Excellent communication and organizational skills with the ability to adapt to a new environment.
• Experience in facilitating meetings with clients to discuss and sign-off on the document.
• Motivated self-starter with exceptional team building, leadership, and interpersonal skills. Good team player with the ability to work in time sensitive environments.

TECHNICAL SKILLS

• Methodologies: SCRUM, RUP, Agile, Waterfall
• Platforms Windows 98/XP/2000, UNIX/LINUX
• Testing tools: QTP, Test Director, Quality Center, JIRA, Selenium, Rational Test Suite, SOAPUI, MS Visual Studio
• Languages: SQL, PL/SQL, JAVA, VBScript, JavaScript
• MS Tools: MS Word, MS Excel, MS Power Point, MS Outlook, SharePoint
• Database: MS SQL Server, MS Access, Oracle, DB2
• Web Technologies: HTML, XML, .NET, J2EE, SOAP

EXPERIENCE

Confidential

QA Analyst

MVP HealthCare is a leading insurance organization that caters to the health insurance needs of the residents in NY. Worked on all HIPAA transactions. FACETS have been widely used across their network for the claim adjudication, claim processing and Provider Management. The National Provider Identifier Project's objective is to comply with the mandate that effective with the federal compliance date, all Providers who conduct electronic business via HIPAA Transactions with Mercy Health will be required to obtain and use an NPI. I was also involved in integration of FACETS with legacy and thirty party vendor applications.

Responsibilities:

• Participated in setting up testing environment.
• Reviewed Business requirement Documents and Functional Requirements.
• Involved in preparing Test Cases based on business requirements.
• Extensively worked all Regions Inbound and Outbound Interfaces.
• Tested HIPAA EDI Transactions and Code Sets Standards such as 837/835, 270/271, 276/277 transactions.
• Work closely with EDI to ensure accuracy in data transmissions and shared processes.
• Conducted Value Analysis, Regression Analysis, and Risk Management.
• Tested 837/ 835, 270/271, 276/277 transactions.
• Authored and executed Test cases for Claims and Customer Service Workflow by manually.
• Entering Claims and Customer Service Tasks into the FACETS.
• Performed GUI/ Usability Testing manually.
• Responsible for writing the Test Cases and Test Scenarios based on the Functional Specification and technical Specification and documented in HP Quality Center.
• Responsible for Back-End Testing Using SQL Commands using TOAD.
• Developed SQL queries, functions, stored procedures and triggers to perform the backend testing of the data
• Queried the DB2 database in Mainframes for the Proper validating the claims into the Database.
• Completed Data Mapping for Group and detail Product analysis and report writing
• Logged the errors, reported defects, determined repair priorities and tracked the defects until resolution using HP Quality Center.
• Extensively used SQL statements to query the Oracle Database for Data Validation and Data Integrity.
• Extensive knowledge of Test Matrix, Traceability Matrix.
• Quality Center was used to create the test plan, store test cases and test sets.
• Provides feedback concerning completeness and accuracy of AUT.
• Worked on uploading all the Test cases to the Quality Center for the current and prior releases.
• Used Quality Center to analyze, track and report defects.
• Responsible for performing System and integration testing for release.

Environment: Windows, Facets, Oracle, SQL, Mercury Quality Center, MS Office, MS-Visio, SOAP UI

Confidential

QA Analyst

Responsibilities:

• Reviewed Business Requirements, Functional and Technical specifications with business analyst and QA manager to learn the functionality and process.
• Involved in preparing Test Plan and defined the testing approach, resources and time lines.
• Worked with other team members and conducted the weekly status meeting to make sure the all team members are on the same page.
• Keep motivated the other team member and resources to get the job done on time.
• Wrote Test Cases in Excel based on Technical and Functional Specifications and upload them in HP Quality Center.
• Maintained Requirement Traceability Matrix RTM to make sure that test plans were written for all the requirements.
• Performed data validation according to data mapping document with data conversion logics from source system and target system.
• Involved in GUI, Regression, Database, Compatibility and Configuration Testing.
• Extensively user SQL queries and procedures for data validation in both source system and target system.
• Provide training in using the system, using reports, executing queries and writing in SQL.
• Created and managed data base trigger and subprogram using SQL.
• Created and maintained SQL queries for back-end testing.
• Executed test cases found errors, reported defects, coordinate with developers and business analyst, determined repair priorities.
• Perform regression testing after the defect is resolved and closed defect in HP Quality Center.
• Generated test execution reports, get sign off and uploaded validation documents in share point web site for review.
• Performed User Acceptance Testing UAT .
• Involved in performing data validation in NASCO production region.

Environment: FACETS, Oracle 10g, SQL, Mercury Quality Center, MS Office, Jira

Confidential

QA Analyst

• FACETS is part of TriZetto's suite of enterprise administration systems. It supports medical and dental claims processing and offers comprehensive consumer-directed health capabilities with advanced HSA/HRA functionality FACETS is a comprehensive healthcare management and administration suite of software designed exclusively for payers. FACETS manages all relationships between the payer organization and its members and providers.
• I worked as a QA Analyst in FACETS implementation project. I was involved in implementing HIPAA EDI transactions in the application especially 835/ 837. Involved in Claims Adjudication, Claims Payment, Coordination of Benefits COB , dental implementation, membership and UAT.

Responsibilities:

• Worked with Business analyst and QA manager in gathering technical and functional specification documents for reviews to understand the functionality.
• Prepared test plan and determined testing approach and time slots for task completion.
• Coordinate with other test team, define the functionalities to be tested and assigned the tasks to other team members.
• Wrote Test Cases and design test steps according to the requirements specifications in Excel.
• Conducted walk through with Business analysts and business owners get the test case sign off.
• Maintained Requirement Traceability Matrix RTM to make sure that test plans were written for all the requirements.
• Exported test cases into Quality Center.
• Worked in testing the Professional, Institutional Claims processing and adjudication and validate data with FACETS.
• Tested EDI transactions 270/271, 837, 835, 834 X12 according to the test scenarios.
• Worked on Claims Processing and Claims Accumulation and Adjudication in FACETS.
• Executed the test cases in Quality Center.
• Found the defects logged into Quality Center, coordinate with developers did regression testing after the defect is fixed.

• Inserted Check Points to check for the broken links, Text and standard properties of an object using QTP.
• Performed Synchronization using QTP.
• Tested Applications using QTP with different sets of data.
• Created page checkpoints to test the properties and contents of the web page using QTP.
• Used QTP to perform Regression Testing.

• Used Recovery Scenario Manager in QTP to handle exceptions.
• Checked the data flow through the front end to backend and used SQL queries, to extract the data from the database.
• Get sign off after completion all the test scenarios have been tested successfully.
• Worked with Business Analyst in UAT Testing and involved in testing in Production region.
• Worked on different FACETS environments.
• Tested EDI applications to process Health Care transactions as per the HIPAA implementation.
• Extensively involved in Database testing by writing SQL queries.
• Used SQL Navigator for writing and executing queries.

Environment: FACETS, QTP, Windows, PL/SQL, UML, MS Office, Mercury Quality Center

Confidential

QA Analyst

Unicare uses FACETS, a fully integrated, intelligent data processing and management information system for managed healthcare. I was involved in an application where user can find the status of the member at any instance. This would help health insurance with its Membership and Claims Management Information Tracking System, Finance and Utilization management System modules, which integrate directly with FACETS. Member Status Rewrite system has system components like Activate pending member, close pending member Terminate active member, Reinstate Closed Member, Reinstate Termed member.

Responsibilities:

• Reviewed Business Requirement Documents and Functional Requirements Documents.
• Formulating detailed Test Plan using Rational Test Manager, after analyzing business rationale and software requirement artifacts.
• Responsible for administration of all the Rational Products.
• Interacted with the users to ensure meaningful development of the scripts and simulated real time business scenarios.
• Used Rational Robot for GUI tests and tested GUI Standards of this application.
• Performed the Back-End integration testing to ensure data consistency on front-end by writing and executing SQL statements on the Database
• Reviewed manual testing methods and developed and executed automated scripts using Rational Robot to perform regression testing.
• Involved in Configuration testing.
• Used Quality Center for version control, tracking defects, enhancement requests, assign work activities, and assess the real status of project throughout the life cycle.
• Maintained Requirement Traceability Matrix RTM to make sure that test plans were written for all the requirements.
• Identifying Test Cases to be run for Regression Testing and conducting Regression testing as and when new builds were made.
• Used IP Spoofing to simulate multiple users from different machines trying to access the website.
• Documented the test results and reported the status of assigned test tasks and issues to project manager.

• Involved in testing HIPAA Transactions Code Sets Standards like 820- Premium Payment for enrolled health plan members, 834 X12 - Enrollment /Dis-enrollment to a health plan, 835, 837 ...etc.

Environment: Rational, Facets, Quality Center, IBM Web Sphere Application Server, UNIX, Oracle 8i, MS SQL Server