Profile

• 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.
• 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 Modelling by using UML methodologies like use case diagrams, object diagrams, class diagrams, activity diagrams and sequence diagram.
• Has good knowledge of web technologies like Web Services, SOAP, XML, HTML, Style Sheets, ASP, JSP, ASP.NET, .NET, JavaScript, Perl, VB Script, VB, Java, C, C , and C .
• 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.
• Involved in entire QA Life Cycle SDLC , which includes Design, Development and Implementation of the entire QA process for the Relational Database, Web and Client/Server, IBM Mainframe Applications.
• 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 /Test Director and Quick Test Pro QTP .
• 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.
• Experience in developing QA test cases, test scenario and leading towards UAT and Beta Testing for ensuring the application's successfulness.

Work Experience

Confidential

QA Analyst

Mega Life Health Insurance Company provides different types of care plans such as PPO, HMO, indemnity, and hybrid plans to employers and, individuals. My primary roles on this project was working on conversion of ICD-9 CM and PCS codes to ICD-10 Clinical Modification and Procedure Coding System codes and conversion of all EDI HIPAA X12N-4010 transactions to HIPAA X12N-5010 version and prepare necessary supporting mapping/crosswalk documents as part of project deliverables

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 modelled UML diagrams to both management and development teams to ensure uniform understanding of the business scope, and detailed business and functional requirements
• Expertise in planning/executing Black Box Testing for both Client Server and IBM Mainframe applications.
• Experience in EDI automated first-pass claim adjudication, requiring thorough understanding of claim processing, both front and backend operations.
• Testing of Web Services using web services client generated using Apache Axis, SOAP UI, TCP Monitor to track request and response SOAP Messages
• Used SOAP UI, WebLogic ANT task to test Web Services running on WebLogic Server.
• 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.
• Responsible for Setting up Web Services project using WSDL in SOAPUI and provided setup help to other team members.
• Performed validations on the Mainframe using DB2, CICS, TSO, ISPF, File Aid etc.
• Developed test plans with QA team and helped to develop test scenarios for system testing, integration testing and performance testing.
• Interpreted and calculated the option issues like Option Premium, Strike Price, and Option Intrinsic Value for America/Euro Options in the user manual.
• Conducted Functional Testing, Joint Functional Testing and UAT, documented and reported user feedbacks to management team.
• Used Quality Center/Test Director for requirement management, test planning, scheduling, executing test cases, managing and tracking defects.
• Utilized corporation developed Agile SDLC methodology. Used ScrumWork Pro and Microsoft Office software to perform required job functions.
• Automation of test scripts was done using QTP for test re-usability of different online transaction modules.
• Performed Defect Tracking and Change Control Procedures using Rational Clear Quest and Configuration Management and Version Control using Rational Clear Case.
• Used Apache Axis utility to generate client for Web Services, executed Web Services using Eclipse Java IDE and SOAP UI.
• Responsible for the User Interface, including screen presentation and reports.
• Involved in Regression testing of each build during the various phases of the application using QTP.
• Coding of QTP automation scripts was done by using VB Script.
• Involved in end to end testing from Quick Quote to the policy activation in both frond end application and in the mainframe.
• Performed sub-system integration test, system test, functionality test positive and negative , and re-test and regression test.
• 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.
• 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, DB2, TOAD, Windows NT /2000, SQL Server 2005, Microsoft Word, Project, Excel, PowerPoint, Ms-Visio, GIS Tools, Cognos, BI, IBM Mainframe, Sybase, MS Project, SOAPUI 4.0, JSP 2, Restful and SOAP

Confidential

QA Analyst/Tester

Health Corporation of America provides healthcare in North America and their goal is to provide quality healthcare and improved human life.

As a QA Analyst/tester worked on the up-gradation of their database that has all the record of all the patients and customers Including merging of several different data marts and building a new database so that managers can see all the information all together and then managed the database. Including managing their claims processing system plus managing the government funding part to support Medicare and Medicaid through the internal software system within the company was also responsible for the successful implementation Medicaid Management Information System MMIS

Responsibilities:

• Validated the following: 837 Health Care Claims or Encounters , 835 Health Care Claims payment/ Remittance , 270/271 Eligibility request/Response , 834 Enrollment/Dis-enrollment to a health plan
• Designed and developed all use cases and UML models using Microsoft Visio
• Implemented the entire Rational Unified Process RUP methodology of application development with its various workflows, artefacts and activities
• Maintained and kept track of stakeholders requests for enhancements and changes using Rational Clear Quest
• Wrote Test Cases in Mercury Quality center that would test various Test scenarios.
• Used UML notations for Object Oriented Design and Documentation.
• Involved in SOAP and Restful web services using SOAP UI, axis client.
• Installed, configured SOAP UI to test web services using WSDL file given by Development team.
• Performed database validation in the Mainframe to ensure the data entered through the frond end reached the database.
• Interfaced with the development team utilizing ASP, JavaScript and Visual Basic and produced detailed user-interface prototypes and performed usability testing.
• Involved in User Interface Testing and Web Services Testing using SoapScope and MQ tools like IR360 for Multichannel Printing System including consumer document printing.
• Wrote Test plan and Test cases for the Integration testing and system testing.
• Did Integration Testing, GUI testing, Smoke and Sanity Testing, and Acceptance testing in the new builds for Basic Functionality Checking.
• Involved in batch processing of mainframe to update policies.
• Performed Web Services testing using Mind reef Soap Scope, Audit Viewer to view message logs and Appwatch MQ for Customer and Accounts related transaction projects
• Provide implementation assessment, strategy, and mentoring services for Rational Rose, UML and RUP.
• Analyzed and optimized the process, Prepared Business Requirement Document BRD and then converted the business requirements into Functional Requirements Specification and Technical Specification using Rational Requisite pro.
• HIPAA EDI transactions such as 835, 837 P, D, I 276, 277, 278.
• Performed manual and automated test procedures for functional testing of Web services using SoapUI 2.5.
• Rational ClearCase was used to manage all the changes and change requests in the projects. Worked with QA team with the aid of ClearQuest for the bug tracking and Mercury Test Director for Test Case Management.
• Establish documentation for Agile methodology for implementation with a very water-fall-centric development team.
• Designed and implemented SQL queries for QA testing
• Assisted the PM in setting realistic project expectations and in evaluating the impact of changes on the project, and conducted project related presentations
• Prepared user manual and performed user acceptance testing
• Played a key role in the planning and testing the system enhancements and conversions.

Environment: Load Runner, Toad, Windows NT /2000, SQL Server 2005, Sybase, MS Word, MS Excel, MS PowerPoint, Ms-Visio, XML, DB2, XMLSpy, Cognos BI, MS Project, IBM Mainframe , Primavera, PowerBuilder, Clear-Quest, Rational Test Manager, GIS Tools, SOAP UI 3.0

Confidential

QA Analyst/Business Analyst

The Health Insurance Portability and Accountability Act HIPAA require that all health insurance payers in the United States comply with the EDI standards for health care as established by the Secretary of Health and Human Services. The Addenda version of the ANSI ASC X12 834 transaction set was selected as the HIPAA-mandated format for electronic enrollment and disenrollment in a Health Plan.

Responsibilities:

• Worked for Version document with SME. Primary Liaison between Business User and Development Team.
• Conducted GUI and functionality testing using QTP.
• Conducted data driven testing using QTP to conduct backend testing.
• Deep understanding the Business Flow of Investment Banking, and extensively involved in Portfolio management and analysis, Mutual Funds, Securities trading
• Deep understanding of Structured System Development Methodologies
• Assisted Project Manager and User managers to conduct Market Research and Feasibility Studies, and to develop Scope/Vision Documents.
• Assisted Project Manager in development and documentation of Project Plan
• Closely worked with SMEs and Identified, researched, analyzed, and defined key issues of the Business flow.
• Responsible for attaining HIPAA EDI validation from Medicare, Medicaid and other payers of government carriers.
• Created use-case scenarios and storyboards in MS Word and MS PowerPoint for better visualization of the application and managed them using Rational Requisite Pro.
• Worked on Documentum for Version Controlling, to maintain up to date changes in the Documents.
• Verifying Healthcare Eligibility, Claim, Benefit and Service using ANSI ASI X12 Standards.
• Monitored the compliance mapping of transactions to the EDI transactions standards ANSI -X12.
• Performed White Box testing by using Expediter tool and updated some of the PROCs , JCLs and SAS programs in the Test region. Submitted batch JCLs in order to create output datasets for verification.
• Analyzed and Documented Business Requirement Document BRD , Functional Specification Documentation, and System Requirement Documentation, using UML methodologies
• Designed and developed Use Cases using UML and Business Process Modelling.
• Developed QA Test Plan, test conditions and test cases, as well as assisted with QA team in System Testing using Mercury Test Director
• Involved in creating reports for the end users using Crystal reports from the gathered requirements.
• Developed User Manual and Provided User Training.
• Conducted User Acceptance Testing

Environment: RUP, UAT, UNIX, Java, SharePoint, Sybase, Microsoft Word, Project, Excel, PowerPoint, GAD Gap Analysis Document , HTML, XML, PowerBuilder, ASP. File Net, SQL, GIS Tools, MS Visio

Confidential

QA Analyst

Project Information Repository PIR is a client server application that manages patient information by providing assistance with creation of patient charts, sending out reminders to patients, maintenance of patient profiles such as personal information, laboratory tests, medication details and other miscellaneous information. Some of the features included are Secured Access, Patient recovery, and Reduced Data Entry and Auto backup.

Responsibilities:

• Analyzed user requirements and software requirement specifications documents.
• Managed and mentored a group of four
• Escalate the issues about project requirements Software, Hardware, Resources to Project Manager / Test Manager
• Assign task to all testing team members and ensure that all of them have sufficient work
• Attended regular client call and discuss the weekly status with client
• Created test plan and detailed test cases as per requirement specification documents.
• Responsible for defining the Scope of testing for System Testing and Integration Testing.
• Review Requirements Matrix to ensure all requirements are included in the scope of testing
• Created Test Plan with list of test cases to be developed and test strategy and scope.
• Created and executed the test cases to test the functionality of the application.
• Executed test cases manually and identified bugs.
• Participated in design review /walkthrough sessions with Project Managers, Developers, product team.
• Expertise in testing Facets claims, billing
• Strong Functional knowledge in the core Facets modules such as Plan/Benefits, Membership, Provider, Claims, Billing, Customer Service Utilization Management
• Strong understanding of Inbound/Outbound Interfaces, Extensions, Letters, Self services, Reports and other peripheral applications towards Facets implementation with excellent knowledge of Facets data model
• Assessed and communicated risk associated to testing scope, schedule, quality and/or resources
• Implemented the HIPAA privacy and security regulations to enhance the capabilities of the systems to process new products.
• Knowledge in clinical trial testing
• implement agile QA processes and practices, including defect and test management
• Provided Efforts Estimate and coordinated the test schedule using Agile testing methodology in UAT phase
• Conducted Keyword, Scripts, Low-Level procedure test using Test Complete
• Validated Applications using various check points with the help of Test Complete
• Reported software bugs to the development team using Rational Clear Quest
• Created test scripts for functional and regression automation testing using QTP.
• Created user defined functions to enhance the maintainability of test scripts.
• Developed test scripts for Data Driven Testing.
• Extensively involved in Database testing by writing the SQL Queries.
• Created Data Driven Tests to validate the same scenario with different test data using Data pools.
• Created and executed SQL queries to fetch data and compare expected results with those actually obtained
• Performed Data-driven testing using QuickTest Pro to insert multiple sets of data into the application and used QuickTest Pro shared object repository for retesting the scenarios after fixing the bugs
• Working closely with the Developers and Engineering Teams in the review and modification of the product and its specifications using Agile-testing methodology
• Involved in conducting SWOT analysis of the project and also took part in some aspects of Risk Assessment and Cost-Benefit Analysis
• Tested the functionality of individual module and also tested the interface between the linked modules.
• Performed various numeric and non-numeric, boundary value data validations
• Communicated defects to the developers and participated in bugs and enhancement review meetings.
• Performed user acceptance testing UAT , interacted with users for execution of test cases in UAT.

Environment: QTP, Clear Quest, Quality Center, Windows 2000/XP, ASP.Net, C .Net, Java Script, Oracle, SQL Server 2008