Career Objective

I have over 6 years of diverse experience in Information Technology with an emphasis on Software Quality Assurance. A wide experience on DB2 and on mainframe Interface application. I have performed Manual and Automated Testing of stand-alone, client/server and web applications. Tested various kinds of tools like Facets and Diamond application modules. I was involved in various kinds of testing of the Facets application modules like Enrollment, Membership and Claims

Career Summary

• Extensive knowledge of various phases of different Software Development Life Cycle SDLC models like Waterfall, Agile, SCRUM, RUP, etc
• Experienced in Full life cycle Manual and Automated Testing in a Web-based Applications and Client/Server Applications. Involved in validating test cases, verifying multiple test scripts.
• Hands-on experience on different versions of Load Runner, Quick Test Pro and Rational Team Test
• Worked on FACETS 5.01 for claims, pricing.
• Have good understanding with web testing.
• Extensive knowledge of different kinds of testing like Back-End Testing, Positive/Negative Testing, Black/White box Testing, Configuration Testing, Data Driven Testing, Black-box/White-Box Testing, End to End Testing, Unit Testing, Functional, Integration Testing, System Testing and Regression Testing.
• Experience using SOAPUI on web services.
• Expertise in problem solving and bug tracking using Mercury tools like Quality Center, Doors, Rational Clear Quest and Test Director
• Expertise in querying and testing using RDBMS tools like Oracle, MS SQL server, PL/SQL, DB2, and MS Access for Data integrity
• Expertise working in Healthcare industry with Claim Processing, Enrollment and Provider etc. Medicaid and Medicare modules as well as Interface Testing and Data Conversion
• Good working knowledge with XML. Created QTP scripts for validating XML schema and inserted check points for various tags in XML.
• Good knowledge on different modules within healthcare Membership, billing, enrollment, claims, capitation, providers .
• Good knowledge of VBscript and effectively leverage it to write QTP test scripts for functional testing, regression testing.
• Strong data warehouse background with knowledge of ETL and data mining
• Experience with HIPAA compliance 4010 5010 and Healthcare systems
• Experience with Medicare, Medicaid, Medigap/Medsupp commercial insurances in HIPAA ANSI X12 4010, 5010 formats including 270,271, 276, 277, 273, 278, 835, 837, 997, NPI, ICD 9,ICD 10, NDC, DRG, CPT, NCPDP codes NSF formats for interfaces images to clearinghouses/ trading partners applications.
• Experience providing primary analysis for business processes running on the EDI Electronic Data Interchange standard.
• Experience in testing the HIPAA EDI transactions 834, 837/835, 276/277, 273, 270/271 according to the requirement test scenarios.
• Experience with health care Systems: FACETS, Medicare Part A, B, C, D, Medicaid systems.

Technical Skills

Professional Work Experience

Confidential

QA Analyst

Responsibilities:

• Reviewing the Business requirement, Functional Design Documents, Technical Specification documents and Playbooks.
• Creating Test Cases and Test data after analyzing the BRD and Playbooks.
• Monitoring ETL batch jobs on batch servers and reviewing Log, Error and Output files.
• Performing Functional and GUI testing on Facets Billing, Customer service and Subscriber application under Facets.
• Creating test input files for different Transaction reply code CMS Replies 011, 287, 140, 022, 023, 025 and process them in batch.
• Validating Load Receipt functionality, Cash Receipt functionality, Fazal DupCheck functionality, Group Invoice functionality, Policy Details extract functionality.
• Logging of defects in JIRA to maintain Test requirements and to communicate the bugs with the Developers.
• Performing Backend testing extensively by writing SQL validation queries in Oracle Toad against the database.
• Assisted with developing a master data model and using MDM technique to control data flow.
• Involved in Up-gradation of HIPAA X12 4010 transactions to HIPAA X12 5010 and ICD 9-CM to ICD 10.
• Validating records, structure of tables, Indexes, Triggers in tables after migration from Facets 4.31 to Facets 4.81 database.
• Executing Performance test procedures to check to time span.
• Responsible for running ETL jobs in batch server and validating mapping rules.
• Analyzed and tested all the ICD 10 codes based on standards.
• Validating member's benefits against the benefits matrix.
• Analyzing and testing data on different billing and membership functionality manually and writing queries on database for validating data.
• Maintaining requirement traceability matrix on daily basis and participating in daily defect triage and status meeting.
• Extensively involved in testing CMS Audit Reports and Daily Sales Report in Apex Reporting Portal.
• Creating input test files as per the business requirements in Ultra edit and processing them in batch server to load data to respective tables in database and to generate the output.
• Updating Functional Specs as per the change request received from client.
• Providing technical support to the client after every release to production on hotline.
• Performing Online Security testing of different profiles in Facets 4.81.

Environment: Facets 4.81, Batch Servers, JIRA, TOAD for Oracle, MS Word, MS Project, MS Excel , PEGA CM, Apex Reporting Portal

Confidential

EDI Test Analyst

Responsibilities:

• Identified the requirements for accommodating HIPAA 5010 standards for 837P transactions and captured these requirements to develop new GUI for the internet based application.
• Participated in setting up testing environment.
• Involved in preparing Test Cases based on business requirements.
• EDI Conversion from 4010 to 5010.
• Worked on the SOAP UI for the project.
• Worked on web testing and have good knowledge in it.
• Tested HIPAA Transactions and Code Sets Standards such as 837/835, 270/271, 276/277 transactions.
• Tested 837/ 835, 270/271, 273, 276/277 ,278, transactions with File Aid.
• Authored and executed Test cases for Claims and Customer Service Workflow by manually.
• Responsible for writing the Test Cases and Test Scenarios based on the Functional Specification and technical Specification and documented in Mercury Quality Center.
• Good understanding with the ICD 9 and ICD 10 testing.
• Executed Automated Test scripts using QTP.
• Performed End to End testing on EDI 837 I and P, 277CA based on HIPAA 5010 guidelines.
• Maintained Test Matrix with the test results obtained used Clear Quest to track the Bug.
• Inspected and worked on HTTP web services application and on SOAP APIs.
• Recorded scripts in Quick Test Pro to perform Functionality testing.
• Extensive use of SQL to test within Facets core system, PCS EDI database, on Oracle, SQL and Sybase platforms.
• Experience with ICD 10 conditions to benefit from tailored diseases.
• Documented XML file processing use case as well as identified XML file level processing errors.
• Worked with ETL Team to design the mapping documents for source to data.
• Performed compliance testing on 837 I and P, 834 and 820 EDI transactions.
• Worked with providers and Medicare or Medicaid entities to validate EDI transaction sets or Internet portals. This includes HIPAA 4010 837, 835, 270/271, 273, 278, and others.
• Responsible for Back-End Testing Using SQL Commands using TOAD.
• Perform functional, exception and scenario testing.
• Created the VB script code in QTP to access Excel sheet and Export data in excel sheet.
• Internal creation of test data by converting 4010 EDI files into 5010 format.
• UAT testing for HIPAA 4010 and 5010 projects including legacy testing and HIPAA requirements and compliance mandates.
• Developed SQL scripts to supplement the ETL process and to verify on final target data.
• Logged the errors, reported defects, determined repair priorities and tracked the defects until resolution using Mercury Quality Center.
• Used VBScript file to load all the function libraries using Library functions in QTP utilities.
• Extensively used SQL statements to query the Oracle Database for Data Validation and Data Integrity.
• Responsible for performing System and integration testing for release.
• Have good knowledge on ICD 10 coding that will change.
• Identified, analyzed and documented defects, error and inconsistencies in the application using Quality Center.
• Created and maintained Test Matrix and Requirement Traceability Matrix and performed GAP Analysis.
• Performed User Acceptance Testing UAT .

Environment: MS Visio, Word, Excel, PowerPoint, CMMI, Facets, SQL, J2EE, ETL, XML, VB Script, Clear Quest SOAP UI, EDI, QTP.

Confidential

QA Tester

Responsibilities:

• Reviewed Business Requirements with Project Manager and Lead Developer to learn the functionality of the application.
• Involved in preparing Test Plan and Test Cases based on business requirements.
• Wrote Test Cases in Excel based on Technical Specifications, Functional Specifications and Business rules for online application system.
• Authored Test cases for HIPAA EDI Transactions 270/271, 276/277,278, 837/835.
• Tested HIPAA Transactions and Code Sets Standards according to the test scenarios such as 270/271, 276/277,837/835 transactions.
• Worked exclusively on ICD 9 and good experience on ICD 10 coding systems.
• Executed Configuration Testing to check if the application was compatible in different environment for each module of the application
• Involved in using SOAP UI as my tool.
• Executed Test cases manually by composing 270, 276, 837, and 278. EDI files and dropped inbound and check response 271,277,835 using interleaves and outbound.
• Involved in working on real time test harness.
• Used VB scripting in the expert view to enhance the scripts.
• Worked on ICD 9 testing for claims process.
• Good knowledge on ICD 10 for patient's condition.
• Logged defects in Quality Center and interacted with the developers to resolve technical issues.
• Prepared test matrices based through defect status in Quality Center.
• Working Closely with Offshore team and coordinate to Deliver the Project with in the Time frame
• Authored and executed Test cases manually for Tiered Benefit and mapped from website to PMHS.
• Responsible for writing the Test Cases and Test Scenarios based on the Functional Specification and Technical Specification in Excel and exported them in Mercury Quality Center.
• Logged errors reported defects, determined repair priorities, did regression testing and close by using Mercury Quality Center.
• Performed Integration Testing with PMSH, LRSP and Website, System Testing and Regression Testing.
• Responsible for performing User Acceptance Testing.

Environment: Windows, DB2, Oracle, Mercury Quality Center, MS Excel, MS-Visio, File Aid, Oracle, HIPPA, EDI 5010, XML, Mercury Quality Center

Confidential

QA Tester

Responsibilities

• Good understanding of Health Insurance portability and accountability act HIPPA
• Was Responsible for analyzing the requirements and the critical areas of the application to setup and execute baseline tests
• Generated and implemented templates for Test Plan, Test Cases, Test Scripts, Gap Analysis
• Set up the Testing Methodology for the QA department, generating various documents to enable uniformity in recording the test process and results throughout the company
• Maintained QA lab standards, documentation review assisted in establishing and maintaining best practices for QA.
• Manually performed User Acceptance Testing of FACETS implementation.
• Work as a Data analyst to set Facets data in Claims Processing, Members/Subscribers, Groups, Billing for different testing efforts.
• Worked with Business Users and SME to plan and implement the Test Plan.
• Involved in Validation of data coming from an outside source.
• Coordinated the database validation by executing SQL queries.
• Performed Backend testing on Membership Enrollment of Facets functionality.
• Wrote and executed complex SQL queries to retrieve data from Facets-Membership Enrollment modules.
• Adopted Data Driven Methodology to test the application with different sets of data.
• Used Mercury Quality Center for test documentation management and for defect tracking
• Involved in Baseline, regression, GUI, functional, stress and usability tests
• Met with the developers and technical content writers on a daily basis to update the test documents.
• Followed up with developers on defects status on a regular basis.

Environment: Facets, Mercury Quality Center, SQL, DB2, Oracle, AS/400.