PROFESSIONAL SUMMARY

• Around 7 years of professional experience in Quality Assurance and Software testing. In depth knowledge of Software development life cycle, testing methodologies. Proficient in System, Functional, Regression, Performance testing of Client/Server and Web-Based applications. Hands-on experience with diverse testing tools.
• Experience in Business Requirements Gathering, Application Design Specifications, Development and Testing.
• Excellent analytical skills to understand the business processes and functionality, requirements and to translate them to system requirement specifications SRS .
• Software Development Life Cycle experience including Requirements Analysis/Design and Development as per the Rational Unified Process RUP .
• Strong Management skills, demonstrated proficiency in leading and mentoring individuals to maximize levels of productivity, while forming cohesive team environments
• Profound experience in testing web applications
• Highly adept in Functional testing using QTP
• Strong VB Scripting Skills
• Worked With HIPAA compliant ANSI X12 837 formats for both professional claims and institutional claims.
• Matched the requirements for programs such as Medicare and Medicaid which are part of the Social Security Act.
• Experience in Mercury tools like Quality Center and Quick Test Pro.
• Expertise in Automation Testing using Functional Tester, Robot and Quick Test Pro.
• Performance Testing using LoadRunner and detailed Analysis of Reports Graphs.
• Knowledge of claim processing and EDI transactions like 837, 834, 835, 270/271 in Healthcare industry.
• Experience in working with Waterfall and Agile methodologies.
• Extensive Domain Knowledge of Healthcare industry.
• Setting up the test environment by installing and configuring the automation test management tools like Test Manager and Functional Tester.
• Excellent judgmental skills in identifying high risk and critical business areas early in an application and prioritize tasks to focus the testing effort when the time is limited.
• Good communication skills and adept at facilitating walkthrough and training sessions.

TECHINCAL

• Operating Systems: Windows 95/ 98/ NT/ 2000/ XP, Unix, SunOS, HP-UX, Sun Solaris, Red Hat Linux, MacOS X
• CRM: Siebel
• Lang/ Tech: TSL, C, Perl, .NET, XML, HTML, JavaScript, VBScript, SQL, Rapid SQL
• Databases: Oracle 9i, MS SQL Server 2005, Sybase, MS Access, VMS RDB, FoxPro
• Servers: BEA WebLogic, IBM WebSphere, JBoss, BizTalk, Apache Tomcat, IIS, Tuxedo, ACMS Server
• Tools: Test Director, Quality Center, LoadRunner VuGen Web, RTE, SAP, Citrix, Web Services, Siebel , Performance Center, Stand Alone Controller and Analysis , QTP, Bugzilla, Rational Suite ClearQuest , Wily Introscope, SiteScope, Perforce, VSS, J2EE/ .NET Deep Diagnostics Probe Monitor , TIBCO, Perforce, CRD Compliance Engine, Macromedia ColdFusion, MS Office Suite Word, FrontPage, Project, Excel

Confidential

Sr. Quality Analyst

The system implemented was the integrated suite from Epic Systems Corporation and included Cadence, Ambulatory, Resolute. Maintained the HIPAA EDI transactions and developed the HL7 standard Messages in application SDLC.

Responsibilities:

• Successfully implemented Mercury Quality Center for Requirement Management, Test Design, Test Execution, Defect logging, Requirement Mapping with Test cases.
• Involved in Manual Test Case Preparation and Test Case Execution using Quality Center.
• Identified Claims Management Work Flows, Business Rules and Developed Flow Charts and Activity Diagram.
• Involved in testing HIPAA 4010 270, 271, 834, 835 837 Transactions.
• Good knowledge of ICD-9/ICD-10 and HIPAA 4010/5010 Transaction requirements.
• Responsible to help UAT team to get familiarized with the functionality of application and help them in designing the UAT scenarios.
• Involved in making adjustments to claims in FACETS for Group Information, POS, adding members, Related Entities, Class/Plan definition and Practitioners
• Tested the inbound and outbound interfaces to Facets.
• Wrote several System Test Scripts and UAT Scripts.
• Involved testing Facets upgrading from 4.31 to 4.51.
• Tested the configuration of Medicaid Claims and membership Sub-systems in Facets.
• Prepared the test data for positive and negative testing for executing the test cases.
• Designed Summary Reports, Traceability Reports using Crystal Reports from MSSQL database of Quality Center.
• Derived UAT test cases using different white box, black box and experienced based techniques.
• Developed Load Runner Test Scripts according to Test Specifications/ Requirements.
• Analyzed customer needs and existing functions in the area of HIPPA Transactions to determine Feasibility, Consistency with the Established Scope of Work.
• Experienced in writing program to connect different Database like SQL Server, Oracle to
• Access data through QTP
• Tracked to resolution all UAT environment and data test issues before code is released for test.
• Used Facets to provide seamless transactions between the provider, members and the plan.
• Involved in deploying QA weekly build and quarterly release.
• Executed test cases, and test scenarios for User Acceptance UAT , Functional and Regression test cases.
• Used SQL for back end testing and ensured the data is updated accordingly.
• Closely interact with clients for User Acceptance Testing. UAT .

Environment: Quality Center 9.2, Quick Test Professional 9.5, UAT, ASP.Net, SQL Server 2005, MS Office, Quality Center 9.2/9.5,Winrunner 8.0 Trizetto FACETS, LoadRunner 8.1/9.10, Oracle, XML, WSDL, XSLT.

Confidential

QA Analyst

Involved in various healthcare and pharmaceutical applications involving Membership/Enrollment, Billing, Eligibility and Claims processing system.

Responsibilities:

• Reviewed the Business Requirements document with the business and development team to understand the architecture and functionality of the application Ordering entry applications, billing systems and data flow to provisioning systems and interfaces between them .
• Involved in understanding of functionality and design of different applications based upon the Requirement Specification document.
• Participated in Joint Application Development JAD sessions.
• Acted as liaison b/w end users/business owners and technology team.
• Involved in developing Performance QA strategy and in writing and implementation of the test plan and various test cases.
• Involved in testing of the application manually and tested the design and functionality of the application.
• Created Test Scenarios based on business requirements.
• Wrote System Integration test cases and functional test cases using Quality Center.
• Developed detailed UAT test cases from technical system requirements documents to meet deadlines and verify system functionality as per the requirements.
• Executed Test cases using Quality Center in the Test lab.
• Communicating with offshore team for QA related activities, Planning Integration, system testing activities, and version controlling.
• Involved in designing test scripts, generic and business functions using Test Complete.
• Loading the Test Cases into Quality Center.
• Designed the Requirements Traceability Matrix RTM to trace the relationship between business and functional requirements to test cases and achievement metrics on an ongoing basis for keeping the project team informed on the progress report of the project.
• Involved in preparation of document and test Strategy before User Acceptance testing is done.
• Logged the errors and coordinated efforts with the development team to solve the problems using Quality Center.
• Prepared the Test Strategy and Test plan documents.
• Participated in weekly status meetings, walkthroughs and documented the proceedings.

Environment: Quality Center, VB, ASP, SQL Server 2005 and Windows NT

Confidential

QA Analyst

Confidential is a managed care organization that delivers health care services to persons eligible for Medicaid and other programs for low-income families and individuals through a network of primary care clinics, physicians, hospitals, and other providers. The project was to design an application with a simple and responsive user interface that will make online enrollment an enjoyable experience for the customers.

Responsibilities:

• Good working knowledge of HIPAA ICD10 and HIPAA transaction requirements. Experience with commercial insurances in HIPAA ANSI X12 formats including 270/271, 276/277, 834, 835, 837, 997, and NSF formats for interfaces and images to third part vendor applications
• Strong understanding of medical coding and transition from ICD9 TO ICD 10
• Experience with Healthcare systems like FACTES in various areas like Enrolment, Customer Service, Billing and Network X Pricing
• Experience with claims process and adjudication in the Private Insurance Sectors
• Solid experience in Claims Processing 837 transactions and remittance 835 EDI file
• Experience working with Health Care Client Server Product TRIZETTO/ERISCO FACETS
• Adept with different methodologies which include Agile, Waterfall and Rational Unified Process RUP
• Well versed in Requirement Gathering through techniques such as JAD sessions, Interviews, Document analysis and Reviews
• Expertise in documenting Business requirement document BRD , Functional and Non-functional requirements, Requirement Traceability matrix RTM , Use case Specifications and the complete System Requirement Specifications SRS
• Design and development of Use Cases, Activity Diagrams and Sequence Diagrams using UML
• Creation of data flow diagrams DFD and interpretation of ER diagrams
• Expert in Tracking and Managing the Requirements using Requirement Traceability Matrix RTM that controls numerous artefacts produced by the teams across the deliverables for a project
• Experienced with current industry standards such as HIPAA, LOINC and SOX
• Involved in meetings for Test Planning, Test Preparation, Test Execution and Issue Resolution and Report Generation to ensure that all aspects of a Project are in Compliance with the Business Requirements
• Reviewed Test plans to make sure all the requirements have been covered and corresponding test cases have been created
• Involved in training of end users
• Documented Training Manuals for new product releases
• Excellent analytical problem solving skills and a team player with strong interpersonal and communication proficiency
• Involved with long term projects from the requirements gathering phase to the implementation phase
• Interface with clients from Operations, Marketing, Sales, Technologies, and Outside Vendors and act as their customer interface point as the lead of the Projects
• Highly motivated team player with excellent Interpersonal and Customer Relational Skills, Proven Communication, Organizational, Analytical, Presentation Skills, and Leadership Qualities

Environment: EDI, HIPAA, Windows NT, UML, ERWIN 4.0, SQL, Rational Requisite Pro, Test Director, MS Project, MS Office Suite