PROFESSIONAL SUMMARY:

• 7 years of experience in Software Quality Assurance, in testing GUI based client/server applications, Web based applications, EDI systems and claims processing systems
• Strong domain expertise in Healthcare , Insurance and Web Technology
• Working experience in NASCO claims processing system HIQK, HEHK, HRBK, HURK, HSSK, HZMK, eFDE
• Experience with HIPAA 4010/5010 EDI transaction codes such as 837, 835, 270/271 inquiry/response health care benefits , 276/277 Claim status , 999 Functional Acknowledgment
• Good understanding on ICD9/10 codes.
• Proficiency in executing Test cases, preparation of test data manually and experience in Black Box Testing and White Box Testing.
• Experience in writing System Test Plans, Traceability Matrix, Test Scenarios and Test Cases based on business and functional requirements.
• Efficient in Preparation of Test data for Regression, Functional, Integration testing.
• Extensive experience in running various kinds of tests such as Unit, Integration, System, Regression, User Acceptance Test UAT , Backend for Web and Client/Server Applications.
• Extensive experience in defect tracking system like Defect Tracking, Defect Reporting.
• Highly proficient in HP Suite Test Director / Quality Center across multiple Operating Systems and Technologies.
• Extensive knowledge and exposure to QA testing and process
• Profound Knowledge of SDLC and Software Testing Life Cycle
• Working knowledge of various Software Development Methodologies Waterfall and scrum
• Proven ability in acquiring Functional and Business Layer knowledge of the applications domain by attending the Knowledge Transfer Sessions KT with the clients / Business Analysts, SMEs and also by referring to project documents and presentations
• Proficient in Oracle SQL Server database and Windows operating systems

TECHNICAL SKILLS:

Operating Systems : Windows-9x, Windows NT, 2000, XP

Databases : MS-Access, SQL Server, Oracle

Web Tools : HTML, DHTML

Others : Microsoft Visio, Microsoft Office 2000, Microsoft Project

Defect tracking tools : Test Director

Testing Tools : QTP, Quality Center

PROFESSIONAL EXPERIENCE:

Confidential , Hartford, CT Jan

Senior QA Analyst

Confidential is a leading provider of managed healthcare benefits, indemnity healthcare benefits, dental, and pharmacy, vision and group insurance coverage.

Responsibilities:

• Developed and executed functional test plans and test cases
• Handled the tasks of providing support in all phases of functional test execution and documentation
• Assigned responsibilities of identifying Defects and monitoring defect tracking systems
• Performed the tasks of supporting senior functional tester in developing formal acceptance functional test procedures to meet customer requirements
• Responsible for entering software defects in the Defect tracking systems
• Assigned the tasks of communicating test results and performed tracking of non-testable software
• Interact with the Technical Leads and Developers, Business Analysts to evolve the functionalities, workflow, and business transactions.
• Wrote parameterize variables for data-driven testing and automation for large numbers of testing permutations.
• Wrote automated test scripts for all the modules in the Application, and used these scripts for testing the application using QTP.
• Perform Functional and Regression Testing using QTP.
• Executed the test scripts on different releases as well as in different modes and validated the actual results against the expected results.
• Responsible for recording and editing automation scripts to make them flexible and useful for repeat performance testing.
• Active participated in daily/weekly project standup Meetings to update the QA status, QA Needs and to discuss on project state.
• Excellent participate in production deployments and coordinating with support teams.

Environment: QTP, Oracle, MS Visio, HTML, Window

Confidential

Senior Business Analyst/QA Analyst

Confidential is one of the largest health insurers with more than 80 of the region's health care providers participating in its various medical care networks. The scope of the project is to: migrate large account Large Group Migration LGM 200 plus - risk/non-risk with PPO, indemnity, MPOS, BlueChoice and CDH from a legacy platform Flexx, EAB/CARE to NASCO. The project also focuses on to accommodate feeds and services such as: paper vs. automated enrollment, COB, account receivable AR , claims processing, ID Cards, and provider/customer/member services.

Responsibilities:

• Conducted JAD sessions with NASCO project team
• Conducted Business Requirement Document BRD review meeting with stake holders, business owners, architects and project delivery team
• Worked in close collaboration with the Project Manager and business users to gather, analyze and document the functional requirements for the project.
• Created current system flow based on various meetings with application architect group
• Performed traceability and change management of the Accumulation Rules and update the changes in Project Data Management PDM .
• Created benefit file Customer Service Request CSR to ensure the input of Accumulation Rules in NPS.
• Worked on new change system requests CSRs for NASCO Benefits Process
• Worked in Coverage Levels to process Benefit Payment Information
• Worked in Benefit file components using Benefit file Inquiry and Maintenance application
• Responsible for migrating the test cases from excel spreadsheets to Rational Test Manager
• Created test cases, executed and recorded results of test cases using Rational Test Manager
• Developed Functional Specifications for 834 Employer Specific Benefits Enrollment Process
• Developed Test Cases for HIPAA 834 from CSRs Change System Requests
• Performed mapping of the requirements to ANSI X12 for 834 Benefits Enrollment Process
• Tested Benefit file codes, Benefit Grids in NASCO System
• Tested TA1 and 997 for acknowledgements and confirmations
• Provide support for User Acceptance Testing UAT
• Worked on Project Documentation using MS Office and MS Project

Environment: NASCO, IBM Mainframe, JCL, SQL Server, Oracle, DB2, MS Office, MS project, Windows 2000/XP

Confidential

QA Analyst

Confidential leading health benefits company serving the needs of approximately 33 million medical members all over Confidential. The project involves continuous support of multiple claims reforms testing and the National Migration Projects that includes 4010 to 5010 conversion, ICD9- ICD10 conversion and benefits testing for Health reform products which are introduced on Health Information marketplace HIX/HIM

Responsibilities:

• Responsible for test planning, preparation and co-ordination with technical and business teams for testing activities.
• Experience in 837 and 835 transactions for HIPAA 5010 Project.
• Validated the claims in NASCO mainframes and processing the claims.
• Provided testing estimates to Project Manager.
• Reviewed Business Requirements with Business Analyst.
• Analyzed requirements and Functional Design documents for testability.
• Developed and review the Test Strategy and Test Implementation Plan with Project Team.
• Logged defects using Rational Clear Quest tool.
• Provide the test case coverage reports and defect metrics to Project IT team.
• Supported User Acceptance testing UAT users by providing sample claims and help them in understanding the project intent and application work flow.
• Participated in daily Scrum and weekly Status meetings.