SUMMARY

• Over Six years of advancing experience in Information Technology as Quality Analyst with exposure to both Manual and Automated testing tools in different environments. Good team player with excellent communication skills and ability to work independently along with strong problem solving, learning and interpersonal skills.
• Over 6 years experience in all aspects of the QTP Automation Testing, Selenium, Rational Functional Testing and Manual Testing.
• Diversified experience in Quality Assurance and Software Testing with in-depth knowledge of Software Development Life Cycle SDLC , having thorough understanding of various phases of SDLC.
• Implemented and experienced in various QA methodologies.
• Experienced in every phase of Quality Assurance Life Cycle QALC 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.
• Possess strong problem solving skills with the ability to adapt to a new environment and meet deadlines.
• Expertise in Testing of Client/Server and Web based applications.
• Extensive experience in Pharmaceuticals, Health Care: Membership, Pharmacy Benefit Management PBM , Claim, Pricing, Commission.
• In depth knowledge and experience in Informatica / DataStage / ETL processes
• Experience with healthcare system, Medicaid and with prime focus on claims adjudication, provider, eligibility and prior authorization.
• In depth knowledge of Data Warehouse design and development life cycle
• Automating manual scripts by using Automation tools such as Win Runner, Quick Test Pro QTP .
• Excellent knowledge of HIPPA standards, EDI Electronic data interchange Transaction syntax like ANSI X12, Implementation and Knowledge of HIPPA code sets, ICD-9, ICD-10 coding and HL7.
• Good knowledge of basic i series navigation and commands.
• Well versed at operating AS 400 to perform SQL queries, run jobs, retrieved data.
• Exposure of Trizetto Facets and NASCO claims processing system. Good understanding of ICD-9 and impacts related to ICD-10.
• Experience on SOA, SOAP, XML and WSDL.
• Having experience in ISO, CMM, CMMI, RUP, EDI, HIPAA, HL7, IEEE standards.
• Experienced on Web based application built on Java platform.
• Strong in using tools such as SQL Plus, SQLPLUS Worksheet, SQL Navigator, TOAD and SQL Loader.
• Experience in System, Integration and End to End Testing .
• Experienced in Functional Testing and Regression Testing .
• Skilled in Defects tracking and reporting using HP Quality Center.
• Participated in Walkthroughs and Inspection meetings to review Test scripts and results.
• Working experience in ETL tools Data Stage, Informatica, Data Integrator and Business Intelligent tools Business Objects, Cognos, Actuate
• Hands on experience in preparing automation user guideand training manual testers on the usage of Quick Test Pro QTP , Selenium, RFT.
• Excellent Communication Skills along with verbal and written skills. Exceptional ability to learn new concepts in least time.
• Possess Excellent Professional Skills for working independently and as a team member to deliver the results in the most efficient manner and ensuring a healthy environment among the team members.

TECHNICAL SKILLS

Testing Tools: Facets, Power MHS, SOAP UI and QTP.

Reporting Tool: HP Quality Center.

Automation Tools: QTP 10.0, Rational Functional Tester8.1.1, Selenium

ETL Tools: Ab Initio, Quality Stage 8.0.1, 7.5, Information Analyzer, Informatica PowerCenter 7.1.4

Database: MS SQL Server 2008, Oracle.

Languages: C, C , VB Script, SQL.

Other Tools: Share Point, Visio, MS office.

Tools: Toad, PL/SQL Developer, SQL Navigator, and SQL PLUS

PROFESSIONAL EXPERIENCE

Confidential

Test Analyst

Confidential is a Financial Intermediary to operate the CA-MMIS California version of Medicaid Management Information Systems . The project deals in testing the ICD-10 Crosswalk System. The ICD-9 code which is required to report medical diagnoses and inpatient procedures for everyone would be replaced by ICD-10 code sets from October 01-2014Confidential implemented a backward crosswalk solution for Department of Health Care Services DHCS , CA to process ICD-10 Diagnosis and Procedure Codes through CA-MMIS.

Responsibilities:

• Reviewed Business Requirements, Functional Specifications with Business Analyst and QA team to learn the functionality and business process.
• Performed Functional testing and Regression testing of the CAMMIS sub system.
• Developed Test Scenarios, Test Cases and Test Scripts to enhance claims adjudication, eligibility and formulary for expanding client product offerings
• Validated and implemented EDI transactions according to HIPAA compliance.
• Participated in analysis workshops for ICD 9 Procedure and Diagnosis Codes in accordance with ICD 10 CM and ICD 10 PCS Conversion Compliances.
• Validated CPT, HCPC, ICD 9 code sets from Data Flat files to support configured benefit plan building.
• Managed global administration and support of the Documented based Regulatory Electronic Document Information System EDMS .
• Facilitated Electronic Data Interchange and storage in the ICD-10.
• Worked on HIPPA Transaction Sets 837P and 837I Standards according to the test scenarios.
• Created ETL test data for all ETL mapping rules to test the functionality of the Informatica Mapping
• Tested the ETL Informatica mappings and other ETL Processes Data Warehouse Testing
• Developed Test Scripts, linked Test Scripts and Requirements from DOORS to Test Cases in the Rational Quality Manager..
• Extensively used Rational Quality Manager to monitor the progress of assignment of testing activities and Reported executed results.
• Reviewed EDI 837 claims and flagged HIPPA non-compliant claims received from the Payer side
• Logged the defects in Clear Quest tool, assigned the right severity level and managed the defects through it.
• Coordinated System and Regression testing schedules and completed the same.
• Wrote complex SQL queries using Squirrel for data validation against the data warehouse applications.
• Worked with HIPAA 4010 and knowledge about its rules and policies.
• Worked with the Medicare Part A, B, C, D and Medicaid Products.
• Ensured the functionality meets business requirements as defined in test results logged in RQM.
• Accessed Diagnosis Master file and Crosswalk Mapping file to use ICD Diagnosis and Surgical Procedure Codes.
• Automation of Functional Testing for certain modules using Selenium and QTP,
• Used Informatica ETL tool for Extraction, Transformation and Loading the data into target database.
• Performed GAP Analysis to make sure that all requirements were covered by test cases.
• Validated EDI 270/271 Healthcare Eligibility Benefit Inquiry and Response are HIPPA Compliant
• Developed Test Plan, Test cases for the QA Phase of the Global Data Warehouse
• Analyzed the System Impact including MMIS Tables, Windows, Reports and Interfaces on external entities.
• Verified the input XML and the output XML for Data Transmission from DMV.
• Validated Professional and Institutional Claims, Processed and Adjudicated the Claims according to test scenarios.
• Maintained Requirement Traceability Matrix RTM to make sure that all the requirements are covered in test cases.
• Communicated with Development team and Business Analyst s to ensure testing issues are resolved.
• Generated test execution reports and uploaded validation documents in share point web site for review.

Environment: Main frame/CICS/DB2 Client Server Applications , XML, Informatica, ETL, QTP, Edifecs Spacbuilder, Rational Quality Manager, Rational Clear Quest, Visual Slick Edit, Share Point.

Confidential

QA Analyst

Confidential supplier of healthcare information technology solutions that optimize clinical and financial outcomes and has established a solid record of supplying superior claims management processing systems and HIPAA compliant claims processing software to a wide range of health plans serving the Medicare, Medicaid, HMO, Commercial and Federal Health Programs.

Responsibilities:

• Reviewed Business Requirements, Functional Specifications with Business Analyst and QA team to learn the functionality and business process.
• Worked as a Quality Assurance Analyst for client's Data warehouse testing.
• Prepared Test Plan and defined the testing approach, resources and time lines.
• Created Test Scenarios, Test Cases and Test Scripts from business requirement document and functional requirement document for web based application and uploaded them in HP Quality Center.
• Worked on HIPPA Transactions and Code Sets Standards according to the test scenarios such as 834, 835 and 837 transactions.
• Performed Functional and Regression testing of Open Enrollment application in Facets using automation testing tool QTP.
• Analyzed output of QTP Scripts modified some of the regression test scripts for future use.
• Worked on Claims Processing ITS module in Facets to Process Claims, Accumulate Claims and Adjudicate Claims.
• Translated Business processes into Informatica Mappings for building Data marts.
• Validated Professional and Institutional Claims, Process and Adjudicated Claims according to test scenarios.
• Validated and implemented EDI transactions according to HIPPA compliance.
• Developed Test Plan and review the test cases and test scripts prepared by the team for the QA Phase of the Global Data Warehouse
• Performed System testing and Integration testing of eEnrollment and eBilling application manually using Facets and Benefit Focus Application.
• Testing various change orders of Medicaid applications received from the System Engineer's
• Developed Test Plan, Test cases for the QA Phase of the Membership Rewards Data Warehouse
• Regression Testing of Web applications and applications dealing with MEDICAID and MEDICARE Services
• Participated in development of automated keyword driven framework for functional and regression testing using Selenium
• Develop test scripts using VBScript that include advanced error handling to keep the scripts running on Selenium
• Extensively worked on the Subscriber/Member module and Provider module in Facets to perform End to End testing of 834 and 835 files.
• Extensively worked on Class Plan Application of Medical Plan module in Facets to view and modify the details of medical, dental and drug plan and products.
• Reviewed EDI 837 claims and flagged HIPPA non-compliant claims received from the Payer side
• Interface with team and staff to develop HL7 integration.
• Prepared and executed different SQL Queries against the SQL Server Database to validate the data.
• Worked on Business Intelligence tools, like: Cognos and Informatica.
• Involved in Web service testing with automated testing tool SoapUI.
• Maintained Requirement Traceability Matrix RTM to make sure that all the requirements were covered by test cases.
• Served as a resource for analytical services utilizing SQL Server, TOAD/Oracle, and SQL Developer.
• Executed test cases and used HP Quality Center for defects tracking and reporting tool.
• Communicated with Development team and Business Analyst to ensure testing issues are resolved.
• Prepared and submitted weekly test status report to QA Supervisor.
• Generated test execution reports, get sign off and uploaded validation documents in share point web site for review.

Environment: Trizetto Facets 4.71, QTP 11.0, HP Quality Center 10.0 , HIPPA, HL7, Selenium, Informatica, Share Point, MS SQL Server2008, Sybase, SOAP UI and MS-Windows.

Confidential

QA Analyst

Confidential 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:

• Analyzed and defined testable requirements and implemented according to Test Plans.
• Developed Test Scenario, Test Case and Test Script from business requirement document and functional requirement document and uploaded them in HP Quality Center.
• Performed Functional testing and regression testing using PowerMHS.
• 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.
• Worked on HIPPA Transactions and Code Sets Standards according to the test scenarios such as 270/271, 276/277,837/835 transactions.
• Involved in the full HIPAA compliance lifecycle from GAP analysis, mapping, implementation, and testing for processing of Medicaid Claims. Validated EDI transactions according to HIPPA compliance.
• Validated Professional and Institutional Claims, Process and Adjudicated Claims according to test scenarios.
• Worked with Claims module CL1031, CL1032, CL1033, CL1035 and CL1034.
• Worked with Electronic Interface EI1011 Module for various Job runs ARGUS, PEGAOBD .
• 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.
• Created transactions and analyzed outputs for Inbound and Outbound claims.
• Develop scripts using VBScript that include advanced error handling to keep scripts running on Selenium
• Performed System testing and System Integration testing.
• Developed extensive experience in eligibility and benefits calculation for state, federal and local services such as Medicare and Medicaid.
• Analyzed HIPPA 4010 and 5010 standards for 837P EDI X12 transactions related to providers, payers, subscribers and other related entities.
• Worked on 837 transaction business rules for HIPPA 4010 and 5010 validation for loops, segments, elements, qualifiers and code sets.
• Automation of Functional Testing for certain modules using Selenium and QTP,
• Participating in processing of requests for medical services and pharmacy services submitted via DDE or HIPAA 837 EDI and NCPDP submissions testing, Integration Testing, System testing, end-to-end testing and User acceptance testing.
• Performed SQL queries to determine data to be used for testing.
• Maintained Requirement Traceability Matrix RTM to make sure that all the requirements were covered by test cases.
• Extensively used HP Quality Center for defects tracking and reporting tool.
• Communicated with Development team and Business Analyst to ensure testing issues are resolved.
• Enhanced automation tests with reusable actions, User defined functions and Generic functions by using VB Script and also automated using Selenium
• Documented the test results and reported the status of assigned test tasks and issues to project QA Lead.
• Generated test execution reports, get sign off and uploaded validation documents in share point web site for review.

Environment: Power MHS 7.0 , HP Quality Center 10.0, Selenium, Share Point, MS-Windows, MS Office, Oracle.

Confidential

QA Analyst

Confidential System primarily designed and developed for customers to apply Loans through Internet. The applications, which are applied by the customers, are then submitted by through GUI. The applications are then downloaded to Oracle database. The downloaded applications can be viewed using landmark Credit Card Services System Front for the credit evaluators to View, Process and finalize the applications. This front has multiple screens for various analyzing purposes.

Responsibilities:

• Wrote Test Plans in MS Word for Manual Testing, System Testing, Integration Testing, Regression Testing reviewed their consistency with the business requirements
• Reviewed Technical Specs together with the team of two developers
• Effectively analyzed and decomposed business requirements to extract test requirements
• Executed test cases manually to verify the expected results.
• Performed Functional, Regression, Integration, and Database testing based on Test Plan and Test Cases
• Involved in Development of test data for test scenarios as per the functionality of the application.
• Executed the test cases using Quality Center
• Used QC for managing Test Plans, Test Cases, Tracking defects making defect reports and comparison chart.
• Execution of Manual Test scripts and responsible to track and log the defects using QC.
• QTP was used to generate automated Test scripts for functionality and GUI Testing and modified the scripts using QTP.
• Involved in Functional, Regression and smoke testing Manually
• Used Mercury Quality Center to track, analyze and document defects.
• Performed Black Box testing and conducted Functionality and Regression testing on various phases of the management software.
• Recorded user action on GUI using QTP and performed regression testing on builds.
• Involved in reviewing Use Cases and Requirements. Worked in Agile Methodology sprints
• The tests also include GUI testing: Testing for validation and display of screens.
• Involved in Database testing by writing executing SQL queries by using SQL
• Documented the outcomes of all the testing in MS Word and MS PowerPoint
• Testing of individual web pages and integration between the web pages of JAVA.

Environment: SOAPUI, HP Quality Center, Java platform, QTP, MS-Windows, UNIX, Oracle, XML.

Confidential QA Tester

Confidential Telecom company, is one of the most admired Telecom Company in the world. It provides telecom solutions and its wireless network is used by various T-mobile clients for Voice over Internet VoIP communication. T-mobile uses the AMDOCS VoIP Billing System AMDOCS Ensemble for billing these clients. The project involved customization and testing of AMDOCS Ensemble. I performed testing on different Billing modules of Ensemble like Billing, CSM, and Price Plan.

Responsibilities:

• Analyzed Business Requirement documents and created Test Schedule, Test Plan, and Test Cases.
• Performed System Testing, Integration Testing, Regression Testing.
• Performed Back-End Testing using SQL queries on a UNIX platform to check the Data Integrity
• Performed GUI Testing, Positive Testing, Negative Testing, Functional Testing and Regression Testing.
• Strong Informatica and data loading experience.
• Maintained the Requirements Traceability Matrix RTM and Testability
• Performed Data Driven Testing manually to check the behavior of the application using both Positive and Negative data.
• Analyzed user and business requirements attended periodic meetings for changes in the application requirements and documented and implemented procedures for the test changes
• Participated in weekly meeting with management team and walkthroughs.
• Actively took part in the weekly status meeting and discussed the status of the testing.
• Defects were reported, tracked and analyzed using Quality Center.
• Create Graphs and Reports in Quality Center to keep track of weekly testing effort

Environment: AMDOCS, Windows, UNIX, Oracle, Informatica, ETL, SQL, Quality Center, MS Office.