Summary:

• An excellent professional resource with 13 Plus years of extensive IT experience with 7 Plus Years of Experience in QA Analyst, Automation Tester, Functional, Performance Tester, Web base Application, Client / Server applications with focus on a wide range of industries including Health Care, Retail, Finance, and Insurance.
• Well-versed with all stages of Software Development Life Cycle SDLC , and Software Testing Life Cycle STLC .
• Experience in analyzing business requirement at all stages of software development life cycle SDLC .
• Understanding SDLC, STLC. Waterfall Methodology, Agile Methodology, Hybrid
• Expertise in translating user requirements into System Specifications and mapping the process design, work flows for SDLC with documenting and managing business requirements.
• Extensive experience in gathering, analyzing, and validating business requirements. Requirement gathering
• An expert on Test Management Tools such as ALM / Quality Center.
• Microsoft Office Outlook, Excel, Word, Visio, and share point
• Experience in manual and automation test environments and infrastructure setup.
• A thorough professional with all Testing Stages / Levels / Phases, Testing Types, Testing Techniques and tools.
• Detailed experience in Regression, Functional, and non-Functional Availability, Usability, Reliability and compatibility Testing Types.
• Solid experience on Black box Testing Techniques.
• An expert in preparing and execution of Test plans, Test cases, Automated Tests and Test Data.
• A senior team member with thorough experience in peer reviews Test Design and defect reporting .
• A vast experience in analyzing and reporting test results, providing bug fix suggestions and solutions, and logging and deciphering defects.
• An expert with a solid understanding and experience of a Bug Life Cycle.
• A professional with extensive hands-on usage of automation test tools such as Load Runner and QTP.
• A skilled professional in preparation of Automation Tests with keyword driven, and data driven automation framework.
• An accomplished tester in VB Script and Automation Infrastructure Development.
• A proficient tester in using QTP's functional and Integration environment including Step Generator, Synchronization, Action, Recovery Scenarios and Methods etc.
• Experienced in Descriptive Programming using QTP.
• Experience in executing SQL queries for successful data validation transactions.
• Worked closely with Development and Technical Support teams to resolve quality issues.
• Experience in System Administration and proficient with various Network Environments.
• Extensive experience of Performance, Load, and Stress testing.
• Performed extensive UI, UAT, Regression, and Smoke including sanitary, positive and negative testing.
• Experience in exporting from MS Excel based test cases in test plan module of Quality Center.
• Created and maintained Test Traceability Matrix.
• Provided technical support for all the applications within the managed network.
• Experienced administrator of UNIX and Windows Network and Operating systems.
• Vast experience of configuring and maintaining routed LAN, WAN, Wireless, SSID networks, Cisco routers and switches.
• Advanced knowledge and experience of configuring and maintaining network protocols such as TCP/IP, DHCP,FTP
• working knowledge of HIPAA EDI protocols
• understanding of x12 specifications
• Header defined by the ISA
• Provider detail
• Claim Information
• ICD Codes 9 10
• Footer
• Meditech

Technical Skills:

Professional Experience:

Project Description: Confidential is a non-profit organization. Premier collects data from participating hospitals and houses the nation's largest detailed clinical and financial database, holding information on more than 130 million patient discharges. Web-based tools allow hospitals to compare their performance in specific areas to peers and best performers, find opportunities for improvement, and track the results of their efforts.Working on 837, 834 and 835 transactions, EDI, FACETS application.

Responsibilities

• Working on BRD, FRD, TRD, SRD, RTM, Test Plan-overview, Test Scope In-Scope Out of Scope ,Version, Test Approach/Strategy, Test Schedule, Test Cases/Test Scripts, Test Rounds, Test Traceability Matrix, Defect Management Reporting, Entry Exit Criteria, Environment, References.
• BRD-Involved in writing Business Requirement Documents overview, scope, version, role and responsibilities, signoff approval
• FRD-Involved in gathering requirement, one O one interview, group interview, questionnaire and survey, brain storm, interview to obtain idea, facilitated session, use case etc.
• SDLC- Waterfall Methodology-Conceptualization, Requirements and Cost/Benefits, Software Requirements, Software Design, Programming, Testing, Maintenance. Completed all phases of SDLC moved to next phase
• Agile Methodology-Heavily involved into. Iteration planning, Sprint, Scrum Meeting, Go Live Date
• Hybrid Waterfall Agile we used SDLC Phases Planning, Requirement, Design, Development Documents from Waterfall Methodology. We used unit testing, Integration testing, System Testing and UAT testing from Agile methodology.
• Responsible for full HIPAA compliance lifecycle from gap analysis, mapping, implementation and testing and processing of Medicaid Claims.
• Participated in the development of the Business Requirement Documents and functional requirements. In charge of preparing Test Cases based on BRD and FRD.
• Created test scenarios and tested HIPAA Transactions and Code Sets Standards such as EDI 837/834/835, 270/271, 276/277.
• Testing claims or enrollment processing for medical/Pharmacy
• Held regular JAD meetings with the system architects, developers, database developers, quality testers during the entire project to assure that the critical as well as the minute details of the project were discussed and issues were resolved beforehand.
• For web service testing used Soap UI, Soap UI Pro tool, Analyzing of web services/API functional and design documents and prepared test cases based on User requirements, Involved in preparation of Test Plan, Prepared the Web Services/API test suite for positive and negative test cases using assertions, Performed Interoperability Testing when services are integrated to UI application, A WSDL document describes a web service.
• Prepared Execution Matrix, Test Reports and Bug Reports
• Involved in web service REST Testing tools-Synchronous Web services and Asynchronous Web services.
• Responsible for GAP analysis of ICD9-ICD10.
• Authored and executed Test cases for Claims and Customer Service Workflow.
• Entering Claims and Customer Service Tasks into the FACETS.
• Responsible for Back-End Testing Using SQL Commands.
• Developed SQL queries, functions, stored procedures and triggers to perform the backend testing of the data
• Perform functional, exception and scenario testing.
• Extensive experience of Performance, Load, and Stress testing using Load Runner
• Logged the errors, reported defects, determined repair priorities and tracked the defects until resolution using Quality Center.
• Extensively used SQL statements to query the Oracle Database for Data Validation and Data Integrity.
• Extensive knowledge of Test Matrix, Traceability Matrix.
• Quality Center was used to create the test plan, store test cases and run the test sets.
• Provides feedback concerning completeness and accuracy of AUT.
• Responsible for performing System and integration testing for release.

Environment: Windows, Facets, Oracle, Share Point, SQL, Quality Center, MS Office, MS-Visio, UML, 508 Complains Testing.

Project Description:

• Worked in the Centers for Medicare and Medicaid CMS in the Electronic Health Records EHR Incentive Programs. ACT 8 Obama affordable Healthcare program End User-Doctor and Hospital Govt. announce if the Doctor and Hospital keep the patient record electronically EHR These individual Dr. and Hospital can claim either Medicare or Medicaid earning incentive claim 18000 per year for 5 years and Hospital get 200,000 per year for 5 years. I tested healthcare web applications for Claims, Membership, and Eligibility processing in EHR Incentive Program under Medicare and Medicaid Electronic Health Record System.
• 837-Claim Processing, Claim transaction set and it is used to submit health care claim. It is send by providers. Everyday 6 pm we use to run batch. All the claim was extracted in one file and goes to HCS HIPAA Code Set Which automatically generate and distribute 997 acknowledgement and check 5010 compliance. After that the claim goes to BIZ Talk Which converts the claims in XML format and it uploads ODS Which is operational data store in which data is placed in right table NPI, Diagnose Code, Provider name etc. and claim is loaded in tables. At 7 pm the claims goes in FACETS Database where claim adjudication is done automatically. After that all data goes in to EDW Enterprise data ware house When claim are paid it goes to BizTalk it convert the claim into 835 and will go to Server.

Responsibilities:

• I worked with the waterfall methodology and designed the BRD's as well as well as FRD and SRD documents.
• I worked with Premium Healthcare web application for 834 membership and enrollment and created documents for it as well. Namely BRD and FRD.
• Create Facets' Benefits module's test cases for different states' professionals, hospitals, and dental providers.
• Create Test cases for Provider, Claim processing, Subscriber or Family modules of Facets.
• Prepared UAT Materials UAT Test Cases to include various steps involved for UAT and to have proper coverage of requirements.
• Create QTP test scripts in Expert View utilizing Objects, Logical Names, Object Repositories, and Share Repository to perform descriptive programming.
• Analyzed HIPAA 5010 related to 837, 834, and 835 transactions and performed gap analysis between the 4010 and 5010.
• Conduced Joint Application Development JAD sessions and walk in interview with the business users to gather requirements.
• Extensively utilize QTP functionalities such as Actions and Checkpoints.
• Create functions and sub-procedures for Reusable Function Libraries in VB Script for keyword framework.
• Create QTP Data-Driven Framework Plan. Build, Design and Maintain a Data-Driven Framework. Create Test Scenario and Test Data for Application Under Test AUT . Create Custom Object Repository. Write VB Script code for Test Scenario to Identify, Define and Initialize AUT Parameters. Write custom code for Automating Test Scenario. Debug code and ensure it is bug free. Take input Test Data from Excel to Expert View to AUT. Obtain Test Results from AUT to Expert View to Excel.
• Work with true Dynamic Applications in QTP to find Broken Links on a Web Page.
• Responsibility for GUI and Functional Testing, using QTP, Black box Testing Techniques.
• Work on Database interaction through QTP script to Add, Modify, Delete MS Access DB records.
• Understand QTP Error Handling, Recovery Scenarios, and Environment Variables.
• Extensively use SQL queries for data validation in both source system and target system according to data mapping document and defined data conversion logic.
• Generate test execution reports, obtain sign off and upload validation documents in Share Point for review and approval.
• Extensive experience of Performance, Load, and Stress testing using Load Runner
• Perform User Acceptance Testing.
• Defined the test criteria, project schedules and base lined the Test Plan with the help of project meetings and walkthroughs.
• Extensively involved in Database testing by writing SQL Queries to extract data from various database tables for testing purpose.
• Tested the claims flow Medical and Hospital in Facets.
• Validated the claims status and overrides in Facets.
• Worked with claims batch process, external claims and Pending claims in Facets.
• Tested the enrollment of members in Facets.
• Involved in testing HIPAA EDI Transactions.
• Tested the eligibility inquiry and enrollment in Facets
• Tested the Web portals for Members/Providers.
• Adhered data transition of the enrollment process, COB, Claim Status and Eligibility as per the EDI standard 834, 835, 837, 277 and 271.
• I worked with thee EDI Transactions that includes 834,837 and 835
• I was part of the system upgrade from 4010 to 5010
• Validated the data coming from EDI/X12/ 4010/5010 837, 835 interfaces. Worked on EDI 270/271 for Eligibility Inquire and Response and 276/277 for Claims status.
• Preparation of weekly and monthly status reports.

Environment: Facets, 11g Oracle, QTP, Quality Center, MS Office, Share Point, Load Runner.

Description: Nation's largest provider of hospital and healthcare services, HCA Healthcare.

We are a family of more than 200,000 men and women, dedicated to developing innovative strategies and practices to better the human condition

QA

Responsibilities

• Performed test level Integration Testing, System Testing, Black Box Testing, User Accepting Testing, Test Plan, Requirement Analysis, Design, Testing, SQL, Back End Testing, Maintenance
• Participated in Business Analysis, Requirement review and Technical Specs Inspection.
• Developed Test scenarios, Test Scripts and Test cases based on the Requirements.
• Involved in coordinating with developers and business owners.
• Performed QA Testing on CRS Children Rehabilitative Services Application.
• Performed rigorous manual testing such smoke testing, Integration testing and System Testing.
• Tested 4010/5010 conversion EDI transactions, 834, 837, 835, 270/271, 276/277, etc.
• Good knowledge of the Members, Providers, Claims, Configuration and Payment Modules of Facets 4.71.
• Analyzed the Facets Requirements/BRD's/Gap analysis, then prepared test scenarios and test cases.
• Conducted Validations for different FACETS modules Providers, Claims and Membership
• Followed the Agile Methodology to emphasize on real time communication over written Documentation
• Tested the Case Management and Prior Authorization in Facets.
• Involved in Member creation using Facets and assigning them to different Medicare, Medicaid Programs.
• Created different providers and members through Facets.
• Also worked on 837 and 835 projects, including syntax and business rules for X12, HIPAA 4010 and 5010 validation for loops, segments, elements, qualifiers and code sets.
• Testing for HIPAA 4010 and 5010 projects including legacy testing and HIPAA requirements and compliance mandates.
• Completed several HIPAA 4010 and 5010 Projects, included Medicaid including claims and enrollment testing as well as NPI and medical coding and ICD-9 EDI.
• Detected, reported and tracked defects using ALM/Quality Center.
• Used Load Runner for Performance, Stress Testing and Endurance Testing
• Performed Integration Testing, UAT testing.
• EHR,EDI 837,834,835,FACETS

Environment: Quality Center, SQL, Oracle, UNIX and Windows NT, QTP, Facets, MS Office, Share Point.

Description: Part of HCA, the nation's leading provider of healthcare services, Reston Hospital achieves high honors for attentive patient care. I was a System Analyst in the network administrator group performed various duties of networking, and system trouble shooting.

Networking Responsibilities:

Installation ,Configuration and Troubleshooting

• Performed extensive Networking, Installation, configuration of Hardware software Application, Utilities, Operating System duties such as: QTP UFT Installation, ALM QC Installation, Selenium, Load Runner, Soap UI, and Soap UI Pro. Protocol, Network Connectivity, Application Compatibility etc.
• Support over 1000 end users by installation and configuration of OS, client /server configuration, Router, switch, hub, server Domain or Work group static and DHCP Join work group, domain, map drive, create Scope, Active directory, VPOM Server, create local and network printers.
• Configuration of Hardware and Software
• TCP/IP,DNS,WIN,DHCP,VPN,SUS,IIS6.0,Active Directory, EDM Web interface, ghost Remedy7.0,5.5, ARC Backup, Dame ware, Track-It, Anti-virus, PC Anywhere, Kronos.
• Local Security Coordinator LSC or Internal Audit: assignments are reviewed for appropriateness and proper integration of duties HIPPA, SOX .
• Active Directory: Create access, set, reset password, and give permission, terminated employee remove the access.
• SMART: Create a new user account, Modifying user account. Resetting user password.
• Removing Smart access employee, Reviewing access. Remove all access users had
• GHX Medibuy : Create new user account, Modifying GHX user account, Resetting user passwords.
• KRONOS i Series : Installed and configuration IP Address, DHCP, Create a new access Account, Modifying user account. Create the user's level of access as per company policy and rule, Resetting user passwords, Eliminate access from terminated employee. Monthly Auditing of Kronos SOX,HIPPA
• Information Systems Account Management ISAM Framework Document:
• Creating new ECHO user account, Modifying user account, No-Employee: Removing ECHO access employee, Reviewing ECHO Access.
• HOST and PLUS: Create Access, Add application access, Disable accounts.
• Audit monthly and quarterly reports HIPPA and SOX

Environment: Networking, Windows OS 2000, 2003, 2008, Active Directory, Wireless, DB2,SQL Server, Mainframe, AS/400, QTP, Quality Center, Load Runner, MS Office, Share Point

Industry Certification:

• MCSE Microsoft Certified System Engineer.
• MCP Microsoft Certified Professional.
• MCP I Microsoft Certified Professional Internet.
• Microsoft Certified in TCP/IP
• Microsoft Certified in IIS6.0

Continuing Education Classes:

• QTP, QC, Load Runner, SDLC, STLC, SQL, SoapUI Pro
• SAP FICO , ITIL, CCNA NVCC
• Implementing and administering Windows Directory Services.
• Implementing and administering Windows Network infrastructure.