Professional Summary

• Approximately 7 years' experience in software quality assurance, web-based and client server applications.
• Excellent knowledge in handling Microsoft tools and Mercury Interactive automation tools such as: TFS, QTP, and LoadRunner.
• Proficient in developing and maintaining test plans, test cases, test scenarios, test data and test scripts, writing and executing test cases using Test Director and HP Quality Center for manual and automated testing.
• Testing of HIPAA 4010 and 5010 transactions working knowledge on EDI Electronic Data Interchange , Power MHS, Translator software, X-12 formats having excellent Trouble shooting skills.
• Worked extensively on all X12 transactions -837, 835-Remitance advice, 270/271- Member eligibility and response, 837,276/277-Claims status and response, 834-Member enrollment.
• Testing, validation and support EDI, Transactions, HIPAA Compliance format.
• Expertise in test planning, documentation, test case design, test tool usage, test execution, defect management and defect tracking using automated tools as well as manual tools.

Confidential

QE Analyst, HIPPA tools and NCTIO North Carolina TOPAZ INTEGRATION program

• Confidential is North Carolina TOPAZ INTEGRATION program, a pet project of BCBSNC where the legacy system maintained by PMHS is being replaced by new system FACETS for claims processing and adjudication and also as the HIPAA Gateway tool.
• Analyzed System requirements to develop the Test Plan. Mapping Test cases to requirements in order to ensure that all the functional requirements have been covered in the Test plan.
• Performed Functional, Black Box, System, Integration, Smoke and Regression Testing.
• Creating Test Cases in HP ALM as per Functional and Business Requirements.
• Used IBM Rational Application tools for reporting and tracking code deployments and defects
• Prepared Test data to enable the software to be quality checked. Extensively used SQL statements to query the Oracle Database for Data Validation and Data Integrity.
• Involved in preparing Test Data based on the functionality of all the HIPAA Related Transactions 837/835, 270/271, 276/277 transactions.
• Involved in the automation of test cases from the scratch and developed a full regression suite for the entire project. Tested HIPAA Transactions 820, 834, 835, 837 I/P/D , 270, 271, 276 and 277 , also performed WEDI/SNIP testing.
• Extensive knowledge on claim processing and adjudication using FACETS system.
• Used EDIFECS as platform for HIPAA compliance and gateway to process the claims concerning both PMHS and FACETS.
• Have thorough knowledge in Blue e and Blue exchange platforms for claims processing
• Prepared the 837 Professional /Institutional Files with ICD-10 Test files with the DX Codes and Principal Procedure Codes with both FACETS and PMHS
• Validated the Pricing for the Claims submitted through ICD-9 and ICD-10 Claims for given Subscriber information with both FACETS and PMHS
• Validated in END System to make sure system is accepting ICD-10 DX and CPT Codes and Adjudicated Correctly
• Have extensively tested codes on JCAPS, Message Broker and Web sphere middleware platforms as a part of integrating PMHS to FACETS.
• Helped manual testing team to setup and run automation scripts in HP ALM.
• Written multiple Test Cases Unit, System, Integration for multiple transactions include 837I, 837P, 835, both inbound and outbound transactions
• Processed claims for the Batch adjudication system and validated the full payment cycle process.
• Responsible for Preparing GHI, Medicare and Medicaid Claims.
• Verifying the Payments generated from Medicare and Medicaid Claims DHHS .
• Reported software defects in Quality Center and interacted with the developers to resolve technical issues. Verify the XML and Flat File Claim Information based on the Adapters Host / Home, and FEP and Make sure it is routed to the End System without any Problem.
• Responsible for Entering the Hospital and Medical Claims Entry in the Online Portal application
• Generated SQL queries to validate various reports, loads and extract processes.
• Tested for content, comprehensiveness, layout and functionality and involved in positive and negative testing of the application.
• Working with Scrum Team and daily stand up to discuss about all possible tasks and technical issues with Business System Analyst and Developer
• Extensive Backend testing by writing Complex SQL Queries.
• Responsible for conducting the defect review meetings with the development and business teams on a daily basis to report and discuss the validity of defects opened by the testing team.

Environment: FACETS, PMHS, Blue E, Quality Center 10.0, HP UFT, HP ALM, HTML, Oracle11G,Teradata, SQL,DB2/IMS tools, SOAP, Windows 2007, TSO/ISPF, Agile Scrum Method, Manual Testing. Microsoft Visual Studio 2008, Toad, Message broker, Mainframe, File Net.

Confidential

QA Analyst, Number Management Domain System NMDS

• NMDS enables customers to perform activation and provisioning services in the network. The application is the solution for the activation and provisioning of services for Individual, Fixed, and Number Portability products mainly targeted for enterprise customers.
• Involved in business requirements, design and functional requirements reviews meetings.
• Develop functional, regression, integration and end-to-end test cases.
• Use ETL and develop functional, regression and acceptance test scripts.
• Use Quality Center to enter bug/defects/issues.
• Perform Web Services testing using SOAP UI for Web Services.
• Perform data driven testing using ETL.
• Perform build acceptance and regression testing on different builds and releases using QTP.
• Perform white box testing on builds.
• Modify existing regression and build acceptance ETL test scripts based on the new changes and enhancements.
• Create different sets of test data in the Oracle database to test Java APIs.
• Aggressive coordination with Project Managers, Development Leads and Business Analysts.
• Involved in user acceptance testing with involvement of business users.
• Create and manage requirement traceability metrics for multiple projects.
• Aggressive coordination with offshore Test team and Development team.
• Perform database and data verification testing and use WinSQL, SQL and TOAD for data verification testing.
• Write SQL queries for comparing the data to be reported.
• Create test cases and map with requirements in Quality Center.
• Prepare detailed test plans and test cases based on the functional specifications/business requirements.
• Automate tests using ETL for reusability, repeatability, reliability, and faster execution.
• Create data-driven tests by using Data Driven Wizard and ETL along with manually adding data driven statements.
• Conduct synchronization tests to check whether the application is working as per the functionality.
• Use proprietary tracking tools like JIRA for bug tracking and project management issues.
• Extensively use QTP for generating the automated test scripts and also used data driven tests.

Environment: QTP, HP Quality Center, Java1.6, J2EE, JIRA, Perforce, Oracle 10g,WebLogic 6.x, TOAD, WinSQL, Visual Studio, SoapUI, Windows, Quality Center, Bugzilla, ETL, SQL

Confidential

QA Analyst

• As part of this project, the main core changes between the code set ICD-9 and ICD10 was the increase in the length of the characters ICD10 codes that must be used on all HIPPA transaction, including outpatient claims with date of service and inpatient claims.
• Analyzed business requirements, design documents, functional and technical specifications.
• Worked closely with project stakeholders i.e., Business Analyst and QA Process team .
• Participated in meetings with Business Analysis team to understand the application and requirement for the application testing.
• Participated in meetings, walkthroughs and interacted with team members to better understand system functionality in order to improve testing quality.
• Reported the defects, email notifications to Leads using the Rational Clear Quest.
• Analyzed defects and categorized based on severity and business scope using ETL.
• Developed test cases based on system flow and field validation by using positive, negative and regression testing scenarios.
• Performed shell scripting in the Linux environment.
• Participated in walk-through and defect report meetings periodically with Team Leads.
• Prepared test data for testing the claims.
• Worked extensively on all X12 transactions 837.
• Wrote SQL queries and validated data.
• Developed test scripts and test maps using ETL.
• Created XMLs for SOA testing.
• Performed regression and end-to-end testing of the application as per requirements.
• Performed positive and negative user acceptance testing in to the Model Office.
• Worked on test planning, test execution/management, and test summary report.
• Processed claims using EFDE Electronic Flexible Data Entry .
• Excellent knowledge in EDI transactions 834, 835, 837, 270/ 271, 276, and 277with versions 4010, 4010A1, and 5010.
• Processed 837 files using FTP in TSO.
• Acquired a complete understanding of the claim type and claim class.
• Performed white box and black box testing on the scripts.
• Ran test scripts that involved PowerMHS GUI build which accounted for easier user options and setup allowing health plans to achieve high levels of auto-adjudication. GUI made PowerMHS easy to use and support.
• Adapters using this built in software enabled the administration system to connect effortlessly with most of the types of applications.

Environment: 834 HIPAA 4010 and 5010 Version, Power MHS, Windows 2000/XP/2003, Windows 7, TSO, CICS, DB2, JCL, FTP, MS Office 2003/2007, MS SharePoint, HIPAA Compliance, HP Quality Center, SOA, Web Services, XML, SQL, TOAD, Oracle, Selenium, Linux, ETL

Confidential

Model Office Automated Enrollment

• The scope of this project was an inbound and outbound data transmissions related to Enrollment including new Automated Enrollment functionality to support the processing of inbound transactions from an approved distribution partner, outbound feeds and connectivity and use of data stores developed outside the scope of this project that supported the new AE architecture. It used reusable Web Services SOA wherever possible and allowed those services to be used asynchronously to maintain acceptable response times and system performance. To that end, a combination of TIBCO and PEGA architecture had been selected to accept ASC X12 834 standard EDI enrollment transactions conforming to revision 004010X095A1, HIPAA compliance check these transactions, route and apply platform specific business rules, and deliver to appropriate enrollment systems in Facets. FIX protocol and Equity trading applications were used to analyze the effects of these transactions in the market.
• Participated in test planning and wrote test cases/scripts, test case automation and test execution.
• Involved in complete SDLC processes and understanding of QA methodologies.
• Executed test scenarios for Add/Change and Term Reinstate transactions for 834 files.
• Tested, validated and supported EDI, Transactions, and HIPAA Compliance format.
• PEGA Rule based processing, determined errors and correct responses of the application.
• Developed test scripts with 834 files for PEGA.
• Involved in validating the mapping document between the 834 HIPPA Enrollment Data and the Facets.
• Used Tibco business processes validations in 834 files.
• Performed verification and validations for EDI transactions.
• Created positive and negative test cases.
• Used Serena Dimensions Change and Configuration Management tool to collect and refine project requirements.
• Used Selenium tool to develop the test cases.
• Tested the backend database using SQL queries.
• Performed white box testing on the applications.
• Used Mainframe CICS for online transactions.
• Performed 834 files through XML Check the responses.
• Performed in Web Applications and black box testing to validate the functionalities.
• Involved integration and end-to-end testing manually.
• Extensively involved in 508 testing.
• Checked the transactions involving TSYS TS2 frames.
• Responsible for GUI, sanity, system, regression and user acceptance testing.
• Tracked defects and updated comments accordingly in Quality Center 9.0/10.0.
• Monitored closely the defects/cases as and when Developers fixed the defects primarily using HP Quality Center.
• Monitored data extensively in Facets Integration.
• Performed end-to-end testing on the transactions developed using FIX protocol.

Environment: HIPAA 4010 and 5010, PEGA, Trizetto Facets, TIBCO, Oracle 9i, EMPI, SOAP UI, Web Service, CICS, JCL, HP Mercury Quality Center, Windows XP, HTML, SQL, SQA, SOA, FTP, SFT, Serena Dimensions, Citrix, Agile environment, HIPAA compliance, TSYS TS2, MS Outlook, Business Objects, FIX, Equity trading, LoadRunner, Selenium, HP Quality Center

Confidential

QA Tester

• The project was designed for processing life insurance policies through Policy Processor system. This system integrated with multiple systems.
• Wrote and executed test plans and test cases which were developed after reviewing the business requirements and technical specifications documents.
• Involved in requirements traceability, analysis, and tracking test planning, test execution and reporting of testing results, defect reporting and resolution for the application development.
• Implemented changes to SDLC by moving test case development into the HP Quality Center software tool, from MS Excel, Word, and other manual methods.
• Performed verification and validation testing.
• Created positive and negative test cases.
• Tested the backend database using SQL queries.
• Involved in developing test plans, test cases and test scripts with HP Quality Center tool.
• Wrote SQL scripts to extract data from the database using TOAD.
• Tested Web Services using Soap UI.
• Responsible for GUI, sanity, system, regression and user acceptance testing.
• Responsible in providing regular test reports to the management.
• Monitored closely the defects/cases as and when Developers fixed the defects.

Environment: HTML, Java, JSP, PDF, Mainframes - CICS, COBOL, TOAD, Oracle, Web Service, WSDL, HP Quality Center, Cascading Style Sheets CSS , WebSphere Application Server WAS , Windows XP, UNIX, Linux

Technical Summary

• Testing Tools: HP Mercury Quality Center, Bugzilla, Quick Test Professional, LoadRunner and Test Director, TFS, Selenium
• Languages: C, C , Java/J2EE, Struts, PL/SQL, J Unit, EJB, XML, TSL, HTML
• RDBMS: MS SQL Server 2000, DB2, Teradata, Oracle, MS Access, WinSQL, TOAD, Rapid SQL, CICS, TSYS TS2
• Operating Systems: Windows, AIX, HP-UNIX, Citrix