SUMMARY

• 8 years of experience in Software Quality Assurance and Software Testing of Client/Server, UNIX/Linux and Web based applications.
• Good knowledge on Software Development Life Cycle, Testing Methodologies and techniques.
• Conversant with all phases of Project Life Cycle including Requirement gathering, Analysis, Design, Development, Implementation, Testing, Software quality standards and configuration management and change management and Quality procedures.
• Experienced in developing scenario based test cases based on Use Cases, User Requirement Documents URD and developing acceptance test cases.
• Proficient in developing and executing Test Procedures, Test plans, Test Sx cripts, verification, test result validation, performing functional, usability and ensuring that the software meets the system requirements. Documented all phases of QA process.
• Expertise in creation and maintenance of Hybrid QTP framework combination of Data Driven and Keyword Driven automation approaches .
• Expertise in deploying J2EE applications on IBM Web Sphere application server thru Admin console as well as thru scripts.
• Worked on pre authorization of Claims in FACETS and Knowledge of ICD - 9, CPT, REV codes
• Solid Automation experience in Health Care / Insurance / Financial systems.
• Extensively involved in testing Trizetto's Facets and mainly involved in Enrollment and Eligibility modules.
• Expertise in testing Enrollment, Billing and claims processing in FACETS
• Strong understanding experiences for testing creating test cases for different EDI transaction like 271, 277, 834, 835 837.
• Experienced in performance tuning and monitoring using Wily Introscope, Tivoli Performance Viewer, and custom written shell scripts.
• Experience in Backend testing of SQL Queries using Oracle, SQL Server and DB2.
• Expertise in Oracle, SQL database queries and manipulation using SQL.
• Experience in using various jQuery UI controls and corresponding Event handlers etc.
• Extensive experience in high volume Mainframe Testing and Mainframe environment like ISPF, TSO, File Aid/DB2 and In sync, QMF, SPUFI and CICS.
• Strong knowledge on different OS/devices Android, Android ICS, IOS, Win 7, IPad, Tablets and Mobile HTML.
• Experienced in software analysis, Requirements Management, Quality Assurance, Modeling, Configuration Management and Change Management..
• Proficient in Manual and Automated Testing of applications developed on Windows and Web Environment.
• Have an in-depth understanding and hands-on experience of various kinds of testing GUI application testing, Back End testing, Database testing, Front-end testing, Functional Testing, System testing on, Client-server, stand alone, and web- based applications with multiple server domains.
• Test expert at various levels/stages - Unit Testing, Integration Testing, Regression Testing.
• Sound experience in automated testing using HP tools such tool- QTP.
• Expertise in Bug tracking Tools like FTP, Test Director, HP Quality Center and Rational Clear Quest.
• Reviewed the Requirements for testability, conducted walkthroughs with developers.
• Involved in testing HIPAA EDI Transactions and mainly focused on 837 and 835.
• Hands on experience utilizing SOAPUI for testing web services
• Hands-on experience in testing the Facets applications
• Self-starter and ability to adapt and learn new Technologies Quickly.
• Capable of working independently and/or as a part of the team with excellent inter-personal and communication skills in client interface and user training.

TECHNICAL SKILLS:

Operating systems: Windows 2000/NT/XP, UNIX/Linux and Mainframe

Languages: C, C, VB, PL/SQL, HTML, XML

DBMS: Oracle 9i, Oracle 10g, SQL Server 05, 08,08R2 12 DB2, MS Access

Testing Tools: Jira, Quick base, Selenium, X-table, Quality Center, QTP, FTP

Project Management Tools: Microsoft Project, Yourdon Methodologies

Others: TOAD, HTTP, HTTPS, MSOffice, Lotus Notes, Wily Interscope, MS Access, Visio, Power Builder MHS, SoapUI, Claredi, Fecilidi

EXPERIENCE

Confidential

Sr. QA EDI Tester

Description:

Confidential provides managed care services exclusively for government-sponsored healthcare programs, focusing on Medicaid and Medicare,WellCare offers a variety of health plans for families, children, aged, blind and disabled and prescription drug plans. The Company served more than 2.5 million members nationwide.WellCare is committed to sound principles of corporate governance

Responsibilities:

• Good understanding on 4010A and 5010 State Companion guides, 4010A to 5010 Side by Side changes document, Business Requirement Document BRD, Functional Requirement Document FRD and also good understanding on each transaction Implementation guides.
• Work closely with EDI to ensure accuracy in data transmissions and shared processes.
• Gained strong understanding of Eligibility Enrollment, Consumer driven products CDP/CCF initiative such as HSA, HRA, FSA and tradition HMO/PPO products associated systems
• Prepared High Level End to End Use Cases and Individual Use Cases for each 5010 transaction.
• Created the Use cases for ERP implementation business and functional requiremnts.
• Prepared Master Test Plan for both the Hipaa 5010 Compliance and Xcelys 6.0 Like Diamond and Facets .
• Coordinated the end to end testing efforts of the HIPAA compliance and EDI transactions.
• Conduct employee HRAs/needs assessment/employee surveys: review medical/script/disability claims x 3 years, employee absences, EAP use incorporate employee demographics/interests
• Assisted in the design of EDI solutions and represented Enterprise EDI team with regards to EDI/XML industry standards
• Good understanding on existing 4010A Transactions on 837 Claims Instructional, professional and dental, inbound and out bound, 834 Enrollment, 270/271 Eligibility inquiry and Response, 835 Remittances, 276/277 Claims Status Inquiry, 278 Referrals Pre-Cart, 820 Premium Payments, 997acknowledgements and NCPDP.D.5. Applied regression testing.
• Approve and deny FSA and HRA claims for participants by reviewing documentation submitted for reimbursement
• Validate the date from EDI transaction in the front end as well as back end.
• Involved in adjudicating the claims for testing purposes using Facets
• Identified new changes in each 5010 Transaction and prepared the Severity levels like, High level, Medium level and low level and prepared the line of estimation by using the Estimate tool.
• Identified effect of new changes on existing applications like Edifecs X-engine, SpacBuilder .
• Identified New HTR Healthcare Transaction Repository futures and understood the effects on existing surrounding application.
• Testing of EDI X12 840, 837 and 835 Transaction sets for claims processing
• Performed regression testing after replacing the Microsoft Biz-Talk converting X12 file to XML file or XML file to X12 file to new IBM Web Sphere Transformation Extender.
• Analyzed the existing work flow and functional accepts for preparing the Automation frame work.
• Involved in migration testing from Xcelys 3.0 Like Facets to Xcelys 6.0 and Creating High Level End to End Use Cases for each Enrollment, Provider, Claims, Pricing and Customer management module.
• Validated the ERP applications to make sure data flows from variose sours to centralized data base.
• Involved in database testing by writing and executing SQL queries to validate that X12 files against Data Base oracle 9g in appropriate tables in Different Testing Environments like SAQA0, SAUAT and SAPRD.
• Involved in System Integration User Acceptance Testing UAT and Production testing on existing 4010A and Xcelys 3.0.
• Ensured compliance of customer EDI x12 and EDIFACT requirements
• Assisted extensively on HIPAA EDI 837 I P, 835 and 820, 820s, 270/271 for different business users.
• Membership/enrollment and billing-entered information on facets to ensure correct eligibility
• Used Mercury Quality Center 10 to store all testing results, metrics, implemented Test plan, created Test Cases, Defect Tracking Reporting.
• Assigned bugs to Programmer by using Quality Center bug Defect tracking tool Verifying that all the reported bugs fix thru software developers
• Performed Test Data set up a pre-requisite to executing use cases during system testing.
• Followed the testing progress during status meetings and prepared contingency plans when required.
• Conducted weekly status meetings to discuss the testing progress and weekly activities.
• Acted as a point of contact regarding defect status / resolution for the Development team, QA team.
• Interacted with the developers in fixing all the problems.

Environment: Windows NT4.0, Quality Center 10, HIPPA EDI, CICS, COBOL, Facets, DB2, UNIX, XML, Java Framework, ASP Net, C, ADO.NET, SQL Server 2005, oracle 10g. HTML, MS SQL Server, Microsoft Excel, MS Word, Internet Explorer 6.0.

Confidential

Test Engineer / SOA Tester/ Web Services Tester

Description:

Confidential at Coventry I interacted with the end users and conducted JAD Joint Application development sessions to make sure that requirements were compliant with the code tested. I also performed functional, regression, performance and UAT testing of various functionalities like member enrollment, benefit administration, billing, reimbursement, claims productivity, claims adjudication to ensure consistency and also to make the system user-friendly and error-free for its customers

Responsibilities:

• Developed test plans, status report for the management review for complete end-to-end testing for SOA.
• Responsible for maintaining Health Insurance Portability and Accountability Act HIPAA compliance.
• Extensive testing experience with Member Enrolment, Member services, Facets ITS Claims processing and Claims adjudication.
• Created transaction sets like 837I/P, 835, 834,270/271,276/277 and278.
• Prepared 837 I P Claims and validated these in Facets 4.51.
• Validate the date from EDI transaction in the front end as well as back end.
• Developed and executed manual test scripts using test plan and test lab sections of Quality Center for System testing, Integration testing and Regression testing of the application.
• Performed backend testing using SQL queries and executing stored procedures.
• Responsible for creating and executing test cases against Facets 4.71 upgrade.
• Involved in migration of the Facets from 4.51 to 4.71.
• Created test scenarios for 5010 repository to ensure maximum test data coverage and to reduce burden of manually created ANSI test data.
• Strong knowledge in HIPAA EDI 4010 and 5010 with ICD-9 and ICD-10, analysis compliance experience from, payers, providers and exchanges perspective, with primary focus on Coordination of benefits
• Checked HIPAA compliance using EDIFECS tool.
• Tested new developments of X12 837 claims, 835 payment files.
• Performed System testing by executing the Test scripts.
• Created XML Schemas for different EDI transaction sets as well as ICD 9 to ICD 10 diagnosis codes.
• Involved in testing various healthcare applications and migration of plans from legacy system to Facets application.
• Used Portico, Inspector Initiate to check provider and subscriber information.
• Responsible for creating test data manually in Facets application.
• Mapping requirements with Test plan in Quality Center.
• Executed the test cases and tracked defects in Quality Center.
• Used Facets for Claims processing.
• Interacted with the UAT team to solve issues related to the defects.
• Verified the member validation and provider validation using Facets.
• Test results are documented using MS Word and maintained Excel sheets for personal tracking of the defects.
• Interacted with users by conducting User Acceptance Testing UAT to ensure that the total functionality of the application was met by complying with all the business requirements.
• Document test results and provide status updates to the QA Team Manager and Test Coordinator.

Environment: Manual testing, Quality Center 10.0, Facets 4.51/4.71, Edifecs 4.5, Java, J2EE, IBM WebSphereXML, Oracle 10g, SQL, SQL Developer, EDI X, MS Office 2007, UNIX and Windows XP.

Confidential

QA ANALYST

HIX project involves facilitating the purchase of insurance on Federal Public and Private exchanges by setting up an online market place and enrolling the members in Facets application

Responsibilities:

• Tested the Web based application built on Java for exchanges
• Analyzed business requirements and developed test cases
• Worked on EDI 834 transactions
• Created test data by editing the EDI 834 files manually
• Tested web services using Soap UI
• Used Quality Center for Logging defects and for defects management lifecycle.
• Executing both Functional Testing and Regression Testing.
• Developed SQL queries to query Facets database setup test data and review test results.
• Created automation scripts using QTP
• Documented the process flow Business Use Case for the EDI transaction 835, 837 tagged them in Requisite Pro
• Provided mapping, and gap analysis for HIPAA codes sets and EDI transaction processing between Trading Partners and Regence
• Filtering E2E, UAT test scenarios for UAT sessions using UAT requirements goals.
• Preparing sample test data for UAT.
• Assisting end users during User Acceptance testing.
• Validated the archived jobs using DVO.
• Archived and retired several hospital systems using Informatica ILM and DVO to archive the data and backload into the data warehouse.
• Installation, configuration of Informatica PowerCenter 5 through 9.5, Informatica Data Explorer, Informatica Data Quality.
• Tested the claims from trading partners that had been new ICD-10 codes.
• Conducting and participating Peer review meetings, Weekly project and Test Team meetings
• Tested the Configuration to ensure that fixes were working as planned.
• Tested billing system which has been updated to support ICD-10 codes
• Validated signoff documents were developed to conclude the testing efforts.
• Documented test plans, test suite design and test cases.
• Created and maintained test data.
• Assist other developers in learning Informatica PowerCenter and applying design elements in ETL.
• Assisted with configuring key data into database from Informatica
• Experienced in testing key applications as part of Facets upgrade from 4.71 version to 5
• Verified the Installed data into FACETS

Environment: FACETS 5, ICD-10, Java, SQL Server 2008, QTP, Quality Center, QTP, Soap UI, TIBCO, SQL Developer, VPN, Citrix, Windows, MS Office

Confidential

QA Analyst.

The Customer Information System project extracts customer information from different geographically located databases and queries the orders placed by customers for telecommunication services. This application helps the customer support people to track the status and details of an order and update the customer order details into the system.

Responsibilities:

• Knowledge on all application modules in the Verizon Software for Home Customers and Business Customer Software installation.
• Prepared detailed Test Plan by understanding the business logic user requirements.
• Analyzed the Business Needs, Use Case and Functional Requirements for the Application.
• Developed Test Data, SOPs for Validation Plan, Test Cases and Test Procedure.
• Involved in writing and execution of test cases and interaction with the development team to report and correct errors for every Version release.
• Develop automation framework for testing app on Android and iOS devices.
• Extensively communicated and guided the customer in software installation for Home or Business.
• Build and manage the overall test process, according to the agile methodology.
• Participated in Formal Reviews and walkthrough for preparing test cases.
• Created and maintenance of reusable functional libraries on VB Script using HP QTP and Perfecto Mobile.
• Executed the Test Cases and logged Defects with the help of HP Quality Center and assigned them to the development team and tracked them to closure.
• Involved in troubleshoot the Issues in UNIX box when testing the Application.
• Involved in converting manual test cases into automated scripts on HP Quick Test Pro QTP .
• Involved in Creating, executing, coding and enhancing the VB scripts using QTP for each individual functionality Regression testing of the application.
• Conducted the Functional, System, Integration, End to End, Performance, Regression, User acceptance UAT and implementation testing on the web application.
• Conducted functional and Regression testing on Java and Mainframe Applications.
• Used SQL queries to perform back-end testing of the database.

Envi ronment : Windows 2003, HP Quality Center, UNIX/LINUX, QTP 10.0, QC 10.0, VSAM, OS/390, TSO/ISPF, CICS, DB2, Oracle9i, Toad, MS Access, Perl.

Confidential

QA Analyst

This application was developed for online transactions like accessing personal accounts, checking balances, payment of recurring bills, such as mortgages and loan payments, transfer of funds between accounts of its customers and also between this bank and other institutions, loan rates, other products and services, and correspond with the bank.

Responsibilities:

• Created and executed test plans for their Internet website application.
• Involved in developing policies and procedures to ensure web site release integrity.
• Analyzed the Functional requirements.
• Checked Functional test cases and technical specifications
• Created Test cases for each functionality and automated the bug free test cases for Regression Testing by using QTP
• Updated the Test scripts based on the application enhancement.
• Worked with development team to ensure testing issues are resolved.
• Has the proficiency of working on Windows Operating environments.
• Complete Web Services Testing was performed using Jmeter and SQL queries to verify the Integrity of the database.
• Follow project milestones and be responsible to create test data and executes test scripts and defining test plans from functional, regression and performance testing through acceptance for Web Services/APIs SOAPUI
• Used Rational Clear Quest management tool to manage defects and change requests throughout the process.
• Documented software defects by snapshot technique and recommended appropriate changes in the application.
• Responsible for updating test cases and logging in defects in HP Quality Center.
• Updated Traceability Matrix regularly.
• Perform installation, maintenance, support and monitoring of the system on the production environment.

Environment: QC, QTP, Lotus Notes, Oracle 9i, VB, ASP, HP Quality Center, HP ALM, Internet Explorer 6.0 and Windows 2003.