SUMMARY:

• 9 years of experience in IT Tools and Business. Experienced IT Productivity professional with deep knowledge
• Strong understanding knowledge of Software Quality Assurance methodologies including development, execution, and maintenance of test plans, repeatable tests, test result documents and bug reports.
• Have strong interpersonal communication skills and proven track record of academic and professional achievements.
• Worked cross-functionally with Product Managers, Account Managers, Project Managers and technical teams.
• Good Interaction with developers, managers and team members.
• Flexible and adaptable mindset and approach to problems, with experience working in an iterative/agile and Hybrid environment.
• Worked under tight time schedules and manage changing priorities.
• Self-motivated and can learn new technology and domains quickly.
• Strong oral and written communication skills good listening skills strong working knowledge of MS Office Word, Excel, Access, Visio, Power Point, SharePoint and MS Project.
• Strong knowledge of Families First/TANF, SNAP/FS, Child Care, TennCare Medicaid and TennCare Standard policies.
• Strong working knowledge of claims, appeals, AR and quality review processes.
• Good knowledge of Sarbanes Oxley Act of 2002 SOX Health Insurance Portability and Accountability Act of 1996 HIPAA EDI transactions - 837I, 837P International classification of diseases ICD-9, ICD-10 .

TECHNICAL SKILLS:

PROFESSIONAL EXPERIENCE:

CONFIDENTAIL

Sr. QA Analyst

Worked on CONFIDENTAILenhancement to CONFIDENTAIL . Xerox formerly ACS , a fiscal intermediary for CA-MMIS implemented a backward crosswalk solution for Department of Health Care Services, CA to process ICD-10 Diagnosis and Procedure Codes through CA-MMIS. I was involved in testing this ICD-10 Crosswalk System.

Responsibilities:

• Analyzed the business requirements and wrote test conditions for system test, unit test and regression test.
• Developed and maintained test cases and test scripts in Rational Quality Manager RQM .
• Linked requirements from DOORS to test cases in RQM.
• Reviewed test conditions, test scripts and test cases developed by other test analysts.
• Executed test cases using RQM and documented results.
• Used Rational ClearQuest to create, manage and retest defects.
• Tested interface files for Department of Mental Health DMH , County Mental Health, State Controller Office SCO , California Children Service CCS and Genetically Handicapped Persons Program GHPP .
• Tested reports for Management and Administering Reporting Subsystem MARS , a CA-MMIS Mainframe system and used EDMS to view reports.
• Tested Laboratory Services Reservation System LSRS , a CA-MMIS integrated non-Mainframe system.
• Used other Mainframe and Non-Mainframe systems like Service Utilization Review, Guidance and Evaluation SURGE , Automatic Collection Management System ACMS and Online Claim Correction System OLCC
• Worked on Crosswalk Mapping screen, Provider master inquiry screen, Fiscal Intermediary Access of Medi-Cal Eligibility FAME , Procedure Detail Screens using Customer Information Control System CICS .
• Extensively used Interactive System Productivity Facility ISPF to view tables and files.
• Worked on Computer Media Claims CMC /EDI X12 claims including 837I and 837P, NCPDP D.0 and 1.2, Paper claim forms UB-04 and CMS-1500, Real-time web applications for claims submission like RTIP and IPCS.
• Extensively used Edifecs SpecBuilder and Visual SlickEdit to build claims.
• Created Treatment Authorization Request TAR for Inpatient claims and Service Authorization Request SAR for services related to CCS and GHPP.
• Strong knowledge of claims processing, adjudication and suspense processing Suspense Error Codes, RAD codes .
• Good knowledge of GEMS General Equivalence Mappings that was developed by Centers for Medicare Medicaid Services CMS and the Centers for Disease Control and Prevention CDC to convert ICD-9-CM codes to ICD-10-CM/PCS and vice versa.
• Knowledge of Surveillance and Utilization Review System SURS , California Automated Eligibility/Claim Management System CA-EV/CMS , Drug Use Review DUR , Rebate Accounting and Information System RAIS and SURS Prospector.

Environment: RQM, DOORS, ClearQuest, Sharepoint, Mainframe, TSO, ISPF, CICS, EDMS, SpecBuilder, SlickEdit, 837I TR3, 837P TR3, NCPDP Payor Sheet

CONFIDENTAIL

Sr. QA Analyst

Involved in analyzing and testing CONFIDENTAILa new state-wide web based application developed by Xerox formerly ACS for the Tennessee Department of Human Services. VIP collects client information, automatically determines eligibility and calculates benefits for a variety of different family assistance programs: Families First, Food Stamps, TennCare Medicaid, Child Care. The system also supports claims and appeals. The application was developed in Java using Oracle database and Websphere application server. As a single integrated platform, VIP replaces several previous State systems that used Mainframe z/OS and DB2.

Responsibilities:

• Analyzed the design documents and wrote test cases for business function testing, conversion testing, end to end testing and UAT.
• Developed and maintained test suites and test scripts.
• Assisted in preparing test plans, test procedures and provided feedback to management on test strategies.
• Involved in windows testing, functional testing, interface testing, regression testing, smoke testing, conversion testing end to end testing and UAT.
• Involved in all the phases of Software test life cycle.
• Executed test cases manually as well as using automation tool HP Quick Test Professional QTP , identified and communicated the defects to the defect resolution committee using HP Quality Center QC .
• Executed test scripts in regression and smoke test using QTP.
• Developed user defined functions using VBScript in QTP
• Developed reusable actions, Shared Object Repositories and Recovery Scenarios in QTP.
• Assisted in automating end-to-end test cases in QTP.
• Worked in conversion pre-verification, identified data mapping issues between DB2 and Oracle by writing complex SQL statements and communicated to the functional team leads using JIRA.
• Involved in retest of application defects and conversion defects.
• Involved in DRC meetings to triage issues.
• Assisted in tracking build releases and defect fixes.
• Knowledge of Families First/TANF, SNAP/FS, Child Care, TennCare Medicaid and TennCare Standard policies.
• Tested Disaster, Service center, Claims, Appeals, Quality Review QR and Account Receivables AR processes.
• Tested interfaces IVR, EBT, TCSES and SSA , batches, alerts, notices including HIPAA notices and reports in end to end testing.
• Created various incoming interface mock-up files and executed interfaces using WinSCP and Putty for End to End testing.
• Tested Reports using SAP Business Objects Infoview.
• Tested application for Section 508 compliance.
• Tested web portal and assisted in web-services/web API testing using SOAP UI.
• Prepared workflows/activity diagrams in MS Visio for business function processes.
• Documented process for budget calculation and renewals of Medicaid and Families First. Prepared training manuals for claims, referrals, AR and appeals. These were used by new hires.
• Advised project teams on testing tools and test environments.
• Tracked daily progress and reported the status to management through burn down charts.
• Provided feedback to management on test strategies.
• Participated in review and approval process of project deliverables.
• Assisted in analyzing quality assurance metrics.
• Generated various ad-hoc reports in Excel.

Environment: QTP 11.0, Quality Center 11, VB Script, SQL, Java, Oracle, TOAD, Websphere and Mainframe

CONFIDENTAIL

QA Analyst

Worked on CONFIDENTAIL web portal developed by Infocrossing Healthcare Services. CONFIDENTAILproviders use this portal to submit claims and receive claim confirmation files Verify participant eligibility Obtain remittance advices RAs Submit adjustments View claim and prior authorization PA status and View and download public files. Department of Social Services use this portal to manage claims.

Responsibilities:

• Assisted in writing test plans developed and executed test cases.
• Performed smoke, integration, functional, regression and system testing.
• Executed test cases manually as well as using automation tool QTP , identified and communicated the defects to the defect resolution committee using QC .
• Executed test scripts in regression and smoke test using QTP.
• Tested Provider communications unit and Interactive Voice Response IVR system.
• Tested 837 HIPAA compliance transaction for institutional claims, professional claims and dental claims.
• Tested EDI X12 version 4010 transaction standards for eligibility, claim status, referrals, claims, and remittances NCPDP version 5.1 transaction standards for pharmacy claims and International classification of diseases, Ninth revision, Clinical modification ICD-9-CM codes.
• Worked extensively with Inbound 837 I and 837 P, 835s Out bounds claims processing systems.
• Created and executed test cases for testing HIPAA compliancy using SpecBuilder.
• Created base files for 4010 transactions and mocked up data to create test files based on test scenarios and conditions.
• Validated X-12 files sent by external vendors to ensure that they are passing EDI gateway level using SpecBuilder.
• Worked with batch jobs, monitoring and scheduling jobs.
• Executed UNIX Shell scripts to enable and disable the environments.
• Hands on experience in manual testing of the application on mainframes for claims processing.
• Participated in user acceptance testing.
• Designed and delivered HIPAA training material regarding information security and best practices.
• Worked to build extensions for FACETS Members, Claims, and Billing and enrollment applications.
• Traced requirements using requirement Traceability Matrix.
• Used SQL statements for Back-end testing
• Trained Implementation managers to work on the new application.
• Knowledge of claims processing including adjudication, pricing and payment provider and managed care health plan payments and federal financial reporting.

Environment: QTP 9.5, Quality Center 9.5, SpecBuilder, VB Script, SQL, Java, Oracle, DB2 and Mainframe z/OS

CONFIDENTAIL

QA Analyst

Involved in analyzing and testing CONFIDENTAIL an integrated interface in Retail Link for all applications used to create and maintain retail that exist with in Wal-Mart Stores Wal-Mart, Sam's, and International Stores . Global Pricing Portal manages the pricing lifecycle of an item from initial price to clearance markdown in Wal-Mart Stores.

Responsibilities:

• Created test scenarios and test cases based on functional documents and User stories.
• Created and executed detailed test cases with step by step procedure and expected results and maintained the test logs, test reports and test issues using Quality Center.
• Tracked defects using QC and involved in retesting of defects.
• Used Quick Test Professional QTP for regression testing and running the automation suite.
• Created automation test scripts to test all end-to-end components.
• Conducted test case reviews and presented the test cases/test scenarios to the team members for all iterations.
• Participated in daily SCRUM meetings and gave the daily status of testing.
• Optimized Quick Test Professional QTP scripts for regression testing of the application with various data sources and data types.
• Executed SQL queries to verify the data for the relevant test cases.
• Ran XML scripts for testing the SOAP related payment services.
• Documented the defects in QC and assigned them to relevant developer.

Environment: HP Quality Center 9.2, QTP 9.1, Java, JSP, HTML, DHTML, CSS, IBM Web Sphere, DB2.

CONFIDENTAIL

QA Analyst

CONFIDENTAIL a project initiated by the Capital Markets Division is primarily an online Security Pricing Model Engine used for evaluating a Mortgage Backed security MBS and Collateral Mortgage Obligation CMO for its price and yield characteristics. The price and yield values for a mortgage security calculated by the TAC application are used as a decision input by the day traders in executing buy/sell of a mortgage transaction. TAC is an intelligent Risk Management application used by Fannie Mae to determine the best possible profits for each Fannie issued bonds.

Responsibilities:

• Executed test cases that were developed after reviewing the business requirements document, and technical specifications document.
• Documented test cases corresponding to business rules and other operating conditions.
• Involved in the functional testing of web pages using Visual Studio Test Professional.
• Performed end-to-end testing manually.
• Tested the backend database using SQL queries.
• Prepare status summary reports with details of executed, passed and failed test cases.
• Made extensive use of MS Office tools to create and maintain test results documents.
• Developed test scripts and enhanced scripts using Visual Studio Test Professional.
• Reported bugs to the developers using the Team Foundation Server.
• Monitored status using Team Foundation Server to close the bugs/cases as and when fixed.
• Participate in root-cause analysis of defects.
• Responsible in providing regular test reports to the management.
• Performed integration testing, functionality testing, system testing and regression testing.
• Record incidents encountered during System testing and generated Status/Defect report.
• Participated in User Acceptance Test UAT , documented procedures and guided the users in verifying various transactions on the System.

Environment: Visual Studio Test Professional, Team Foundation Server, .Net, SQL Developer, Windows XP, Microsoft Office, SQL and IE.

CONFIDENTAIL

QA Analyst

Worked on CONFIDENTAIL an underwriting application that enabled banks and lenders to submit their borrower's financial information through an online application form. The information included potential borrower's income, debt, credit history and home appraisal. The level of credit risk associated with the loan was analyzed through the application to reach a decision on buying the mortgage. It also had the capability to determine the interest rate.

Responsibilities:

• Created test cases by analyzing requirements, design documents and technical design documents.
• Executed test cases manually as well as using automation tools.
• Developed test scripts and performed functional testing using IBM Rational Functional Tester.
• Performed windows testing, functional testing, regression testing and end-to-end testing.
• Wrote SQL queries for data validation.
• Prepare status summary reports with details of executed, passed and failed test cases.
• Made extensive use of MS Office tools to create and maintain test results documents.
• Tracked defects using IBM Rational ClearQuest.
• Participate in root-cause analysis of defects and involved in defect retest.
• Responsible in providing regular test reports to the management.
• Record incidents encountered during system testing and generated Status/Defect report.
• Participated in User Acceptance Test UAT , documented procedures and guided the users in verifying various transactions on the System.

Environment: IBM Rational Functional Tester, IBM Rational ClearQuest, .NET, SQL, SQL Developer, Windows Server

CONFIDENTAIL

QA Analyst

Tested CONFIDENTAIL a web application that facilitates customers to pay all Direct/Indirect Taxes/State Governments Taxes online and make available e-receipt for the tax paid instantly.

Responsibilities:

• Executed test cases that were developed after reviewing the business requirements document, and technical specifications document.
• Documented test cases corresponding to business rules and other operating conditions.
• Involved in the functional testing of web pages using Winrunner.
• Performed end-to-end testing manually.
• Tested the backend database using SQL queries.
• Prepare status summary reports with details of executed, passed and failed test cases.
• Made extensive use of MS Office tools to create and maintain test results documents.
• Developed test scripts and enhanced scripts using Winrunner.
• Reported bugs to the developers using the TestDirector.
• Monitored status using TestDirector to close the bugs/cases as and when fixed.
• Participate in root-cause analysis of defects.
• Responsible in providing regular test reports to the management.
• Performed integration testing, functionality testing, system testing and regression testing.
• Record incidents encountered during System testing and generated Status/Defect report.
• Participated in User Acceptance Test UAT , documented procedures and guided the users in verifying various transactions on the System.

Environment: Manual Testing, Winrunner, TestDirector, Windows 2000, .NET, SQL Developer, SQL, and IE.

CONFIDENTAIL

QA Analyst

Involved in analyzing and testing CONFIDENTAIL It is a risk management tool that helps a bank's management take investment / disinvestment decisions, maintain the required statutory liquidity ratio SLR , credit reserve ratio CRR and other ratios as per Reserve Bank of India RBI guidelines. It generates the SLP / IRS / MAP / SIR reports and supports risk management modules like graphical analysis, data analysis and interest rate simulation.

Responsibilities:

• Executed test cases that were developed after reviewing the business requirements document, and technical specifications document.
• Documented test cases corresponding to business rules and other operating conditions.
• Involved in the functional testing of web pages using Winrunner.
• Developed test scripts and enhanced scripts using Winrunner.
• Reported bugs to the developers using the TestDirector.
• Monitored status using TestDirector to close the bugs/cases as and when fixed.
• Tested the backend database using SQL queries.
• Prepare status summary reports with details of executed, passed and failed test cases.
• Made extensive use of MS Office tools to create and maintain test results documents.
• Participate in root-cause analysis of defects.
• Responsible in providing regular test reports to the management.
• Performed integration testing, functionality testing, system testing and regression testing.
• Participated in User Acceptance Test UAT , documented procedures and guided the users in verifying various transactions on the System.

Environment: Manual Testing, Winrunner, TestDirector, Windows 2000, Visual Basic, Oracle, SQL, and IE.