SUMMARY

• Over 7 years of IT Management experience in Software Development Life Cycle SDLC Project Life Cycle working as Quality Analyst strong knowledge experiences of Health Care Medicare Applications.
• Documenting the testing activities including all Test Documents, Test Execution Results Defect Reports Status Reports.
• Proficient in Black Box Testing, White Box Testing, Performance Testing, Integration Testing, System Testing Regression Testing.
• Solid experience with Test Director, Quality Centre Quick Test Pro
• Test Automation: Developed implemented test suites, which include features like, data driven, database checks, Batch Functions etc.
• Provided SDLC Methodology and project management and oversight for developing ASP Web Site for Health Care and Employer Market Place
• Profound knowledge of web services testing using Service Oriented Architecture tools SOAP UI.
• Strong understanding experiences for testing creating test cases for different EDI transaction like 271, 277, 834, 835 837.
• Hands on experience working on EDI 4010 5010.
• Responsible for performing Gap Analysis for HIPAA 5010.
• Excellent understanding of running, testing checking claims, authorization, benefits, etc in the NPS NASCO system.
• Solid knowledge understanding of X12 transactions their applications.
• Extensive knowledge in writing SQL Queries, creating Tables, Views, Stored Procedure, Triggers.
• Proficient in writing executing SQL Queries for Backend Testing
• Extensive experience in analyzing business system requirements, preparation of various documents including BRD, SRS Use Cases.
• Used Soap UI to test Web services SOA .
• Proficient in MS Project for planning status reporting excellent in MS Office package for documentation.
• Extensively used Mercury Quality Center Bug Tracking System for reporting defects.
• Extensive experience in drafting Test Flows, Test Plans, Test Strategies, Test Scenarios, Test Scripts, Test Specifications, Test Procedures Test Cases Test Status Reports.
• Good experience in testing Web Application, GUI Graphical User Interface , Mainframe application EDI transactions.
• Experience in testing database applications using Oracle 10g/9i/8i, DB2, MS SQL Server, Sybase MS Access.

TECHNICAL SKILLS

PROFESSIONAL EXPERIENCE

Confidential

Sr. Quality Analyst/ Tester

Confidential is an independent association offering services to United Health Group, which offers plans to millions of customers. They offer some form of health insurance coverage in every Confidential. I worked on the maintenance of data formats and consents of inbound and outbound files, including HIPAA ANSI X12 transaction sets 837, 835, 270, 271, 276/277, 278, 999 for all regulatory payers Medicare, Medicaid, Blue Cross , and many commercial payers also on transition of ICD9 to ICD 10.

Role Responsibilities:

• Developed the wireframe and mockups for the prototype of the web based application in MS Visio
• Developed an implementation guide for Partners for EDI X12 transactions such as 834, 835,837,270 and 271
• Schedule meetings with technical personnel to determine technical parameters for EDI and other related processes, including communication, security, and privacy. Create transaction sets requirements, usually with Microsoft Excel, for transactions such as: HIPAA 270/271, 276/277, 278/278, 820, 834, 271U, 835, 837- I,P, D , 835 Remittances and others. Resource for UB04 and CMS1500 billing formats, transaction sets requirements, EDI development and Design, X12 protocols through Version 5010 and Errata conversion needs and understanding of legacy EDI formats.
• Identified changes needed to make X12 transactions HIPAA compliant.
• Adhered data transition of the enrollment process, COB, Claim Status and Eligibility as per the EDI standard 834, 835, 837, 277 and 271.
• Created Mapping/Crosswalk documents for mapping data flow between systems and rules/validation documents for different processes involved in the system.
• Worked with the Data Warehouse development team to identify business objects and their attributes and relationships.
• Developed data mapping documentation to ensure accurate data representation in the new system.
• Solely responsible for EDI Implementation for the new redesigned EOB.
• Assisted in the design of EDI solutions and represented Enterprise EDI team with regards to EDI/XML industry standards
• Used SOAP UI for checking the correct transmission of data and to test web services
• Facilitated JAD sessions online meetings with the end user, business, developers testers to make sure the requirements are captured accurately
• Analyzed and helped define AS IS and TO BE systems and have worked closely with business process owners and stakeholders, engineers and architects
• Proficient in Membership, Claims and Billing with knowledge in Group, Subgroup, Class, Plan and Category.
• Created XML Schemas for different EDI transaction sets as well as ICD 9 to ICD 10 diagnosis codes.
• Interacted closely with the project managers and the business, subject matter experts, analysts, architects and the development teams to gather business requirements through a variety of techniques e.g., workshops, work sessions and interviews to prepare detailed requirements specification and use case documents.
• Gathered requirements and prepared Use Case/Functional Design Documents by interviewing customers, users, Managers and SME's.
• Utilize SOAP UI to view logs generated by various transactions in the QA environment
• Documented the Business process flow as per the UML standards using Use Case Diagram, Activity Diagram and Sequence Diagram in Rational Rose MS Visio
• Created Comprehensive requirement with all the data requirement
• Developed Traceability Matrix between the Use Cases and the Test Scripts
• Developed detailed Test plan, Test Cases, Test scripts for testing the functionality
• Supported the testers to create, process and evaluate claims in Facets
• 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
• Used SQL scripts to verify the backend integrity of the application
• Developed detailed Test plan, Test Cases, Test scripts for testing the functionality
• After successful development and testing of the product, participated in product release and deployment to end-user using manual testing.

Environment: J2EE, .Net, UML, Rational Clear Quest, Clear Case, Informatica, XML, Soap UI, Web 2.0, RDBMS, Rational Requisite Pro, MS Word, MS Visio, MS Project, Web 2.0

Confidential

Sr. QA Tester/ QA Analyst

Confidential is serving as an administrator in the individual health insurance markets and is committed to offering an exceptional level of quality services. As QA analyst involved in testing windows and web applications and development of Frame work for automation of Web applications and handled various projects by prioritizing to meet the deadlines.

Role Responsibilities:

• Analyzed business requirements and developed test plan, test objectives, test strategies, test cases and Created and Executed Manual test cases.
• Designed and Built custom QTP Automated Testing Framework.
• Created a startup script using Automation Object Model that Standardizes QTP environment.
• Worked on Excel Files using VBScript with QTP.
• Developed Coding Standards and Script Templates.
• Wrote both Functional and Regression QTP scripts for Web Applications.
• Created data driven QTP scripts.
• Migrated scripts from QTP 9.5 to 10.0 versions.
• Performed Sanity testing for each build of the application.
• Performed Back end testing, along with testing flat file contents and comparing them.
• Involved in Integration, Implementation testing of Online Sales Channel web Application and Billing systems.
• Involved in testing the Pre and post implementation of the Web application.
• Attended Weekly meeting to update status and worked closely with QA manager, developers.
• Developed Traceability matrix, mapping Test cases to the Requirements.
• Involved in Testing Web Services using SOAP UI.
• Plan, Schedule and Co-ordinate testing tasks in Quality Center.
• Created Defects and tracked the defects using Quality Center.
• Performed Load Testing by creating Virtual Users, using VuGen.
• Performed testing extensively for integration and unit testing of standalone and distributed GUI-based applications and GUI-less SOA Web Services.
• Participated in review meetings for defect status, priority and information exchange.

Environment: Windows XP, SQL Server, Siebel 8.0, Mainframes, Qualitycenter-10, QTP-10 VBScript, .Net, Agile, My SQL, XML, SOAP UI, BB T

Confidential

Quality Analyst/ Tester

Confidential Care Management is an outsource company and part of Confidential Group that provides administrative and technology services to health care providers and payers. Meridian Health implemented an internet-based application to improve its Health Insurance claim processing by automating receiving and processing health benefit claims including Medicare and Medicaid. This is a legacy conversation system which initiates all the necessary procedures, standardizes and validates the data according to HIPAA regulations and provides error-processing for the transactions that could not be fully processed through the system.

Role Responsibilities:

• Gathered Business Requirements interacting with the Agents, Medicare Users, Business Users and SME's.
• Provided SDLC Methodology for developing EDI applications used by hospitals to completely automate payments posting for Medicare, Medicaid and commercial payers electronic payments files.
• Analyzed the business requirement as per the HIPAA rules and regulations.
• Created AS IS and TO BE documents to show the current and proposed functionalities of the system.
• Facilitate Joint Application Development JAD , sessions to identify business rules and requirements and then documented them for inter and intra departmental review.
• Accomplished experience from requirement analysis till deployment, using highly efficient RUP Methodology process of software development.
• Documented high level Use Cases and derived detailed low level System Use Cases and Functional Designs from it.
• Developed Traceability Matrix between the Use Cases and the Test Scripts.
• Follow a structured approach to organize requirements into logical groupings of essential business processes, business rules, and information needs, and ensures that critical requirements are not missed.
• Assisted the UI designer in creating html for user interfaces via Dreamweaver.
• Closely monitored development team to make sure, the software application fits within the architecture and has the required behaviors.
• Developed detailed Test plan, Test Cases, Test scripts for testing the functionality, GUI and security testing.

Environment: .NET, UML, MS Visio, SQL, SQL Server, HTML, RDBMS, Dreamweaver, Mercury Quality Center, Test Director.

Confidential

QA Analyst

Confidential is one of the largest premier providers of Health Insurance to its customers. This application provides policy holders and service providers 24/7 accesses to all information securely over internet. The application enables policy holders to login securely and check or apply their claims, they can request changes to their existing policy, view their past claims, search for the service providers and update their contact information. Worked as a Tester and Debugger for testing the applications functionality and load and performance testing of the application on internet.

Responsibilities:

• Responsible for Analyzing system specification and business requirement. Interacted with business analysts and the end-users to develop the High-level test plans. Participated in Walk through and Defect report meetings periodically.
• Functional Testing, Black Box Testing, White Box Testing, System testing, Integration testing and Regression testing
• Developed Master Test Plan, which includes entire Testing Plan, Testing Resources, Testing Strategy and testing of end-to-end scenarios.
• Worked as an Interface between the users and the different teams involved in the application development for the better understanding of the business and IT processes. Designing the Test Scenarios and Test Cases based on requirements. Used QTP to generate the test scripts for testing the functionality of the application. Responsible for functional, Regression testing, Integration testing and User Acceptance Testing.
• Edited QTP scripts, fixed errors and lead the offshore team in designing automated scripts through test scenarios.
• Working closely with the Developers and Engineering Teams in the review and modification of the product and its specifications using Agile- testing methodology.
• Performed Black Box, White box and Gray box testing.
• Worked with offshore team in automating various test scenarios for search activities and their following functions.
• Tested the Performance of the database SQL queries in real world workloads.
• Used Inner and Outer Joins in SQL to retrieve the data from the database
• Enhanced the user manual with relevant details.
• Created test plans, test cases, scenarios/scripts in compliance with defined QA standards and methodologies. Preformed Black box and white box testing.
• Used Quality Centre for requirements management, planning, scheduling, running tests, defect tracking and manage the defects and executing the test cases Interacted with Developers for analysis of the Application.
• Communicating with Offshore Team and assigning the Scripts to the Team. Investigated software faults and interfacing with developers to resolve technical issues. Defect tracking, defect reporting, analyzing results and documentation.
• Perform the Backend testing by writing and executing the SQL Queries.
• Performed testing during development phases: Black Box testing, Gray Box testing, Regression testing White Box testing, User Acceptance Testing and Usability testing
• Worked with the Project Manager, Business Analyst and the Infrastructure Manager to collect data for testing effort and check the feasibility of the use cases.
• Coordinated on regular basis through email, conferences and tracked progress through weekly status reports.
• Generated metrics representing the defects, issues, test scenarios and use cases.

Environment:Java2, J2EE, JavaScript, HTML, Servlets, Java Server Pages, EJB, XML, Web Logic Server, Oracle, DB2, Quick Test Professional, UNIX AIX , Windows XP, Quality Center.