SUMMARY

• I have over 5 years of diverse experience in Information Technology with an emphasis on Software Quality Assurance.
• My ambition is to take up a challenging position in the area of Software Quality Assurance and Testing in a progressive, fast - paced dynamic environment that will allow me to align my skills in the organization in the most efficient manner.

TECHNICAL SKILLS

Testing Tool: WinRunner, LoadRunne, Quick Test Pro, Rational Team Test

Test Reporting Tool: Quality Center, Test Director, Rational Clear Quest, DOORS

Operating System: Windows 98/2000/XP/NT, UNIX, LINUX

Database: Oracle, MS SQL Server 2005/2008, MS Access, DB2, TOAD, QMF

Testing Language: TSL, SQA Basic, VB Scripting

Programming Language: C, C++, SQL, Java/J2EE

Web Technology: JSP, ASP, XML, HTML, .Net

PROFESSIONAL EXPERIENCE

Confidential, Jacksonville, FL                                    

Testing Specialist

Responsibilities:

• Worked on Agile SDLC approach implementation for the whole testing life cycle.
• Reviewed Functional requirements documents, High level design requirement documents and finalize the testing in scoops and scenarios for Integration testing for each project.
• Gathered requirements and created, executed and documented Test Cases as per requirements in Quality Center.
• Interacted with the team member to ensure meaningful development of the scripts and simulated real time business scenarios.
• Expertise in ICD 9 and ICD 10 Conversion Analysis. Full knowledge of the Diagnosis and Procedural Code changes for Healthcare Entities like Payers, Employer Groups, and Providers. Worked on ICD 9 codes and gathered future requirements based on ICD 10 codes. Managed creation of sample mappings for the conversion of EDI X12 transactions code sets version 4010 to 5010 and translation of ICD 9 codes into ICD 10 codes.
• Maintained QA lab standards, documentation review assisted in establishing and maintaining best practices for QA.
• Acting as liaison between end user and Facets for user problems, outstanding issues, training needs and new software releases.
• Worked with business leaders to translate business requirements and processes into test cases according to Facets package requirements and subsequent effective configuration.
• Reviewed Functional requirements documents , High level design requirement documents and finalize the testing in scoops and scenarios for Integration testing for each project.
• Created test scripts for Security, Positive, Negative and System Integration Testing (SIT).
• Worked with team manager in supervising, guiding, and supporting their testing efforts for Integration.
• Verified the test cases and test scripts written by Jr. Testers in Quality Center.
• Responsible to report directly to test manager and project management for testing status updates.
• Transfer and maintain FTP files in Mainframe environment for Vendor testing in Vision. Also, submitted batch jobs to the operating system so that they may be executed.
• Tested HIPAA EDI Transactions and Code Sets Standards such as 837/835 and 834 transactions.
• Authored and executed Test cases for Claims and Customer Service Workflow by manually.
• Experienced with batch processing system for claims electronic and manual transaction.
• Well known with frontend processing for the Claims, Subscriber/Family and with Providers.
• Experienced with External claim editing system on frontend system
• Responsible for writing the Test Cases and Test Scenarios based on the Functional Specification and technical Specification and documented in Mercury Quality Center.
• Performed the Back-end testing in Sybase tables, in mainframe environment, by writing and executing SQL-Queries.
• Upon the completion of a transaction, checked in the Sybase database after the transaction to make sure that the data is correctly calculated and presented.
• Created transactions in the Mainframe and verified them in the web and vice versa.
• Worked on Quality Center for bug status tracking and maintained and created status reports for the application.
• Analyzed, Tracked and report defects using Quality Center
• Worked on uploading all the Test cases and Scenarios to the Quality Center for the current and prior releases.
• Involved in weekly defect review meetings to review the status of defect fixes and upcoming build releases.
• Used Quality Center for version control, tracking defects, enhancement requests, assign work activities, and assess the real status of project throughout the life cycle.
• Identifying Test Cases to be run for Regression Testing and conducting Regression testing as and when new builds were made.
• Documented the test execution summary results and reported the status of assigned test tasks and issues to project manager for approvals.

Environment: MS Office, Visio, Mercator Mapping Mainframe, HIPAA validator, Instream, MS Access, Windows, SYBASE, Quality Center, Trizetto Facets 4.71, Interactive SQL, SQL server, External database (XC), UltraEdit, Claredi, Edifecs(EDI 837/835, 834) validation tool, Vision vendor, Auxiliary DB & Network DB(Provider), Consumer DB(Member), FSBD(Finance).

Confidential

QA Analyst/Claims Tester

Responsibilities:

• Responsible for testing the Navigation Flow, Functionality Testing, System Testing and User Acceptance Testing.
• Conducted Business validations for different modules Providers, Claims, Benefits, enrollment and Membership
• Interacted with business analysts to gather the requirements for business and performance testing.
• Executing SQL Queries  for the reports before mass and after mass reports to check for Claims routing
• Have good exposure to modern Agile methodologies.
• Prepared Test Data and executed Test Cases from Quality Center.
• Prepared test data and helped load test data into the test database environment.
• Used Rational Requisite Pro as requirement gathering tool.
• Principles in an agile or test driven methodology environment.
• Created and maintained SQL Scripts to perform back-end testing on the oracle database.
• Reviewed extensive SQL Queries with complex multi-table joins and nested queries.
• Involved in reviewing complex SQL queries, views, functions and stored procedures and spotting issues before/during code migration.
• Tested various versions of handheld devices to perform cross platform and browser compatibility testing.
• Performed backend testing for data validation using SQL Queries.
• Performed wide range of Claims testing scenarios in order to insure proper configuration and Claims payments
• Performed rigorous manual testing such Functional Testing, Smoke testing, Integration testing, UAT Testing, Backend Testing, Regression Testing, End to End Testing and System Testing
• Performed Manual Testing in Claims and Billing modules on Data Warehouse and executing scripts
• Reviewed extensive SQL Queries with complex multi-table joins and nested queries.
• Extensively performed manual testing and defect reporting using Quality Center.
• Reported issues in claim testing to the analyst
• Assisted in developing test plans for testing the functionality, GUI, and security.
• Performed manual testing, considering the base line of developed test plan and test cases considering both positive and negative scenarios
• Understand and develop Web Services test strategy for different services as part of SOA
• Test scenario identification and alignment to service oriented architecture implemented within organization
• Created different pricing rules and verified whether the adjudication system is using the rules while adjudicating the Claims
• Configuring and implementing stubs simulating actual web services
• Performed functional testing for new release enhancements

Environments: Java, J2EE, HTML, Rational Requisite Pro, Oracle, MS SQL Server, HTML, XML, DB2, MS Share Point, QTP, Quality Center

QA Analyst

Responsibilities:

• Involved in developing test plans, test cases, test schedules and test harnesses based on high-level and detailed designs.
• Created and executed the test cases for various scenarios, and participated actively in system, integration and regression testing for every new build released.
• Executed Black Box, Regression, Integration, and Security tests as per Test Plan and Test Cases.
• Involved in developing and documenting Product Test Plans, using several SDLC methodologies.
• Assisted in writing efficient and effective Master Test Plan, Test Strategy, System Testing, End-to-End Test and User Acceptance Test Plan.
• Developed and executed SQL queries to verify the proper insertion, deletion and updates into the data Warehouse supporting tables and cubes.
• Tested the enhanced FACETS, evaluating Claims adjudication needs and creating HIPAA-compliant business rule configurations.
• Performed manual testing to conduct backend testing using SQL Queries
• Performed backend testing for data validation using SQL Queries
• Performed negative and positive testing using SQL Queries
• Performed end-to-end System Integration testing which covered the entire business process flow from the initial point of sales through to all the downstream systems and XML output files, including apps/interfaces.
• Provided the required test data for the developers in order to fix the defects.
• Gather requirements and document the proposed processes to the existing system. Modules included: Claims Processing Files and HIPAA Guidelines adherence across the company.
• Claims processing, pricing and adjudication of Claims in Facets.
• Used ClearCase to keep different versions of the documents and ClearQuest to report bugs or defect
• Tested the claim status, Pricing Rules, Rate sheets and Claims routing
• Established and maintained test cases and test data in Quality Center.
• Manually tested end-to-end business workflow from capturing prospects profile to submission of pre-enrollment record to the downstream systems (RTMS).

Environment: FACETS, Citrix, VB Script, Tidal Scheduler, SQL, MS Visio, MS Outlook, Quality Center, Quick test Professional, Clearcase, Clearquest, Requisite Pro etc.