Summary:

• Test Over3 year's expertise in QA Analyst/Automation Tester with hands on experience in Healthcare Sectors.
• Strong knowledge of the Software Development Life Cycle methodologies (phases and gates) like Agile and Waterfall models.
• Worked on HIPAA standards, EDI (Electronic data interchange) Transaction syntax like ANSI X12, Implementation and Knowledge of HIPAA code sets, ICD-9, ICD-10 coding and HL7.
• Experience with Iterative Software Development Life Cycle Process as per Rational Unified Process (RUP), involved in inception, elaboration, construction & transition phases using rational tools like RequisitePro, ClearCase, ClearQuest during various phases of RUP.
• Knowledge of using automation tools - Win Runner, QTP, Load Runner, Quality Center and Test Director
• Extensive Hands on experience managing defect life cycle using HP Quality Center.
• Extensive experience in Business Requirements gathering and writing skills with expertise in developing and documenting Business Requirement document (BRD), Functional Requirement Document (FRD),Software Requirement Specification (SRS) across the deliverables of a project.
• Effectively used Rational Requisite Pro to organize, track and change requirements of the system.
• Experience in documentation and writing test cases using HP Quality Center, MS-Word and MS-Excel.
• Expertise of UML in visualizing and documenting the artifacts using Use Cases, Use Case Diagrams, Activity diagrams, Class diagrams, Data Flow Diagrams, Business Flow Diagrams, Sequence Diagrams using MS Visio
• Experience in facilitating Joint Application Development (JAD) sessions, Rapid application development (RAD) sessions , conducting user interviews and acting as a liaison between the customers, development team and testing team
• Experienced in manual and automated testing for both front-end and backend. Extensively used automated test tools of Mercury like Quality Center, Quick Test Pro, Win Runner, Test Director, Performance and Load Runner Testing.
• Experience in developing and conducted statewide HIPAA 5010 and ICD-10 awareness program for all IDS staff in Tenet.
• Strong knowledge on the Systems Development Life Cycle (SDLC), Rational Unified Process Methodology (RUP), RAD, SWOT, and CRM.
• Proficient in designing Data Models(logical and physical) for Oracle, DB2 and SQL Server databases.
• Facilitated User Acceptance Testing (UAT) with the stakeholders and the business users as well as trained users to use the system configured.
• Experience in Forward Mapping and Backward mapping analysis of ICD 9 - ICD 10 Conversion for CM (Diagnosis Codes) and PCS (Procedure Codes)..
• A good team player with excellent communication and interpersonal skills

Software/Hardware:
C#.Net, VB.Net, AS 400, Goldmine, HL7, HP Quality Center, VBScript, HP QTP, SQL, IDMS, QTP, MS Windows NT 4.0/2000, Windows 95/98, Windows XP, MS Visual Studio.Net, IBM WebSphere 5.0, Power Builder 5, 6.5, 7, Rational Rose, UML 2.0 , RUP, OOAD, MS Visio and Visual Studio.Net, Sybase SQl Anywhere 5/6, Adaptive Server Anywhere, MSSQL 7, Oracle 6 / 7.x / 8i / 9i, Oracle - TOAD, Informatica, Business Object, ETL, Cognos, Erwin ODBC, Visual Source Safe 6.0, Cobol, Source Off-Site, Round-Table, Win CVS, NUnit.net, MS Project, MS-Office

PROFESSIONAL EXPERIENCE:

Confidential, CO Jan'11 - Present
Quality Analyst/Tester
Description:The project was to develop applications which accept different claims like Medical claims, Dental claims, Pharmacy claims and vision claims from different vendors and route the claims into Batch Adjudication System and Online Adjudication. Here the Batch Adjudication System automatically adjudicates the claims and sends the files to Payment department. In the Online Adjudication system examiners will check the files and then they will move the claims to Payment department.

Responsibilities:

• Created and maintained templates such as: Test Plans, Requirements Traceability Matrix, Test Scripts, Testing Issues, Project Sign-off and Test Reports.
• Provided quality and testing best practice recommendations
• Run bi-weekly business requirements sessions with the QA resources to ensure requirements accurate understanding and to ensure test cases are easy to understand and execute
• Communicated quality and testing goals effectively to project managers, project participants and testing staff.
• Managed quality and testing deliverables, including coordination across interfacing segments.
• Worked on testing Web Services using Soap UI.
• Designed and developed presentation layer using JSP, DHTML, AJAX and JavaScript.
• Involved in testing the SOAP messages across the web site and made sure results returned in XML format
• Used Quality center for defect tracking management of test cases.
• Extensively used Mercury Quality Center to monitor the progress of assignment of testing activities.
• Logged the defects in Quality center maintaining right priority and managed the defects through it.
• Coordinated UAT, Regression and Integration testing schedules and completed the same.
• Created automated Load test scripts using Load Runner.
• Conducted GUI and functionality testing using QTP.
• Conducted data driven testing using QTP to conduct backend testing.
• Designed rich and user friendly interfaces for the web using HTML, CSS, XHTML, XML, XSLT.
• Experience in EDI automated first-pass claim adjudication, requiring thorough understanding of claim processing, both front and backend operations.
• Created DTS and SSIS Packages to vendors in which records were loaded Daily, also to other data resources such as Excel, Access, flat file, and XML in order to Create and maintain a centralized data warehouse.
• Involved in end-to-end and System Testing of Hospital Billing and Professional Billing Modules.
• Used Test Director and HP/Mercury Quality Center for updating the status of all the Test Cases & Test Scripts that are executed during testing process.
• Was responsible for data mapping of HL7 messages into relational database.
• Ensured functionality met business requirements as recorded in test results logged in Quality Center
• Assisted JAD sessions to identify the business flows and determine whether any current or proposed systems are impacted by the EDI X12 Transaction, Code set and Identifier aspects of HIPAA.
• Involved in the full HIPAA compliance lifecycle from GAP analysis, mapping, implementation, and testing for processing of Medicaid Claims. Worked on EDI transactions: 270, 271, 834, 835, and 837 (P.I.D) to identify key data set elements for designated record set. Interacted with Claims, Payments and Enrollment hence analyzing and documenting related business processes.
• Defined structured testing methodology and standard testing procedures
• Created Functional and Integration Test Folders in Quality Center.
• Reviewed EDI 837 claims and flagged HIPPA non-compliant claims received from the Payer side
• Managed and coordinated testing process with in-house testers and outside testing resources.
• Interacted with developers & Business Analysts to resolve application defects.
• Attended project meetings, release meetings, and QA status meetings.

Environment:Mercury Suite QTP, HP Quality Center, .NET, C, JSP, XML, XSLT, Soap UI, Java, HTML, SQL, J2EE, UNIX, Oracle.

Confidential, NJ Oct'08 - Dec'10
QA Tester
Description:Wholesale application is an enterprise web application that provides loan mortgage services to GMAC broker and Corresponding companies as Get Quote, Loan Registration, Locking, checking loan status etc. The application supports different types of loans such as Conventional, FHA, VA loans etc. I am actively involved in testing the whole application and developing test cases for the same.

Responsibilities:

• Followed Agile methodology and used Scrum, in SDLC projects.
• Worked with the Business Analysts in analyzing Business and System requirements and provided feedback during Requirement review sessions.
• Attended daily Scrum meetings and weekly QA status meetings and reported weekly status to the Project Manager.
• UsedHP Mercury Quality Centreto document and maintain Test Plan and Test Cases throughout theSDLC.
• Performed manual testing and used QTP to run automated test scripts.
• Performed configuration/ compatibility and user interface testing manually.
• Performed Integration and system testing of different modules of the application.
• DevelopedRequirements Traceability Matrix(RTM) to track requirements during the QA Testing Phase.
• Performed Data Integrity and validation testing by executing SQL statements to make sure the data is correctly integrated and functional on Oracle Database.
• Participated in CCB meetings and discussed enhancement and change request.
• Extensive experience in testing the application on iPad using Citrix Client and ensured that client's application, data and infrastructure needs are met on the iPad.
• Used HP Mercury Quality Center for creating and tracking defects.
• Evaluated and released multiple application development initiatives with respect to Quality Assurance.
• Working experience in testing both manual and automation in agile environment and using the simple agile tools and testing short iterations etc.
• Worked with Users during UAT and coordinated with the technical team in defect resolution and tracking.
• Generated Defect Report using Quality Center.