Objective

• To enhance my skills in Manual and Automation testing and gain experience with progressive organizations wherein the application of my technical and educational skills will be a significant contribution to the company’s success.

SUMMARY

• Over 7 years of experience in analysis, design, development, testing and implementation of software applications.
• More than four years of experience in Web - based application testing.
• Extensive knowledge in gathering and understanding BRDs (Business Requirements Document), FRDs (Functional Requirements Document) and SDS (System Design Specification).
• Expertise on identifying the Test Scenarios based on business requirements and Design Specifications.
• Proficient in both Manual and Automated Testing.
• Strong knowledge of Paper Claims, EDI Claims, electronic claims, member enrollment, and billing transactions.
• Experience with FACETS solution for healthcare.
• Understanding of HIPAA Standards and Compliance issues, HIPAA Privacy policy, opt in/opt out policy.
• Experience in Automation Testing and Exploratory Manual Testing (Black Box/White Box Testing) on Web-based applications.
• Expert in usage of Defect tracking and reporting using Quality Center, ALM, Test Director.
• Hands on experience in testing of all EDI X12 HIPAA 4010 and 5010 standards.
• Strong experience in reporting of quality measures to CMS.
• UsedFACETS and DIAMONDfor various health insurance areas such as enrollment, claim processing, and pricing of insurance plans.
• Verified and validated membership and enrollment (EDI 834) and analyzed claim processing (EDI 837) transactions.
• Validated the Medicare Part A, Part B and Part D claims.
• Experience in Quality Assurance Testing of web based and client/server applications using Automation tools such as Quick Test Professional.
• Hands on experience in testing XML files and transactions.
• Strong experience of writing automation scripts using VB script for QTP.
• Strong knowledge of healthcare claims processing.
• Good understanding and experiences in AgileMethodology.
• Performed manual testing on UNIX and Windows platforms.
• Extensive experience in preparing test plans, test cases, test scripts and test reports,
• Performed Black Box Testing, System Testing, Regression testing, Integration Testing, end to end testing, Performance Testing
• Stress Testing and Load Testing of Web-Based applications and Client/Server applications using Mercury Tools.
• Tracked bugs and created reports using test management/defect tracking tools like Quality Center Clear Quest.
• Documented Test Documents Using MS Office Tools such as Word, Excel, and PowerPoint.
• Used SQL extensively to perform backend testing.
• Strong knowledge of ETL testing.
• Involved in all SDLC stages under Agile process namely requirement analysis, implementation, testing (functional and user acceptance) and deployment.
• Performed Usability Testing and User Acceptance Testing.
• Involved in several projects that required SOAP UI testing.
• Experience of working with offshore team.
• Good knowledge in Multi-tier and Cross-platform skills.
• Participated in team meeting to providethe status reports on test execution and results.
• Excellent team spirit and leadership qualities with effective communication and interpersonal skills.

TECHNICAL SKILLS

Test Automation Tools: QTP, MOJO

Client/Server System: Facets, GAP, EAS, Availity

Bug Tracking Tools: Quality Center, Clear Quest, Jira, Bugzilla

Operating Systems: UNIX, Win 98/00/XP/2003/7 and MS-DOS

MS-Suite: MS-Word, MS Excel, MS PPT, MS-Project, MS Visio

Databases: MS SQL Server, Oracle, Sybase

PROFESSIONAL EXPERIENCE

Confidential, Southfield, Michigan

QA Tester

Responsibilities:

• Analyzed business requirement docs for different projects.
• Interacted with BA, Functional and Technical Leads and Developers for understanding the requirements.
• Prepared the verification check list to be followed in various stages of the application under testing.
• Analyzed system requirements and developed detailed Test Plan.
• Created test scenarios and test cases document based on the BRD.
• Prepared test data for executing test cases manually.
• Performed data mining in the test environment to look for test data.
• Executed test cases manually.
• Performed User Acceptance Testing manually.
• Conducted various sessions of UAT during the last phase of testing.
• Verified and validated membership and enrollment (EDI 834) and analyzed claim processing (EDI 837) transactions.
• Proficient in Manual Testing including Black Box/White Box Testing, Regression Testing, Back End Testing, Front End Testing, Functionality Testing and UAT Testing approaches
• Used SOAP UI tool to test SOA based architecture application to test SOAP services and RESTFul API.
• Performed Back-End Testing to check database integrity by writing SQL queries.
• Used Recovery Scenario Manager in QTP to handle exceptions.
• Inserted variety of check points (Object Check point, table check point, test check point, etc.) to match the object properties captured during the recording session with the objects properties captured during the run session using QTP.
• Worked in Agile Environment- Participated in daily standup meetings
• Supported and educated stakeholders on agile processes, especially with respect to grooming and maintaining the product backlog
• Performed SIT, Performance, UAT and Regression Testing for most of the projects.
• Joined daily SCRUM meetings during the Sprint Development as part of Agile Methodology. Also, captured and addressed concerns from IT to Product Management or Business Team as needed.
• Logged defects in Clear Quest and reported to developers and business analyst on daily basis.
• Involved in FACETS Implementation, involved in end to end testing of FACETS Claims, Billing and Subscriber/Member modules.
• Design and prepared test plans for White Box Test Approach & Test cases.
• Executed the test cases, used HP ALM (Quality Centre) to track execution against the plan during testing and managed defects from inception to resolution.
• Worked on EDI 837 transactions to process institutional and professional claims.
• Worked on EDI 834 transactions to enroll new contracts or to process some change transactions.
• Performed end to end testing of billing projects that involves creating billing entity, billing definition and billing summary for the newly enrolled contracts. Applied payments to the bills generated for those contracts as well.
• Involved in testing Web services and XML using SOAP UI. Verified the response received by updating the request XML.
• Performed SOAP UI testing for several projects.
• Participated in peer reviews to validate the test cases written by different teams.
• Run the QTP regression suites in the regression environment and report if any issues seen.
• Interacted with Lead to follow up on Defects/Issues.
• Conducted the defect reviews to assign the defect severity and priority for the defects reported in the project.
• Participated in Walkthrough meetings once in a week to review the work accomplished.
• Prepared necessary documentation such as Test metrics and Weekly Status Report.
• Prepared traceability matrix and published the report in all phases of testing.

Environment: FACETS 5.40, QTP, Sybase Server, Putty, Vitria, Unix Server, Clear Quest, Claredi application, eMCS web-based application, Member Portal application, MS SQL Server, Agile, Interactive SQL, Oracle, Windows 2007.

Confidential, Jacksonville, FL

QA Analyst

Responsibilities:

• Analyzed business requirements and created test cases and test scenarios based on them.
• Involved in coordinating with developers, SA and SME.
• Involved in Testing of Multiple modules like OPL App, Facets Claims processing, Members and PIMS.
• Participated in the conversion of ICD9 to ICD10 using the mapping tool GEM.
• Performed the data validation following the HIPAA 5010 regulations.
• Performed rigorous manual testing such as GUI testing, Black box testing, System Testing, and Regression testing and end to end testing.
• Involved in REST API Testing by using SOAP UI.
• Involved in processing EDI 837 healthcare claims.
• Automated SOAP UI test cases adding assertion to test suites.
• Worked on Unix Platform and performed back end testing by executing SQL Queries.
• Observed test plans and procedures, recommended new processes and tools to agile team.
• Designed, Communicated, and enhanced QA test plan for the application in Agile Sprint Meetings
• Create, modify and manage SharePoint roles, responsibilities, and form workflows.
• Checked the data flow through the frontend to backend and used SQL Queries to extract the data from the database.
• Performed black-box testing, white-box testing, integration testing and regression testing on the applications
• Followed AGILE methodology throughout the software development life cycle for some of the projects worked on.
• Involved in testing the mappings for the conversion of EDI X12 transaction code sets version and translation of ICD 9 codes into ICD 10 codes.
• Involved in MOJO Implementation, involved in end-to-end testing of Billing, Enrollment, Membership and Claims Processing.
• Created automation scripts in QTP and made a suite of scripts when needed.
• Used object spy to know the properties of the object which helped me in writing my QTP script
• Set claim processing data for different Modules in Diamond.
• Validated EDI Claim Processing according to HIPAA compliance.
• Involved in configuration and evaluation of the impact of proposed changes in rules and regulations.
• Wrote extensive SQL Queries for back end testing for oracle database.
• Retrieved files using SQL statements and UNIX commands.
• Maintained Traceability matrix and Test Matrix.
• Implemented manual test cases for each sprint task and executed them using Soap UI.
• Enhanced Test Scripts using various utilities provided in Quality Center/ALM.
• Created and maintained SQL Queries for back-end testing.
• Managed the project using agile methodology and implemented scrum methodology.
• Performed manual back-end testing using PL/SQL to connect to an Oracle 9i database on a UNIX server.
• Tested Members Accumulator module for Medicare members for benefits.
• Analyzed and tested HIPAA 4010 and 5010 standards for 837P EDI X12 transactions, related to providers, payers, subscribers and other related entities.
• Tested the EDI 837/835 transactions according to test scenarios and verified the data on different modules.
• Tested the EDI 834 transactions by processing the X12 file.
• Tested XML generated data.
• Performed Data validation and Monitored Batch jobs for Claims MRR project.
• Validated different fields of source and target App by monitoring Flat Files and control files on Server.
• Used Quality Center for defects logging and Involved in resolving defects with developers and SMEs.
• Performed the data validation following the HIPAA 5010 regulations.
• Created Test data for validation like member’s creation, Providers, and for processing Claims in Facets.
• Participated in defect calls and Test Readiness meetings on daily basis.
• Interacted with business for any updates on Requirements of these projects.

Environment: MS SQL Server, Oracle, Windows 2007, ALM 11.0, MOJO Version 3, Enterprise Tool Lookup (ETL), ICD Manager, SQL Navigator, HP Screen Recorder, Gateway Access Portal (GAP), Agile, Enterprise Audit Service (EAS).

Confidential, Dublin, OH

QA Analyst

Responsibilities:

• Analyzed and defined testable requirements created and implemented test plans.
• Developed Test Cases/Scenarios for manual and Automation testing of the above Applications and Reports.
• Gathered requirements from the users and analyzed the requirements.
• Involved in performing functional, application, integration, system and regression Testing.
• Developed the Test Data for diverse Groups.
• Communicated with development team to ensure testing issues are resolved.
• Initiated the Agile Scrum methodology for the project execution.
• Performed the requirement analysis, impact analysis and documented the requirements using Rational Requisite Pro and UtilizedAgileexperience with large and small teams
• Prepared and executed SQL Queries to archive data for the project.
• Involved in Upgrade of HIPAA X12 4010 transactions to HIPAA X12 5010 and ICD 9 CM to ICD 10.
• Verified and Validated the Rates Calculations and Rate Renewal Calculations for various products and benefits by preparing and executing different SQL Scripts.
• Validated EDI Claim Process according to HIPAA compliance.
• Worked on HIPAA Transactions and Code Sets Standards according to the test scenarios such as EDI 834 and EDI 837 transactions.
• Maintained knowledge of Medicare and Medicaid rules and regulations pertaining to the Facets configuration and evaluated the impact of proposed changes in rules and regulations.
• Validated the Claims for Medicare part A and Part D for the network providers and priced the claims.
• Validated the subscribers and dependents profile that has been updated for the Medicare coverage programs.
• Maintained Test Matrix and Requirements Traceability Matrix. Performed Gap Analysis on the same.
• Performed Functional, Regression and Usability Testing using QTP.
• Responsible for writing scripts using VB script for automation testing using QTP.
• Used HP Quality Center to enter and Report defects for Rate Quote Remediation.
• Prepared Application Testing Metrics Report using MS Project.
• Prepared weekly test status reports forQA Lead and Manager.
• Coordinated with the Business users, Business analysts and Developers to perform UAT Testing.
• Responsible for QA Sign Off for the above applications using QA Sign Off Forms.
• Involved in Weekly Testing Status meetings with Testing Team and Weekly Rate Quote Task force meeting with Business Users and Developers.

Environment: HIPPA, EDI, Facets 4.71, Oracle, SQL, Mainframe, QTP, Agile, Quality Center/ALM, Quick Test Professional, MS Office, MS-Visio.

Confidential, Greenwood, CO

QA Analyst

Responsibilities:

• Reviewed the Business Requirement documents and the Technical Specification documents.
• Developed Test Plans, Test Cases and Test Scripts to define scope of overall quality assurance testing.
• Conducted Functionality testing and Regression Testing using QTP.
• Developed functions using VB script.
• Created environment variables to pass variables between actions.
• Verified HIPAA rules.
• Tested data to check HIPPA eligibility and participation check for individual coverage.
• Uncovered multiple issues related to the data population in the backend database manually.
• Prepared test scripts for automated testing using QTP.
• Conducted GUI Testing manually.
• Performed negative testing heavily to encounter invalid unexpected values.
• Actively participated in project enhancement meetings.

Environment: Quick Test Professional, Quality Center, ALM, QTP, Agile, Internet explorer, Windows NT/2000, DB2, MS Office 2000.