SUMMARY

• Over Six years of experience in Testing Methodologies and Software Quality Assurance.
• Experienced in developing Test Plans and Test Cases for different types of software testing.
• Proficient in both Manual and Automated Testing Tools such as QTP, Win Runner, Load Runner.
• Extensive knowledge of SDLC (Software Development Life Cycle) methodologies.
• Experience in Healthcare domain with various modules like membership management, premium billing, Enrollment, claims processing & adjudication, benefits administration. Claims adjudication, billing, provider, Eligibility and pre authorization for Medicare, Medicaid and Blue Programs.
• Experienced in various types of testing including Sanity Testing, Smoke Testing, Functionality Testing, Performance Testing, Volume Testing, Unit Testing, Integrated Testing, System Testing, Positive and Negative Testing, Security Testing and Regression Testing of, Web Based and Client - Server applications
• Worked with EDI 837, 835, 835, etc.
• Experience in WebService Testing using SOAP UI Pro
• Performed Back End Testing by executing SQL queries.
• Excellent Working Knowledge ofHIPPA,ANSI X 12 EDI 4010/5010 conversions, FACETS.
• Involved in maintaining Test Matrix and Traceability Matrix and performed Gap Analysis
• Proficient with World Health Organization (WHO) transaction code set ICD-9, ICD-9-CM, ICD-10, and ICD-10- CM for diagnosis coding, billing and coding, medical terminologies etc.
• Performed User Acceptance Testing (UAT) manually.
• Participated in design walkthroughs and verified QC Test Scripts and results.
• Tracked and reported on test execution.
• Good Documentation and Process Management skills with an ability to effectively understand the business requirements to develop a quality product.
• Performed portfolios of clients and assignments and key client relationship, develop and deliver services and value charters.
• Effective Time Management Skills and consistent ability to meet client deadline.

TECHNICAL SKILLS

Testing Tools: Win Runner, Load Runner, QTP, SOAPUI

Bug Reporting: Quality Center, JIRA, Test Director, Rational Clear Quest

Prog. Languages: SQL, TSL (Test Script Language), VB Script

RDBMS: Oracle, MS Access, My SQL, DB2

Office Software: MS Office Suites, MS Visio

Operating System: Windows 2000/Vista /XP/ 7, UNIX/Linux

Web Technologies: J2ee, Java, HTML, XML,.NET, ASP.NET, HTML, BEA Weblogic

PROFESSIONAL EXPERIENCE

Confidential, Owing Mills, MD

QA Analyst

Responsibilities:

• Responsible for testing the Navigation Flow, Functionality Testing, System Testing and User Acceptance Testing.
• Interacted with business analysts to gather the requirements for business and performance testing.
• Have good exposure to modern agile methodologies such as SCRUM and TDD.
• Prepared Test Data and executed Test Cases from Quality Center.
• Extensively worked on ICD 9 and was involved in reviews of code changes as per ICD 10
• Prepared test data and helped load test data into the test database environment.
• Worked on HIPAA Transactions and Code Sets Standards such as 837/835, 276/277 transactions.
• Principles in an agile or test driven methodology environment.
• Created and maintained SQL Scripts to perform back-end testing on the oracle database.
• Perform static, functional, technical integration, end-to-end and User Acceptance Testing
• Claims Processing, Claims Pricing, Healthcare Plans Writing of Release Notes
• Involved in reviewing complex SQL queries, views, functions and stored procedures and spotting issues before/during code migration.
• Functionally validated Web Services delivered in SOAP XML format as provided in specification document
• Tested various versions of handheld devices to perform cross platform and browser compatibility testing.
• Performed rigorous manual testing such Functional Testing, Smoke testing, Integration testing, UAT Testing, Backend Testing, Regression Testing, End to End Testing and System Testing
• Analyze and make specific recommendations on improvements that can be integrated into business processes
• Test execution and Defect reporting using HP Quality Center.
• Participate in reviews throughout the development life cycle
• Reviewed extensive SQL Queries with complex multi-table joins and nested queries.
• Involved in XML validation for Claims payment against XSD
• Involved in Claim Processing from End to End and major work was involved with 837 P/I Claims Processing systems and 834 benefit enrollment
• Validated Claims process using Facets
• Worked with Claims, enrollment, eligibility verification for members and providers, benefits setup, fee schedules and backend payment cycle in Claim Processing system.
• Tested 5010 EDI files compliance against HIPAA guidelines
• Facilitate User Acceptance Testing by providing the necessary support to the business users
• Extensively performed manual testing and defect reporting using Quality Center.
• Worked in Agile Testing and participated meetings everyday in iterative environment.
• Worked on parameterizations, calling/copying, Check points heavily.
• Assisted in developing test plans for testing the functionality, GUI, and security.
• Automated test scenarios for GUI, Functionality and performed data driven testing on the application inserting different data in excel sheet using QTP
• Worked in Agile Testing and participated meetings every day in iterative environment Created and maintained detailed test cases to perform various types of testing in Test Plan module of Quality Center.
• Worked on Agile Methodology and involved in Sprint Planning Meeting, Daily Scrum Update Meeting and Retrospective Meeting.
• Preparation of Requirements Document, AGILE Storycards, etc
• Performedmanual 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

Environment: s: HIPAA, Java, J2EE, HTML, Oracle, MS SQL Server, HTML, XML, SOAP UI, DB2, Unix, QTP, Quality Center, Mainframe

Confidential, Port Washington, NY

QA Tester

Responsibilities:

• Executing System Test scripts developed in Quality Center manually.
• Developed Test scenarios, Test Scripts and Test cases based on Requirements, and performed GAP Analysis.
• Developed Web Services scripts for a Web Service call sing SOAP UI
• Data mapping, logical data modeling, created class diagrams and ER diagrams and used SQL queries to filter data within the Oracle database.
• Extensive UAT Testing Manually.
• Validated WholeClaimPricingPrice rules like Base Rules, Cap Rules and Outlier Rules
• Performed Usability and Integration testing manually.
• Manually test each and every module of the application and verify against expected results.
• Developed QTP Automation Test Scripts to perform Functionality, Security, UAT and Regression Testing
• Prepared Test Cases based on business requirements and business rules for HIPAA EDI Transaction 834, 837 Professional, Institutional Claims, and 835 Remittance Advice.
• Implemented technical solutions for complex state-mandated prospectiveclaims pricingmethodologies
• Used SQL queries to validate the data between the backend and the front end
• Validating the generation of 'Explanation of Benefits' (EOB) & 'Explanation of Payments' (EOP) for external Identification numbers
• Extensively worked in preparing the EDI transmission files, dropping them in Inbound, Outbound Interfaces and validate the data according to our test scenarios.
• Validated Member data, provider data, Price rules,PricingCalculation methods and Benefit rules for claims
• Performed Database testing using SQL queries
• Automated testing of the functional and navigational aspects in various modules using QTP.
• Identifying Test Cases to be run for Regression Testing and conducting Regression Testing as and when new builds were made.
• Involved in reviewing complex SQL queries, views, functions and stored procedures and spotting issues before/during code migration.
• Claims Processing, Claims Pricing, Healthcare Plans Writing of Release Notes
• Worked with the QA Lead in QA Audits, planning, reporting, and corrective actions
• Managed Project description and defining the design steps in Quality Center.
• Performed functionality testing on Membership Module ME 1011,1013,1014
• Performed Regression testing on Provider contract maintenance, reports and renewal screens.
• Comparison of the reports on membership listing, provider listing and transaction reports after the batch cycle of the submitted jobs.
• Performed GUI regression testing using Win Runner.
• Assisted in setting up UAT (User Acceptance Testing) environment.
• Automated testing of the new functional changes in the Power MHS screens.
• Created meaningful reports for analysis and integrated the Performance Testing in the SDLC.
• Investigated and reported bugs using Defect Module in Quality Center.
• Generated reports and statistics, correct human errors, and explain changes and adjustments within the production system
• Participated in Walkthroughs and Inspection meetings to review.
• Authored test case scenarios in Excel spread sheet and export them into Quality Center.

Environment: Windows, Power MHS, QTP, Windows, Quality Center, QNXT, MS SQL Server, EDI, Java, HTML

Confidential, Dublin, OH

QA Analyst

Responsibilities:

• Reviewed Business Requirements with Project Manager and Lead Developer to learn the functionality of the application.
• Analyzed the objectives and scope of each stage of testing process from the Test plan.
• Interacted with business analysts to gather the requirements for business and performance testing.
• Responsible for testing of OPL, COB, Healthcare Claim Pricing, Healthcare Claim Benefits, End to End Claims Processing
• Participated in the Manual Vs Automated testing decision-making process.
• Responsible for testing the Navigation Flow, Functionality Testing, System Testing and User Acceptance Testing.
• Interacted with users and vendors for full life cycle of project.
• Written Medicare COB functional Requirements, Test steps and Test cases in Quality Center
• Authored Test cases for HIPAA EDI Transactions 270/271, 276/277,837/835.
• Prepared test data and helped load test data into the test database environment.
• Analyzed all types of the workers compensation, Disability insurance and provider Claims.
• Prepared Test Data and executed Test Cases from Quality Center.
• Stimulate financial calculations for a given formula for a given period.
• Life cycle test for various products contracts.
• Data mapping, logical data modeling, created class diagrams and ER diagrams and used SQL queries to filter data within the Oracle database.
• ConductedFunctionality testingduring various phases of the application.
• Prepared automated scripts for Maintenance and Regression testing.
• Automated test scenarios for GUI, Functionality and performed data driven testing on the application inserting different data in excel sheet
• Extensively performed manual testing using Quality Center.
• Defect reporting and bug tracking using Quality Center.
• Created test cases and automated them for the purpose of regression testing and functional testing with check points usingQTP.
• Analyzed the functional requirement documents, system requirement documents and business requirement documents.
• Assisted in developing test plans for testing the functionality, GUI, and security.
• Performedmanual testing,considering the base line of developed test plan and test cases considering both positive and negative scenarios.
• PerformedIntegration, Functional, GUIandUAT testing
• Interacted with developers to resolve defects.
• Developed automated scripts usingQTPto perform functional and regression testing
• I was responsible to create test data for functional testing and UAT.
• Performed functional testingfor new release enhancements.
• Participated actively in the team meetings with the developers for bug reviews.

Environment: Quality Center, Html, XML, Web Sphere, Oracle,SQL, UNIX, Windows

Confidential, Burlington, NC

Test Analyst

Responsibilities:

• Worked with team members in development of Test cases and Test Plans
• Maintain QA lab standards, documentation review assisted in establishing and maintaining best practices for QA
• Responsible for analyzing the requirements and the critical areas of the application to setup and execute baseline tests
• Setting up the Testing Methodology for the QA department, generating various documents to enable uniformity in recording the test process and results throughout the company
• Developed and executed test cases test Scenarios and followed-up defects using Quality Center.
• Generating and implementing templates for Test Plan, Test Cases, Test Scripts, Business Analysis, Gap Analysis, Test Defect Log, Test Case Checklist etc.
• Assisted in EMR system implementation to enhance full two-way interoperability between Insurance Company and Physicians. Optimized training documentation prior to go-live.
• Work with IT Development and QA staff to improve and customize the EMR application.
• Defined test cases, created test scripts and interacted with QA / development teams in identifying and resolving errors and in User Acceptance Testing (UAT).
• Have very closely worked with billing team of Laboratory claims.
• Developed use cases to demonstrate business requirements to IT development team.
• Tested the system and applications for compliance with the HIPAA and EDI.
• Responsible for identifying the functional test cases for Regression Testing and automated these scripts using QTP.
• Reviewed extensive SQL Queries with complex multi-table joins and nested queries.
• Rigorously tested SQL’s implementation of existing code.
• Conducted Data integrity and Data validation test manually.
• Performed Sanity Testing and Smoke Testing.
• Conducted Functionality, and Regression testing during the various phases of the development using WinRunner
• Used Quality Center for test documentation management and for defect tracking
• Involved in Baseline, regression, GUI, functional, stress and usability tests
• Meet with the developers and technical content writers on a daily basis to update the test documents.
• Follow up with developers on defects status on a regular basis.

Environment: Windows, QTP, Quality Center, Pricer, Oracle, SQL Server, BO