SUMMARY:

• I have 8+ years of experience as a QA tester in the Healthcare industry.
• Good exposure to different Software Development Life Cycle and Testing Methodologies.
• Experience in understanding Requirements handed over by the Business Analyst and work along with the Development team.
• Expertise in preparing test plans, test cases, test case execution, and reporting.
• Conducted Back - End Testing using SQL Queries for the purpose of Database Integrity.
• Documented the test results and reported the status of assigned test tasks and issues to project QA Lead.
• Working on Selenium Web Driver for regression testing for every modification made.
• Worked with Development and DBA team to collaborate results analysis on Database Testing and related issues. Involved in Database Testing and Verification using SQL and UNIX commands.
• Check the API Date mapped correctly to IGIs by using SQL queries
• Identified the high-risk points and the priorities of the application.
• Defined the test criteria and project schedules during project meetings and walkthroughs.
• Maintained the Requirements Traceability Matrix (RTM) to ensure that test the plans written covered the requirements
• Test application in different environment (Demo site, Sandbox, UI, UAT, Test VT)
• Strong experience in Quality Assurance Life Cycle (QALC) and good understanding of Software Development Life Cycle (SDLC).
• Experience in Writing Test case in JAMA.
• Documented detail test cases, expected results and traced the test cases to the requirements using Quality Center ALM
• Experienced in Facets working with Provider Life cycle, Members Enrollment process, and Claim processing and other data models.
• Managed defects using Defect module of HP Quality Center.
• Created a defect reports in HP Quality Center as required.
• Performed Regression Testing for every modification made in the application and new builds
• Back end testing by using SQL queries
• Worked with Quality Center ALM to trace the requirements, write the Test Cases in the test
• Expertise in Problem solving and Bug Reports using Bug Tracking Tools (Quality Center)
• Experience in preparing Traceability Matrix
• Conducted Black Box Testing on the application and validated the dataflow in the application.
• Checked the schema of Oracle database manually or using Toad after every upgrade.
• Designed, scheduled and executed test plans within the predefined timeframe.
• Involved in writing extensiveSQL Queriesforback end testing SQL Server and DB2 Tables.
• Validate the date from EDI output transaction. Involved in testing HIPAA Transactions & Code Sets Standards like 837/835
• Tested web Services using SOAP-UI.

TECHNICAL SKILLS:

Programing language: PL/SQL,Java

Web technologies: HTML, CSS, XML

Testing tools: JIRA, Quality Center, Selenium, SOAP UI,JAMA,MTM,TFS,QTP

SDLC methods: Agile Scrum, Waterfall, Rup

Databases: Ms SQL Server, Oracle, MS Access

Operating system: Windows, MS - DOS, UNIX

PROFESSIONAL EXPERIENCE:

Confidential

Quality Engineer and Assurance

Responsibilities:

• Participate in setting up testing environment.
• Involved in decision making to launch new builds.
• Experience in preparing Traceability Matrix worked on data conversion document
• Test application in different environment (Demo site, Sandbox, UI, UAT, Test VT)
• Experience in Writing Test case in JAMA.
• Experience in running Test case in JAMA.
• Back end testing by using SQL queries
• Executed Configuration Testing to check if the application was compatible in different environment.
• Working on Selenium Web Driver for regression testing for every modification made.
• Check the API Date mapped correctly to IGIs by using SQL queries
• Conducted result analysis and interacted with developers to resolve bugs.
• Experience in Writing Test case by using TFS.
• Experience in running Test case by using TFS.
• Strong experience in Quality Assurance Life Cycle (QALC) and good understanding of Software Development Life Cycle (SDLC).
• Attend JAD meeting
• Interacted with developers, business analysts and discussed technical problems and reported bugs.
• Interacted with developers, business analysts and discussed technical problems and reported future bugs which the Automated Testing can produce.

Environment: SQL, JAMA, TFS, Ms excel, Manual Testing, Selenium Web Driver

Confidential, Rockville, MD

QA Test Analyst

Responsibilities:

• Participate in setting up testing environment.
• Involved in reviewing and enhancing the codes for applications.
• Involved in decision making to launch new builds.
• Conducted Back-End Testing using SQL Queries for the purpose of Database Integrity.
• Worked with Development and DBA team to collaborate results analysis on Database Testing and related issues. Involved in Database Testing and Verification using SQL and UNIX commands.
• Used Ramp up and Ramp down options to simulate real time scenario.
• Executed Configuration Testing to check if the application was compatible in different environment.
• Tested Web Services by using SOAP UI.
• Conducted result analysis and interacted with developers to resolve bugs.
• Interacted with developers, business analysts and discussed technical problems and reported bugs.
• Interacted with developers, business analysts and discussed technical problems and reported future bugs which the Automated Testing can produce.

Environment: Oracle (Relational DB), SQL, Quality Center, Unix, Manual Testing.

Confidential, Washington, D.C

QA analyst

Responsibilities:

• Developed Test Plans, Test Cases for the testing.
• Involved in Up gradation of ICD-9-CM to ICD-10 codes
• Established and maintained test cases and test data in HPQC.
• Worked on different methods of SDLC like Agile, Waterfall.
• Logged the defects in various tools like HPQC and SRTS (Team Track) and maintained track of the defect throughout its lifecycle.
• Provided root cause analysis for the major claim failures to the developers.
• Documented the test results and reported the status of assigned test tasks and issues to project QA Lead.
• Validate the date from EDI output transaction.
• Checked the data flow through the frontend to backend and usedSQL Queries to extract the data from the database.
• Involved in testing HIPAA Transactions & Code Sets Standards like 837/835
• Tested web Services using SOAP-UI.
• Performed benefit match - miss match after every execution.
• Also checked the benefits after year-to-year members benefit changes.
• Actively participated in walkthroughs and enhancement meetings.
• Maintained the Requirements Traceability Matrix (RTM) to ensure that test the plans written covered the requirements
• Documented the test results and reported the status of assigned test tasks and issues to project QA Lead.
• Actively participated in walkthroughs and enhancement meetings.

Environment: Windows XP, SQL, Mercury Quality Center, MS-Visio, Ms Projects, Rational suite (Rational Rose, Rational Requisite Pro)

QA Analyst

Responsibilities:

• Reviewed Business Requirements with Project Manager and Lead Developer to learn the functionality of the application
• Hands on experience in writing SQL queries and executing procedures to perform back end testing for the expected results.
• Mentored and directed 4-6 members with less experience on QA best practices and methodologies.
• Conducted Black Box Testing on the application and validated the dataflow in the application.
• Involved in HIPAA/EDI Medical Claims Analysis, Design, Implementation and Documentation
• Completed several HIPAA 4010 and 5010 Projects, included Medicaid and Commercial entities. Projects include claims and enrollment testing as well as NPI and medical coding and ICD-9 EDI testing.
• Involved in preparing the Test Scenarios for Health Care Claim Payment/Advice
• Set up and configure HP ALM (QC) management tool to organize user groups, set standards for requirements, testing and defects reporting.
• Experience with TriZettos Facets Application Groups: Claims Processing, Guided Benefit Configuration, Medical Plan, Provider, Subscriber/Member, Utilization Management.
• Created High Level Test Scenarios, Test Cases and Test Scripts for Data Hub requirements as described in RSD (Requirement Specification Documents) and DSD (Design Specification Documents) as well as HIPAA
• Written multiple Test Cases (System, Integration) for multiple transactions include 837, 835 (both inbound and outbound) transactions
• Worked with Facilities to get the correct count on number of Members/ Eligibility and Demographic information to set Groups/Subgroups/Subscribers/Members accurately in facets.
• Reviewing the Use Case Requirement, Functional Design Documents and Technical Specification documents.
• Creating Test Cases after analyzing the BRD’s.
• Prepared test matrices based through defect status in Quality Center.
• Developed and implemented EDI applications to process Health Care transactions as per the HIPAA implementation
• Analyzed and worked with HIPAA specific EDI transactions for claims, member enrollment, billing transactions. Worked specifically with 837, 835, 834, 270/271, 276/277
• Executed Test cases manually by composing 270, 276,837 EDI files and dropped inbound and check response 271,277,835.
• Involve in testing of FACETS Implementation, Claims adjudication processing ( and benefits)
• Worked with Facets Architects to get in-depth knowledge on Providers life cycle and how can Members and Claims get affected with Providers Network setups.
• Logged defects in Quality Center and interacted with the developers to resolve technical issues.
• Analyzed and tested data on claims manually and writing queries on DB database for validating data.
• Involved in Claims processing - efficient management of claims processing for various types of claims like Professional, Dental, Pharmacy and Institutional.
• Logged errors reported defects, determined priorities, performed regression testing using Mercury Quality Center.
• Performed Integration Testing, System Testing and Regression Testing.
• Extensively used SQL queries commands for data verification and backend testing using Toad.
• Validating member’s accumulator track right member’s benefits and making sure that Claims gets paid according to the SEPY’s rule.

Environment: Facets, HIPAA/EDI, Interactive SQL, MS Excel, HIPPA, EDI 5010, Oracle DB2, Mercury Quality Center, Quality Center.

Confidential, Buffalo, NY

QA Analyst

Responsibilities:

• Involved in HIPAA/EDI Medical Claims Analysis, Design, Implementation and Documentation
• Developed and implemented EDI applications to process Health Care transactions as per the HIPAA implementation
• Mentored and directed 4-6 members with less experience onQAbest practices and methodologies.
• Personal skills include Excellent Communication, strong sense of Organization and effective time management and the ability to maintain and work in a team as well as independently with minimal direction
• Conducted Black Box Testing on the application and validated the dataflow in the application.
• Involved in preparing the Test Scenarios for Health Care Claim Payment/Advice
• Written multiple Test Cases (System, Integration) for multiple transactions include 837, 835 (both inbound and outbound) transactions
• Reviewing the Use Case Requirement, Functional Design Documents and Technical Specification documents.
• Creating Test Cases after analyzing the BRD’s.
• Prepared test matrices based through defect status in Quality Center.
• Involve in testing of FACETS Implementation, Claims adjudication processing ( and benefits).
• Logged defects in Quality Center and interacted with the developers to resolve technical issues.
• Analyzed and tested data on claims manually and writing queries on DB database for validating data.
• Validating member’s accumulator track right member’s benefits and making sure that Claims gets paid according to the SEPY’s rule.

Environment: Facets, HIPAA/EDI, Interactive SQL, MS Word, MS Project, MS Excel, Quality Center, QTP