SUMMARY:

• As a QA Lead and Tester with over Twelve years of experience in programming, writing System Test Plans, Test Cases, documentation and automation of testing using QTP, Loadrunner and Quality Center in Client/server, Mainframe and Web based applications.
• Good Technical Experience in Writing System Test Plans, Test Cases, Test Scripts, Automated scripts, Documentation and Setting up Test lab Environment.
• Strong Skills in Performing Integration Testing, Acceptance Testing, Regression Testing, Business Functional Testing, Volume Testing, Stress Testing, Load Testing and System testing.
• Expertise in manual testing and automated testing tools like WinRunner, Test Director, Rational Test Suite, PVCS Tracker and Rational Clear Quest.
• Expertised in developing TSL scripts and good programming skills in C language.
• Expertise in Back End Testing of the applications.
• Experience in Bug Tracking System and technically sound in knowledge.
• EDI Transactions focused on were 278,270,271, 834, 835, and 837.
• Involved in testing EDI Claim Applications and knowledge on Facets, QNXT and PowerMHS application.
• Participated in Team meetings to resolve problems.
• Excellent understanding of QA methodologies.
• Involved in developing programs in Java, Javascript, VB, HTML, JSP and J2EE (EJB).

TECHNICAL SKILLS:

Languages: C, C++, c#, Visual Basic, Java, TSL, SQL, HTML, XML, JavaScript, Java, Servlets, EJB, Jsp, VB Script, Visual source safe and ASP

Databases: Oracle with ETL tools, SQL Server, Sybase and MS Access

Operating Systems: MVS, Windows 95/98/00/NT/XP, MS - DOS and UNIX (Sun Solaris, HP-UX, AIX), Lotus Notes.

Testing Tools: Win Runner, Load Runner, Test Director, Rational SQA Suite7.1/2001, Rational Robot, SQA Clear Quest, Clear Case and PVCS Tracker, RUP, TOAD.

Web Tools: HTML, XML, Java2.0, JavaScript, JDK1.2.2 and Weblogic4.5.1/5.1, IAS Web Server.

Adapters: BEA Tuxedo, EB XML.

PROFESSIONAL EXPERIENCE:

Confidential, Durham, NC

QA Lead Tester

Responsibilities:

• Responsible for QA status in release meetings.
• Plan and manage work including developing testing timelines, estimating costs, resource allocation, process improvement program, creating communication plans and maintain testing environments.
• Assess the priority and severity of issues by understanding business objectives, technical costs and user needs.
• Created Test Plan in Microsoft project.
• Involved in creating and reviewing test cases of team members.
• Schedule walkthrough and review meetings to help assist team members understand testing procedures and business requirements.
• Involved in working under tight schedules.
• Responsible for resource allocation and assigning work to meet deadlines.
• Involved in writing Test plans, Test cases and responsible for executing the Test Scripts.
• Responsible for designing, developing test plans use cases and executing test scripts.
• Performed Smoke, Integration, functional, Regression, and system testing.
• Interacted with Business users and Technical team in providing clear solutions to requirements.
• Involved in processing claims and validated the full payment cycle process until it generates 835’s, EOB’s and
• Involved in doing the Member Accumulators like Individual & Family level Deductibles & Out of Pocket
• Involved in testing HIPAA EDI Transactions and mainly focused on 276/277, 270/271, 278, 820, 834 , 837 and 83 5.
• Used See Beyond application for Mapping EDI Transactions.
• Used Claredi for HIPAA IG validation.
• Involved in writing SQL queries in AS400 to validate the payment files and MS Access to validate the reports.
• Followed the Mapping documents and HIPAA implementation guides for HIPAA Transaction Mapping.
• Involved in processing claims in PowerMHS & Facets and validating the full cycle process to make sure the checks are generated and 835’s are generated.
• Processed Claims for BCBSNC Home members and Host members and verified the pricing is done correctly for all the Home and Host claims using the new pricing system PowerMHS & Facets.
• Processed 837 claims for Amisys members and verified claims routed to Amisys and generated 835 Payments to provider.
• Validated Amisys returned correct claim status information on 277’s and correct member benefits on 271’s.
• Verified the BCBSNC system received claims from local providers for out of state Blue plan members and priced them correctly before routing them to other state Confidential organizations.
• Verified the host claims sent to other state Confidential organizations with correct pricing information.
• Verified the Blue Exchange system received the claims from other State Confidential ’s for BCBSNC members and routed them to PowerMHS & Facets.
• Verified the Blue Exchange system received the claims from local providers for other state Confidential members and routed them to responsible Confidential systems.
• Used Quality Center/ALM for preparing the test cases.
• Used Winrunner, QTP as an automation tool for testing the application.
• Processed Claims and adjusted claims in MHS and Mainframe LRSP & State.
• Involved in testing Lawson, MHS and Mainframe LRSP & State system for Billing/Financial testing like creating Invoices, adjusting claims, creating Credit Memo, Balancing Credit Memos and Voucher deduction from next payments.
• Involved in testing Medicaid claims.
• Involved in enrolling members through MHS, Facets, Portal and Mainframe screens.
• Tested the MAGIC application for Patient Information.
• Involved in testing the Blue Squared ITS application to make sure all Blue’s are communicating correctly.
• Involved in testing the extract and load process from Mainframe to Lawson and MHS to Lawson.
• Involved in generating SQL queries using DB Visualizer and Teradata for extracts and Loads testing.
• Generated SQL queries in QMF to pull the data from DB2 tables.
• Generated SQL queries in AS400 and Oracle.
• Used File Aid to view and manipulate the Data sets in Mainframe.
• Used QTP and VUGEN as an automation tools for creating the scripts for projects Blue Squared, Service 1st CRM Siebel applications, Blue Quote, BOL, BlueE, ILINC and ITS,
• Prepared the PVS (Performance, Volume and Stress testing) Test Strategies.
• Involved in setting up Test Labs and Servers for Performance testing.
• Installed various softwares on Test Lab machines for doing Performance testing.
• Upgraded QTP from 9.0 to 9.5 on all QA Lab machines.
• Used LoadRunner to test the performance of various Seibel and web applications.
• Helped QA team to seed the claims using Blue E application.
• Recorded and updated the scripts using QTP, Winrunner and Virtual Generator .
• Parameterized and correlated the scripts developed using Loadrunner Vugen .
• Used LoadRunner for creating VUsers, Scenarios and executing the Scenarios on different machines in order to test the performance of the application.
• Involved in inserting transactions using Loadrunner in order to check the response time of the application.
• Inserted Rendezvous points using Loadrunner to find out the break points.
• Used Performace center for doing performance testing.
• Used Loadrunner Controller to schedule and run the Scenarios.
• Used Loadrunner Analyzer to generate the reports.
• Involved in attending the Daily scrum stand up meetings and implemented the 5010 in Agile/Scrum Environment.

Environment: COBOL II, EDI X12N 4010, PowerMHS, DB2, CICS, OS/390, TSO/ISPF, File Aid, JCL, AS400, Oracle, SQL, Teradata, DB Visualizer, UNIX, Windows95/98/NT/2000/XP and Internet Explorer.

Confidential, Denver, CO

QA EDI Lead/Tester

Responsibilities:

• Responsible for QA status in release meetings.
• Assess the priority and severity of issues by understanding business objectives, technical costs and user needs.
• Created Test Plan in Microsoft word.
• Involved in creating and reviewing test cases of team members.
• Schedule walkthrough and review meetings to help assist team members understand testing procedures and business requirements.
• Involved in working under tight schedules.
• Involved in writing Test plans, Test cases and responsible for executing the Test Scripts.
• Responsible for designing, developing test plans use cases and executing test scripts.
• Performed Smoke, Integration, functional, Regression, and system testing.
• Interacted with Business users and Technical team in providing clear solutions to requirements.
• Involved in processing claims and validated the full payment cycle process until it generates 835’s and EOP’s .
• Involved in testing HIPAA EDI Transactions and mainly focused on 276/277 , 837 and 83 5.
• Enrolled members by processing 834 transactions.
• Involved in creating Groups, Plans and enrolling members in Facets.
• Involved in testing Medicaid claims in MMIS.
• Involved in processing 837 Medicare transactions
• Used Foresight Desktop Validator for HIPAA IG validation.
• Involved in writing SQL queries in TOAD to validate the payment files.
• Involved in doing the Member Accumulators like Individual & Family level Deductibles & Out of Pocket
• Followed the Mapping documents and HIPAA implementation guides for HIPAA Transaction Mapping.
• Involved in enrolling members in Facets.
• Involved in processing claims in FACETS and validating the full cycle process to make sure the checks are generated and 835’s are generated.
• Involved in testing the claims from THG gateway to XC keyword file, XC keyword file to XC database and from XC database to Facets database.
• Involved in testing Anesthesia claims, pre priced claims and routing these claims to Facets.
• Involved in testing Medical claims, Hospital claims, Dental claims and Pharmacy claims.
• Involved in testing Pre Priced claims and NetworX pricing (Dental Fee Schedules, Medical Fee schedules etc), Dental Provider & Medical Provider agreements in Facets.
• Generated SQL queries to pull the member data, claims data from Facets member and claim tables.
• Involved in generating complex SQL queries to validate the various reports Eligibility, Claims and Provider reports developed in Business Objects.
• Enrolled members from different applications like 834 Transaction, web Portal application, Legacy application and Facets front end screens and verified members loaded correctly to Facets by running SQL queries.
• Processed Claims from different applications like 837 Transaction, web Portal application, Legacy application and Facets front end screens and verified claims loaded correctly to Facets by running SQL queries.
• Used Quality Center for preparing the test cases.
• Used Winrunner as an automation tool for testing the application.
• Ran workflows (it contains sessions) using Informatica workflow manager.
• Checked the workflow status on the workflow monitor like successful & fail.
• Tested ETL mappings in Informatica to load the data from various sources using different transformations
• Generated SQL queries in QMF to prepare the test data for the test cases to provide for the QA team.
• Tested the ETL process and Datawarehouse extensively.
• Monitored and tested Workflows using Workflow Manager and Workflow Monitor

Environment: COBOL II, EDI X12N 4010, FACETS, DB2, CICS, OS/390, TSO/ISPF, File Aid, JCL, Oracle, SQL, UNIX, ETL Informatica 7.1.4, Windows95/98/NT/2000/XP and Internet Explorer.

Confidential, Durham, NC

QA Lead/Tester

Responsibilities:

• Responsible for QA status in release meetings.
• Plan and manage work including developing testing timelines, estimating costs, resource allocation, process improvement program, creating communication plans and maintain testing environments.
• Assess the priority and severity of issues by understanding business objectives, technical costs and user needs.
• Created Test Plan in Microsoft project.
• Involved in creating and reviewing test cases of team members.
• Schedule walkthrough and review meetings to help assist team members understand testing procedures and business requirements.
• Involved in working under tight schedules.
• Responsible for resource allocation and assigning work to meet deadlines.
• Involved in writing Test plans, Test cases and responsible for executing the Test Scripts.
• Responsible for designing, developing test plans use cases and executing test scripts.
• Performed Smoke, Integration, functional, Regression, and system testing.
• Interacted with Business users and Technical team in providing clear solutions to requirements.
• Involved in processing claims and validated the full payment cycle process until it generates 835’s and EOP’s .
• Involved in testing HIPAA EDI Transactions and mainly focused on 276/277, 270/271 , 837 and 83 5.
• Used See Beyond application for Mapping EDI Transactions.
• Used Claredi for HIPAA IG validation.
• Involved in writing SQL queries in AS400 to validate the payment files and MS Access to validate the reports.
• Followed the Mapping documents and HIPAA implementation guides for HIPAA Transaction Mapping.
• Involved in processing claims in PowerMHS and validating the full cycle process to make sure the checks are generated and 835’s are generated.
• Involved in testing Medicaid claims.
• Involved in submitting Claims from 837, Mainframe, Blue E web portal application for different systems like MHS, FEP, State and Medicaid.
• Involved in testing different claims processing systems like FEP, MHS, State and Medicaid.
• Invloved in testing the Blue eXchange application.
• Used Test Director for preparing the test cases.
• Used Winrunner as an automation tool for testing the application.
• Prepared the PVS (Performance, Volume and Stress testing) Test Strategies.
• Involved in setting up Test Labs and Servers for Performance testing.
• Installed various softwares on Test Lab machines for doing Performance testing.
• Used LoadRunner to test the performance of various Seibel and web applications.
• Recorded and updated the scripts using QTP, Winrunner and Virtual Generator .
• Parameterized and correlated the scripts developed using Loadrunner Vugen .
• Used LoadRunner for creating VUsers, Scenarios and executing the Scenarios on different machines in order to test the performance of the application.
• Involved in inserting transactions using Loadrunner in order to check the response time of the application.
• Inserted Rendezvous points using Loadrunner to find out the break points.
• Used Loadrunner Controller to schedule and run the Scenarios.
• Used Loadrunner Analyzer to generate the reports.

Environment: COBOL II, EDI X12N 4010, PowerMHS, DB2, CICS, OS/390, TSO/ISPF, File Aid, JCL, AS400, Oracle, SQL, UNIX, Windows95/98/NT/2000/XP and Internet Explorer.

Confidential, Salt Lake City, UT

QA Lead/ Tester

Responsibilities:

• Involved in writing Test plans, Test cases and responsible for executing the Test Scripts.
• Communicate issues/roadblocks/schedule delays to the Supervisor and the Project Management.
• Responsible for QA status in release meetings.
• Plan and manage work including developing testing timelines, estimating costs, resource allocation, process improvement program, creating communication plans and maintain testing environments.
• Assess the priority and severity of issues by understanding business objectives, technical costs and user needs.
• Created Test Plan in Microsoft project.
• Involved in creating and reviewing test cases of team members.
• Schedule walkthrough and review meetings to help assist team members understand testing procedures and business requirements.
• Involved in working under tight schedules.
• Responsible for resource allocation and assigning work to meet deadlines.
• Working knowledge WinRunner, automation testing experience
• Involved in representing QA presentations and training junior testers.
• Responsible for designing, developing test plans use cases and executing test scripts.
• Performed Smoke, Integration, functional, Regression, and system testing.
• Interacted with Business users and Technical team in providing clear solutions to requirements.
• Involved in testing HIPAA EDI Transactions 276/277, 270/271, 837, 835 and mainly focused on PA and Eligibility Transactions.
• Used Mercator application for Mapping EDI Transactions.
• Created rules like Copay, Deductible, Quantity, Refill and pricing rules at different levels ( Drug, Tier, Patient and Plan ) and validated the adjudication system process by processing claims with different scenarios.
• Set the required Prior Authorization rules at various levels and Processed the claims to validate the rules.
• Involved in testing the Reversal Claims and Resubmitting claims processes.
• Involved in processing claims and validated the full payment cycle process until it generates 835’s and EOP’s .
• Involved in testing the integration between the Pharmacy Claims application and other applications like Providers, Drugs, Eligibility and Member Client Services applications.
• Used Test Director for preparing the test plans and manual test scripts.
• Used Winrunner as an automation tool for testing the application.
• Used Test Director for reporting the Bugs and performed regression testing after fixing the bugs.
• Involved in loading the flat files into Oracle Database and involved in writing Complex SQL Queries.
• Involved in generating Reports using Oracle Report Builder and testing the reports using Oracle Run Time.
• Generated and validated various reports like Clinical, Tier Plan, Eligibility and Financial reports for the Pharmacy System.
• Involved in writing Complex SQL Queries using TOAD to validate the loads for Caremark and DEA.
• Involved in writing Unix shell scripts.
• Wrote a whole bunch of PL/SQL code including stored procedures, functions and triggers using TOAD.

Environment: Visual Basic, ASP, Java Script, VB Script, XML, Oracle 11i, Oracle Financials, SQL, MS Access, UNIX, Oracle Run Time, Informatica, ETL, IAS Webserver, Weblogic, BEA Tuxedo, Windows95/98/NT/2000/XP, PowerMHS and Internet Explorer.

Confidential, Johnston, RI

QA Engineer

Responsibilities:

• Involved in writing Test plans, Test cases and responsible for executing the Test Scripts.
• Responsible for designing, developing test plans use cases and executing test scripts.
• Performed Smoke, Integration, functional, Regression, and system testing.
• Attended Code Review meetings.
• Used RUP as a QA methodology tool.
• Involved in testing the Plum Tree Gadget.
• Interacted with Business users and Technical team in providing clear solutions to requirements.
• Involved in developing the code for the application and buddy testing of the code.
• Used SQA Manager for preparing the test plans and manual test scripts.
• Used SQA Robot as an automation tool for testing the application.
• Used Clear Quest for reporting the Bugs and performed regression testing after fixing the bugs.
• Used Crystal Reports to generate and test the reports.
• Wrote a whole bunch of PL/SQL code including stored procedures, functions and triggers.

Environment: Visual Basic.NET, ASP.NET, Java Script, VB Script, EB XML, Oracle, SQL, MS Access, UNIX, Windows95/98/NT/2000/XP, IAS Webserver and Internet Explorer.