Rajitha A

SUMMARY

*+ years of industry experience as a Quality Analyst with solid understanding of Business/System Analysis, Design, Quality Process Improvement, Software Testing Life Cycle, Business Process Flow, Business Process Modeling and Quality Assurance & Analysis.

Extensively worked as a Quality Assurance and Test Engineer, understanding responsibilities in QA plan formulation, developing project plans, communication plans and implementation.

Expertise experience in Test Design, Execution and Implementation of QA Activities using Tools like Quality Center/ALM, Quick Test Pro/UFT, Load runner, Test Director and Rational Suite.

Excellent understanding of Software Development Life Cycle (SDLC) and Software Testing Cycle (STLC).

Excellent in reviewing Business Requirements, Product Requirements, and Reviewing Designs.

Extensive experience with Visio, MS Project and MS office tool’s Like Ms-Word, PowerPoint and Excel.

Experience in mapping analysis, Test Case Preparation, Test Execution, Defect Reporting, Regression Testing and Final Documentation.

Strong skills in Manual and Automated Testing of web services, web applications on Windows and UNIX operating systems.

Designed and developed test plans using Quality Center/ALM.

Extensively involved in Test Designing, Test Planning, Test Automation and Test Execution of test case based on the User and Business Requirements and System Requirements document for Functional, Security, Performance, and Usability Testing in Black Box Testing.

Ability to work on Agile and challenging environments with focus on product delivery. Be consistent and committed to Quality goals.

Experience in Testing Financial, Billing and Insurance applications.

Experience in SQL programming,.

Experience in Performed the Back-End testing to ensure data consistency on front-end by writing and executing the SQL queries on Oracle database.

Experience in working in all Databases, Oracle, SQL Server and DB2.

Excellent communication and Inter personnel skills. Exceptional ability to learn new concepts. Skilled at assessing client needs, working in a group, implementing cutting-edge technology solutions, and training/supporting end users.

Dataflow analysis using use cases, dataflow diagrams, state diagrams, activity diagrams, state chart diagrams, communication diagrams, behavioral state machine diagrams, class diagrams, sequence diagrams, deployment diagrams, data flow diagrams (DFD), entity-relationship diagrams and collaboration diagrams using Rational Rose and MS Visio.

Sound knowledge of HIX, HIPAA, ICD9-10, 5010, EDI, HMO, PPO, Medicare, Medicaid.

Expertise in Interviews, Joint Application Development Sessions (JAD), Focus sessions for requirements gathering, analysis and design with stakeholders, SME’s, Developers and system architects.

Experience in HIPAA EDI transactions 837I/P/D, 835, 270, 271, 275, 276, 277, 278, 997/999, 824 and 277CA

Performed detailed analysis & testing on Medicaid claims & identified errors like issues with birth dates, diagnostic info etc

Understanding of Data validation and warehouse concept. Developed, maintained test plans and executed test Script from Quality Center.

AREAS OF EXPERTISE

Methodologies

Agile, Waterfall, RUP, UML, SDLC, Scrum, RUP, V-shape modeling

Change Management Tools

Rational Clear Quest, Rational Clear Case.

Business Modeling & Versioning Tools

Rational Composer, MS VISIO, Visual Paradigm, Rational Rose; Rational Requisite Pro, Rational Clear Case

MS Office

MS Project, MS Word, MS Excel, MS PowerPoint, MS Access

Programming Languages

Structured Query Language (SQL).

Operating System

Windows NT/98/2000/XP.

Databases

Access, Oracle 8i/9i/10g, Teradata V2R5.1, DB2, MS SQL Server 7.0/2000

Other known tools

Informatica, Load Runner, Win Runner, Crystal Ball, Expert Choice, Core, Caliber

OLAP Tools

Business Objects XI, Cognos .

Testing tools

Rational Robot, Rational Clear Quest Test Manager, HP Quality Center, Quick Test Professional, LoadRunner, WinRunner, Test Director.

Apps & Webservers

Apache web server, Tomcat, Web logic 8.1, IIS

P R O F E S S I O N A L E X P E R I E N C E

Blue Cross Blue Shield of Nebraska, Lincoln, NE March 2011 - Present

Sr. Quality Analyst

Health Insurance Exchange/HIPAA 5010/ICD-10 Projects

I worked on Health Insurance Exchanges project to ensure BCBS NE is actively participating in FFM as per PPACA &

Ensured 5010 & ICD-10 implementation enterprise wide for the blues.

Responsibilities:

Developed test plan and test cases by going through the Design, Functional Requirements and User (Business) Requirements Documentation.

Determining the Entry and Exit Criteria for different phases in testing cycle of the system.

Able to understand Design Artifacts like Database Diagrams, Architecture Model Diagrams and Work Flow Diagrams.

Analyzing criteria for the testing and working on fast paced Agile Environment for changes and updates to the sites and its functionalities.

Involved in Test case Preparation and Test Case Execution Manually.

Prepared the Test data preparation.

Involved in Smoke Testing to validate the test environment.

Attending and Conducting External Walkthrough and Peer Review meetings for Test Plan and Test Cases.

Organized Test Suites/Batch Scripts for Regression testing using Quick Test Pro/UFT (QTP/UFT).

Designing of Automation Test Scripts using Keyword Driven Framework and developing automation test plan development.

Updating Automation Scripts with respect to the latest product releases.

Performed Positive/Negative Testing manually.

Manually performed Usability and Security testing.

Executed the performance testing using Load Runner to analyze the behavior of the application under different load conditions.

Managed objects in Object repository, Parameterized tests in Global and Local Data Tables.

Identifying Critical test case on each release and updating Regression Suite.

On regular bases used to interact with developers to resolve the issues related to Defects.

Submitting daily and weekly status reports to the manager and performed timely escalations to the management.

Experience in Selenium IDE, RC and GRID to record, edit and debug tests, automated web testing and run multiple tests in parallel.

Performed User Acceptance Testing on behalf of End Users.

Analyzed the user requirements by interacting with developers and business analysts.

Work closely with the business community to gather business analytic requirements, create technical and functional specifications for achieving the desired end results

Used Tumbleweed secure transport client to conduct data transfer related tasks & conducting identity validation via Tumbleweed Validation Authority & assist in auditing tasks.

Worked on EDI 837 for checking that if receiving claims has all the required information or not.

Responsible for processing claim and generated EDI 835R.

Involved profoundly in the GAP Analysis of the transition from HIPAA 4010 to 5010(EDI 835 and 837) focusing on how current transactions and system was going to be effected by the new 5010 compliance.

Organized and facilitated meetings with the management and development teams.

Incorporated HIPAA standards, EDI (Electronic data interchange), Implementation and Knowledge of HIPAA code sets, ICD-9, ICD-10 coding.

Clarified QA team issues and reviewed test plans and test scripts developed by development team and QA team to make sure all requirements have been covered in scripts and tested properly.

Coordinated with PMs to resolve risk issues and ensure compliance of Security System related to the HIPAA.

Performed System testing, Regression testing and UAT for several claim types and test scenarios.

Compared and validated 5010 system test results with 4010 results for the same test scenarios.

Requirement Document (BRD) and the Functional Requirement Document (FRD) using Rational Req Pro.

Performed Web Portal testing and Web Portal Post Implementation testing for 278,270/271,276/277,837PID.

Responsible for mapping of ICD9 to ICD10 and also did testing for 270/271, 837I/P/D, 835R transactions to migrate to 5010

Lead the impact analysis, scope lockdown, and requirements gathering phases of the company's transition from ICD-9 to ICD-10.

Conducted JAD sessions to allow different stakeholders to communicate their perspectives with each other, resolve any issues and come to an agreement quickly.

Created mapping documents and also updated Companion Guides for 278, 270/271,276/277,837I.

Documented the Use Cases and prepared the Use Case, Activity, Sequence diagrams and Logical views using MS Visio, MS Office and Rational Rose for a clear understanding of the requirements by the development team.

Environment: Rational Rose, Rational Requisite Pro, UML, XML, XSLT, MS Project, MS Visio, MS Office Suite 2013, SRTS, HTML, Visual Basic, COBOL, Toad, Windows XP, Unix, HIPAA, Outlook, Test Director, Oracle, Ultra Edit.

Department of Health and Hospitals, Phoenix, AZ Mar 2009 - Feb 2011

Sr. Quality Analyst

MMIS Upgrade Project

The focus of the project was the replacement of 25-year-old Medicaid Management information System (MMIS). It included technical and professional services related to analysis and assessment of the current MMIS and EDI claims, documentation of business and technical requirements, preparation of cost analysis and implementation of new MMIS automation system.

Responsibilities:

Performed SWOT and Gap analysis for the new functionality requirements

Did testing on Medicaid claims & identified issues with birth dates, diagnostic info.

Well versed with HIPAA, claim adjustments, claim processing from point of entry to finalizing, claim review, identifying claims processing problems, their source and providing alternative solutions using best practice model and principles.

Documented all the aspects of Systems validation lifecycle in accordance with the FDA regulations, including Validation Plan and Protocol, Installation Qualification (IQ) Specifications, Operation Qualification (OQ) Specifications, Performance Qualification (PQ) Specification.

Involved in preparing project plans and identifying major milestones for each stage as per the SDLC model (RUP Methodology).

Worked on Medicaid Information Technology Architecture (MITA) version 3.0

Involved in analyzing system design specifications and developed test plans, test scenarios and test cases to cover overall quality testing.

Perform both manual and automation testing and created various test results to track the testing results.

Black box testing and White box testing was implemented as a testing mythology.

Worked on the Regression Automated Testing and Data driven testing using QTP/UFT.

Export requirements, test cases into the Quality Center/ALM, run manual and automation test cases from test lab and log defects.

Followed up with standard software testing life cycle (STLC) to perform different types of testing for the projects.

Participated in peer review meeting for created Test plan, test cases and analyzing various testing documents and process of testing life cycle.

Interacted with DBA's, Developers, Systems Engineers and Network Engineers during testing and isolated bottlenecks at different levels.

Create standard testing life cycle flow diagram for projects and presented to test team to follow testing process.

Participated to create Test Analysis reports (TAR) and stored them into the Quality Center/ALM.

Used WebDriver for automating testing web applications

Updated RTM in daily, send status report and daily tracking report to test manager.

Performed User Acceptance Testing in the UAT environment prior to notify to the customer to start performing UAT testing.

Performed Functional Testing using Quality Center/ALM.

Developed automation scripts in QTP/UFT to automate smoke and regression testing.

Enhanced the scripts in QTP/UFT by applying checkpoints, parameterizations, synchronization point, data driven tests and creating modular tests.

Developed SQL Queries to retrieve or create test data from different databases.

Met with client to present future functionality of the application, gather information from them to know about their need and send this information to test manager.

Worked closely with the application development and design and testing team to resolve technical issues and interacted with them to ensure overall quality of the software.

Performed Cross Browser testing on IE, Mozilla Firefox, Google Chrome and Safari using Selenium IDE

Implemented the enhancement of Medicaid Management Information System (MMIS) and also worked on Medicaid Information Technology Architecture (MITA)

Hosted the application online using Microsoft share point excluding some functionality those were developed to use by employees only.

Identified and documented the dependencies between the business processes.

Documented the Use Cases and prepared the Use Case, Activity, Sequence diagrams and Logical views using MS Visio, MS Office and Rational Rose for a clear understanding of the requirements by the development team.

Responsible for Medicaid Claims Resolution/Reimbursement for state health plan using MMIS.

Environment: MS Office Tools, Windows XP, MS Project, RequisitePro, Rational Rose, ClearCase, Test Director, MS Powerpoint, MS-SharePoint, MS-Word, MS-Excel, Business Objects, XML, XSLT, Oracle, SQL Server.

Health Now, Buffalo, NY Nov 2008 – Feb 2009

Sr. Business Systems Analyst

Wellness Application System

The project focused on providing personal health assessment application features and personal/private calendar and event registration options etc via this application & I did business requirements gathering, analysis, design, testing & implementation for the project

Responsibilities:

Involved in Business Analysis for Inbound and Outbound Transactions.

Captured Business Requirements, Functional Specifications and created Activity Diagrams and Sequence Diagrams using MS Visio for PHA application

Tested HIPAA Transactions and Code Sets Standards such as 837/835, 270/271, 276/277 transactions.

Created maps & layouts for Electronic Data Interchange (EDI): 837/834/835/270/271/276/277 transactions.

Analyzed and identified gaps/issues in claims, encounters and remittance advice process flow.

Converted X12 data to XML and verified the data by performing schema validations.

Created Use Case Diagrams and Test Cases for PHA application.

Gathered and documented business requirements and developed, entered and verified test cases.

Performed re-testing in order to verify resolution of defects.

Collaborated with project team, project leads, and project managers and fostered with them to review plans, systems testing and overall testing of software.

Provided support during the integration and UAT.

Served as primary point of contact to bring new trading partner onboard.

Performed gap analysis between partner specs and internal system requirements by matching HIPAA 4010 to 5010 implementation techniques.

Environment: NPS, EDIFECS, Requisite Pro, Rational Rose, Clear Case MS Office, MS-Visio, XML, Java, TOAD, Quality Center, MS Project

Educational Background: MS in Health Informatics from Southern New Hampshire University

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