Paul Davidson

**** ******* **. *****, **. *****

214-***-**** acunkk@r.postjobfree.com

Summary:

Dedicated and accomplished Senior Quality Assurance Analyst with a diverse history in the Healthcare, Government, Retail, and Insurance industries. Experienced in multi-tiered software projects using industry-standard project management and testing methodologies and processes. Experienced in all areas of claims testing using Quality Center and other claims testing tools. Experienced in testing all types of claims, including medical, hospital, outpatient, dental, and pharmaceutical. Proven track record of achieving business and client objectives using high-quality standards. Maintains a committed work ethic of responding proactively to project deadlines and release schedules. Exhibits strong interpersonal skills with the ability to merge resources from diverse cultures into a single highly-productive team.

Education:

Bachelor of Arts degree – Howard Payne University, Brownwood, TX.

Expertise:

Languages:

Proficient in: Cobol, JCL

Database:

MS SQL Server, DB2

Methodologies:

Waterfall and Agile (Scrum)

Platforms & Tools:

Windows, .Net Framework, AS400 IBM Mainframe, UNIX, Oracle, HP Quality Center, Claims Manager, Claims Number Requestor, SpecBuiler, 3270 Terminal Emulator, HIPAA Validator, TFS, TSO, EZ Test Web Interface

Other Areas of Expertise:

Requirements, Project management, documentation, training, Testing (Functional and System) UAT, Regression, and Integration.

Certifications:

Test Management Approach (TMAP) Certification – May 2013

EDS System Engineer Development Program, 1999

EDS Operations Development Program, 1989

Skills:

Knowledge of EZ Test Web Interface, used to setup test data and test CVS business requirements for membership and claims data

Advanced experience with EDI transactions: 837, 271, 276, 278, and 835

Advanced knowledge of quality assurance and quality control techniques

Collaborative project work with development, business analysts, and internal/external groups during all phases of SDLCs

Development, recording, execution and verification of functional end-to-end test scripting and reporting on testing metrics

Experience using Agile and Waterfall methodologies in project development

Obtain final code release signoff for production from the appropriate Project Sponsor

Perform manual testing, system analysis, implement and maintain test plans and scripts using various products including Quality Center, Team Foundation Server (TFS), and other proprietary software tools

Creation and maintenance of all testing processes to ensure that defects in the software products have been corrected and test results are documented

Professional Experience Details:

Unemployed

June 2015 – present

On June 22, 2015, had to resign position at Enterprise due to family demands and other opportunities.

Enterprise Holdings Part Time Service Agent

Herb’s Paint and Body

Allen, TX

February 2015 – June 2015

Responsible for client transportation to and from Enterprise location. Responsible for ensuring vehicles were cleaned and ready for client rental.

Unemployed due to Systel project completing early

October 2014 – February 2015

Systel project was completed early as to not conflict with the healthcare open enrollment period.

Systel Inc.

Atlanta, Georgia

CVS Caremark

Dallas, TX

September 2014 – October 2014

3 month assignment requiring testing of CVS’ RxCLAIM system using EZ Test tool. EZ Test is a utility built into RxCLAIM designed to enhance existing methods and validating benefit plan design. The EZ Test Web Interface is a website used for processing and retrieving test results and can also be used to compare test results. The project was completed early as to not conflict with the healthcare open enrollment period.

Systel Inc.

Atlanta, Georgia

CVS Caremark

Dallas, TX

September 2014 – October 2014

3 month assignment requiring testing of CVS’ RxCLAIM system using EZ Test tool. EZ Test is a utility built into RxCLAIM designed to enhance existing methods and validating benefit plan design. The EZ Test Web Interface is a website used for processing and retrieving test results and can also be used to compare test results. The project was completed early as to not conflict with the healthcare open enrollment period.

Unemployed due to reduced client pipeline at Sogeti USA

February 2014 – September 2014

On February 14, 2014, due to a reduced client pipeline at Sogeti, I was laid off.

Sogeti USA

Senior Consultant – awaiting assignment

QA Tester for EDI

January 2014 – February 2014

During this time, I was transferred from Sogeti’s Phoenix office to their Dallas office. I was waiting for a client assignment.

Blue Cross Blue Shield of Arizona, Electronic Technical Services (ETS)

Sogeti USA

Senior Consultant – 6 month engagement

QA Tester for EDI

June 2013 – December 2013

The goal of this assignment:

1)Have the Blue Cross and Blue Shield website ready for the roll out of the Affordable Care Act (ACA) on October 1, 2013

2)Add new accounts to the Global Voice Protocol (GVP)

3)Test HIPAA transactions for compliance

4)Provide HIPAA transaction training to facilitate onboarding of new BCBSAZ employees

GVP technology provides for members of new accounts to be able to register for membership and to check the status and payment of claims over the phone. To accomplish this, the following tasks were performed:

Worked closely with BCBSAZ management, and SME’s, to fully test the functionality incorporated into the website. Tested the layout, mapping and pricing models for the new site

Worked closely with the telecom division to verify the routing setup for the new account’s phone numbers

Used Visio to diagram call workflow

Monitored defects and re-tested once correct and reported on the expected outcome

Analyzed business requirements and detailed designs for Electronic Technology Services (ETS) change requests and projects

Created test plans, detailed test cases, and tracked defects using HP Quality Center

Participated in the deployment of code to Production

Sogeti USA – Humana – RightSourceRx

Senior Consultant - Tester

March 2012 – May 2013

Humana's prescription mail-order delivery service (RightSourceRx) allows members to easily order a three-month supply of medications and reduce prescription drug costs with 90-day pricing, generic alternatives and convenient home delivery.

During this assignment, the following tasks were performed:

Responsible for taking a lead role in investigation and diagnosis of problems encountered in migrating the old system, Mail Order Rx, system into an open source online application known as EpostRx

Documented and processed defects and enhancements

Created test cases from no written requirements documentation

Created test cases by gathering the information through talking with SME’s and upper level management

Recorded defects and tracked defect progress and status for weekly reporting

The major areas of testing were item entry, screening, failed claims, inventory and distribution using EpostRx.

Software Specialist – Columbia, SC

Blue Cross/Blue Shield of South Carolina

IBM AS400 Mainframe Host/3270 Emulator

QA Tester

October 2011 – February 2012

The responsibility of this assignment is to test software upgrades, enhancements and major projects on an AS400 Mainframe. Each enhancement and major project centered around an in-house claims application.

During this assignment, the following tasks were performed:

Analyze functional requirements to determine software application testing requirements and developed test plan and test cases

Provide Project Leader with testing estimate and timeline

Develop test cases and documented the expected results to satisfy the testing requirements

Set up test case data for test environments and execute the test cases proving the results

Report problems resulting from test execution and identify testing steps that produced the problem

Work with development team to resolve reported problems and retest defect fixes to confirm successful fix.

Provide each project team member with a weekly status report giving graphical representation of defects found in the last week, total number of defects found during the project, number of defects by priority (high, medium, low).

Sogeti USA – Phoenix, AZ.

Blue Cross/Blue Shield of Arizona

Business Analyst/Tester

12 month engagement

October 2010 – September 2011

The goal of this assignment was to implement a mandatory HIPAA 5010 technology upgrade and convert their electronic claims software to ForeSight’s TI software. Working with BCBSAZ Electronic Technology Services (ETS), group test plans and test cases were developed to verify correct processing of all types of claims, including medical, hospital, outpatient and dental. Testing was performed using 5010 837 HIPAA transactions.

During this assignment, the following tasks were performed:

Worked closely with BCBSAZ management, and SME’s, to fully test the functionality incorporated in ForeSight’s TI software verifying HIPAA 5010 compliancy, and compliancy to BCBSAZ’s business rules

Monitored defects and re-tested once correct and reported on the expected outcome

Analyzed business requirements and detail designs for ETS change requests and projects

Created test plans, detailed test cases, and tracked defects using HP Quality Center

Participated in the on-call rotation schedule for Production Support

Created 837 HIPAA transactions for all claim types

Followed the EDI procedures for submitting and verifying the results in ForeSight’s TI tool

Served as the Change Control Coordinator and executed the test region control process

Sogeti USA – Phoenix, AZ.

Blue Cross/Blue Shield of Arizona

Business Analyst/Tester

6 month engagement

March 2010 – August 2010

The goal of this assignment was to test the 2.9 release of the MetaVance application. To accomplish the task, many claims were set up and processed using Claims Manager Tool for BCI claims, Claims Number Requestor and Quality Center. Test cases were developed to verify correct processing for all types of claims including medical, hospital, outpatient and dental. Experience in processing 837 HIPAA 4010 transactions was required.

During this assignment, the following tasks were performed:

Worked closely with BCBSAZ management and area SME’s to fully test the functionality incorporated with the 2.9 upgrade release of the MetaVance product

Tested approximately 150 – 180 test sets per week which contributed to an earlier than expected completion date for the project. MetaVance 2.9 was successfully implemented on Labor Day weekend 2010. The initial release date was 11/2010.

Analyzed business requirements and detailed designs to create master test plans, detailed test cases, and tracked defects using HP Quality Center, Aldea, or through a Heat ticket

Used Quality Center to document Test Plans and to record the outcome of the testing results

Used Claims Manager to generate claims for testing of BCI claims

Used Claims Number Requestor for automation claims number generation for BCI claims

Used SpecBuilder to test many different scenarios of 837 HIPAA transactions for all claim types. Followed the EDI procedures for submitting those transactions, and verified the results against the expected outcome.

Unemployed due to down-sizing at HP

March 2009 – March 2010

EDS, an HP Company – Plano, Texas

Blue Cross/Blue Shield of Arizona

Business Services Analyst/Tester

August 2006 – March 2009

As a Business Services Analyst supporting BCBSAZ the goal was to modify the EDS developed adjudication healthcare software, MetaVance, to meet the business needs of the client. To accomplish the task, many projects were created and were released in a software upgrade in release 2.8. The main assignment was to test sub-system functionality areas such as claims, benefits and provider. Test cases were developed to verify HIPAA transactions processed correctly in the 270 and 271 transaction segments using a .NET test harness.

During this assignment, the following tasks were performed:

Worked closely with BCBSAZ management, area SME’s and HP technical team to define and document the requirements for the projects

Facilitated the walk-through of requirement documentation

Served as liaison between client and EDS technical team

Facilitated test case and test plan walk-throughs

Analyzed business requirements and detailed designs to create master test plans, detailed test cases, and defect tracking plan using Mercury Quality Center (now HP Quality Center)

Used Quality Center to document the root cause of any defects found, and recorded the steps taken to correct the problem

Coordinated defect resolution

Acted as point of contact during implementation of code into production

Worked closely with off-shore developers in India to mentor them in the MetaVance application

EDS – Plano, Texas

Retail Industry (7-Eleven)

Business Services Analyst/Tester

June 2003 – August 2006

The purpose of this project was to enhance the Payroll Departments Automated Systems by working with management in the Payroll Department to analyze business processes and suggest improvements. 7-Eleven ran on an AS400 platform.

During this assignment, the following tasks were performed:

Served as liaison between clients and application support teams to help define new business requirements and helped identify application impact on business.

Developed business requirements and functional design documents used by application support teams to develop technical specifications for client.

Quality assurance testing experience, using Test Director, in creating test cases and test plans

Created test cases for the following types of testing: functional testing, unit testing, integrated testing, regression testing, and security testing. This testing experience is related to Mainframe applications, Web based applications and server applications.

Verified production readiness by analyzing the technical and functional requirements with the results of the test case outcome.

Conducted User Acceptance Test walkthroughs with clients/vendors

EDS – Plano, Texas

Blue Cross and Blue Shield of AZ.

Business Services Analyst

January 2002 – June 2003

The purpose of this project was to implement MetaVance, a healthcare adjudication and financial software package developed by EDS, into the Blue Cross/Blue Shield of Arizona IT system with business needs modifications.

Primary responsibility centered on the coordination of testing defects found prior to the GO-LIVE with the MetaVance product. Mercury Test Director was the tool used to track and document defects.

During this assignment, the following tasks were performed:

Facilitated weekly defect status report meetings involving people in various locations around the Continental United States

Assigned technical resources to resolve defects and assigned resources to test the resolved defects

Worked with the client to prioritize defects and developed timeline to ensure the project was on schedule

Coordinated with project teams during implementation of code into production to verify the status of the project plan

Tested the functional area of Membership and Claims when defects were resolved

EDS – Plano, Texas

Blue Cross and Blue Shield of Massachusetts

Information Analyst/Developer

August 1997 – December 2001

The BCBSMA’s Real Time Membership System (RTMS) is an IMS database structure application written using Cobol, Pacbase and JCL. The membership system includes group and member enrollment, maintenance and eligibility along with financial billing and account receivable information.

As a developer, during this assignment, tasks performed included:

Creation, unit testing and implementation of new system programs

Creation, unit testing and implementation of modifications to existing system programs required as a result of legislation and identified enhancements to current functionality

Performed batch cycle production support including job monitoring and Abend resolution

Determined root cause analysis to identify errors in application code

Implemented fixes to errors in application code

EDS – Plano, Texas

EDS Internal Mainframe Billing System

Information Analyst

February 1994 – July 1997

The Internal Mainframe Billing System tracks multiple EDS client’s usage of media storage, including tape, CPU and DASD and the number of transactions processed on EDS IBM mainframes.

During this assignment, tasks performed included:

Provided monthly invoices to all EDS accounts.

Verified user login ids were set up for appropriate accounts, and if incorrect researched and updated account.

On-call for batch cycle Abend resolution.

Provided account managers with reports that were used for forecasting revenue and contract renewal

Updated JCL to improve run time during cycles

Reconciled day-to-day transaction activity to the monthly invoices

EDS – Plano, Texas

EDS SMC Operations

Information Specialist/Special Projects Mgr.

September 1989 – January 1994

This project consolidated the Federal Aviation Administration (FAA) Data Management Centers and Work Flow processes in Oklahoma City, OK, and Bethesda, MD into a single location which was the EDS Service Management Center in Plano, TX, including storage media and FAA Data Center resources

During this assignment, the following tasks were performed:

Established the project plan for the Tape Media Vault

Drew up new floor plans detailing the layout of the new library

Documented the processes that the FAA used for completing their batch cycle.

Moved all media storage from the FAA Centers in Oklahoma City, OK by truck, and from Annapolis, MD by aircraft.

EDS – Plano, Texas

EDS Data Center Operations

Shift Mgr.

May 1988 – September 1989

EDS provided numerous data center sites to support multiple clients across various line of business, including healthcare, government, manufacturing and banking. Data Center Operations was responsible for monitoring systems, ensuring batch cycle client service levels were met, and ensuring network stability.

During this assignment, the following tasks were performed:

Guided 25-30 console operators through EDS console operators advanced training program.

Ensured batch cycles completed on time and documented any variance

Performed employee yearly performance and salary reviews

EDS – Plano, Texas

EDS Data Center Operations Development Program

Operations Development Program

April 1987 – May 1988

EDS Data Center Operation Development Program was designed to onboard new EDS resources in all areas of data center operations, including tape operations, tape library support, and console operations.

During this assignment, the following tasks were performed:

Mounted tapes as required by client batch jobs

Catalogued foreign tapes

Maintained tape catalogues

Monitored client systems and batch cycles

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