Ahmed Samir Kheiri

Cell phone: +* (***) *** - ***8

Email: ad2929@r.postjobfree.com

Objective:

To obtain a position as a Software Quality Assurance Engineer where my proven software testing skills, strong work ethic and dynamic experience can be utilized to contribute to the company’s sustained growth and continued success.

Summary of Skills:

Over ten years of experience in Quality Assurance and Software testing in various industries such as Health Care, Insurance, Finance and Banking.

Experience in web technologies such as SoapUI, Java and Selenium Experience in test automation tools.

Experience in SDLC (Software Development Life Cycle) Methodology such as Agile, Scrum, Hybrid.

Knowledge of interface testing, HIPAA testing and RDBMS like Sybase, SQL Server and Oracle.

Experience in writing ANSI SQL queries to extract data in the context of data analysis and validation and

Experience using all MS office tools, Operating systems and Databases.

Used Selenium and QTP for automated UI testing and web browsers and functional testing.

Experience in both Manual and Automation testing and Project Management, creating and executing test cases, tracking and reporting bugs using testing tools such as: Application Lifecycle Management (ALM) and Team Foundation Server (TFS).

Performed different types of testing such as black box, sanity, smoke, positive, negative, integration, configuration, and regression testing as well as being involved in the UAT (User Acceptance Testing).

Hands on experience in Testing EDI HIPAA 5010 Transactions including 837,834, 835, 270, 271, 276, 277. Also experience with the Transaction semantics, structure and content at the Segment, loop and attribute level and EDI Gateways.

Experience in QE & Testing aspects relating to key areas like Claims Processing (Claims Intake, Preprocessing, Adjudication, Payments, Remittance and Recovery) and Membership Enrollment (Enrollment In-take, Preprocessing, Fulfillment).

Assignments:

Blue Cross of Idaho (Idaho)

October 2021 – Present

Quality Assurance Engineer Lead

Responsible for developing and executing test plans and test scripts to ensure the quality delivery of a software that consumes, processes and/or displays healthcare data within EDI data feeds (both X12 files and custom flat-file formats), XML files, large data extracts, reports, web sites and other various applications.

Experience in testing Medical Claims in process documentation, analysis and implementation in 835/837/834/270/271/277/997 (X12 Standards) from the Provider/Payer side.

Tested Webservices using tools such SOAPUI, Selenium, Cucumber, etc.

Wrote SQL queries to extract and validate the data from the Facets database and performed backend testing to retrieve data from tables.

Created on boarding documents and trained new testers joining the team.

Used Team Foundation Server to create, execute test plans and test cases.

Tested HIPAA / EDI Medical Claims analysis, design, implementation and documentation.

Analyzed test cases that has been run manually to determine feasibility for automation.

Supported Production and Release teams during deployments.

Environment: Selenium, QTP, Cucumber, Facets, ANSI X12, HTML, XML, HIPAA.

FEPOC CareFirst BlueCross of DC (Washington, DC)

May 2014 – September 2021

Quality Assurance Engineer Manager

Delivered a new integrated service layer (ISL) so that member services provided by FEPOC through My Blue Portal will be personalized. These services will also be incorporated in all browsers and mobile applications. The project required integration with several external vendors and was heavily dependent on external partners in terms of parallel development and test data.

Used Selenium and QTP for automated UI testing and web browsers and functional testing.

Attended pre-grooming, grooming sessions of user stories from the product backlog, sprint planning sessions and retrospective meetings in each sprint,

Created enrollment data, claims data and pharmacy data for test cases purposes.

Managed a group of 6 testers and arranged meetings for testing reviews.

Documented test results in HP ALM and tracked defects using both ALM defect module for defects arising during a sprint and using SRTS application for user story that is impacted by release effort.

Mapped test cases with specific requirements to maintain a traceability matrix.

Performed Shakeouts after deployments and defect fixes and verified everything was working as expected.

Used FEP-Direct for managing and processing healthcare claims.

Worked on Desktop, Mobile and Tablet testing for GUI browser compatibility testing to test the web-based application system in different versions of browsers based on client requirements.

Analyzed the Business Requirement Documents and Functional specification documents to prepare Test cases based on test plans.

Responsible for the project effort estimation, risk management from the testing side.

Environment: HP ALM, QTP, UFT, Agile Manager, FEP-Direct, My Blue Customer eService, Plan eService, Team Track (SRTS), SharePoint, Mainframe, Notepad++, GIT, MyEclipse, Cucumber, Selenium.

First Care Blue Cross of Texas (Texas)

July 2013 – March 2014

Senior Quality Assurance Engineer

Extracted related data from modules for generating interfaces and reports, based on the requirements. Used Health Edge Manager and Amisys for managing and processing healthcare claims.

Created test plans and test procedure templates and guidelines to be used by the QA Team.

Used SOAP UI for web service testing, such as validating the response of claim processing.

Performed End to End on HIPAA transactions, code set standards, different modules such Health Edge Billing, Claim Processing and the Subscriber / Member module using Test Manager.

Created Traceability Matrix to ensure implementation of all functionalities and identify all test conditions and test data needs.

Tested conversion and mapping of ICD-9 to ICD-10 and HIPPA 4010 to HIPAA 5010.

Developed and executed automated test scripts for regression testing using QTP.

Researched issues and coordinated resolution for system defects and deficiencies.

Verified the data that was sent through the Intranet network from XML.

Worked with business users and SMEs to plan and implement the test plan.

Worked on HIPAA transactions and code set standards according to the test scenarios. These included 270/271, 276/277, and 837/835 transactions.

Environment: Windows XP, SQL, SOAP UI, Agile, Visio, QTP, Health Edge, Amisys, MS Project, Test Manager, Team Foundation Server, Verifaya.

United Health Group (Minnesota)

January 2012 – May 2013

Quality Assurance Analyst

Worked on various EDI transactions to implement HIPAA 5010, as well as the configuration of systems between trading partners and the transaction manager to change the current EDI Gateway to a new Gateway platform. Worked on EDI transactions' inbound and outbound activities through HIPAA gateway.

Tested data and processes using IBM Rational Test Manager.

Manipulated dummy data in the QA environment through the Facets front-end application for testing.

Analyzed the business and functional requirements to identify test scenarios.

Followed the Waterfall Methodology at first then we moved to Agile.

Worked on Facets Claims Payment and Adjustments (Up-adjusted and down-adjusted).

Conducted business validations covering Facets Providers, Facets Claims and Facets Membership.

Developed test cases for business functionality of the application in Quality center and mapped them to the requirements module with the project requirements.

Executed SQL queries to fetch data from SQL database to perform backend database testing, validate and compare expected results with those obtained.

Verified and modified subscriber / member plan, product and subgroups for eligibility.

Developed test cases from business use cases, test data and test scripts for testing.

Worked with Medicaid and Medicare claims.

Tested data migration from MS SQL Server to Oracle database and performed data mapping on them.

Maintained detailed test logs and report test results in Quality Center.

Environment: HP Quality Center, ANSI X12, HTML, XML, HIPAA, Toad, QTP, Quality Center, MS Office, ALM.

Education:

B.S., Information Sciences and Technology, Pennsylvania State University

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