Objective

To obtain a position in a progressive, fast paced environment as a Quality Assurance Analyst / Tester and best utilize my technical, Interpersonal, Analytical and Documentation skills and benefit from my background in the field of Information, computer and system engineering.

Professional Profile

Over 6 years of experience in Quality Assurance and Software Testing in Healthcare

Excellent skills in writing Test Plans and Test Cases

Extensive experience in testing Client/Server and Web-based Applications

Expertise in Automated testing tools such as WinRunner, and QTP

Expertise in Bug reporting tools such as Test Director and Quality Center/ALM

Proficient in manual and automated testing of applications on Windows and Unix environment

Very good experience in Back-End Testing using SQL on UNIX and Windows platform to validate the consistency of data

Experienced working with x12 version 5010 transactions changes analysis, design and migration strategy.

Have good knowledge of HIPPA 4010 /5010 versions.

Profound understanding of insurance policies like HMO and PPO and proven experience with HIPPA 4010 EDI transaction codes such as 270/271(inquire/response health care benefits),276/277(Claim status), 834(Benefit enrollment), 835(Payment/remittance advice), 837(Health care claim).

Maintained Test Matrix and Requirement Traceability Matrix.

Performed Gap Analysis.

Strong Knowledge on MS Office suite, MS Visio, MS Project, and MS Access.

Proficient knowledge in various types of Software Testing such as Unit testing, Integrated testing, System Testing, Black box testing, Positive Testing, Negative testing, Performance Testing, Stress Testing, Load Testing, Volume Testing, Data Driven Testing, Back end Testing and Regression Testing

Good working knowledge of major Operating Systems such as Windows 2000, XP, Vista, 7,10 and UNIX

Extensive knowledge of SDLC

SOLID understanding of ANSI X12 4010 version 837/835

Excellent communication and writing skills with the ability to adapt to new and dynamic environments

Good team leader, Player and can work alone with minimal or no supervision

Ability to multi-task, prioritize and work with time constraints while paying attention to details

Good problem-solving, judgment, and decision-making skill

Experience in designing, developing and normalizing database and conducting Backend testing by executing SQL queries, also performed database migration from MS Access to MS SQL Server.

Excellent Project planning, designing and management skills also proficiency in developing project schedule and Milestone Reports using MS Project. Effective Time management skills and consistent ability to meet client deadline.

Excellent interpersonal, communication and presentation skills with an attitude to bridge the gap between team members and the client.

Sound knowledge of Designing Computer networks and network administration, Hardware and software Maintenance.

Education

Bachelors in science

Technical Skills

Testing Tools:

Win Runner, QTP (Quick Test Pro), Rational Team Test, Load Runner

Bug Reporting:

Quality Center, Rational Clear Quest, Test Director.

Operating Systems:

Windows 95/98/XP/2000/2003/Vista/7, UNIX/LINUX

Programming Language:

C, C++, C#, SQL, VB Script

Database:

MS SQL Server, My SQL, Oracle 8.0/8i/9i, MS Access, DB2.

Applications:

Visual Studio, MS Project, MS Visio, MS Office, Adobe Photoshop, Dreamweaver, Lotus Notes.

Web Technologies

HTML, PHP, XML, SOA, SAP, J2EE, .NET, UML, ASP.NET

Process Improvement Methodologies

Process Modeling (MS EXCEL, Web), Total Quality Management (TQM), Root Cause Analysis,

Experience

HPE/TennCare, Nashville, TN Feb 2016--present

QA Analyst

HPE/TennCare of Tennessee is the Tennessee state healthcare provider and commercial organizations to provide specialty services, including care management software, correctional systems healthcare, in-home health services, life and health management, vision, pharmacy benefits management, specialty pharmacy and telehealth services There are two different Phase of the Project that includes EDI Transaction (834/837/835) and ICD 9 to ICD 10. I have coordinated the efforts to Drive Modal testing, Integration testing and UAT Testing from Test Cases Creation to Test Data set up to Set up the environment and execution with Business and Stakeholders.

Responsibilities:

Medicaid or Medicare application testing

Health care MMIS Domain expertise

Expertise in Eligibility, Enrollment claims,Financial and provider subsystems of Medicare and Medicaid

X12 file creation with claims Data

XML file creation with claims Data

Design and develop functional, system and integration test pan and test cases

Designs complex testing scenarios and test cases that will demonstrate conformance to all functional and non-functional requirements, relative to the test level, as defined in business or technical specifications

Authored test case scenarios in ALM and generate them for WPR review meeting.

Documented the test results and reported the status of assigned test tasks and issues to project QA Lead.

Wrote daily status report and submit at the end of the day to project QA lead

Involved in the project team meeting to review requirement design documents (RDD), Technical design documents (TKD), test plan (TP) and test cases (TCs) and Review Estimation time tools (RST)

Performed different types of tests like functional testing (modal testing), integration testing, UAT testing, smoke testing and regression testing.

Involved in Browser interoperability testing for various version of Internet Explorer, Firefox and chrome

Processed all claim types such as institutional (UB92), physician, Dental and pharmacy though SFTP.

Environment: Rational Team Test, Clear Quest, Oracle, UNIX, Test Cases, Test Plans, Test Scripts, EDI, QTP/UFT, XML, PL\SQL, HIPAA, SQL Server 2015, SOAP UI, EDIFECs Transaction Management,Ultra Edit, SpecBulder,

Inova Health and Hospitals, Ashburn, VA Mar 2015 – Feb 2016

QA Tester

Inova Health Corporation is a healthcare services company whose subsidies and affiliates own and operate Inova Hospitals and related ancillary healthcare businesses. Inova Health’s hospitals aim at providing the best possible care to every patient who comes through their doors with a clear focus on quality and service. I was involved in verification and validation of data which entered through Tenet’s prescription cards and checked each object of the application to ensure that it met the functional requirements.

Responsibilities:

Gathered business requirements and studied the applications

Analyzed HIPAA 4010 and 5010 standards for 837P EDI X12 transactions, related to providers, payers, subscribers and other related entities.

Formulated detailed Test Plan using Quality Center after analyzing business rationale and software requirements.

Involved in testing HIPAA Database which incorporated all the HIPAA transaction sets

Used Quality Center to create and maintain test requirements

Set-up, co-ordinate & conduct system & UAT testing with end-field users.

Wrote SQL, PL/SQL queries/procedures to access data and crosscheck the results against Oracle.

Worked on SOAP UI as part of web Services Testing.

Tested and Validated the 834/837 EDI Transactions for Membership Validation and Claim Processing Testing

Conducted Usability testing, Positive testing and Negative testing

Used Rational log view to analyze the result of test

Involved in building and validating 834 EDI files manually and processing XML enrollment files according to HIPPA Compliance.

Used several types of verification points to check the functionality of the application using QTP

Performed Back-End testing manually for database integrity using SQL statements on UNIX platform

Used Quality Center to track defects, version control, enhancement request and assessed the real status of the project

Performed Regression Testing to ensure that bugs fixed did not generate new defects

Actively involved in verification process using check lists

Participated in various meetings and discussed modification requests and enhancement request issues

Gained Knowledge of Health Insurance Portability and Accountability Act (HIPAA) for testing effort

Environment: Rational Team Test, Clear Quest, Oracle, UNIX, Apache, Test Cases, Test Plans, Test Scripts, EDI, QTP, XML, PL\SQL, HIPAA, SQL Server 2005, 2008, SOAP UI, Validation and Claim Processing, Quality Center.

Centene Corporation, Clayton, Missouri Feb 2013- Nov 2014

QA Analyst / Tester

Centene Corporation is a Fortune 500 company and a leading multi-line healthcare enterprise that provides services to government healthcare programs.

Centene also contracts with other healthcare and commercial organizations to provide specialty services,in-home health services, life and health management, vision, pharmacy benefits management, specialty pharmacy and telehealth services There are two different Phase of the Project that includes EDI Transaction (834/837/835) and ICD 9 to ICD 10. I have coordinated the efforts to Drive only UAT Testing from UAT Test Cases Creation to Test Data set up to Set up the environment and execution with Business and Stakeholders.

Responsibilities:

Created and maintained requirements, Test Plan and Test Cases in Quality Center.

Maintaining knowledge of Medicare and Medicaid rules and regulations pertaining to the Facets configuration and evaluating the impact of proposed changes in rules and regulations.

Worked on EDI Transactions (837/834/835/276/277) for Verification and Validation as part of System Testing.

Participated in daily defect meetings with team during UAT testing phase.

Conducted JAD Sessions and discuss the UAT with developers on regular basis and also updated daily status report to the PM.

Maintained guidelines and documentation focusing mainly on requirements during UAT testing.

Created and maintained SOAP Request and Validated the Response.

Performed Positive and Negative Testing Manually

Prepare Status Reports Every Week, which includes Revision History, Test case status, metrics, QA Issues and Defects for System and UAT Testing.

Actively participated in walkthroughs and enhancement meetings

Maintained Test Matrix and Requirement Traceability Matrix

Performed Gap Analysis

Performed Security Testing on the application

Tested user interface and navigation controls of the application using PEGA.

Experiences working in ANSI x12 837-835 EDI Transaction.

Validate the date from ED5010 I transaction.

Tested the HIPPA EDI 834, 837/835 transactions according to test scenarios and verify the data on different modules.

Authored test case scenarios in Excel spread sheet and export them into Mercury Quality Center.

Documented the test results and reported the status of assigned test tasks and issues to project QA Lead.

Conducted Back-End Testing Using SQL Commands.

Extensively used SQL statements to query the Oracle Database for Data Validation and Data Integrity.

Executed test cases found errors reported defects, determined repair priorities, did regression testing and closed by using Mercury Quality Center.

Responsible for Performing Integration Testing, UAT testing.

Customized Quality Center to suit the requirements of testing effort

Monitored the Defect Tracking Process and generated customized graphs and reports for the client using QC.

Environment: Oracle, HIPPA, EDI 5010, XML, QTP, Mercury Quality Center, Data Validation, Data Integrity, Back End Testing, ANSI, PEGA, SOAP UI, UAT, JAD, EDI, Test Cases, Test Plans, Test Scripts, MS SQL Server, MySQL, IIS.

LA Care Health Plan, Los Angeles, LA

QA Tester/Analyst Jun 2012 - Nov 2013

Established in 1997, L.A. Care Health Plan is an independent local public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 1.8 million members in five health plans, we make sure our members get the right care at the right place at the right time.

Responsibilities:

Wrote SQL procedures and Batch Processes.

Wrote Test Plans, Test Scenarios, Test Cases and the Test Matrix.

Analyzed and worked with MS SQL Server Test databases.

Involved in testing HIPAA EDI Transactions and mainly focused on 834, 270/271 and 835

Created T-SQL statements and procedures for data mining related to 837 transactions.

Set Automation standards, practices Design the framework Procedures to analyze test results.

Manual Testing for checking the flow of the application functionality.

Investigated application bugs, reported and tracked testing process in the bug tracking using Test Director.

Developed design specifications, wrote Test Reports and documented test results.

GUI, Performance, and Backend Testing for Pulse application developed in Java on Oracle Database.

Conducted Backend testing, writing extensive SQL queries.

Tested modified / new Oracle forms and database using SQL for its functionality.

Frequently communicated with developers and senior QA team members to assist in the clarification of technical issues

Performed Requirements Gathering and Analysis, interviewed the SME (Subject Matter Experts), and ensured that contributors and all key stakeholders were motivated to complete assigned tasks.

Created Schemas for introducing new tables and relationship diagrams with existing system.

Assisted QA and BA teams with Data requirements and Defect investigation in testing phase.

Participated and played an analytical role from a process perspective to develop Requirements and Testing Methodology according to the Capability Maturity Model, used UML/RUP to develop requirements and architect a solution

Load/test Inbound and Outbound EDI (Electronic Data Interfaces) such as 834 inbound enrollment data, 820 payment processing, outbound 834 carrier feeds, and batch job processing

Used Microsoft Project to plan projects timelines and resources.

Conduct and lead walkthroughs and JAD sessions with business process owners, SME and software developers

Assisted with data-driven testing to verify reports generated from the project based on knowledge of valuation techniques and securities

Verified the correlation between the UML diagrams and developed detail diagrams for QA purposes.

Participated in weekly meetings and discussed modification request with management team Environment

Environment: Mainframes, Mercury Quality Center, MS-Visio, PowerMHS, Windows 2011, Oracle, MQC, QTP, UNIX, SQL, QMF, T-SQL, SQL Server, Informatica, QFW, Test Cases, Test Plans, Test Scripts, UML, RUP, EDI, JAD, GUI.

Contact this candidate