Project Test Cases
Resume:
Resume
Name: Ashok Chandra
Role: QA Tester/Pharmacy validation Analyst
Email: ac6ias@r.postjobfree.com
Contact: 469-***-****
EXPERIENCE SUMMARY
Around 7 years of Professional Experience in various domains as a Business Analyst with a sound understanding of Business Requirement Gathering
Experience in gathering and documenting Business Requirement Documents (BRD) and system workflows.
Experience in Pharmacy Benefit Management (PBM). Complete understanding of PBM and Medicare policies.
Effectual facilitator for Joint Application Development (JAD) sessions and business/technology interactions.
Experience in creating user stories (high level & detail level) in agile methodology projects.
Developed detailed Use Case to describe the functionality of the system including Pharmacy and medical claims transactions.
Managed schedules and coordinated status review meetings with project managers, business managers and team members. Assigned tasks monitored and tracked progress of process to provide status update reports to the project management on a weekly basis.
Worked in End to end life cycle in Healthcare Domain (Medical Billing, Healthcare Clearing House, Claims adjudication, Benefit Coding and Pharmacy Benefit Management (PBM).
Highly motivated team player with excellent communication, presentation and interpersonal skills, always willing to work in challenging and cross-platform environment.
Experience in creating and transforming business requirements into software requirement specification (SRS) and designing business models using UML diagrams such as Use Case Diagrams, Activity Diagrams, State Diagrams for projects in Waterfall methodology.
Experience in writing Statement of Work (SOW).
Business Analysis skills including in depth knowledge of Software Development Life Cycle (SDLC).
Experience in developing Data mapping or Source-To-Target mappings.
Have a thorough understanding of various phases; Requirements, Analysis/Design, Development and testing.
Experience in conducting GAP Analysis and Impact Analysis.
Experience in Agile Scrum and Waterfall project methodologies.
Using Microsoft Visio to develop Business Process Modeling (BPM) and Data Flow Diagrams (DFD).
Experience in documenting the Requirements Traceability Matrix (RTM).
Facilitation of User Acceptance Testing (UAT).
Adept at creating presentations using PowerPoint and Excel.
SKILLS
Business Skills
Business Process Analysis & Design, Requirement Gathering, Use Case Modeling, JAD Sessions, Gap Analysis, and Impact Analysis
Methodologies
Waterfall, Agile
Requirements Gathering Tools – Waterfall projects
Caliber
Requirements Gathering Tools – Agile Projects
Rally, JIRA
Modeling & Designing Tools
MS Visio
Testing Tools
RxClaim, EZTEST, EZQUERY, JIRA, HP Quality Center/HPALM,
Other Tools
MS Project and MS Office
Defect Tracking
HPAM/ Quality Center, Bugzilla
Change Management Tools
Caliber
Database
Db2, Oracle, MS SQL Server
Operating Systems
Windows 7 and Windows XP
Programming Languages
C, C++, Java
WORK EXPERIENCE:
CVS Health, Dallas, TX Jan 2018 – AUG 2018
• Worked on MOB for all the clients for 2018 related to PBM.
• Worked on coding validations in Rx Claims.
• Many Regression testing scenarios were implemented changing the formularies and worked on testbeds creation according to that scenarios. • Conducted requirement gathering sessions with the purpose of creating and defining the Business Requirement Document (BRD) and the Functional Requirement Document (FRD).
• Captured process flow by running drills. Every code is thoroughly validated in RxClaim with the help of drills. • Medicare Part-D validations are completely taken care for MOB clients for 2018.
• Reviewed Technical Specification Documents (TSD) with development team, resolved issues and provided Sign Off.
• Multiple scenarios including DAW 0 to DAW 9 are encountered are created testbed according to DAW scenarios.
• Client specific testing was taken care.
• Involved with the Quality Assurance Team to develop and design Test Plan and Test Cases.
• Conducted User Acceptance Testing (UAT) of the application with the QA team.
• Performed testing of the health benefit claims receiving and processing system to ensure that the system adheres to project standards, performance criteria, and functional specifications.
Environment: RxClaim, Ezquery, EZTEST, Salesforce.
WORK EXPERIENCE:
Cigna Healthcare, Hartford, CT January 2017 – Dec 2017
Responsibilities:
• Interacted with stakeholders to get a better understanding of client business processes and gathered requirements.
• Designed a claim processing system for the healthcare management client system, which allowed the users to inexpensively capture information regarding patient, summary of medical history, symptoms (ICD-9 codes), and treatment (CPT).
• Responsible for gathering the functional requirements for the health benefit claims receiving and processing system.
• Conducted requirement gathering sessions with the purpose of creating and defining the Business Requirement Document (BRD) and the Functional Requirement Document (FRD).
• Captured process flows by preparing activity and sequence diagrams, pre- and post-conditions, performance requirements, impacted areas, high-level business rules, issues, areas in scope and out of scope, assumptions, etc.
• Involved in Requirement Scoping and analyzing high priority requirement. Conducted sign-off meetings with IT teams to lock down the requirements.
• Created High-Level Use Cases from Business Requirements and created UML Diagrams like Use Case and Activity Diagrams using MS Visio.
• Conducted JAD sessions to allow different stakeholders to communicate their perspectives with each other.
• Tracked stakeholder requested enhancements and changes using Requirement Traceability Matrix (RTM).
• Reviewed Technical Specification Documents (TSD) with development team, resolved issues and provided Sign Off.
• Involved with the 837, 835, 270/271,277/275 and 276/277 HIPPA-EDI Transaction Code Sets.
• Executed SQL queries to test the database for records that detect and submit functional acknowledgement and remittance advice in the claims application.
• Involved with the Quality Assurance Team to develop and design Test Plan and Test Cases.
• Executed Test Cases and Test Scripts for manual and automation testing. Defects were raised in HP Quality Center/HP ALM for logging, tracking and reporting bugs in the application.
• Conducted User Acceptance Testing (UAT) of the application with the QA team.
• Performed testing of the health benefit claims receiving and processing system to ensure that the system adheres to project standards, performance criteria, and functional specifications.
Environment: Argus, MailRX, CIT, CCM, Mainframe, Unix, Windows NT/XP, Micro Dynamics AX, ERP Rational Clear Case, RUP, Microsoft Excel, Microsoft Word, Microsoft Power Point.Oracle, SQL, SQL Server, Java, J2EE technology, Business Objects, Test Director, Load Runner Rational Rose and Requisite Pro, MS Visio, MS Project, UML, SSIS, XML, Rational Clear Quest,
Valeant Pharmaceuticals, Bridgewater, NJ Nov 2015 to Dec 2016
Business Analyst/Pharmacy Validation
Leading business and functional requirement gathering through daily engagement with business and IT stakeholders of the project
Relaying business requirements & working closely with development team to ensure accurate understanding and implementation.
Analyze all the IMS Health Data Sources, Veeva-Call Activity & Email Campaign data perform gap analysis required to meet the Project requirements.
Design Reporting Dashboards and Mockups. Prepare various artifacts including Interface Spec for IMS Data Sources, Call Activity, Email Campaigns.
KPI Management- IMS Health Data Key Metrics, Veeva-Call activity KPIs, Email Campaign Metrics, Marketing KPIs.
Worked in the Agile (SRCUM) framework, that resulted in completing the sprints and documenting the production process.
Facilitated and participated in meetings with Product Owner, Application Owner, Business unit and Development team to review and prioritize the backlogs and in progress sprints.
Created and maintained Business & System related User Stories, Activity diagrams, throughout the Software Development Life Cycle (SDLC) using MS Visio.
Prepared documents that depicts the process flow such as Workflow Diagrams, Cross-functional process flow diagrams, high-level infrastructure diagram for system perspective using Business Process Modelling Notation (BPMN).
Helped with building ICD 9 to ICD 10 crosswalk map by grouping thousands of codes and ranges in Clinical, Benefits, Financial, and Medical policy waves.
Prepared Product Requirement Documents (PRD), Functional Requirement Document (FRD), Request for Proposals (RFP), Request for Change (RFC) to address and track all the requirements & the changes along the way.
Involved in reviewing the Data Model designs for various marketing subject areas and provide feedback to the offshore team.
Partnering with solution delivery lead to build and manage comprehensive project plans with well-defined tasks and owners, managing UAT test strategy and UAT test plans.
Carrying out front end development to meet ad hoc client requirements in a timely manner along with End-to- end client management.
Create & update project documents including project plans, cost estimations, weekly status reports, Raid Logs,
Risk Registers, Defect Tracker, UAT Test Plans, Training documents for clients & system config management plan.
Environment: SDLC Model - Agile, MS Office Suite, MS Visio, MS SharePoint, HPQC Tool, Rational Requisite Pro, SnagIT, MS Project, Crystal report, HTML, JIRA.
Benecard, PA Sep 2013 – Oct 2015
Sr.Business Analyst
Responsibilities:
Responsible for gaining a good understanding of user needs and accurately representing them in a well-documented software functional specifications document.
Gathered business requirements, interacted with the business users, designers and developers, project manager and QA team to get a better understanding of the business processes.
Involved in creating project management documentation, fallowed PMBOK standards.
Interacted with the End-Users by interviewing them, by preparing appropriate questionnaire to better understand end-user needs and the business process.
Followed a structured approach to organize requirements into logical groupings such as requirements for customer, client, group, member, eligibility, prescriber, pharmacy, COB, CRM, AR /AP and Reporting that critical requirements are not missed.
Involved in creating business process documentation. Identified use cases from the requirements.
Created UML diagrams including use case diagrams, activity diagrams, sequence diagrams, and collaboration diagrams using MS-Visio.
For project management purpose worked on Microsoft project, able to update Microsoft share point portal with the updated project documentation.
Created Prototypes for Internet and Intranet application, worked with UI team in designing of Webpages and Micro site for portal application.
Analyzed and optimized the process, prepared business requirement document and managed requirements using Rational Requisite Pro.
Worked with project teams in preparing Software Requirement Specifications (SRS), Software Design Documents (SDD), and User Interface Design.
Facilitated JAD sessions with business and technical units to fine tune, prioritize and detail requirements and use cases.
Identifying and understanding the business-critical areas from the user perspective.
Managed change of the requirements and associated requirements to other requirements for traceability.
Involved in risk-management process whereby identified critical areas of business risk and modified the business process to reduce the same.
Involved in drawing data flow diagrams and process flow diagrams using Enterprise Architect for the Claim Adjudication module.
Identified business rules, built a rule based application that automates fine-grained, variable decisions used for claim adjudication, in Ilog Jrules.
Involved in data mapping of EDI transactions, creating work flow and activity and use case diagrams. Created validation documentations for the claim process.
Writing Data Mapping Documents, Data Transformation Rules and maintaining Data Dictionary, Data Migration and Interface Requirements Documents. Able to update Microsoft Share Point portal with the updated project Documentation.
Environment: MyEclipse, Java,IBM Websphere, DB2 on Z/OS, Struts, JAXB, XML, XPATH, JPA, EJB3.0, JMS, JAAS, RSA (Rational Software Architect), Cognos, UNIX,UML, JSF, Spring, Hibernate, SSO, LDAP, Informatica, Web 2.0, AJAX, GWT, ANT, Clear Case, OLTP, OLAP, Web Portal, Apache Directory Studio, Tivoli Directory Server, JProfiler, GIS, Data Migration, Data Warehouse, PMBOK, Microsoft Share Point, Dream Viewer, HIPAA, iLog JRules, Rational Unified Process (RUP), Rational Requisite pro, Enterprise Architect, Rational Functional Tester and Bugzilla
Express Scripts, NJ July 2011 – Aug2013
Eligibility Technical Business Analyst/ RXcoded engineer
Responsibilities:
Implemented Mainframe EDI system (4010/5010) utilizing ANSI X12 standards.
Worked as a SME in Tier 13 – Migrations Claims processing.
Implemented SDLC which included requirements, specifications, design, analysis and testing utilizing RUP methodology.
Functioned as a consulting liaison between business clients and technical staff and/or with development staff throughout the development life cycle ensuring alignment between business requirements and delivery.
Conducted business process modeling and analysis identified, assessed and articulated gaps/operational risks associated presented risk-mitigation and operational enhancement solutions to project management team.
Worked on Change Management and change control on a pharmaceutical regulatory tracking system for change submissions.
Involved in CRM Setup activities and customized the apps to match the functional needs of the organization.
Developed test plan, test cases in Quality Center and executed test.
Created test plan and test summary documents according to SDLC standards.
Involved in creating test cases for EDI 837 Claims (I & P) Transactions.
Authored progress and completion reports which were then submitted to project management on a weekly basis in MS project.
Performed gap analysis on the CRM applications, gather requirements, schedule vender demos for the products and gave industry best practices to the customer.
Involved in mentoring specific projects in application of the new SDLC based on the RUP, especially from the project management, requirements and architecture perspectives.
Created different Trace ability views to maintain the Trace ability of the requirements.
Responsible for developing and managing project plans system requirements, change management policy standard and procedures by utilizing Rational Unified Process (RUP).
Compared updated master, pre-edits and the production files to do GAP analysis and arrived at a reasonable and meaningful solution.
Prepared Business Process Models that includes modeling of all the activities of business from conceptual to procedural level.
Validated all the incoming/Outgoing data from EDI 837/835 interfaces.
Worked on comparing and Anchor level files and F14 files.
Implemented RUP and followed iterative, Use Case driven process for requirements documentation and deployment.
Analyze requirements utilizing various methods. (E.g. sample data from SQL queries, Screen Shots, reports, prototype screens, sourcing information, and other data models.)
Reviewed Stored Procedures for reports and wrote test queries against the source system (SQL Server) to match the results with the actual report against the Data mart (Oracle).
As part of a team provided assistance with monthly data extractions and imports utilizing Microsoft Access, SQL and Microsoft Excel.
Worked closely with Grace period logic and Government Guidelines.
Followed a structured approach to organize requirements into logical groupings of essential business processes, business rules, information needs and insured that critical requirements are not missed.
Environment: Mainframe, Argus, MailRX, Windows XP, UNIX, SQL Server, XML, XSD, MS Office, MS Visio, MS Project, Rational Tools, UML
Client: United Health Group, MN Feb 2011 – June 2011
Role: Sr. Business Analyst
Responsibilities:
Discussions with client include understanding new requirements from Client.
I am working directly with business units to gather requirements, process definitions, documentation and training. Facilitates user requirement gathering meetings.
I am working closely with Product Owners, Solution Architects, SME, Business Owners and end users.
I am gathering documents requirements in the form of User Stories, Work flows, Use Cases, Process Flow Diagrams, UI Mockup. Identifies and defines user roles and personas about the creation of user stories.
Knowledge on Front End Technologies AngularJS, JavaScript, HTML5, CSS3.
Under my responsibility is to build a data pipeline that cleans, transforms, and aggregates unorganized and messy data into databases or data sources.
I am documenting and demonstrating software and data solutions by developing documentation, flowcharts, layouts, diagrams, charts, code comments and clear code.
Day to day I participate with analysts, architects, business service delivery and operations teams to define plans for standardizing, scaling and enhancing products and the services utilized to deploy/install/release those products.
I ensure that code reviews are performed, and unit testing is performed for adherence to the design requirements and documents test results.
I work collaboratively with business partners to define and ensure the completeness and accuracy of system / technical requirements.
Conducted JAD sessions with stakeholders, end users and SME, to determine the critical business processes and identification key functional requirements.
Created process flow diagram in MS Visio.
Conducted timely requirement review sessions with Stakeholders and business and end users to ensure product verification.
Actively conducted and participated daily standup meeting with team to know the status and progress of the requirements as a part of Kanban process.
Assisted with User Acceptance Testing (UAT), developing and maintaining quality procedures, and ensuring that appropriate documentation is in place.
Identified and documented issues, risks, gaps and their impact to the project life cycle. Provided recommendations and alternatives. Analyzed the Gaps for Training purposes.
Extensively used and managed all the requirements artifacts in Doors.
Maintained all the stories and tasks in Jira which was used to know the status of requirements. Implemented JIRA Safe methodologies in the project.
Maintained and reviewed the test cases in HPALM.
Reviewed test cases and maintained the Requirement Traceability Matrix (RTM)
Performed Functional and UAT testing before the system went live.
Involved in creating User Manuals and training users for the application built.
Environment: MS-Office, MS Access, Excel, MS outlook, Snagit9, Rational Doors, SharePoint, JIRA, Windows XP, Power point, SQL, HPALM, Rally, Tableau.
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