Project Testing
Resume:
Isaac Baffoe
*******@*******.***
PROFESSIONAL SUMMARY
• Six years plus of solid experience as a Quality Assurance Engineer in Health care, Insurance and SAP BI
applications.
• Good in creating test scenarios and cases using BRD, FRD, Use Cases, SDS, TDD, UML, Surveys, Activity
Diagrams and etc.
• Good knowledge in Web base Apps testing, Manual and Automation on UNIX and Windows environments
with primary focus in manual and black box testing.
• Very familiar with testing tools such HP Quality Center, QTP, FTP's, SQL and etc.
• Strong HIPAA EDI 4010 and 5010 and ICD-9 and ICD-10 processes for member, payers, providers
including Coordination of benefits, Copays, benefits and etc.
• Good knowledge in validating XML and X12 files
• Solid experience in System, Backend and Front end, Regression testing, End to End testing and etc.
• Very familiar with Waterfall and Agile SDLC’s methodologies.
• Good analytical, communication and problem solving skills.
• And also have good experience in SAP BI and BO testing.
• Good with extracting data using SQL for testing or for test data (Oracle and DB2)
• Knowledge of Health Claims Systems - Professional, Institutional, ICD-9, CPT4, PX/DX Relationships
• Knowledge of OPL, COB, Pricing, Benefit testing - End to End Claims Business Process Testing
• Knowledge of defect management processes
• Knowledge of Client Server applications
TECHNICAL EXPERIENCE
Testing Tools: ALM, Quest, EAS, GAP, ECM, ICD Code Look Up or ICD Manager, PIP, Availity, FTP's,
SQL, OPL online Screens, Siebel, IBM Data Studio, Diamond, Mainframes, Microsoft Outlook, Email
Client and etc.
Databases: SQL Server, RBMS and Oracle
Documentation Tools: Excel, MS Office, Share Point, Requisite Pro
Languages: Visual Basic, HTML, XML, SQL, PL/SQL.
Other Tools: SQL Plus, DB2 and QTP etc.
Common QA Procedures or Practices:
• Read BRD (Business Requirement Docs), TDD (Technical Design Docs), SDS (System Design Docs), Test
Plan, Test Approach, Test Strategy, SME and etc.
• Prepare test scenarios or test cases from the documents above in Quality Center or excel.
• Prepare accurate test data for the test cases or scenarios by querying data from production using SQL or by
preparing your own data according to your test cases or scenarios or business requirements.
• Attend test cases review meetings (internal and external) to explain your test cases or scenarios and test data
to gain approval from the developers, business and other teams.
• Send your data to data management team to load them into the test environment.
• Prepare your environment by gaining accesses to the tools and applications you will need for testing and also
verifying that your data have been pushed into your test environment.
• Perform smoke testing to certify that the environment is working right.
• Execute your test cases or scenarios accordingly, record or take snapshots for proof and log the right defect
with the right comments and assign to the right SME or lead.
• Document the number of test cases run (test count) daily with the defect ID and send to your leads.
• Prepare RTM documents and attach it to the test cases or scenarios and submit your work to UAT and also for
auditing.
Client Name: Catholic Health Initiatives (CHI)- KentuckyOne Health (Waves 1& 3)
Position: Test Coordinator
Location: Louisville, Lexington. KY
Duration: Dec 2013 to Present
Project Description
KentuckyOne Health is one of the leading hospital institutions in Kentucky. The hospitals are grouped in waves based
on the applications they use. I was assigned to waves ABC also known as waves 1 and 3. These are hospitals based in
Louisville and Lexington. The applications, Cerner and McKesson, are used to drop diagnosis codes which go through
the ancillary or down stream systems to create or drop charges. The project was the upgrade from ICD 9 to ICD 10.
My role was to coordinate resources between the Test Analysts, Application Owners, Developers, and Project
Managers.
Role and Responsibilities:
• Responsible for creating the test plan
• Creating workflows, test scenarios, test cases and test scripts
• Gap analysis for test cases and applications
• Coordinating between project managers and test analyst and SMEs or MBOs (market based organizations).
• Conduct review, walk through sessions and defect meetings
• Submitting daily status reports using HP ALM
• Attending weekly project management meetings
• Coordinating test performance
• And etc
Client Name: BCBSFL
Position: QA Tester
Location: Florida, Jacksonville
Duration: Jun 2012 - October 2013
Project Description
Blue Cross and Blue Shield is one of the nation’s leading healthcare companies. My role in this project was testing
ICD 9 and 10 end to end Claims processing to meet HIPAA standards which included dual mode and sliding dates for
E and V diagnosis codes. I was also involved in enhancement and testing of claims on the Diamond application which
included window, system, integration testing and etc.
Role and Responsibilities:
• Created test deliverables and perform testing for internally developed or external purchased products
• Performed static, functional, technical integration, end-to-end and User Acceptance Testing
• Executed job streams for creating test beds, assigning test scenarios, writing test scripts and tracking defects to
certify that applications meet technical and business requirements
• Analyzed and make specific recommendations on improvements that can be integrated into business processes
• Participated in reviews throughout the development life cycle
• Facilitated User Acceptance Testing by providing the necessary support to the business users
• Prepared Test Cases using BRD, TDD, SDS, Test Plan and Approach etc.
• Designed and prioritized test scenarios and test cases that will provide efficient coverage of requirements
consistent with acceptable level of risk.
• Submitting electronic and paper claims
• Involved in end-to-end testing of 834, 837, 835 and etc.
• Set claim processing data for different Diamond module testing.
• Validated X12 and XML for EDI transaction.
• Tested the HIPPA EDI 834, 837/835 transactions according to test scenarios and verify the data on different
modules.
• Conducted Back-End table testing using SQL and DB2.
• Tested claims Benefits, Payment, Authorization, Pricing for both institutional and professional claims.
• Performed Functional, Regression, and system testing for claims processing, members and providers.
• Extensively used SQL statements to query the Oracle Database for test data.
• Executed test cases, logged and reported defects.
• Responsible for Performing Integration Testing.
• Attended review, defect and team meetings.
Client Name: United HealthCare
Position: QA
Location: Hartford, CT
Duration: Feb 2010 - June 2012
Project Description
United healthcare provides the resources to the improved health and well-being of people of all ages and their
respective health issues based on their premiums. My job as a QA was involved in the testing of an online system for
members. This application was being design to access the personal benefits and claims information of members.
Role and Responsibilities:
• Worked closely with software engineers, internal and external customers to gather comprehensive testing
criteria and plan requirements to ensure accuracy and timeliness of projects.
• Developed and maintained innovative Test cases based on Functional Requirements, Use Cases, user interface
designs, system design documents and domain knowledge
• Involved in preparing the Test Scenarios for Health Care Claim Payment/Advice
• Worked on HIPAA Transactions and Code Sets Standards according to the test scenarios such as 270/271,
276/277,837/835 transactions.
• Maintained strong relationships with developers which helped in better execution of test plan.
• Worked extensively using SQL for Back End Testing to validate data in the tables of the database.
• Analyzed and translated requirements and business design into Test Cases.
• Used Quality Center for bug tracking, reporting and analysis.
• Involved in coordination between the automated testers, manual testers and system administrator for the
precise scheduling of test runs.
Client Name: BCBSNC
Position: QA
Location: Durham, NC
Duration: Jan 2009 – Feb 2010
Project Description
Blue Cross Blue Shield, headquartered in Durham, NC, is one of the nation's largest publicly traded health benefits
companies, with approximately 9 million medical members. The system initiates all the necessary procedures,
standardizes and validates the data according to HIPAA regulations, and provides error-processing for the transactions
that could not be fully processed through the system. The new application also allows the agents to track and manage
the status of a health benefit claims.
Role and Responsibilities:
• Developed Test Plans, Test Cases for the test
• Good Understanding of the EDI (Electronic data interchange), Implementation and Knowledge of HIPAA
code sets.
• Involved in Up-gradation of HIPAA X12 4010 transactions to HIPAA X12 5010.
• Worked on HIPAA Transactions and Code Sets Standards according to the test scenarios such as
270/271, 276/277,837/835 transactions.
• Tested the interface between database and the application
• Participated in requirement walkthroughs and creation of test plan
• Worked on Unix Platform and experienced in back end testing by executing SQL Queries.
• Checked the data flow through the frontend to backend and used SQL Queries to extract the data from the
database.
• Involved in writing extensive SQL Queries for back end testing oracle database.
• Retrieved files using SQL statements and UNIX commands.
• Maintained Traceability matrix and Test Matrix
• Created and maintained SQL Queries for back-end testing
• Performed manual back-end testing using PL/SQL to connect to an Oracle 9i database on a UNIX server
• Maintained various versions of Test Scripts
• Performed Sanity Testing and Smoke Testing
• Investigating software bugs and reporting to the developers using Quality Center Defect Module
• Analyzed system requirements and developed detailed test plan for testing
• Performed Usability Testing
• Tracked and reported defects using Quality Center.
• Generated defect reports using Quality Center for the developers.
Client Name: Jackson Memorial Hospital
Position: Manual QA Tester
Location: Jacksonville, FL
Duration: July 2008 – Jan 2009
Project Description
This project was aimed at testing of complete system combining all aspects of hospital management. Jackson
Memorial Hospital has a suite of desktop legacy applications that supports various policies. My project was to test and
verify the developed application for details of inpatient and regular transactions of hospital management. It consisted
of transaction of sales of medicines, billing of patients, claims services, detail duty of doctors and scheduling of shifts
for in-house consultants and supporting staff. Application contributes to HIPAA compliance, especially with regard to
security of patient information.
Role and Responsibilities:
• Used Rational Clear Quest for version, enhancement requests, assign work activities and assess the real status
of project throughout the lifecycle
• Analysis of Business Requirement Specifications.
• Performed evaluation of migration paths for legacy BASIC applications and data to a relational database/GUI
client-server environment.
• Created Test Plans and Test Cases in Quality Center for the Functional, Integration, end-to-end, Usability,
Security, and smoke testing.
• Converted script from Test Manager to Test Factory.
• Complied script using Rational Tools.
• Worked on legacy conversion data base systems on claims processing.
• Extensively worked with EDI transactions such as 835, 837 following the HIPAA compliance EDI standard
format of X12.
• Worked on Rational Clear Quest Repositories for defining and logging the testing effort.
• Knowledge of the full development lifecycle, testing large-scale development projects - Experience with
automated testing tools.
• Developed a thorough organizational knowledge of the capabilities and functionality of a MMIS system.
• Involved in HIPAA implementation to ensure security and to protect the confidentiality of health
information and guard it from unauthorized access.
• Executed positive and negative test cases.
• Worked on HIPAA Claims/encounters, eligibility verification, enrollment, and related transactions:
American National Standards Institute ANSI X12N
• Performed Validation testing of EDI transactions to complete the HIPAA enrollment process.
• Involved in testing of HIPPA 835 for the payment of claims and transfer of remittance information.
• Manually tested the Extensions in the application like Claims Entry.
• Developed and executed test cases and extensively participated to prepare test procedures.
• Performed functional, Regression, System, Compatibility, User Acceptance Testing, for verifying application
functionality.
• Developed automated Test Scripts for functionality testing using Rational Functional Tester.
• Involved in Integration/End to End testing of modules with testing groups for HIPAA compliance, General
Compliance and Principles of Compliance
• Created and executed Manual Test scripts to verify complex system requirements and database testing.
Transaction Verified through Data Verification of Backend Database using SQL Queries.
• Tracking the bugs and used the Quality Center as bug tracking to store the details of bugs for enhanced
regression test and to enhance version control.
• Participated in Bug reporting and reviews.
Client Name: T- Mobile
Position: Jr.QA Tester
Location: San Francisco
Duration: Feb 2007 – July 2008
Project Description
I worked as a QA and performed both manual and automated testing for their ordering module in the application used
at T- Mobile’s Broadband Ordering Software system which was web – based. The application is used to generate and
record multiple orders entry, tracking and billing.
Role and Responsibilities:
• Analyzed team performance with the QA manager and implemented the changes any in order to raise the
efficiency of the entire team.
• Involved in writing test cases and Test scripts.
• Performed Functional, Regression, Negative and Positive Testing.
• Assisted in creating test plan.
• Coordinated with system analyst, Project Manager, to setup the pre-testing and testing environment to execute
the scripts.
• Ensured complete requirements coverage of test cases with the requirements documents by conducting
inspection sessions with business analysts and developers.
• Developed test scripts for Data Driven tests using QTP.
• Performed Automated and Manual testing
• Performed back-end and front-end testing.
• Was involved in Manual Functionality Testing and GUI Testing for objects tables, texts and object pages.
• Evaluated software test requirements for web application integration while delivering new/modified
enhancements.
Education
2007 Bachelors in Technology (Industrial Art Textiles Option)
2006 Higher National Diploma (Industrial Art Textile Option)
Takorida Polytechnic College
Ghana, West Africa.
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