Project Management
Resume:
Experience SUMMARY Mobile: +1-916-***-****
************.*@*****.***
. 6.5 years of experience in Healthcare Domain and testing.
. 2 Years of experience in EDI testing.
. Good Experience in agile testing and knowledge of Web Services
Testing.
. Good in Analysis of Requirement, Finding ambiguities in the
requirement, Test Design, Test Execution, Automation of Test scripts,
Cause Effect Graphing, Task Allocation, Status Reporting, Update of
Dashboards, Creation of excel macro's.
. Worked in Functional, Integration, Regression, System & End-End Testing.
. Excellent analytical, problem solving and testing skills.
. Knowledge in QTP and Selenium Automation.
. Good Understanding of Object Repositories and Object identification.
. Sound knowledge of Descriptive Programming and Parameterization.
. Knowledge of Check Points and recovery scenarios.
. Good communication and interpersonal skills, self-driven and
motivated.
EDUCATIONAL QUALIFICATION
Bachelors in Computer sciences and Electronics.
SKILLS SET
Operating System Windows 9x, XP, Windows 7 Premium
Programming Languages C, C++, Data Structures, Java, J2EE
Web Designing Tools VB Script, Java Script, HTML, XML
Database SQL Server 2008, RPGLE/400, Oracle SQL Developer
Server Jboss and Apache TomCat
Tools & Other Utilities QTP, Selenium IDE, Quality Center(QC), Soap UI,
Eclipse, Perforce, CE2000, eFDE macro
VISA Details
Passport Details G9668458
Certifications
CCP in Software Testing
CCP in AHM 250
CCP in ISTQB
Relevant Project Experience
Organization: Cognizant Technology Solutions.
Project #1:
Title: California MMIS
Client Xerox
Duration December-2014 to Till date
Programming Languages Java, JavaScript, JSF and XML
Data bases Oracle SQL developer
Testing Tools and other Utilities CQ(Clear Quest), RQM, Eclipse,
Perforce, UI testing, Selenium IDE
Team size 25
Role Testing Analyst
CLIENT DESCRIPTION
Affiliated Computer Services is a Xerox company and is the world's leading
enterprise for business process and document management, offering global
services from claims reimbursement and automated toll transaction to
customer care centers and HR benefits management.
DESCRIPTION OF THE PROJECT
ACS mainly deals with Government health insurance programs such as Medicare
and Medicaid which are facing tremendous challenges: The skyrocketing cost
of care, A growing number of recipients and concerns about access to
quality care. This project will reduce the complexities and inefficiencies
of healthcare financing and aiming for the below objectives:
< Reduction of expenditure on Healthcare costs
< Equitable Distribution
< Decrease in no. of uninsured
< Reduction of Medical Tourism (Going to other countries for treatment)
< Coping with changes in consumerism, technology and regulations
ROLES AND RESPONSIBILITIES IN THE PROJECT:
. Have a very good experience in Claims Processing.
. Currently working as an SME and guiding the team in Claims processing
business rules.
. Worked on all the modules (Provider, Member, Claims, EDI, Contact
Management, Rules Management and so on) and all the other sub modules of
the project from the initial days.
. Performed the smoke testing for all the Environments through Selenium
automation.
. Performed the Test and Artifact Management such as raising the defects
and monitoring the same until closure and other testing activities in CQ.
. Allocated the tasks to the team whenever necessary for the quick time
delivery.
. Helped in automation in running the scripts for triggering smoke tests on
a daily basis.
. Worked on the smoke failures and followed up and re-executed all the
failures on daily basis.
. Worked in all the packages, Modules and all the other CTCs execution
and delivered on time.
. Involved in Planning and Estimation of Test cases and Scenarios. EDI
scenario execution and involved in all Regression Testing for DEV,
Testing, SIT Environments including EDI testing.
. Involved in automation testing for GC Regression and Smoke Testing
using Selenium.
. Worked on jobs execution in CTRL+M in the early stage and performed
majority of the CTCs/Defects related to Ctrl+M.
. Performed the Test and Artifact Management such as raising the defects
and monitoring the same until closure.
. Helped the provider team for provider stabilization and all the other
adhoc tasks whenever required.
. Preparation of Daily/Weekly status reports.
Ensured quality and correctness of the deliverables & solution provided.
Project #2:
Title: AK MMIS
Client Xerox
Duration Dec-2011 to Dec-2014
Programming Languages Java, JavaScript, JSF and XML
Data bases Oracle SQL developer
Testing Tools and other Utilities CQ(Clear Quest), Eclipse, Perforce,
UI testing, Selenium IDE
Team size 5
Role Quality Analyst
CLIENT DESCRIPTION
Affiliated Computer Services is a Xerox company and is the world's leading
enterprise for business process and document management, offering global
services from claims reimbursement and automated toll transaction to
customer care centers and HR benefits management.
DESCRIPTION OF THE PROJECT
ACS mainly deals with Government health insurance programs such as Medicare
and Medicaid which are facing tremendous challenges: The skyrocketing cost
of care, A growing number of recipients and concerns about access to
quality care. This project will reduce the complexities and inefficiencies
of healthcare financing and aiming for the below objectives:
< Reduction of expenditure on Healthcare costs
< Equitable Distribution
< Decrease in no. of uninsured
< Reduction of Medical Tourism (Going to other countries for treatment)
< Coping with changes in consumerism, technology and regulations
ROLES AND RESPONSIBILITIES IN THE PROJECT:
. Have done the extensive end to end UC and CTC testing of the project.
. Worked on all the modules (Provider, Member, Claims, EDI, Contact
Management, Rules Management and so on) and all the other sub modules of
the project from the initial days.
. Performed the smoke testing for all the Environments through Selenium
automation.
. Performed the Test and Artifact Management such as raising the defects
and monitoring the same until closure and other testing activities in CQ.
. Allocated the tasks to the team whenever necessary for the quick time
delivery.
. Helped in automation in running the scripts for triggering smoke tests on
a daily basis.
. Worked on the smoke failures and followed up and re-executed all the
failures on daily basis.
. Worked in all the packages, Modules and all the other CTCs execution
and delivered on time.
. Involved in Planning and Estimation of Test cases and Scenarios.EDI
scenario execution and involved in all Regression Testing for DEV,
Testing, SIT Environments including EDI testing.
. Involved in automation testing for GC Regression and Smoke Testing
using Selenium.
. Worked on jobs execution in CTRL+M in the early stage and performed
majority of the CTCs/Defects related to Ctrl+M.
. Performed the Test and Artifact Management such as raising the defects
and monitoring the same until closure.
. Helped the provider team for provider stabilization and all the other
adhoc tasks whenever required.
. Preparation of Daily/Weekly status reports.
. Ensured quality and correctness of the deliverables & solution provided.
Project #3:
Title: ACS -POS Legacy Migration
Client ACS
Duration May-2011 to Dec-2011
Programming Languages Java, J2EE and XML, VB Script
Data bases SQL server 2005 & Oracle SQL
developer
Testing Tools and other Utilities QC, Perforce, Test link, Team track
Team size 6
Role Quality Analyst
CLIENT DESCRIPTION
Affiliated Computer Services is a Xerox company and is the world's leading
enterprise for business process and document management, offering global
services from claims reimbursement and automated toll transaction to
customer care centers and HR benefits management.
DESCRIPTION OF THE PROJECT
The objective of the project is to perform the application testing of ACS
Pharmacy POS for claim adjudication for 5.1 to D.0 NCPDP Standard
transition. The objective of this project was the migration of legacy
(COBOL) database to OS + (Java POS engine) specifically for the 3 states of
ACS client - Montana (Medicaid and Mental health programs), Hawaii and
Maryland.
ACS Pharmacy is a web application that enables pharmacist to submit the
claim for adjudication. The process involves Validation of Member
eligibility for Active coverage and plan coverage, Validation of the
submitting pharmacy and the prescriber, also the drug coverage on the
incoming claim. Claim Engine 2000, known as CE2000 is used to submit the
claim from ACS pharmacy. It involves the Third party 'Relay Health' for the
claim request to be sent for adjudication in POS engine and get the claim
response back to the submitted pharmacy.
ROLES AND RESPONSIBILITIES IN THE PROJECT:
. Understand business and functional requirements
. Prepare high level test scenarios and functional test cases
. Perform claim processing and validating the claim response
. Perform System testing and Regression testing
. Perform defect tracking and participate in triaging
Project #4
Title: Connexions
Client ACS
Duration Feb-2010 to May-2011
Testing Tools and other Utilities Tivoli, Data Loader
Team size 4
Role Team Member
Project Description
ConneXion is an integrated suite of web-based processes and
tools to support
Eligibility determination and process enrollments. ConneXion provides
various features like support and track client interactions
(Contacts/Interactions, QuickCall), streamline and coordinate operational
workflow processes (Workflow - scaled down version of BPM, Tivoli) and
process premiums (PPS). CX also has the capability to incorporate Provider
Searches based on distance to recipient using geocoded addresses (Oracle
Spatial).
Role and Responsibilities
. Prepared test scenarios for the Regression Testing
. Preparing, documenting and execution of the test cases.Defect
tracking and reporting
. Reviewing of Test results
. Responsible for Functional and Regression testing
. Building the test environments
. Updating the Test PlanProject #4
Project #4
Title: D.0 Testing
Client ACS
Duration Dec-11 to Feb-11
Testing Tools CE2000
Team size 5
Role Team Member
DESCRIPTION OF THE PROJECT
The objective of the project is to perform the D.0 compliance testing for
various ACS clients like Maryland, Florida Health Care Plan, Hawaii, M
Joseph. D.0 testing process ensures that all the pharmacy claims will be
adjudicated in NCPDP standards. Earlier NCPCP 5.1 verision was in use, this
is a migration project where the claims needs to be processed in D.0
version.
ROLES AND RESPONSIBILITIES IN THE PROJECT:
. Analysis on group specific Benefits
. Prepared the following Project specific documents: Test Plan, Test
Scenario and Knowledge Transition Plan.
. Execution of the Test scenarios
. Defect tracking and reporting
. Reviewing of Test results
Project #5
Title: Well Point Benefit Testing
Client WellPoint, USA
Duration Sep-10 to Dec-11
Testing Tools eFDE macro
Team size 40
Role Team Lead
Project Objective
The objective of the project is to perform the comprehensive
benefit testing for various Anthem healthcare insurance plans like PPO,
EPO, GENC, MME etc.
Project Description
NASCO benefits testing process ensures the benefits are applied
as per the benefit plan design and validates before the group moves to
production. Any member who gets enrolled to WellPoint Anthem healthcare
insurance plans will be assigned to a benefit and the system should give
the subscriber the flexibility to choose the benefits that he would want
the coverage for. Medical benefits are programmed specifically to each
subscriber's plan. The Benefit Testing process requires verification of the
Group Checklist or Benefit Plan Design (BPD), Benefit Coding Grid, and
NASCO System Coding.
Role and Responsibilities
. Analysis on group specific Benefit Plan Design (BPD).
. Prepared the following Project specific documents: Test Strategy, Test
Plan, Test Scenario and Knowledge Transition Plan.
. Preparing the metrics for TAT (Turn Around Time), Quality, Defects,
Testing execution etc.
. Execution of eFDE macro to create the testable claims.
. Validating the claims in NASCO system and ensure the claims are paying
as per benefits.
. Defect Tracking and Reporting in RTS and PDM applications.
. Reviewing of test results.
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