Test Analyst Tester

ALI AZAM

Phone: 347-***-****

acs427@r.postjobfree.com

SUMMARY:

Over 7 years of experiences in Information Technology with prime focus on QA and testing of Client/Server and Web-based applications with effective use of Standard Industry QA practices.

Experienced in developing/creating Test Plan based on User/Business Requirement Document, Technical Specifications/Design Document, Use case, User Stories and NOPC.

Professional experience in writing Test cases/Test Scripts, Test Scenarios, Test Conditions, Test Estimation for functional requirements.

Experienced in conducting different types of QA testing including Targeted, Smoke, Functional, Integration, Regression, End-to-End and User Acceptance testing both manually and through the automated testing tools.

Hands-on experience in Post Implementation Testing and Production Support.

Extremely proficient in Manual(QC/ALM), Automation(QTP/UFT, Selenium, JUnit/TestNG) and Database testing tools to troubleshoot system, integration, user acceptance, positive and negative, functional and regression specific issues.

Experienced with SDLC and STLC from Verification to Validation.

Extensive Knowledge of various phases of different Software Development Life Cycle(SDLC) such as Rational Unified Process (RUP), Waterfall and Agile/Scrum methodology.

Expertise in querying and testing using RDBMS tools like Oracle, MS SQL Server, DB2 for Data integrity.

Expert-level experience in writing SQL queries using DDL and DML commands like Select, Create, Joins(inner, outer) and sub-queries to extract data from various source tables to perform database testing.

Experience in ODBC Setup and Stored Procedures and PL/SQL programs.

Expertise in Healthcare industry with Claim Processing, Enrollment and Provider, Managed Care, Medicaid and Medicare as well as Interface Testing and Data Conversion.

Extensive knowledge on different modules within Healthcare domain like Membership, Enrollment, Claims, Billing, Capitation, Providers and Coordination of Benefits(COB).

Expertise in ASO/Self-Funded, Fully Insured Plans and GF/NGF HMO/PPO products.

Experience with HIPAA compliance (4010 and 5010) and Healthcare systems.

Hands on Experience with EDI Transactions like 834 Enrollment, 835 Healthcare Claim Payment/Advice, 837 Claims, 270 Eligibility inquiries, 271 Eligibility Responses, 276 Claim status inquiry and 277 Claim status responses.

Extensively involved and worked in 2016 Product Enhancement projects under like Telemedicine, Childhood Obesity, Non-Transport Ambulance in BCBSLA.

Worked with TriZetto's Facets Application Groups like Claims Processing + ITS, Medical Plan, Subscriber/Member, Provider, Application Support, Accounting, Billing and Customer Service.

Highly skilled in creating Medical Claims and enrolling Members/Subscribers in Facets 4.5.1/4.7.1/5.01.

Expertise in Bug reporting tools such as HP QC/ALM and ability to write clear and concise bug reports with actionable steps to reproduce.

Ability to set up various Automation Frameworks like Data-Driven, Keyword-Driven and Hybrid.

Good knowledge of Object-Oriented Programming Language Like Java, Scripting Language like VBScript/JavaScript, text editor like Notepad++ and Integrated Development Environment (IDE) tool like Eclipse.

Possess good understanding of WSDL, XSD, Schema, DTD, XML documents for Web Services Testing.

Performed functional web services Testing using SOAPUI.

Experience in working collaboratively and with cross-functional teams.

Ability to determine appropriate action to resolve issues quickly and track deliverables.

Experienced in Training and Guiding the junior or new testers/QA analysts.

Hardworking, Dedicated, Flexible and Versatile to adapt any new environment and work on any project.

Thorough, Self-motivated, Responsible and a Self-starter.

Have "Can-do" and "Test-to-break" attitude and great attention to details.

Possess excellent interpersonal, written, verbal communication skills along with the ability to work independently or as a member of a team.

Strong leadership ability and Can work and manage multiple projects, give direction to others, and take a lead role in improving organizational processes.

TECHNICAL EXPERTISE:

Methodologies

Waterfall, V-Model, Iterative, RUP, Agile/Scrum

OS

Windows 7, Vista, XP, NT/2000, MS-DOS, Sun OS/UNIX, LINUX

Languages

Java, JavaScript, VBScript, PL/SQL

Health Care Tools

TRIZETTO Facets 4.6, 4.71, 5.0, Edifecs (Transaction Management)

Test Management Tools

QC/ALM, JIRA, Team Foundation Server(TFS), SharePoint

Defect Tracking Tools

HP QC 8/9/10/11(ALM), JIRA, Clear Quest

Databases

MS-SQL Server, Oracle, MySQL and MS-Access

Web Technology

Web Services, SoapUI, HTTP, SMTP, HTML, XML, EDI, SOA.

Automation Tools

Quick Test Pro/UFT, Selenium WebDriver

Application

MS Office, MS Lync, Eclipse, Notepad++, Visual Studio, Virtual PC, VM Ware, iTRACE, Work Tracking Tool, ServiceNow, Planview

EXPERIENCES:

Blue Cross Blue Shield of Louisiana, Baton Rouge, LA

Quality Assurance Engineer

Aug’ 13 – Present.

Blue Cross Blue Shield of Louisiana is an independent licensee of the Blue Cross and Blue Shield Association and incorporated as Louisiana Health Service and Indemnity Company. The company provides group and individual health insurance plans, life and disability insurance and group voluntary products to more than 1.3 million Louisiana residents. BCBSLA also acts as a third party administrator for about 90 companies and most of these companies are Self-Insured. These groups provide medical, dental and/or vision coverage for their employees. On behalf of these groups, BCBSLA handles claims processing, pay providers, and manage other functions related to the operation of health insurance, such as access to preferred provider networks, prescription drug card programs, utilization review, etc. I have been involved in multiple projects of this company since August, 2013. Projects are HCR, BMS-Migration, New Groups/ Renewals, Facets 5.01 Refresh, ICD 10 and Product Enhancement 2016.

Responsibilities:

Reviewed minutely Front -end claims validation related Business Requirement Documents (BRD), Notice of Plan Changes(NOPC), Use Cases, facets Medical Plan and Facets Application Support application Groups for writing test cases/test scripts.

Heavily involved in writing Claims related Test Scenarios/Test Cases for GF/NGF ASO/BBS and Fully Insured Products to be executed in Facets .

Performed peer review on test cases written by other testers/QA Analysts.

Uploading Test cases from Excel Sheet to QC/ALM Test Plan module and next export them from Test Plan to Test Lab in QC/ALM for execution.

Create Test Data like membership and upload them in SharePoint so that testers can use them during test execution.

Pulled Product specific providers' list from database using SQL queries and send them to the testers for using during test execution.

Validated front end claims in Facets 5.01 for FEP,OGB, ASO/BBS, Fully Insured and BCBSLA Regular Plans' Claims in NRS1 or ICD10 Or SPC1 environment..

Logged defects in QC/ALM and retest when the defects are fixed. If retesting passed, close the defect, otherwise reopen the defect.

Reported outstanding bugs, followed up bug fixes, conducted review of existing test scenarios and assessed the need for their enhancement using Quality Center/ALM.

Track and update BET Configuration Work Tracking Tool after each phase of testing including formal completion of successful testing.

Set up ODBC for newly hired Resources and teach them how to use Company's Databases through ODBC.

Performed Back-End testing to ensure Proper validation of the claims into the Database by executing SQL queries.

Responsible for developing test plan for some products of Product Enhancement 2016 in line with Master Test Plan.

Analyzed and Business and Technical Requirements and help Test Lead to estimate Level of Efforts(LOE) for different products of Product Enhancement 2016 project.

.Conducted validations of functionalities in Facets 5.01 for different applications of Claims Processing, Provider, Subscriber/Member, Application Support, Medical Plan Application Group.

Worked closely with business analysts and SMEs to understand and document overall work flow for enrolling subscribers in BCBSLA health plans through Health Insurance Exchange(HIX).

Closely involved in writing test cases for enrolling members with different metallic tiers, benefit packages and business levels.

Participated in different walkthrough meetings with Developers and Testers and answered their questions with respect to different systems..

Involved in extensive Regression Testing after every new build and verified the results.

Involved and assisted the system users in User Acceptance Testing.

Extensively performed Back End Testing using SQL Server

Validating and documenting Post Implementation Break Fix Activities in production.

Responsible for retesting and updating the Service Desk Tickets.

Environment: TRIZETTO Facets 5.01, HP ALM Quality Center, QTP, EDIFECS, SOAPUI, BizTalk, UNIX, Putty, MS SQL server, MS Access, MS Office 2007, MS Office 2010, Text pad, XML Notepad++, Work Tracking Tool, Service Desk Manager.

HP (Ohio MITS), El Paso, TX

Jan’13 – June‘13

Senior Quality Assurance Analyst

HP is an outstanding American multinational information technology company. Its products include technologies, hardware, software and solutions. I was working on Ohio Medicaid Information Technology System (MITS). As per contract between HP and Ohio Department of Job and Family Services (ODJFS), HP developed this web-based application. It is the HP claims administration platform which provides claims processing for healthcare providers, Medicaid eligibility verification services, and electronic health records for Medicaid recipients. The system provides data analysis about healthcare trends and outcomes enabling assessment of needs and impacts of current programs. The system also identifies fraud and abuse. I was involved in various subsystems including Managed Care. The two primary Managed Care assignment programs supported by Ohio MITS system are Covered Families and Children (CFC) and Aged, Blind or Disabled (ABD).

Responsibilities:

Reviewed the Business Requirements Document, Functional Design Documents and Technical Specification Documents

Created Test Cases and Test data after analyzing the BRD/COs

Involved in performing functional, user acceptance, and regression testing

Developed Test Data for different Groups

Validate EDI Claim Process according to HIPAA compliance

Worked on HIPPA Transactions and such as 270/271, 276/277, 837/835, 820/834 transactions.

Extensively worked on Managed Care Provider Enrollment and PMP Assignment history

Worked with Managed Care Recipient Enrollment & potential MC Recipients

Created test plans and test cases for Managed Care Capitation Transaction Processing and PMP Capitation History.

Conducted and attended many meetings and discussions with the developers and the clients in deciding the agile methodology testing at the end of every sprint (week), enhancing and reoriented based on the completed work.

Worked with Recipient MC Special Conditions and Recipient PMP Lockout

Hands on experience working on Managed Care Daily and Monthly Enrollment Roster Process

Worked with external interfaces such as " MITS Eligibility and Demographics to MCEC" for various Job Runs.

Created reports that included a general overview, open bugs and enhancement requests.

Maintained Test Matrix and Requirements Traceability.

Performed Functional, Regression and Usability Testing using QTP

Wrote SQL queries for data validation.

Prepared test scripts for automated testing using QTP.

Performed Data Driven Testing Using manually to check the behavior of the application using both Positive and Negative data.

Used Quality Center to enter and report defects.

Interacted with Business Analysts and developers regarding Requirements, COs and CCRBs.

Environment: HIPAA EDI, Quality Center, QuickTest Pro, iTRACE, MS-Vision, Clear Quest, .NET, Oracle, Mainframe, Windows, UNIX.

Premera Blue Cross, Seattle, WA

Jan ‘12 – Dec ‘12

Obama Health Insurance exchange

QA Tester

Premera Blue Cross is one of the largest healthcare coverage provider in US. As part of Health Care Reform, Premera was implementing a project named Obama Health Insurance Exchange (HIX). The project was designed to develop a web based application that will meet the requirements of Affordable Care Act. The project was based on 3 states WA_HIX, AK_HIX and OR_HIX.

Responsibilities:

Involved in all the phases of software testing life cycle including Requirement assessment, Test plan, Test Cases and QA maintenance phases.

Analyzed User stories and developed test case negative and positive scenario and wrote the test cases

Involved in performing Functional, integration, and regression testing.

Developed test Data for different groups

Validate EDI 834 enrollment and 820 Premium payment process according to HIPAA compliance

Prepared Status reports to track the test status progress and to check if there is any slippage in timelines.

Worked on HIPAA transaction such us 834,820, 835,837 Transaction.

Extensively worked on FACETS claims processing system and worked on its different applications like subscriber/member, Claim processing, Provider and Billing.

Worked in Edifecs to process X12 files as per requirements in Edifecs X-Engine and tested for SNIP validation.

Worked with Ultra edits software to Unwrap the X12 file data and compare between two EDI files at Premera Health Care domain.

Worked on different FACETS environments.

Responsible to check whether the interface and the extensions properly integrate with the Facets application.

Tested and delivered Inbound/Outbound Facets interfaces

Involved in ETL testing, executed SQL queries to validate the data in target database

Maintained test matrix and requirement traceability matrix

Executed test cases developed by self or peer. Compared and analyzed actual to expected results and reported all deviations for resolution

Used Informatica ETL tool for Extraction, Transformation and Loading the data into target database.

Tested ETL Packages, Scripts from development to QA environment.

performed All phases of end-to-end testing which includes Smoke testing, Functionality testing, System Integration testing, Regression testing, back end testing etc. at Premera Health care.

Wrote SQL queries for data Validation, mapping document Validation of end to end testing between HIX and Premera healthcare database.

Used Quality Center to developed test cases in Test plan module and executed test cases in Test Lab Module and logged the defect in Defect Module.

Worked on All the stages of software development life cycle like writing Requirement assessment, Test plan, Test Cases and after Product is released worked in QA maintenance phases

Participated in daily standup(Scrum) meetings, project status meetings as well as retrospective meetings and iteration reviews.

Environment: TRIZETTO Facets 5.00, Edifecs transaction Management, HIPAA EDI, HP Quality center 10.0, Microsoft SQL server 2008 R2( SQL server management studio), Informatica Power Center 8, Microsoft out Look, Microsoft Office communicator 2007 R2, Web Services, SOA.

Carefirst BCBS, MD

Feb ’10 – Dec ’11

Quality Assurance Analyst

Responsibilities:

Analyzed the requirements for Inpatient, Outpatient, Ancillary, and Physician contract and Agreements and developed test plans.

Developed Test Cases/Conditions for manual and Automation testing for Inpatient, Outpatient, Ancillary, and Physicians Agreements and Claims

Involved in performing functional, application and regression Testing.

Developed the Test Data for different Inpatient, Outpatient, Ancillary, and Physicians Claims with relevant agreements in FACETS 4.51

Created the Test Claims for Different Service diagnosis and procedures in Facets.

Used Networx Modeler for Verify the updated Agreements Contracts.

Used Networx Pricer for Verify the updated Pricing for Service Procedures.

Used Main Frame Topps for Verify the Pricing for different quarters for different Services.

Verify and Validated the Provider and Provider Group.

Verify the Active member benefits updates in FACETS

Verify and Validate the Pricing in Production for different Claims of outpatient, inpatient, Physicians

Developed the Test Claims and adjudicated them to determine the members’ payment in the Facets.

Verified the user-defined warning messages for Subscriber/Family application for use in Claims processing and Customer Service.

Verified the user-defined Error Messages Incorrectly Entered Claims

Used Rational Robot for Defect Reporting and tracking.

Worked with SME’s to develop different Test Scenarios in claims processing.

Used Third Party Citrix Web to use and access the IFACETS and Rational Testing Tools.

Used Rational Robot for Functional and Regression Testing.

Interacted with Business users and BA’s and Benefit Coders regarding the Requirement Issues

Environment: Facets 4.51, TriZetto Networx Modeler, TriZetto Networx Pricer, Rational ClearQuest, Rational Robot, NASCO, TOPPS, Java, J2EE, DB2, IBM Mainframes, Lotus Notes.

BCBS, Detroit, MI

Sep ’08 – Jan’10

QA Analyst

It is the largest health care insurer in the Mid-Atlantic region. With its offices in District of Columbia, Maryland, North Carolina, Northern Virginia and West Virginia and serving nearly 3.1 million members. Worked on all HIPAA transactions. I was also involved in integration of FACETS. I also worked on the implementation and enhancements to the COB (Coordination of Benefits)

Responsibilities:

Reviewed Business Requirements, Functional and Technical specifications with business analyst and QA manager to learn the functionality and process.

Involved in preparing Test Plan and defined the testing approach, resources and time lines.

Worked with other team members and conducted the weekly status meeting to make sure the all team members are on the same page.

Keep motivated the other team member and resources to get the job done on time.

Wrote Test Cases in Excel based on Technical and Functional Specifications and upload them in Mercury Quality Center.

Maintained Requirement Traceability Matrix (RTM) to make sure that test plans were written for all the requirements.

Testing member enrollment module by using facets

Written maximum number of test cases in a very detailed for All the modules of Facets Application Responsible to check whether the interface and the extensions properly integrate with the facets application.

Performed data validation according to data mapping document with data conversion logics from source system and target system.

Involved in GUI, Regression, database, Compatibility and Configuration Testing.

Conducted GUI and functionality testing using QTP.

Conducted data driven testing using QTP to conduct backend testing.

Performed Automation of various test cases for sanity testing and functional testing using QTP.

Extensively user SQL queries and procedures for data validation in both source system and target system.

Created and maintained SQL Queries for back-end testing.

Created and managed data base trigger and subprogram using SQL.

Provide training in using the system, using reports, executing queries and writing in SQL.

Executed test cases found errors, reported defects, coordinate with developers and business analyst, determined repair priorities.

Perform regression testing after the defect is resolved and closed defect in Mercury Quality Center.

Generated test execution reports, get sign off and uploaded validation documents in share point web site for review.

Executed automated test case and scripts using QTP for the Front-end-applications and analyzed the results.

Performed User Acceptance Testing (UAT).

Involved in performing data validation in NASCO production region.

Environment: FACETS, Mainframe, Oracle, SQL, Mercury Quality Center, MS Office

EDUCATION:

MA in English, Dhaka University, Dhaka, Bangladesh

Legal Status in USA : GC

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