Quality Assurance Microsoft Office

PREETHI KEMBHAVI

Email:*******.********@*****.***

Cell: 248-***-****

Overall Summary: Quality Assurance, Process Improvement Leader & Project/Program Manager with broad experience and exposure to manual testing, automation testing wherever applicable, LOE reviews, strategic timeline/roadmap/resource planning, budgeting, contract negotiations and RFQ reviews. Pioneered brand new initiatives in Quality Assurance and efficiently carried out Project Management functions within the healthcare software development space.

Professional Experience:

03/15 – Present Massachusetts Office of Information Technology (Mass ITD): HIX Project

Manager, Software Quality Assurance Boston, MA

Mass IT is State’s lead agency for technology and innovation also responsible for successful functioning of the Health Information Exchange project (HIX)/Integrated Eligibility System.

Act as a Key Liaison between the Business Stakeholders, System Integrator/Vendor (UHG), COTS & Custom Development partner (hCentive), various other Integration Partners (Dell, Maximus, Optum ID, FDSH, MMIS, CMS) required for the effective functioning of the system and, a member of the Contract Governance Body.

Ensured code freeze and system/release stability by appropriately engaging all the partners with the business and obtaining their sign-offs on the known issues that is needed to support the Open Enrollment Period for the Health Exchange.

Participate in Contract Negotiations, Task Order discussions and help in drafting the Scope of Work for the testing, LOE reviews and approval, Release Scope and timeline drafting and procurement activities on the program. Effectively manage and track the Change Requests and the Change Management Process and analyze its impact to the Releases and measure outcomes.

Effectively engage in all the phases of the SDLC for the Program and contribute to the PgMP updates and successive year’s roadmap planning for various Quality Assurance Improvements as seen and needed. Redesigned the User Acceptance Testing approach for the state’s Medicaid agency and the Connector Care Authority (CCA).

Responsible for approving the deliverable expectations per the industry standards and actual deliverable reviews and sign-offs on Share-point and on the local project repository. Collaborate with the state’s Independent Verification and Validation team on their findings prior to be presented to the Centers for Medicaid and Medicare Services (CMS).

Successfully manage and lead the Process Improvement Workgroup’s initiatives, different types and phases of Testing as required by the State Based Marketplace/Integrated Eligibility Systems (Medicaid and Medicare) monitor and report progress on the same.

Direct and Build a solid testing and remediation plan from scratch to ensure that the Exchange is Accessibility Compliant per the State (WCAG2.0) and Federal Guidelines(508C) by using all the different Accessibility tools and browser versions in the market (AT/IT List)

Produce reports and presentations for the Executive Committee and Board Meetings in conjunction with the executives and the Accessibility Advisory Committee (AAC) for the state of MA.

Conducted post project reviews and lessons learned sessions, identify process adherence issues and develop plans for improvements and monitor consistency.

04/14 – 02/15 Harvard Pilgrim Health Care (HPHC)

Program Lead, User Acceptance Testing Boston, MA

Harvard Pilgrim is a not-for-profit health services company serving members throughout Connecticut, Maine, Massachusetts and New Hampshire and one of the nation’s highest rated health plans.

Responsibilities:

Built the UAT strategy and the corresponding artifacts in accordance with the business stakeholders for the entire Network Data Management Program and for the five different projects with different initiatives underneath it.

Lead the daily Scrum meetings and monitor the progress on all the five projects of the program. Worked towards developing a robust and iterative development and testing practices with the development and business operations.

Collaborated with the COTS- MCKesson solution performed FIT-GAP analysis and contributed to the future state design discussions for the system that satisfied the business needs and operations and help in decommissioning the existing legacy system (AMISYS).

Successfully led the test team for test execution monitored and tracked the business tests and the associated results to be presented to the Executives. Ensured that the test progress was shared on a timely basis across the teams and the results were loaded in the Test Management Tool (HP QC).

Establish strong working relationship with cross-functional teams across various projects and work collectively to deliver the maximum outcomes for the projects and investments made.

Arranged for training and live workshop sessions or webinars by ensuring that the user guides/ training manuals are up to date for the new applications and/or changes to the current business processes to train the business/end users.

Acted as a primary point of contact between the Project Team and the Business Team.

Provided expertise in end to end testing and participated in Business check-outs prior to Production deployments.

01/12 – 03/14 Blue Cross Blue Shield of Michigan (BCBSM)

Lead, Software Quality Detroit, MI

Blue Cross Blue Shield of Michigan is a nonprofit mutual insurance company and largest health insurer in Michigan serving 4.5 million people.

Ensured that the Federal, State and the other taxes are computed accurately for the different businesses and health plans as required by the Affordable Care Act (ACA) and the National Health Care Reform (NHCR).

Developed the testing framework from scratch to perform the complex calculations that served as the go-to Artifact for all the future references by the back office verifications and business users. This also served as the basis of developing the Online Calculator tool on the application for access by a million external users.

Validate the end to end Claims Adjudication Process by working with NASCO.

Instituted the new deliverable submission and review process that improved the workflow, turnaround time that yielded high quality documents.

Recruited, trained and managed the onsite and offshore quality assurance team. Led Rational Clear Quest tool improvisation, customization and tool usage for maximum results.

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01/11 – 12/11 NC Dept. of Health and Human Services (DHHS)

Lead, Testing and Business Analysis Raleigh, NC

NC’s DHHS manages the health and human services for its population including vulnerable citizens through lot of departmental initiatives by working in conjunction with their Medicaid System which has undergone a major reform.

Responsible for business analysis, use case analysis, creation of User Stories in JIRA, requirements gathering, project management, test development and documentation.

Bring meaningful information on to the table for the testing team which is easier to interpret and implement for test execution.

Provided strategic QA and testing expertise in end to end, Performance, Security, Blueprint and all the other types of testing based on the design of the system/application.

Designed a structure methodology based on use-case modeling to enable reuse for future regression testing cycles on multiple system platforms.

04/09 – 12/10 DHFS, State Of Wisconsin

Lead, Quality Assurance Madison, WI

Department of Health and Family Services (DHFS), State of Wisconsin promotes and protects the health and safety of its residents.

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Coordinated with the Software testing team, directed the use of test environments and creation of test data. Oversee all the testing standards and test activities of the team to ensure that their new EDS developed and, feature rich MMIS system called the “Interchange” works seamlessly per the approved business and state requirements.

Created and implemented the Master Test Strategy, Test Plans in alignment with the Project Schedule. Excelled in conflict resolution and contingency planning/ risk based approaches that resulted in cost savings and on time delivery of services.

Conduct daily (if needed) and weekly meetings with the Testing Team and the escalate risks and issues with the Project Manager and other executives. Manage and mentor the team for quality outcomes.

08/08 – 03/09 Shire

Test Lead Chesterbrook, PA

Shire is a leading global biotechnological company fully focused on a single purpose: to enable people with life-altering conditions to lead better lives.

Guiding and Performing System Integration testing (SIT) to validate the system. Assisting in test planning, creation of testing artifacts and test execution even for the UAT team. Provide coverage analysis through the Requirements Traceability Matrix (RTM).

Responsible for test execution reporting in the test management tool, generate presentations and views for the project members and stakeholders and maintain transparency. Create and adhere to an efficient defect management life cycle throughout the test phase by configuring the existing defect management tool on the project.

Technical Skills:

All EDI X12 transaction’s knowledge, 4010 to 5010 conversion, Waterfall, Agile Methodology, Scrum Master, Atlassian JIRA, Share Point, Rational Rose, Requisite Pro, Rational Clear Quest, MS Access, HP ALM, HP QC, Silk, Microsoft Office, IBM Lotus Notes, MQ Series, Microsoft Project, Microsoft Office, MySQL, Mainframes OS/390, Mass Forge, KANBAN, Accessibility

Education:

Master’s in Health Care Administration- University of Texas, Arlington

Bachelors in Biotechnology, Sreenidhi Institute of Science and Technology, Hyderabad, India

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