** ****** ***, ******

NJ, *****

Cell:732-***-****

acyotm@r.postjobfree.com

SUMMARY

IT Professional with over 7 years of Excellent testing experience in all phases and stages of Software Testing Life Cycle and Software Development Life Cycle (SDLC) with good working knowledge of testing methodologies, disciplines, tasks, resources and scheduling.

Expertise in Healthcare domain including Federal Employee Program and Inter-Plan Teleprocessing Services, Pre-Adjudication applications with 4010/5010 processing, and Facets

Experience in test automation tools including Rational Functional Tester and Rational Robot

Experience with HL7, HIPPA 4010, 5010 EDI transaction codes 270/271, 276/277, 834, 835 and 837

Exposure and knowledge to 834 benefits claims files testing in enrollment and plan merger projects

Involved in the build validation procedures of HIPAA for (837, 270/271, 276/277, 278, 820, 834, 835 and 997)

Proficient in using ICD 9/CPT/DRG/ANSI/HL7 coding standards in Medicare and Medicaid domains of the healthcare systems and industry for both Inpatients and outpatients

Involved in a complete integration strategy for ICD-10

Experience with Medicare, Medicaid, and commercial insurances in HIPAA ANSI X12 formats including 270, 271, 276, 277, 820, 834, 835, 837 and 997

Experience in EDI Testing, Mainframe Testing, with great knowledge of QA methodologies

Well versed with Pega BPM system, Integration testing.

Experience in complete Pega implementation cycle, including development, testing, and deployment

Experience in Black Box Testing GUI, Client/Server, and Back-end and Web services testing

Performed onshore Test coordinator and Test Manager Roles

Experienced in Production support including On-call activities and coordinated with Business and End-users.

Proficient in using Quality Center, Rational Clear Quest, Soap UI, Web sphere MQ.

Skilled in documentation of Test plans, Test Strategy, teats cases, test execution.

Gained expertise in Manual testing encompassing functional and Non-functional testing, system and integration testing, regression testing, Regression testing, user acceptance testing and E2E testing.

An effective communicator with excellent relationship building & interpersonal skills

Strong analytical, problem solving & organizational abilities

Possess a flexible & detail oriented attitude

Prior experience in mentoring Testing team and coordinating geographically distributed teams

SKILLS

Test Management Tools : HP ALM, Quality Center, Clear Quest, Test Complete

Project Management Tool : MS Project, Quick base, Jira

IT SM tools : BMC Remedy, Peregrine.

Test tools : QTP, Rational Robot, HP ALM, Rational Functional Tester, Selenium, Pega PRPC

Programming Languages : VS COBOL II, VB Script, CICS, JCL

Database : DB2, Oracle.

Configuration Tools : Change Man, CA Endevor, MS VSS, Rational Clear Case.

File Management Tools : File-Aid, File Manager, VSAM.

Other Tools : TSO/ISPF, NASCO, Cloud, FACETS, MS Visio

EXPERIENCE

Abbott, Princeton, NJ August 2016-December 2016

Quality Analyst

Data Manager / Info HQ Manager

Maintain control over testing data with a web-based system that helps manage test results, operators, and devices. It is web based software to manage software solutions that helps oversee test results, operators, and devices; it is integrated with Laboratory Information System (LIS) and Electronic Medical Records (EMR). Control and Manage Point of care data with live interfacing with devices like i-STAT300, i-STAT Alinity, ADC Glucometer as well fully compatible with i-STAT Wireless, STAT Notes and Advanced Quality Features (AQF).Built-in inventory tool for managing cartridge levels. Support for admission, discharge, and transfer (ADT) data for Positive Patient Identification (PPID)Identify and remediate exceptions like out-of-range results, failed quality control (QC), and invalid patient IDs.

Roles and Responsibility at Abbott

Manage operator competency with certification tools

Analyze quality control (QC) trends and formatted in various types of reports.

Prepare Verification test plan and verification test protocol for Info HQ Manager and integrated medical device.

Involvement in GUI design and testing, performed Ad-hoc, Integration, Regression, System testing.

Requirement review, preparing test strategy, scope and plan.

Managed the process using the verification/validation, hazard/risk analysis protocols, reports, procedures, and work directions according to Quality System Regulations and FDA/ISO standards

Environment: TFS, EMR’s, MS Office Excel, Word, PowerPoint, Share point

Bio Reference, Elmwood park, NJ May 2016-August 2016

Quality Analyst

Implementation of Xifin: BioReference is the third largest full service clinical diagnostic laboratory in the U.S. providing testing and related services to physician offices, clinics, hospitals, long term care facilities, employers, governmental units and correctional institutions. It offers a comprehensive test list focusing on molecular diagnostics, anatomical pathology, genetics, and women’s health. For all the services render they were using Vertex as their billing system, which they were replacing with new Xifin system.

Responsibilities:

Analyze project requirements and specification.

Create accessions in SPM based on different types of test

Create accessions for different test in EB Bio, Genecys

Create accession for woman’s test in GEO

Verifying Jason messages in the Iguana channel

Verifying HL7 messages in B2

Executing test cases in Jira

Logging defects in Jira

Coordinating with developers for issues and defects

Retesting defects once they are fixed and deployed

Verifying accessions in Xifin as per accessions created

Environment: Jira, Confluence, MS Office Excel, Word, PowerPoint, EMR’s

Emblem Health, New York, NY Jan 2016- April 2016 Quality Analyst

Emblem Health; Emblem health is under contract for installation, customization, and development of the Med Insight system. Emblem Health has a mechanism to report on medical expense targets, which is going to have shared risk arrangements starting in 2016. They are diminishing their overall risk by expanding their number of risk groups, and a more systematic approach to reporting and analytics is needed to support these two-sided risk arrangements.

Clinical reporting is currently pieced together at this time using EmblemHealths’ MedStat tool. Emblem Health wants one tool for financial and clinical reporting and analytics. They are looking to have a single point of truth using a consolidated data warehouse solution. Alyssa Pepper (Alyssa) is manually reconciling the two types of data at this time. Initially, Emblem will be providing both financial and clinical reports to the provider organizations. The goal is to provide their provider; organizations direct access to the Med Insight system where they can run their own reports and utilize the system for ad hoc analytic requirements.

Responsibilities:

Analyze project requirements and specification.

Involved in building up test strategy test plan for ETL process

Cross walk Emblem health codes with Med insight codes

Prepared test cases for data verification

Build SQL queries to verify data for ETL process

Generating and verifying reports for Med Insight reporting analysis

Logged and track defects using HP ALM

Environment: HP ALM, Share point, Oracle SQL developer, MS Office Excel, Word, PowerPoint

Healthix, New York, NY June 2015- Dec 2015

Software Quality Analyst/Lead

Healthix: Healthix is building a new technology platform, called H2O, which takes advantage of the latest Hhealth Information Exchange infrastructure to give Healthix and its participants a robust, unified, and flexible system for delivering current and new services. H2O allows Healthix to merge the legacy Healthix and BHIX systems onto a single platform, combining the best functionality from each legacy system. Finally, Healthix is designing H2O to meet New York State’s latest certification requirements for qualified entities (QE).

Responsibilities:

Involve coordination with stakeholders for systems specification

Analyzing new development specification and coordinating testing approach

Implemented the Agile testing methodologies for the entire Test program

Developed test plan for the testing activities

Test cases creation for manual testing

Test script creation for automation tool

Validated HTTP protocol and SOAP messaging

Analyzing test data and creating new data for testing

Running automation scripts for portal’s performance check

Documented, tracked and communicated test plans, test results, analysis, and unresolved problems

Compared and analyzed actual with expected results and reported all deviations to the appropriate individual(s) for resolution

Create weekly and monthly reports for business and accounting department

Involve in Web services testing such as Single sign on for participants EMR system

Testing Interoperability Projects Connecting disparate EMRs to an HIE, (EPIC, GE Centricity, eCW, Net smart, Allscripts, Sunrise Clinical Manager)

Involved in validating the patient records and health information data in EPIC interfaces

Validated HL7 messages from Neuron to Capsule server

Interfaces testing Include: ADT, Lab, Rad, Meds, CCDs, Docs and Clinical Event Notifications

Involve in web services testing with LDAP SSO connectivity

Verifying access to LDAP directory

Verifying automation testing reports

Environment: Jira, Quick Base, SOAP UI, Selenium, EMR’s, MS Office Excel, Word, PowerPoint

United Health Group, Winooski, VT July 2014- June 2015

UAT Analyst/Lead

Vermont Health Exchange is working on multiple projects, which include Open Enrollment, Renewals, and Life changing events. My responsibilities are to co-ordinate and facilitate User Acceptance Testing for all these efforts. This includes making user stories, requesting and assisting with test data request for business and executing complex UAT test case scenarios. In addition, I am also responsible creating reports, analysis and dashboard for all UAT test effort and review with the state client.

Responsibilities

Interacted with clients to determine User requirements and goals

Participated in analysis of Business and functional requirements

Developed Test Plan and overall Test Strategy for the UI testing of Enrollment Application

The single point of contact regarding arrangements and problems around testing activities

Developed Test Plan and overall Test Strategy for the Application

Developed Test Cases and Test Scripts for System and Pega PRPC Testing.

Performed Positive and Negative Testing for this application

Performed basic testing of security features using manual testing

Developed advanced SQL queries to extract, update, and/or calculate information to fulfill data and reporting requirements including identifying the tables and columns from which data is extracted

Performed Black box testing, Functional testing, Integration testing, Regression testing, System Testing in Testing environment

Responsible for communicating Defect Status Reports to business in project meetings

Participated and Organized weekly meetings and walkthroughs to improve the testing efforts.

Reported bugs and tracked defects using HP ALM

Involved in support team for planning Production load cycle

Performed periodic checks to run crosscheck against QA/SIT/PROD environments to ensure it is up and running.

Maintain defect management in Clear Quest while supporting UAT sessions

Environment: HP Quality Center, MS Office Excel, Word, PowerPoint, MS Project, MS Visio, SQL, PL/SQL, Selenium, Facet.

Future Script/ RMK Consulting NJ June 2014-July 2014

Test Analyst

Argus system will no longer support Med D claims operations for Independence BCBS- Med D eligibility and Claims will be adjudicate by Highmark. Catamaran will be supporting this migration on their Rx-Claim platform in Mainframe. At the beginning of 2014, Rx-claim was customizing for Argus, It will move back to standard process for Highmark.

Prepared Test Cases based on the Requirements /Design Document/ Uses Cases

Prepared Test script using Excel Macros

Was involved in gaining understanding of Med D Portal on Catamaran side and building test plan

Run Test scripts using Argus system

Creation of different kinds of Drugs Claims (Rx Claims) for adjudication

Rerunning Rx claims in the Argus

Environment: Argus mainframe system, MS Office Excel, MS Excel Macros, Jira

Claims Processing:

Blue Cross Blue Shield of Michigan

Test Lead Jan 2011 – March 2014

Direct Enrollment: The Direct enrollment introduces due to new Obama Care Health reform. New application was built for the customers, who want to enroll in to new Obama Care through BCBS. Direct enrollment was connected to FFM (Federal Facilitated Market Place) where consumers can enroll in to BCBS plans through Obama care. Consumers will get their eligibility determination through FFM and will navigate to BCBS environment to choose BCBS health plans.

2014 Health Care Reform: The 2014 Health Care Reforms was to make changes to IBU business processes to accommodate new Healthcare Reform changes to Enrollment, Underwriting (Quoting, Rating), Products, Plan Advisor and Workflows due to the new reforms the 2013 products would no longer be PPACA compliant. The Jet Issue capability was introduced to cut the processing time of new business consumer applications. It was designed to achieve a key goal: speed of application processing to enrollment. To achieve this, new functions and business logic was introduced into the application capture process to properly flag improper user inputs, perform cross edits of the data.

Individual to Individual: This project was to provide a pre-populated enrollment form for a member to go in and select an IBU product without having to enter information already stored within Blue Cross Blue Shield of Michigan membership system.

Dental Integration: This project was to integrate Dental products into Medical flow as new Health Care Reform require individual to have Dental plan along with the Medical plan. It also introduces the capability of shopping tool which is Quote tool for combined medical and dental product. This tool help estimates the monthly payments and store information of the given Quote which helps individual to apply for the quoted plan in future.

837: HIPAA mandating adoption of the 5010 version of the ANSI ASC X12 standards for EDI 837 transactions pertaining to HIPAA-covered events. NASCO MO was supporting the 4010A1 version till the implementation. This project was to include supporting both 4010A1 and 5010 versions and eventually rolling over to the 5010 version as a long-term solution. Through the implementation of this project, NASCO MO will maintain HIPAA compliance and continue to support industry standards. NASCO MO is responding to the HIPAA mandate as a regulatory requirement. As part of this program, we laid the ground work for the ICD-10 program, which was deployed in 2013.

Responsibilities:

Performed In-Depth Analysis of the Software Requirements and imparted Knowledge Transfer to the team members

Onsite coordinator. Interacted directly with clients on-site and worked with offshore team.

Reviewed the use cases written by the Business users and offshore team

Prepared Test Cases based on the Requirements /Design Document/ Uses Cases

Attended review meetings and walkthroughs to discuss the status of the project

Worked with System implementation, Claims and Benefits configuration set-up testing, Inbound/Outbound Interfaces and Extensions, Load and extraction programs involving HIPPA 834, 835 and proprietary format files and Reports development.

Worked with HL7, HIPPA 4010, 5010 EDI transaction codes 270/271, 276/277, 834, 835 and 837

Tested the build validation procedures of HIPAA for (837, 270/271, 276/277, 278, 820, 834, 835 and 997)

Performed EDI Testing and mainframe testing

Tested Batch and Real Time updates of HIPAA-4010-mandated ANSI 270 (Eligibility and Benefit Request) and the ANSI 271(Eligibility and Benefit Response)

Created Test Plan, that defines the test environment, phases of testing, entrance and exit criteria into different phases of testing and resources required.

Validated the reports and files according to HIPAA X12 enforced standards.

Participated in Joint Application Development (JAD) sessions with the management and IT teams; performed technical design walk-through to gauge extent of compliance with Trading Partner’s expectations

Checked trading partner numbers for different providers in different positions in different Record Types of ERA 835 for 4010 and 5010 format.

Performed Backend Testing using TOAD (SQL Queries).

Worked on Enrollment, Claims Processing, ITS Claims, and Customer Service Applications which are supported by Facets.

Created XML test files based on XML schema.

Worked with SQL extensively to test database integrity.

Participated in defect review & go-no/go meetings

Environment: Requisite Pro, SharePoint, Rational Unified Process, Oracle 10 g, TOAD, SQL, Clear Quest, Visio, Rational Rose

JPMC Feb 2009– Nov 2010

QA Tester

Project: Personal Finance and Business Services:

JP Morgan is building a new user interface for online banking towards their loyal customers. The personal service consists of managing Checking and Savings accounts, credit cards, balance transfers, bill payments, deposit methods and individual retirement accounts and money transfer. JPMC provides individual applications for customers and customer representatives.

Interacted with clients to determine User requirements and goals.

Participated in analysis of Business and functional requirements.

Aided in development of test policy, including Test Automation, for 401k application that served million users.

Verification and Validation of the system was ensured through the exercise of its Investment Management Structure for the Retirement Industry by either Manual Test or Test Automation using HP/Mercury Quality Center.

The single point of contact regarding arrangements and problems around testing activities.

Developed Test Plan and overall Test Strategy for the Application SDLC.

Developed Test cases, Test plans, and Test procedures using MS Word and MS Excel

Performed Positive and Negative Testing for this application.

Performed basic testing of security features using manual testing

Work on CRM tool to manage customer profile and to manage earned points.

Developed test scripts for Enrollments, Fund Transfers, Contribution Rates, Account Opening, and Investment Direction for use in Test Automation and Regression.

Verify the points redemption system is working as per design.

Performed Black box testing, Functional testing, Integration testing, Regression testing, System Testing in Testing environment

Responsible for communicating Defect Status Reports to business in project meetings.

Participated and Organized weekly meetings and walkthroughs to improve the testing efforts.

Reported bugs and tracked defects using HP Quality Center

Involved in support team for planning Production load cycle

Tested ETL processes using DataStagedesigner to load data from Oracle, MS SQL, Flat Files (Fixed Width) and XML files to staging database and from staging to the target Data Warehouse database

Performed Verification, Validation, and Transformations on the Source data before loading into target database

Communicated and documented test results and defect resolution during all phases of testing.

Focused on Data Quality issues / problems that include completeness, conformity, consistency, accuracy, duplicates and integrity

Tested and maintained the Business Objects universe and reports

Involved in extensive DATA validation using SQL queries and back-end testing

Used SQL for Querying the Oracle database in UNIX environment

Performed periodic checks to run crosscheck against QA/SIT/PROD environments to ensure it is up and running.

Maintain defect management in QC while supporting UAT sessions

Environment: Z/OS, IMS, UNIX, DB2, Oracle, SQL, VB Script, XML, QTP, HP Quality Center, Rational Robot, EOS Reporting, CRM, PEGA PRPC.

Education: Bachelor of Commerce, Mumbai University

Contact this candidate