Sr. Quality assurance analyst
Resume:
Rajbir Kaur
******.******@*****.***
Career Objective:
Talented and accomplished Software Engineer seeking a technically challenging position in the area of Software Testing. To become a successful Professional and to work in an organization where my knowledge can be shared and utilized, and my creative skills can be brought out in the best of that organization.
Professional Summary:
Over 5 years of experience in the Information Technology Industry as a QA tester in Manual and Automation Testing.
Expertise in preparing Test Strategy, Test Plan, Test Cases and documentation of the Test plans, Test Cases, Test Scripts, Test Procedures based on the design document and User Requirement Document.
Performed various types of testing such as: Regression, Black box, white box, Data-Driven, system, SIT, UAT, smoke, Usability and security testing for the web-based applications.
Performed manual and automated testing using HP-Mercury tool like Quality Center, QT and Selenium.
Expertise in running Test Scripts from Quality Center/ Test Director on different hosts.
Knowledge and experience with distributed systems, web application technologies, web services, and multi-layered architectures.
Experience working on Healthcare Reform Projects such as Health Insurance Exchange (HIX), ICD-10 Remediation and HIPAA 5010 Implementation.
Good understanding of the testing knowledge for EDI (Electronic Data Interchange) 834, 835, 837I, 837P, 270, 271, 274 and 278.
Excellent experience in working with SQL database and SOAPUI.
Excellent in communication, presentation, and interpersonal skills. Good team player with the ability to lead, manage and work independently in a time sensitive environment.
Active participant of Defect Management and resolution process.
Experience with Medicaid, State Eligibility and Private Health Plans Operation.
Technical Competencies:
Testing Tools:
HP QTP, ALM SmartBear, HP ALM, SoapUI, REST, UFT, Selenium, WS_FTP, CA Rally, SQL, Notepad++, Ultra Edit, Cucumber, Liaison EDI, Clear EDI, ExamDiff, Sauce Labs, Adobe Experience Manager, BeyondCompare
Bug Reporting Tools:
Quality Center, Test Director, Mantis, JIRA, Bugzilla
Testing Methodologies:
Agile, Waterfall
Other Tools:
MS Office Suit (Word, Excel, Power Point, Visio), Linux, VMWare, Toad, UNIX PuTTY
Systems:
Windows/XP, Server2003, Linux Centos 4
Work Experience:
United HealthGroup/Optum Technologies, Basking Ridge, NJ July2014-2019
Sr.QA Analyst
Worked on many projects within UHG, Worked on Health Insurance Exchange project for the State of Vermont and Sate of Massachusetts as a Sr.QA Analyst. Since April, 2016 I have been part of an Optum internal project for OIL (Optum Integration Layer) with state of Wyoming and OptumCare with Mt. West. As my most recent project I am working with VACCN (Veterans Affairs Community Care Network)
Responsibilities:
VACCN (Veterans Affairs Community Care Network) Sr. QA Analyst/Data Specialist
Community Care Network (CCN)’s goal is to allow more Veterans to receive healthcare services outside the VA; this provides Veterans better access when the VA providers do not have availability or the VA is not accessible to the Veteran due to distance and time.
Network includes Medical, Behavioral, Dental, Vision, Rx and Complimentary Integrated Healthcare Services (CIHS).
Utilized the CA Agile Central rally tool for test case creation, execution, reporting and defect logging.
Utilized DTS (data transformation system) built by Optum to transform X12 EDI files to XML format.
Utilized Liaison EDI notepad and notepad++ extensively to perform Functional testing.
Lead the effort of E2E integration testing between the 834 (Member Eligibility), Referrals and claims for those members.
As the lead of E2E test process; built the E2E testing process for all the systems that the file would go to and collaborated with other vendors such as LHI for the completion of the process.
Involved in building the Automation framework for claims types such as Eligibility and Enrollment/278 (Provider), 835I/P/D, 837I/P/D, 270, 271 and CVS pharmacy claims
Worked on the entire claims process for Healthcare starting with member Enrollment then 278 (Provider), 835I/P, 837I/P/D and CVS pharmacy claims.
Worked with LHI (Logistics health Inc) as they provided the STAGE environment for Optum’s DTS Platform in order to transform the claims from X12 to XML.
Worked in an agile environment with two weeks sprint periods and delivered QA tasks associated with the User Stories on timely manner.
Involved in tracking utilization management and cost over time by linking clinical events and professional charges to the patient’s case.
Was responsible for triggering a case management enrollment message to a pool of case managers automatically, triggered by a referral, order, or AP claim.
Performed Error handling testing along with System testing.
Utilized HIPPA validation tools such as ClearEDI to validate that the EDI files were as per HIPPA standards.
Created and loaded data into SQL databases in order to validate the Clinical quality of the data.
Ran SQL queries based on the data requirements and imported/exported data.
Created manual and automated scripts for regression testing and in sprint automation, as needed.
Created bulk data to utilize it for performance testing using SOAUI.
Conducted test case reviews to ensure test cases accurately capture functionality identified in user acceptance criteria.
Developed an automation test data creation tool called Configurable Excel Export Data Solution (CEEDS) for the QA team to utilize while testing across all claims trains.
Optum Care (MT. West&RBE)- QA Lead/Manager
This project was based on Mt. West regions; Optum provided its platform Optum Integration Layer (OIL) for the claims system for these regions. OIL provided integration services to any internal or external system using a variety of application protocols and integration patterns.
This project followed Agile methodology and I was part of the PI planning events, daily scrum calls, agile trainings and Daily status report meetings.
Worked closely with the team to groom the User stories during the PI event and put them in the Backlog in CaRally.
Worked as a QA Lead and worked mainly with 834 and 274 EDI transactions, was responsible for weekly reporting for the QA team.
Was responsible for coordinating with a different scrum team to get the sample CDF files from FACETS.
Performed different levels of testing within each sprint as needed- which included Unit, Smoke, Performance, SIT, Security and regression.
Used Visual Studios to perform ad-hoc and exploratory tests which included action auditing, commenting with annotations, rich data capturing and bug-reporting.
Functional &SIT testing included Field, File and record level testing.
Used Liaison EDI Notepad in order to validate the EDI files and view the files in HTML, EDIT, TEXT, HEX or XML view.
Used Mock data as well as CT (Real time data) after scrubbing it for the purpose of testing 834 and 274.
Was responsible for E2E testing with Medecision’s Platform Aerial where I was validating the EDI outputs processed by OIL.
Was responsible for defect management and defect reporting in Rally.
OIL (Optum integration layer) with State of Wyoming - QA Lead (UAT):
OIL is centralized integration layer for various Optum systems for internal and external integration, utilizing Mule ESB including, B2B Adaptors, EDI conversions (834, 837I, 837P, 274 and 278).
Worked on the Utilization and Health Management services (UM/HM) for the state of Wyoming Medicaid program.
Used Medecision’s Aerial Care Management (ACM) platform for services.
Created thousands of data files and processed them through WS_FTP to validate the errors for negative data and EDIs for positive data.
Validated each EDI transaction using Microsoft Visio and Ultra Edit.
Created and processed Change files for 834 and 837I and 837P, validated the changes are processed and EDI’s are sent to Medecision.
Extensively used Microsoft PowerPoint to create formulas and reference sheets for each EDI transaction in order to validate the results.
Used HP ALM for test management and to run a Smoke test for each release and for Defect Management.
Tested PA SOAP service in SOAPUI, the service had an internal logic to derive the value of Prior authorization number request triggered each time by an incremental count of sequence number.
Used Sauce Labs tool to run automation tests in the system.
The data for each day and last sequence number was logged into the database in order to pick up the next sequence for that day and increment the count for subsequent request.
Validated each PA response in SOAPUI and logged results in the MuleSoft application.
State of Massachusetts:
Worked on the MassHealth Redeterminations requirements specifically related to the implementation of functionality into the hCentive system for R8.
Attended BRD walk-thru meetings to understand the business requirements, User stories and participated in creating test plan, test scenarios, test cases and test data.
Strong knowledge on Notices, MMIS, EDI, APTC, Plan Management, Eligibility, Program determination, and FLP validations, CMS/ Federal Hub Testing.
Performed End to End testing for Mass health renewals in integration with SSA(Social Security Administration), IRS (Internal revenue services), Equifax (current income) and Medicare Part A eligibility.
Performed renewals on all applications and verified that data is verified against the internal database tables and no ping happens to CMS during renewal process.
Assisted client with User acceptance testing (UAT).
Extensively used PLSQL Developer programming in backend and front-end functions, procedures, packages to implement business rules and security.
Involved in data validation and back-end testing by writing and executing simple and complex queries in SQL.
Validated XML’s MMIS and notices in PLSQL.
State of Vermont:
Worked as part of SIT in New Jersey and UAT at the client site in Vermont.
Participated in meeting with Clients to understand the functional and non-functional requirements of the project understand the scope of work, interact with Client SME’s for any queries.
Created Test Plan and Test Cases and executed them in SmartBear Test Complete.
Documented initial processing of Qualified Health Plans (QHP) and MAGI Medicaid, healthcare applications using One Gate and Oracle Policy Automation.
Tested the Front end UI for state required scenarios and Business required scenarios and used Siebel as a database to validate the results.
Performed all backend testing in Siebel; also reported COC (Change of circumstances) in Siebel.
Performed Black box, Regression, IRS, 2300 Loop, Security, Blue Print Testing, CMS, System integration and Smoke testing.
Used Selenium IDE and Selenium WebDriver for Regression and Smoke testing at the beginning of every release to run the automation suite and to reproduce bugs for defect management.
Performed End to End Testing from UAT prospective in Integration with carries such as BCSBS and MVP and Benaissance (Payment center vendor).
Validated the EDI transaction 834 for all applications and performed data mapping to define the source data.
Efficiently monitored, maintained, executed and evaluated automated test scripts, web application tests and reported bugs using SmartBear Test Complete.
Successfully designed, wrote and updated test plans, and maintained related testing processes using SmartBear.
Worked on open enrollment, renewal and COC (Change of circumstance) releases.
Managed defects- defect triage, RCA and reporting in Smartbear.
Park Avenue Health Care and Wellness Center, Pomona, CA Aug12- Aug13
QA Analyst
Park Avenue is a skilled nursing, rehabilitation and assisted living facility. It provides a broad range of integrated health care and related plans and services, and proven health and well-being programs that are targeted to the needs of customers, clients and partners. I was working with Tapsetry Case Management, Epic’s financial case management module. This tool was helpful to improve the patient experience and population health while reducing the per capita costs.
Responsibilities:
Gathered BRD (Business Required Documents) from the BA and extensively communicated with the BA to come up with efficient test plans and test cases.
Tested the trade file extracts and request/ Response authorizations.
Involved in tracking utilization management and cost over time by linking clinical events and professional charges to the patient’s case.
Was responsible for triggering a case management enrollment message to a pool of case managers automatically, triggered by a referral, order, or AP claim.
Involved in Reviewing referrals and AP claims directly from the patient’s case.
Reviewed EDI, claims processing, and adjudication results for variance analysis between legacy and AP Tapestry.
Tested HL7 messages for in-patient and out-patient.
Validated HL7 messages coming through different interfaces to FACETS.
Responsible for troubleshooting and solving the problems related to HL7 messages.
Used FACETS to identify and analyze errors in benefit coding.
Worked on execution of the use cases for a various kind of applications on FACETS platform
Performed data validation and backend testing on FACETS
Worked with FACETS screens to generate the front-end changes in the membership modules.
Identified, analyzed and documented defects, error and inconsistencies in the application using Quality Center.
Managed the work in HP ALM mainly using the Test Plan and Test lab module.
Ensured that validated deliverables meet functional and design specifications and requirements.
Created updated and maintained Test Matrix and Traceability Matrix and involved in Gap Analysis. Participated in weekly and bi-weekly team meetings to report testing activities for cross- functional projects.
Education &Credentials
Bachelor’s Degree in Psychology
University of California, Merced, 2012
Education in progress:
PMP Certification
Certificate of Completion:
Certified associate in project management
PMI risk management professional
PMP Completion certification with (35 PDU’s)
Certifications:
Certified Scrum Master
Agile 101 training
Analyzing and Visualizing data with Excel from Microsoft
Developing SQL databases from Microsoft
Introduction to DevOps
Introduction to Marketing – University of British Columbia
-Optum technology
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