UmaMaheswari Nandagopal

PHONE: +1-423-***-**** EMAIL: adlgbi@r.postjobfree.com

A passionate, self motivated and result driven individual with 8 years of Quality Assurance experience in Healthcare Insurance Industry. ISTQB Certified professional with Hands on testing experience with various Insurance applications across multiple modules like Claims, Payment, Providers, Membership and Product testing. Have worked as Test lead, Test Analyst and QA Lead for various strategic and compliance healthcare programs and its implementation.

HIGHLIGHTS

System & Unit Testing

PEGA Testing

Regression Testing

E2E Testing

Defects & Tracking

Test Management

ETL Testing

Metrics & Estimates

Test Cases, Plans & Strategy

Test Lead

Analysis

Requirement tracing

Reporting

Agile Testing

SUMMARY

●Expertise in Test Management process – Business requirement analysis, Test Strategy, Planning and execution for Web based and Client/Server applications.

●Experience in System testing – Functional, GUI and Regression, Integration testing with upstream and downstream systems, business end to end workflow and UAT testing.

●Mid Experience in ETL testing and basic SQL queries.

●Good knowledge in Test Management tools: HP QC, HP ALM, IBM Clear Quest for Test Management and Defect Reporting, Rally for Sprint Management.

●Understanding of SOA technologies, Software Development Life Cycle through waterfall and Agile test methodologies.

●Responsible for overall project delivery from Software Requirements Analysis, converting requirements specification documents and Functional requirements into Test Plans, Test Cases design, Traceability Matrix, Test Data mining/creation, Test execution across test environments including defect management including End to End and Test Evidence walkthrough/Demo.

●Contributed to Agile delivery backlog grooming sessions, daily Scrum, Capacity Planning for Agile user stories and participate in Demo and Retrospective sessions.

●Defect Tracking – Extensively used HP QC and HP ALM for defect management and tracking, log and manage defects, participate in defect triage meetings with all stakeholders – system analysts, business teams, design and development teams.

●Worked with Business Teams in identifying and implementing Business scenarios, Data mining and Claims processing (837).

●Worked extensively on a Product Based testing of Customer service application on Pega platform and also benefits testing of medical claims.

●Experience in testing WebServices using SoapUI tool, request and response xml.

●Excellent communication and Analytical, interpersonal skills with ability to co ordinate activities and work in a team environment to meet the deliverables and good at time management.

●Certified Foundation Tester from ISTQB and AHM 250.Also a certified SAFe Agilist.

TECHNICAL SKILLS

Test Management Tools

HP QC, HP ALM, IBM Clear Quest, Rally

Databases

Oracle 10g, SQL Server, DB2

Automation Tools

HP QTP, HP UFT, Selenium, Core Java, GIT

SDLC/Methodologies

AGILE (Scrum), Waterfall

Operating Systems

Windows 7/ Windows NT/Windows 10

Miscellaneous

XML, JSON, Informatica, ETL Testing, TOAD, SSMS, Pega

PROFESSIONAL EXPERIENCE

PROJECT PROFILE

Project 1:

Advantasure partners with healthcare clients to simplify their operations and accelerate their business success. Powered by a comprehensive suite of innovative solutions and team of professionals with broad industry expertise, they simplify the complexity of healthcare.

HCL Advantasure – ETL Tester Richmond, VA, USA Team Size: 12 (September 2020 – Present)

Position: QA Test Analyst

Performed the role QA Test Analyst in EDPS/RAPS team which involves testing the claim flow of Professional and Institutional claims for various Blue Plans.

●Main role is to perform ETL testing in an Agile team of 12 members.

●Analyze and provide estimations for user stories during PI planning and grooming.

●Extensive testing ETL experience in SSMS.

●Reviewing the Business scenarios, Test description, and Test steps from the agile teams.

●Developed ETL test scripts based on technical specifications/Data design documents and Source to Target mappings.

●Extensively worked with flat files and excel sheet data sources.

●Conducting Sprint Demo to Business at the end of each sprint and Sign off.

●Used the Zephyr - JIRA tool for Test management activities.

Project 2:

NASCO is owned by and exclusively serves Blue Cross and Blue Shield Plans across the nation. NASCO provides the administrative solutions that help Blue Plans address unique business challenges and revolutionize business operations. It provide seamless benefit management, eligibility, membership, billing and claims processing support for our Blue Plan customers, allowing them to provide competitive healthcare products in federal, state and multistate markets for more than 23 million members.

NASCO – Claims Benefits testing Atlanta, GA, USA Team Size: 12 (January 2019 – January 2020)

Position: QA Lead

Performed the role QA Lead for the Benefit testing team involving the testing of various Medical benefits of Professional, Institutional claims for for various Blue Plans with multitude of deliverables.

●Played the role of QA Lead from Onshore (Client Location) leading a team of 12 resources from offshore.

●Actively participated in the Requirement, Design and creation of Benefit Matrix.

●Provided process improvements ideas and automation strategies for regression testing

●Performed the Data Completeness, Data Accuracy, Data Quality and Data Transformation validations on the benefit data.

●Involved in the Test data management activities (Data creation and maintenance).

●Actively participated in Daily status calls, Estimations, Test Planning, Test Execution, Defect Analysis and reporting.

●Used the IBM Clear quest for Test management activities.

Project 3:

TCS – NASCO – NCompass for BCBS Plans Atlanta, GA, USA Team Size: 10 (October, 2017 – January, 2019)

Position: QA Lead

Worked for NASCO and have delivered software quality assurance services for Customer Service Application - NCompass for various Blue Plans with multitude of deliverables.

Performed the Testing for the product NCompass) a Pega based Customer service application for various BCBS Plans (Massachusetts, Horizon).

●Played the role of Test Lead for the product NCompass from Onshore (Client Location) leading a team of 10 resources from offshore working across various projects for different BCBS Plans.

●Actively participated in CSR/Requirement Analysis and Design Analysis, Estimations, Test Strategy, Test Planning, Test Execution and Defect Reporting for all the projects across all the Plans.

●Coordinate with the BCBS Plans, Identified and created the test data (Membership, Claims, Provider etc.) for all the plans testing.

●Coordinate with the BCBS Plans and walkthrough the Test Strategy, Test Plan, Test Execution evidences and Defects and get Signoff.

●Actively participated in System, UAT Testing, Regression testing and Automation testing.

●Created Automation Scripts and participated in execution.

●Provide the Daily, Weekly and Monthly status to all the BCBS Plans for all the projects.

●Used the IBM Clear quest for Test management activities.

●Worked in Offshore team in developing strategies for new tools for automated validation.

●Collected the Metrics across all the projects and suggested the areas of improvement leading to the increase in the productivity with reduction in effort.

Project 4:

TCS _ CIGNA - FACETS – Product Based claim Engine Chattanooga, TN USA Team Size: 8 (May, 2016 – September 2017)

Position: QA Lead

Worked on Projects which involves Facets which is a Web based application for claim processing created in .NET. Facets is a fully-integrated system where the data from multiple user groups are housed in one platform. This reduces the need to go to different systems to view information for HCPs, Eligibility, Customers, etc. Facets is also used to locate and maintain HCP data. The system acts as a repository for all of the HCP information Cigna maintains. This information includes HCP demographics and contract information.

●Understand the business and functional overview of the applications

●Analyze of Functional requirements for testing every release.

●Preparing the Test Plan, Test scenarios, Test description and Test steps.

●Performing Regression, Functional Testing and review of Integration testing and End to End testing for the proposed changes.

●Ensure that the test data provided by CIGNA is adequate to execute the identified regression test scripts.

●Involved in WebServices Testing using soapUI tool. Validated request and response XML

●Work with Test Lead to prepare the test execution plan for the regression test execution for the on job training.

●Responsible for loading the identified regression test scripts to ALM (Application Life Cycle Management).

●Escalation in case of any delay in response or defect resolution.

●Document the lessons learnt and conduct meetings to that effect as needed.

●Provide guidance & clarification to Testers.

●Support continuous improvement process.

●Play active role in the formation of knowledge pool/cross application training.

Project 5:

TCS CIGNA - Pega PRPC Framework - AIMS Chattanooga, TN USA Team Size: 6 (April 2014 – May 2016)

Position: Test Lead

Pega was a new framework introduced in Cigna to handle AIMS claims. Project includes developing a new next generation claim engine to handle the new AIMS claim. The testing was done in agile methodology which includes PI’s and sprints with a team of 8 members including SA’s and BA’s.

●Played the role of QA Lead from Onshore (Client Location) leading a team of 6 resources from offshore.

●Performed the validation of Data Model, Source to target data validation for all the different claim transactions from all the claim systems (837 IB, Claims Adjudication, Claims Finalization, Claims Pricing, Claims Payment, Pended claims).

●Performed the Data Completeness, Data Accuracy, Data Quality and Data Transformation validations on the claims data.

●Performed web services testing using SOAP tool.

●Actively participated in Requirement and Design Analysis, Test Strategy, Test Planning, Test Execution

●And Defect Reporting.

●Prepare estimation for the PI’s and sprints.

●Reviewing the Business scenarios, Test description, and Test steps from the agile teams.

●Conducting Sprint Demo to Business at the end of each sprint and Sign off.

●Checking the quality of the software and determining its degree of compliance to standards.

●Assign tasks to the offshore team members and provide clarification and guidance to testers

●Actively participated in System, Integration, E2E and UAT Testing.

●Used the Rally tool for Test management activities.

Project 6:

TCS CIGNA - ClaimsXten Chennai, India Team Size: 5 (January 2013 – February 2014)

Position: Test Analyst

A Waterfall project to integrate a new Clinical Editing system (McKesson ClaimsXten) with the Power MHS (Power Managed Healthcare System) HMO based claim processing system. Testing was performed to test the interface between the ClaimsXten and PowerMHS.

●Played the role of Team Lead from Offshore leading a team of 4 resources.

●Configured the ClaimsXten rules and codes in PowerMHS and Processed claims (CMS1500 and UB04) for different clinical editing Audit types/Rules and verified if the request and response are received.

●Verified if the Audit type/rules are applied successfully and claims are modified as per the outcomes and validated the claims till payment.

●Troubleshoot the Nightly batch Failure and make corrections and perform online Batch execution whenever needed.

●Actively participated in Test planning, Test Designing, writing Test Scripts and Test Execution, defect reporting, Dashboards, Execution of Automated regression scripts.

●Actively participated in System, Integration and UAT testing.

●Involved in Functional, GUI, Database validations, Regression testing and Defect Retesting.

●Wrote the SQL queries on claim data tables, CXT tables and data warehouse tables to validate the data results.

Project 7:

TCS CIGNA - Compliance Program HIPAA 5010 Chennai, India Team Size: 20 (January 2012 – January 2013)

Position: Test Analyst

Worked for PowerMHS(Power Managed Healthcare System) a HMO based claim processing system, an AS400 based application for the Compliance project HIPAA 5010 to test the changes made to the Claims system to accept, process and store the EDI claims in 5010 format. Worked on the 837 OB, 276/277 transactions.

Played the role of Test Analyst from Offshore location along with a team of 20 resources.

Processed claims 837 in 5010 for different claim transactions and validated if the claim status records/transactions are created in correct format for all claims.

Actively participated in Test Designing, writing Test Scripts and Test Execution, defect reporting. Involved in Functional, GUI, Database validations, Regression testing and Defect Retesting.

Work with Test Lead to prepare the test execution plan for the regression test execution for the on job training.

Writing SQL queries and makes table queries to profile and analyze the data.

Involved in Functional, GUI, Database validations, Regression testing and Defect Retesting.

Responsible for loading the identified regression test scripts to HP Quality Center.

Escalation in case of any delay in response or defect resolution.

Document the lessons learnt and conduct meetings to that effect as needed.

EDUCATION

Bachelor Of Engineering (Computer Science)

SRM Eswari Engineering College, Chennai, Tamil Nadu, India

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