Satya Sakhamuri

E-mail: adpma7@r.postjobfree.com

Cell: 661-***-****

Professional Summary: WorkStatus: US Citizen

Satya Sakhamuri an Engineering Graduate has 17+ years of I.T experience which includes Software Quality Assurance, Testing, Project Management, Compliance, Development and Implementation for various complex enterprise applications using the latest technologies. Have Excellent Communication and coordination skills. Experience working with Medical, Pharmacy, Billing, Ecommerce, Health Insurance, Telecommunication, Financial, ACA implementations and Health Care applications

Possess extensive knowledge and experience in all the areas of Quality Assurance, with emphasis in Testing, Evaluation, and Validation of computer software systems in Client/Server environments using UNIX and Windows operating systems. Strong experience in testing software, developing test plans and test cases, identifying & tracking bugs, breaking down requirements for testing, reviewing documentation, performing reviews and inspections during software development, and being actively involved during the software development lifecycle (SDLC). Expert in all areas of testing including but not limited to integration, usability, performance, acceptance, functional, system, and regression testing.

Extensive Knowledge of Agile SDLC, SCRUM process, QA Methodologies in both White box and Black box testing on a browser based and client server application environment.

Extensive experience in performing Manual and Automated Testing.

Develop and Implement Automation Test Strategy, test automation frameworks and test automation scripts using Selenium Web driver, Java, SoapUI and REST API.

Experience working in agile environment with emphasis on Product Backlog and User Story creation and prioritization, Story Point Estimation and risk analysis.

Experience in working on the Healthcare mandate project i.e. Healthcare Reform Policy Implementations, Medicare & Medicaid eligibility systems as per IV&V and CMS guidelines.

Experience in MMIS, MEDS, Medicaid, Medicare, Integrated Eligibility Systems (Curam). and MITA business processes (Health Benefit Exchange, provider and claims.)

Experience in state supported multiple health care programs i.e. SNAP, TANF and CHIP.

Experience in day-to-day management of State Medicaid operations using MMIS and Curam.

Experience in Testing of Curam app, EDI standards, EHR and EMR records with PHI data.

Experienced in Software analysis, Requirements Management, Quality Assurance, Modeling, Configuration Management, IV&V, Case and Change Management.

Experience on CSE (CHILD SUPPORT ENFORCEMENT) federal laws and regulations.

Strong experience in developing and maintaining test automation of GUI/ Functionality/ System testing using testing tools Selenium, ALM, UFT, QC, PEGA PRPC, BPM, CRM.

Knowledge in developing & writing Test strategy, test specifications, test plans/cases for Health care applications like HIX implementation (State & Federal exchanges, CMS, FDSH)

Proficient in analyzing new business requirements and mapping it to the current business process/system Level Use Case Modeling using Jira and Confluence.

Knowledge of EIR accessibility and compliance as per US Section 508 & WCAG2.0

Knowledge of Medicaid Information Technology Architecture (MITA) and IV&V assessment.

Good experience in Quality Engineering, Scrum, QS 9000, CMM, Reliability and Project Mgt.

Performing complex testing tasks, Test management planning, scheduling and testing

Lead onshore and offshore QA teams, implemented QA processes, drive meetings (status, checkpoint, ambiguity, test case walkthroughs, defect reviews, root cause analysis), developed metrics, coordinated with different teams

Extensive experience in effort estimation, design and execute Test Strategy, Test Plan, Test Cases, Test Scenarios, and Test Data throughout all stages of testing lifecycle.

Excellent interpersonal and communication skills, with high degree of flexibility and ability to adapt to change in direction.

Technical Skills:

Operating Systems: WINDOWS 10/XP/VISTA, UNIX, MS-DOS, MAC.

Programming Language: JAVA, C, C++, PERL, PL/SQL, .NET, WSDL, HTML, XML

Databases: JDBC, ORACLE, SQL SERVER, MSACCESS, DB2, MARK LOGIC.

Utilities: JAVA SCRIPT, AJAX, WEBLOGIC SERVER, EJB, JAVA, SERVLETS, JSP, ASP.

Software Tools: Selenium IDE, Selenium RC Server, Selenium Web Driver, Bamboo, Splunk, JSON, Jenkin, XML, JMETER, JUNIT, UFT, HP ALM, SOAPUI, REST API,

Tracking Tools: JIRA, RALLY, ALM, Clear Quest, TFS, Share point, and PVCS Tracker.

Project Experiences:

CMS (Centers for Medicare & Medicaid Services) Baltimore MD Sep 2019 – Present

UA Test Lead/Manager.

The CMS MTST program (Marketplace Test Support Team) provides independent testing services for the Federal Exchange (https://www.healthcare.gov/ ). The team provides UI-based as well as back-end services testing for the Eligibility and Enrollment (E&E), Plan Management (PM) modules of the Federal Marketplace enterprise. The MTST Team analyzes requirements, develops test scenarios and test scripts, executes testing and manages defects in collaboration with the Business Owner, development team, and system integrators.

Responsibilities:

Responsible for developing a test plan for the product, which included designing documenting, executing and verifying the test cases and test scenarios to cover overall QA and UA testing cycle involving Acceptance, Functionality, Regression and End to End testing.

Responsible to manage multiple QA teams, reviews and One on One meetings with resources.

Responsible for Test planning, strategy, schedule’s and UAT kickoff meetings for stakeholders.

Execute Functional, Non-Functional, Integration, Regression and End to End testing scenarios.

Collaborate with cross-functional team Leaders to ensure smooth integration of QA cycle.

Verify the REST API call request and response validations against schema.

Verify the REST API response codes during functional testing.

Responsible for MTST program environment health checks on Day2Day basis as per IV&V team.

Verify the RIDP, VLP, SSN, PDM, FDSH, DMI’s, SVI related operational issues.

Organize the testing kick-off, status meetings and send the status report to the Client.

Develop and Implement Test Strategy, frameworks, Jmeter scripts, checklists and data for UAT.

Verification of 834-member benefit enrollment data in multiple partners and EDI files.

Verification and Validation of EDI enrollment, claims and remittance and Ack files.

Conducted software testing governance and compliance checks of each SDLC phase.

Experience working in agile environment with emphasis on Product Backlog creation,

User Story Creation, Story Point Estimation and prioritization.

Verification and validation of Issuers, Payers and Eligibility (Curam) related PHI data flows.

Verification of PHI data storage, patient’s privacy, family history records as per HIPAA.

Verification & validation of Medicaid eligibility determination as per FPL/ACA thresholds.

Validated different Types claims (Medical Claims, Hospital Claims and Dental Claims).

Verify the EIR accessibility and compliance reviews as per IV&V, US Section 508 and WCAG2.0

Manage the testing effort by analyzing the functional requirements of project deliverables.

Verification of business process rules of relationship and provider mgt as per MITA guidelines.

Responsible for plan, member mgt and Eligibility and Enrollment mgt as per MITA guidelines

Prepare QA summary report for testing activities i.e. test case coverage, test & defects matrix.

Participate Sprint planning, Bug review and Scrum daily status meetings with team members.

Arrange and coordinate meetings with clients to triage critical issues through Web-Ex.

Responsible for achieving project milestones under high pressure with tight schedules.

Environment: Agile, Scrum, TDM, ALM, SOAP, API, TFS, Web services, Jira, AWS, XML, JAVA.

SCDHHS, Columbia, SC Jan 2018 – Aug 2019

Sr QA Project Lead/Analyst.

SCDHHS (https://www.scdhhs.gov/ ) mission to support Medicaid is South Carolina's grant-in-aid program by which the federal and state governments share the cost of providing medical care for needy persons who have low income. Healthy Connections is South Carolina's Medicaid program. A medical assistance program helps pay for some or all medical bills for many people who cannot afford medical care. The program also assists individuals who are over 65 or have a disability with the costs of nursing facility care and other medical expenses. Eligibility is usually based on applicants' income and assets. Healthy Connections is administered by the South Carolina Department of Health and Human Services (SCDHHS) and pays medical bills with state and federal tax money.

Responsibilities:

Responsible for developing a test plan for the product, which included designing documenting, executing and verifying the test cases and test scenarios to cover overall QA, IV&V and UA testing cycle involving Acceptance, Functionality, Regression and End to End testing.

Organize the testing kick-off, status meetings and send the status report to the Client.

Develop and Implement Test Strategy, frameworks, Jmeter scripts, checklists and data for UAT.

Verification of audit plans and notices in Curam for Medicaid, SNAP and TANF modules.

Verification of Curam work flows in Medicaid eligibility for MAGI & Non-MAGI Modules.

Execute Functional, Non-Functional, Integration, Regression and End to End testing scenarios.

Collaborate with cross-functional team Leaders to ensure smooth integration of QA cycle.

Verify the REST API call request and response validations against schema.

Verify the REST API response codes during functional testing.

Verification of recipients EHR data in MMIS vs Claims and Curam application.

Verify the EHR data, Procedure (CPT) and diagnosis (ICD) codes during claims validation.

Responsible for data verification & validation in Curam, MMIS & MEDS systems for Recipients,

Claims, Providers, Payments, RSP, PCAT, Coverage dates and TPL policy numbers in MMIS.

Verification of 834-member benefit enrollment data in MMIS Disk files and EDI files.

Verification and validation of DSS, SURS, MARS, PERM and T-MSIS reports.

Verification and Validation of EDI enrollment, claims and remittance and Ack files.

Conducted software testing governance and compliance checks of each SDLC phase.

Verification of PHI data storage, patient’s privacy, family history records as per HIPAA.,

User Story Creation, Story Point Estimation and prioritization.

Verify the EIR accessibility and compliance reviews as per US Section 508 and WCAG2.0

Report generation, Performance and Operations management process flows as per MITA rules.

Verification & validation of Medicaid eligibility determination as per FPL/ACA thresholds.

Managing and executing federal mandate projects i.e. SSNRI, TMSIS and BABYNET systems.

Provide support to the operation of SCDHHS Child Support Enforcement (CSE) Program.

Validated different Types claims (Medical Claims, Hospital Claims and Dental Claims).

Manage the testing effort by analyzing the functional requirements of project deliverables.

Prepare QA summary report for testing activities i.e. test case coverage, test & defects matrix.

Participate Sprint planning, Bug review and Scrum daily status meetings with team members.

Arrange and coordinate meetings with clients to triage critical issues through Web-Ex.

Environment: Agile, ALM, PEGA, SOAP, TDM, CMS, AWS, Jira, MMIS, SAS, XML, JAVA.

IDAHO Department of Health and Welfare/Getinsured Aug 2013 – Dec 2017

Sr. QA Engineer/Test Lead

Idaho Department of Health and Welfare (http://www.healthandwelfare.idaho.gov/) programs and services are designed to help people live healthy and be productive, strengthening individuals, families and communities. The IBES (Idaho Benefits and Eligibility System) and IDALINK sites are web-based applications used by the field workers in Idaho state to determine the benefits for the applicants who claim for Medicare & Medicaid, Food stamps, CHIP, CHILD CARE, TAFI, and many other benefits provided by the Feds and State to the US Citizens.

Responsibilities:

Responsible for developing a test plan for the product, which included designing documenting, executing and verifying the test cases and test scenarios to cover overall QA testing cycle involving Acceptance, Functionality, Regression and End to End testing.

Develop and Implement Automation Test Strategy, test automation frameworks and test automation scripts using Jmeter, Selenium Web driver, Java, SoapUI and REST API.

Execute Functional, Non-Functional, Integration, Regression and End to End testing scenarios.

Collaborate with cross-functional team Leaders to ensure smooth integration of QA cycle.

Verify the REST API call request and response validations against schema.

Verify the REST API response codes during functional testing.

Responsible for continuous improvement of automation frameworks & automation suites, implement latest trends, and standards in the automation projects.

Verification of audit plans and notices in Curam for Medicaid, SNAP and TANF modules.

Verification and validation of Issuers, Payers and Eligibility (Curam) related PHI data flows.

Responsible for Planning, Testing and Execution of health care reform applications (as per ACA) through State based (SBM) and Federally Facilitated Exchanges (HIX).

Verification & validation of Medicaid eligibility determination as per FPL/ACA thresholds.

Validated different Types claims (Medical Claims, Hospital Claims and Dental Claims).

Created EHR test data files, scripts for the 834, 835 and 837 EDI transactions.

Preparation of Test Strategy, Test Plan and Test cases for HIX implementation as per IV&V.

Verification and Validation of Hub services i.e. Remote ID Proofing, SSA Composite, Verify Lawful Presence, Verify Non EsiMec, VerifyCurrentHouseholdIncome and IRS Services.

Verify the Medicaid business process, modularity and reporting as per MITA maturity level.

Verify the enterprise data governance, system integration and operational strategy as per MITA.

Prepare QA summary report for testing activities i.e. test case coverage, test & defects matrix.

Participate Sprint planning, Bug review and Scrum daily status meetings with team members.

Review various reports prepared by test engineers and approve all test deliverables.

Environment: Agile, Scrum, SQL, SOAP, TFS, TDM, Web services, Jira, AWS, CRM, JAVA, EHR.

HMSA - Blue Cross Blue Shield of Hawaii, Test Manager Sep 2012 – Jul, 2013

HMSA (http://www.hmsa.com/) an independent licensee of the Blue Cross and Blue Shield Association, is a reliable name in Hawaii health care is the largest and most experienced provider of health care coverage in the state. Over half of Hawaii’s populations have chosen HMSA for their health care coverage. The purpose of the Hawaii Medical Service Association is to function exclusively for the benefit of the community for the promotion of social welfare, including the furnishing of medical, nursing, hospital, and health care and other services and benefits for its members and their families, and from which no profit shall inure to the Association or any of its members.

Responsibilities:

Responsible for developing a test plan and Test Cases as per functional requirements.

Preparation of Test Strategy, Test Plan and Test cases for ICD -10 project migration.

Strong knowledge of PEGA DCO tools such as Application Profiler and Application Accelerator to implement product enhancements using process flows and business rules

Verification of audit plans and notices in Curam for Medicaid, SNAP and TANF modules.

Verification of Curam work flows in Medicaid eligibility for MAGI & Non-MAGI Modules.

Working with business to prepare the doc’s for Case, Disease and Utilization mgmt.

Experience with Pega Rules Process Commander (PRPC) technical and product knowledge Assisted in resolving project issues and escalating unresolved project issues as needed

Verify the EIR accessibility and compliance reviews as per US Section 508 and WCAG2.0

Manage the testing effort by analyzing the requirements of project and test deliverables.

Worked on 835, 837I, 837P, 834, 270/271, 276/277 Real Time transactions.

Verification and validation of Issuers, Payers and Eligibility (Curam) related PHI data flows.

Verification of PHI data storage, patient’s privacy, family history records as per HIPAA.

Review various reports prepared by test engineers and approve all test deliverables.

Environment: Agile, Scrum, TFS, SQL, SOAP, PEGA, TDM, BPM, Web services, XML, CRM, EHR.

Kaiser Permanente., Pasadena, CA, Sr. QA Lead Mar 2010 – Jul, 2012

Kaiser Permanente (https://www.kaiserpermanente.org/) is America's largest health maintenance organization, serving 8.6 million members in 9 states and the District of Columbia. An integrated health delivery system, Kaiser Permanente organizes and provides medical care, including preventive care such as well-baby and prenatal care, clinical care, immunizations, and screening diagnostics; hospital and medical services; and pharmacy services and health plans.

Responsibilities:

Responsible for developing a test plan for the product, which included designing documenting, executing and verifying the test cases and test scenarios to cover overall QA testing cycle

Verification and Validation of XML inbound and outbound files from 3rd party source.

Creating the multiple prescriptions through EPS and check the statuses using IVR & KP.org

Refill the prescriptions through IVR and KP.org using Mail and Pickup delivery types.

Supporting physicians, mid-level providers, and nurses in Epic Orders/Inpatient.

Verification of recipients EHR data in enrollment and Claim files for adjudication.

Verify the Procedure (CPT) and diagnosis (ICD) codes during claims validation.

Verify the EHR data meets the HIPAA standards and IV&V assessment.

Worked on 835, 837I, 837P, 834, 270/271, 276/277 Real Time transactions as per IV&V checks.

Validated different Types claims (Medical Claims, Hospital Claims and Dental Claims).

Ability to integrate test script with test Management tools (Silk Central).

End of each sprint provide demo to stake holders what was built during the sprint cycle.

Maintains QA process and test methodologies to deliver better quality in shorter cycle

Environment: Agile, TFS, SOAP, EPS, EPIC, TDM, Web services, PEGA, CRM, EHR, Jira.

United Online Inc., Sr. QA Consultant Jun, 2006 – Dec, 2009

ISO/ Interthinx, QA Lead Sep, 2004 – Jun, 2006

Toshiba America Information systems, Sr. QA Engineer Jan, 2004 – Sep, 2004

Federal Emergency Management Agency, Sr. QA Engineer Apr, 2003 – Dec, 2003

DirecTV Broadband Inc. Sr. White Box Test Engineer Jul, 2001 – Feb, 2003

Ventro Corporation, Sr. SQA Engineer Jul, 2000 – Jun, 2001

Education Qualifications:

B.E., Mechanical Engineering, 1987 from Nagarjuna University.

PGDCA, Post Graduate diploma in computer applications

References: Available upon request

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