Sai K
Email- ********@*****.***
Summary:
Over *1+ years of experience in creating innovative and cost effective Quality Assurance solutions with expertise in Insurance, Healthcare processes, applications using manual testing procedures & test automated tools
Extensive experience in all phases of SDLC processes.
Experience working with HIPAA EDI 837 transactions which include Medical (Institutional), Professional and Dental claims for both 4010A1 and 5010 versions.
Work experience on 820, 834, 835 and 277CA transactions for both versions (4010A1 and 5010)
Thorough knowledge on 270/ 271, 276/ 277, 278 transactions.
Strong Knowledge and working experience on ICD-9 and ICD-10 code sets and the conversion.
Experienced in different types of testing like Black box testing, white box testing, functional, GUI testing, Systems testing, regression, integration, UAT and performance testing
Expertise in reviewing requirements, Business requirements gathering, Data warehousing, evaluating data sources, translating requirements into specifications and application design.
Worked on the Business Process Testing (BPT) of the Quality Center using the input and output parameters, creating different components on the BPT tab.
Experienced in documenting Test Plan, Test Objectives, Test Strategies, Test Scripts, Test Scenarios and Test Cases.
Extensive experience with Dentacom, Webster, Proclaim, Facets and QCare Claim Engines.
Verified application functionality against business requirements, manually and by using Win Runner.
Experience with structured QA Methodology and QA Process to ensure the Quality Assurance Control.
Used Quality Center to prepare Test cases, Requirements Traceability Matrix and managing the Defects as per the Business requirements.
Strong experience in capacity planning, load test configuration.
Expertise in Black Box, Sanity/Smoke, Integration, Regression, Performance/ Load/Stress, System and Functional Testing.
Strong experience in Quality Assurance of multi-tier systems, Client/server systems and Web Applications/Sites including testing large enterprise software applications.
Excellent team player with strong written, communication, interpersonal and analytical skills.
Technical Skill
Testing Tools : QualityCenter10.0,QTP9.4, Rational Clear Quest, SQA Manager, EDISIM. Clear Quest, Mainframes, Transaction Management, Edifices
Operating Systems: Windows XP, Unix (Solaris).
Database: SQL Server & Microsoft Access
GUI Tools :Visual Basic 5.0/6.0, Developer 2000, Crystal reports
EDI Standards: ANSI X12, HIPAA, Spec Builder 6.2/7.0, Edifices, Edge tool, HTM
Client: Elevance Health - Durham, NC Jan 2024 to present
Role: QA Lead
Responsibilities:
Leading a testing team of 8 members
Understand the testing effort by analyzing the requirements of project.
Build a testing team of professionals with appropriate skills, attitudes, and motivation.
Identify Training requirements and forward it to the Project Manager (Technical and Soft skills).
Assign task to all Testing Team members and ensure that all of them have sufficient work in the project.
Ensure content and structure of all Testing documents / artifacts is documented and maintained.
Document, implement, monitor, and enforce all processes for testing as per standards defined by the organization.
Check / Review the Test Cases documents.
Keep track of the new requirements / change in requirements of the Project.
Escalate the issues about project requirements (Software, Hardware, Resources) to Delivery Manager / Sr. Test Manager if required.
Organize the status meetings and send the Status Report (Daily, weekly etc.) to the Client
Attend the regular client call and discuss the weekly status with the client.
Communication with the Client on daily basis.
Track and prepare the report of testing activities like testing results, test case coverage, required resources, defects discovered and their status, performance baselines etc.
Review various reports prepared by Test engineers.
Ensure the timely delivery of different testing milestones.
Technically guide the team whenever required.
Administered and updated bug tracking tool in conjunction with daily calls with developer teams.
Maintain Debug and Report Test-Scripts-Coverage (Smokes and Regression) on every build.
Involved in Extensive Functional & Regression Testing for claims processing system (which includes preparing Test Data, Test Data setup & also Production Claims Audits using Excel look up formulas which helped in completing audits easily)
Core Competencies:
Test Automation: Selenium WebDriver, TestNG, Jenkins
Manual Testing: Functional, Regression, Smoke, System, UAT, Cross-Browser Testing.
Test Management: HP Quality Center (ALM), JIRA, Confluence
APIs: SOAP/REST API Testing (Postman, SOAP UI)
Databases: SQL Server, MySQL, Oracle
Methodologies: Agile/Scrum, Waterfall, TDD, BDD
Operating System: Windows
Browsers: Chrome, Firefox, Safari, Internet Explorer
Client: LABCORP - Durham, NC April 2019 to Jan 2024
Role: QA Tester(LEAD)
Responsibilities:
•Create test plans and perform planning activities
•Execute tests based on provided test cases
•Provide feedback and report results of testing to management and stakeholders
•Effectively use test management tool to maintain and execute test scripts
•Perform functional and regression testing
•Communicate regularly with the team and provide reports on own test results
•Exposure to test management tools (e.g. JIRA)
•Loaded scripts in using HP ALM.
•Manages the troubleshooting of or troubleshoots and resolves identified QA problems and issues
•Supports QA Management on specific QA aspects of a major application and projects
•Works on the interpretation of QA issues and problems for technical and non-technical personnel
•Interprets specific aspects of QA findings and protocols for QA Management
•Documents, tracks and verifies defects and fixes in assigned applications
•Ensures the full application of all relevant QA standards to validate application functionality
•Clearly communicates information to both technical and non-technical personnel
•Created different Scenarios for functional testing utilizing HP ALM as per the requirement specifications.
•Performed both Manual Testing and Automation Testing in web-based application.
•Performed execution of Test cases manually to verify the expected results.
•Maintain Debug and Report Test-Scripts-Coverage (Smokes and Regression) on every build.
•Stabilizing the Testing Process and updating the repository on a daily basis and weekly basis.
•Verifying Test result and logging defects.
•Executed Performance Testing of application using Load Runner.
•Mapping Test Cases and Test Scripts on Requirements Traceability Matrix.
•Prepared Test Report based on the Test results.
•Coordinated and directed QA testing efforts in an agile sprint-based methodology.
•Administered and updated bug tracking tool in conjunction with daily calls with developer teams.
•Monitored and maintained reports of production test environments, setting up special alerts with threshold.
•Interacted with Developers, ME Business on daily basis for requirement analysis and gathering, design review, bugs review and documentation for applications developed in agile process with frequent changing requirements and features sets.
•Maintained and Updated regression suits for every release and validate performance testing before the release and raised security tickets for the releases.
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Environment:- HP ALM, Agile (Scrum), SOAPUI,Rest, Cucumber, UNIX, HTML, XML, Json, Xpath, HTTP, Firebug, SQL, RDBMS,
Client: BCBS, Boston, MA.
Jan 2017 – Mar 2019
Role: QA Tester
Responsibilities:
•Prepared test plans as per the business requirements Document (BRD)
•Worked extensively in the System Integration testing (SIT) region of Cigna also handling the issues that arise in production areas.
•Analysing the BRD for HIPAA 4010A1 to 5010 transition and prepared the Test plan and Test cases for 5010 HIPAA transactions 837I/837P/837D, 277, 835 & 999.
•Extensively worked on data preparation for the defects that came up during the transition to 5010 on all the Medical, Professional, Dental claims including Medicare claims.
•Worked on different claim types like CBH(Behavioural) claims, COB( Benefit) claims, Qcare claims, Medicare claims, I2P claims, IPC claims and so on.
•Dealt with special category claims like New born, Medicare secondary,IPC hold and Multiple match claims that go to the transaction restarter on hold, where they have to be manually sent to claim engines.
•Used the reflection SFTP to submit the above claims.
•Worked on preparation of test scenarios, test cases and data preparation for the ICD-10 transition.
•Through knowledge on ICD-10-CM for diagnosis coding & ICD-10-PCS for inpatient procedure coding.
•Extensive experience working with Dentacom, Webster,Proclaim, Facets and QCare claim engines.
•Analysed the records of 277CA of the claims submitted to the gateway on mainframe, where they populate the status codes of the claims in different formats like ACCR, CCSR, XCCR and ECR.
•Familiarity with the accept and reject codes designed by the bussiness for the claim that are submitted to the main gateway.
•Preparation of test cases for Functional, Regression, Integration and System testing.
•Identified the bugs and interacted with the team lead and developers to resolve them.
•Worked on multiple business areas.
•Coordinated with offshore team of 7, giving directions on the defets to work on and explaining the change request forms.
•Worked on the output acknowledgements like 277CA, 999 & TA1.
•Testing and reporting the bugs in product releases and performed the root cause analysis for the defects raised.
•Coordinated test execution efforts such as test data and support team provision, defect tracking and management, ensuring resolution of testing issues.
•Extensively worked on reviewing requirement, functional and design specifications, developing Test strategies, Test plans and Test cases.
•Involved in testing of the loading 5010 HIPAA Inbound Transactions (837I/P/D) in Mainframe database.
•Involved in testing of the extracting 5010 HIPAA Outbound Transactions (835, 277) from Mainframe database.
•End to end testing and Trading Partner Testing.
•Validated Business rule Edits for 5010 HIPAA transactions 837I/837P/837D, 276/277 and 835
•Executed the 5010 system test scenarios for 5010 HIPAA transactions 837I/837P/837D, 276/277 and 835 after loading and adjudication.
•Involved in claims processing of different scenarios and tested the end to end scenarios from 837 to 835.
•Involved in execution of Test Cases and reporting the defects and tracking them to Closure.
•Loaded the defects on to HP Quality Center and maintained a track record of the updates on the defects from the development team.
•Created regression beds of the defects that we worked to use them for regression testing.
•Run the scheduling jobs to load Pharmacy claims data from legacy (Mainframe) system to staging tables.
•Preparing and analyzing weekly and monthly status reports, analyzing root cause investigation for the broken links.
Environment: Windows & UNIX, FTP client, Transaction Manager, Edge tool, Edifecs tools, CED inquiry, HP Quality Center 10.0, Transaction Restarter (TXNR), Sterling, Clear Quest, MS Office, Text pad, Spec builder 7.0, QTP, Agile/Scrum project methodologies, Sybase, MainFrames and File-Aid records.
Role: Software Tester
Client: Wealden HR Solutions Pvt. Ltd - Hyderabad, Telangana Mar 2013- Oct 2016
Responsibilities:
Well versed in all phases of STLC, including requirement analysis, estimation and test planning, test cases, traceability matrix, scheduling, testing, defect tracking and bug reporting
Good Knowledge on automation testing using selenium for various application to meet proper business conformity
Knowledge on Katalon Recorder tool
Expertise in Load testing using JMeter
Extensive experience in designing test cases
Interacted with developers and other team members to ensure high quality software & played a key role in timely delivery of the product.
Experience in writing Test Cases, analyzing the results, and interaction with team members in fixing the errors
Expertise in Manual Testing - Functionality Testing, Regression testing, writing Test cases and documentation for the projects.
Good understanding of technology with focus on delivering business solutions.
Experience in Functional Testing, System Testing, Regression Testing, Adhoc Testing.
Well versed with Web-based and Mobile Applications.
Good Knowledge on Defect Reporting Tool (JIRA)
Good Knowledge of Postman tool for REST API's testing.
Masters in computer Science – Virginia International University- 2017
Bachelors in Electronics and communication – JNTUH- 2013