Business Analyst Software Testing

Kavita Prajapat, MPA

Pittsburgh, PA +1-724-***-****

************@*****.*** www.linkedin.com/in/kavita-prajapat-a345ab221

Results-oriented Business System Analyst and Quality Compliance Auditing Specialist with a strong background in developing and documenting business requirements, analyzing existing processes, and creating visual representations of business processes. Skilled in project planning, research, stakeholder management, and user acceptance testing, with a commitment to driving successful project outcomes and delivering high-quality results. Technical and Professional experience managing software testing.

Looking for a challenging environment where I can utilize my analytical and people skills to create, develop, and implement innovative approaches within a technological environment.

PROFESSIONAL PROFILE

Strong knowledge of Complete Software Testing Life Cycle (STLC) and Software Development Life Cycle (SDLC), Agile methodology and Agile environment.

Extensively worked as a QA Analyst in Web applications, Client Server Applications and Database Systems for different software domains.

Knowledge of working with MySQL.

Expertise in Installing and configuring the test environment on Windows.

Well versed in analyzing Requirements, System Specifications, Use-Cases and Technical specifications.

Co-ordinated with system owner and senior business analyst to set up Pre-validation and validation environment to execute the scripts.

Expertise at bug-reporting and bug-tracking using Test Management tools.

Highly motivated, committed to delivering top quality service, supportive and responsible team player able to prioritize workload to meet deadlines, reliable, and analytical.

Provide input and project support, based on understanding of standards and regulations, to business unit and/or corporate quality initiatives including special projects.

Adept at analyzing system functionality, business rules, and conducting business process analysis for web-based, client-facing applications.

Strong Knowledge in creating requirements documentation and adhering to established templates and processes.

CORE SKILLS & TOOLS

Software Testing Full Lifecycle Requirements Gathering RTMs Use Cases QA Best Practices Agile/Scrum HP-UFT, HP-QC Jira SoapUI SQL, MySQL Windows HTML XML PHP VBScript Selenium Basic Java

PROFESSIONAL EXPERIENCE

Appeal and Grievance Analyst

Centene Corporation Contract Sep 9, 20204 to current

Key Roles and Responsibilities:

Coordinates reviews and evaluations for complaints and appeals received by the organization including denied claims, coverage issues, medical necessity, service quality, or other concerns expressed by patients, providers, or other stakeholders.

Analyzes the basic quality and completeness of the complaints and appeals documentation to ensure the accuracy, clarity, and compliance of the information provided, including supporting documentation, timelines, and required forms or processes.

Contributes to process improvements by recommending complaint and appeal process changes, as well as new training programs to drive quality results.

Assists in analyzing patterns, trends, and systemic issues, working with other teams to address all complaints, and escalating more complex issues and concerns to upper management for resolution.

Carries out simple tasks for compliance audits by gathering documentation, providing evidence of compliance, and assisting auditors during the review process.

Receives and implements regular, timely feedback to ensure delivery of exceptional services and engagement, motivation, and team development.

Acts as a liaison between the organization and relevant individuals, providing updates, explanations, and clarifications throughout the process under close supervision.

Make recommendations on appeal decisions based on the members’ benefits and individual circumstances presented.

Business Analyst

Highmark Health Contract Via TEKsystems Jan 2023 – Dec 2023

Key Roles and Responsibilities:

Extensive Regression testing for implementation of eBS (e-Benefit Sync) and eMS (e-Medicare Sync) Benefits/Claims Configuration systems.

Responsible for daily project status updates to management and discussed milestones and tasks Coordinated Quality audits (Internal and External).

Log defects into the bug tracking system and provide necessary defect reports.

Actively participated in Open Enrollment Readiness Planning and Regression Testing.

Conduct user acceptance testing to ensure new software solutions meet all business needs.

Identified project risks and issues, developing, and implementing mitigation strategies to ensure project deliverables and timelines were met.

Regularly reported project status to management, presenting key decisions, risks, and issues, and recommending action plans for resolution.

Time based monitoring system that keeps the process within security parameters and HIPAA compliance.

Providing support in the form of procedural documentation and managing multiple cases at one time.

QA Analyst

Softplan.Inc Nov 2021 – Jan 2022 – Contract

Key Roles and Responsibilities:

Established Scrum processes to enhance team velocity and reduce overall system defects.

Extensively worked with various software issues tracking & test defects tools like JIRA, HP ALM.

Baseline the test plan, test criteria and project schedule by walkthroughs and report the defects using HP ALM. Designed quality test plans spanning patient web portals, desktop applications and mobile apps.

Validated the connection and data between Admin web services and Insurance claims web services.

Utilized testing management software to track and manage test cases, defects, and test results effectively.

Ensured that user stories align with business objectives and are suitable for implementation in an agile environment.

Work closely with the Scrum Master and development team to provide clarifications on requirements and guide the development process.

Precise recording of information into databases including Access tested Patient Management, Doctor, Admin, and Insurance Claims modules.

Used SQL to retrieve and query data from database.

Facilitate workshops with project and business leaders to define user stories for agile sprints. Prioritize user stories based on business value, regulatory requirements, and dependencies.

Gathered, reviewed, and recorded all the reported defects during user acceptance testing.

Human Resource Analyst

Saint Vincent Hospital Nov 2006 – Jan 2010

Key Roles and Responsibilities:

Conducting investigations concerning policies and/or procedure violations, hr. rules, collective.

Developed and implemented HR policies and procedures in compliance with state and federal laws

Administered employee benefit programs, including health insurance, retirement plans, and wellness initiatives

Provides internal and external personnel with timely, accurate and up-to-date wage and transaction information.

Responding to a high level of emails and phone inquiries from district level management.

Analyzing current human resources and business practices for increased efficiency and improvements.

Notifying the department and hiring committee when successful candidates have been approved for hire.

Processing the new employees, providing information regarding compensation and benefits, policies and procedures, and professional development.

EDUCATION, TECHNICAL COURSEWORK

Master’s in Public Administration 2003- 2005

AI Computer Vision 2.0! - January 2020

Certification in Quality Analyst Mater’s Course - September 2019

Certification in Business Analyst Master’s Course - December 2019

Completed online course in Selenium with Core java, and Cucumber.

References available upon request.

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