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Uttam
uttamliv@gmail.com
857-334-6871
6611 Starling Ave
Jacksonville, FL 32216
Senior QA Analyst
10 years experience W2
3
Recommendations
Average rating
211
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Summary

● 6 years of experience in Quality Assurance and Software Testing in healthcare industry.

● Extensive knowledge of all aspects of the Software Development Life Cycle and Defect life cycle.

● Experience in requirement analysis, creating traceability matrix, test planning, creating test data and implementation of test suite (test plan, test scripts and test cases).

● Strong knowledge on Software Testing Life Cycle (STLC) including requirement analysis, design, development, testing and implementation

● Extensive experience in testing Client/Server and Web-based Applications and Service based Architecture.

● Created test scripts using Automation tool QTP and checked the functionality of the application for every release.

● Strong Knowledge of waterfall model, V-Model and Agile methodology of SDLC.

● Proficient in manual and automated testing of applications on Windows and UNIX environment.

● Very good experience in Back-End Testing using SQL on UNIX and Windows platform to validate the consistency of data.

● Involved in testing HIPAA EDI Transactions and mainly focused on eligibility Transactions 834 and 837.

● Good knowledge on different modules within healthcare (Membership, billing, enrollment, Claims, capitation, providers).

● Involved in the testing and certification of Inventory Gathering Tool which pulls inventory from data warehousing and displaying data in the UI

● Involved in writing test cases using ALM based on the requirements.

● Set claim processing data for different Facets Module.

● Tested HIPAA regulations in Facets HIPAA privacy module.

● Worked closely on 834 transaction code for Benefit Enrollment and was involved in Validation of HIPAA for 837, 834 835, EDI transactions for Medicaid members (MMIS).

● Experienced working with 5010 transactions changes analysis, design and migration strategy.

● Have good knowledge of HIPPA 4010 /5010 versions.

● Profound understanding of insurance policies likes HMO and PPO and proven experience with Medicare, Medicaid, & commercial insurances in HIPPA 4010 EDI transaction codes, 834 (Benefit enrollment) and 837 (Health care claim).

● Maintained Requirement Traceability Matrix and Test summery report.

● Analyzed test results to ensure existing functionality and recommend corrective action where necessary.

● Participated in UAT and wrote Test Cases for UAT.

● Worked closely on 834 transactions for Benefit Enrollment and mocking up the EDI transaction file to test the internal system for open enrollment.

● Good experience with Sanity Testing, Smoke Testing, White Box testing, Black Box Testing, GUI Testing, Functionality Testing, Performance Testing, Positive and Negative Testing, Unit Testing, Security Testing, Stress Testing, Integration Testing, System Testing, Load Testing, User Acceptance Testing (UAT) and Regression Testing of Web Based Applications and Client-Server Applications.

● Good working knowledge of major Operating Systems such as Windows and UNIX.

● Ability to multi-task, prioritize and work with time constraints while paying attention to details

● Excellent communication and writing skills with the ability to adapt to new and dynamic environments.

● Good team leader, Player and can work alone with minimal or no supervision.

● Good problem solving, judgment, and decision-making skill.

TECHNICAL SKILLS:

Testing Tool: Quick Test Professional (QTP)

Bug Reporting Tools: Test Director, HP Quality Center.

Databases: Oracle, MS Access, MS SQL Server, DB2

Operating Systems: UNIX, Windows

Other: MS Office Suite- Word, Excel, MS Visio, MS Project

Experience
QA Analyst
Healthcare
Dec 2015 - present

Heavily involved in IU65 project for HIX On-exchange in Florida Blue. Initially, I worked on EDI 834 transaction where my team was validating loops and segment in the EDI and making sure that the new enrollment from FFM is successful effectuate in Florida Blue and also validate the maintenance scenarios then after. In middle of the project, I was responsible for testing the conversion from HPS (vendor) to NASCO (new vendor) where Florida was converting all the previous contracts that was in HPS to the NASCO successfully in reconciliation part. Responsibilities:
• Testing all possible scenarios and creating the test scripts in EDI 834 and validating the XML schemas as per the requirement.
• Validating 834 transactions in accordance to companion guide.
• Worked in validating all the inbound input file in XML, flat file and .CSV files format where Florida blue vendor (NASCO) was sending the data and making sure that those input file has all the required attributes and data as per our requirement.
• Validating all the Subscribers and members are enrollment successfully in our Florida blue and using Oracle sql and DB2 to verify in back end.
• Testing in-house Dashboard UI application to see if all the data in our backend are matched and shown in the UI correctly.
• Validating CMS and Florida Blue reconciliation in Contract and member level.
• Mocking the 834 file and validating if the eligibility enrollment is inserted properly in our internal system and verify until the down-steam system.
• Used the Rational Unified process methodology for the application development and created Use cases, activity diagrams and drafted UML diagrams using MS Visio
• Worked on HIPAA Transactions and Code Sets Standards according to the test scenarios such as 834, 835 transactions.
• Coordinating with various team to successful execute the reconciliation process to verify that all the data are matched or else create the error mismatch exception to send it to the business to validate why such discrepancy occurred. I have to validate the entire error code and exception xml schema to verify that we are doing so that per what business expects.
• Bug tracking and verification within ALM for issues encountered during testing and regression phrases.
• Involved in IVP process.
• Writing the high level scenarios and reviewing with Business stakeholders to verify that we are validating all the possible scenarios to meet their expectation. Environment: Quality Center, HIPAA, EDI, Windows, SQL, Oracle, Functional Testing, Quality Center, SDLC, Test Cases, Test Scripts, Test Plans, Quality Center, Black Box Testing, UAT, EDI, UI, HP ALM, DB2, SIT, Soap UI.

EDI XML Windows Test Planning Test Case Preparation UAT SDLC Quality Assurance Oracle MS Visio HP QC HP ALM HIPAA DB2 UI SQL SOAP Application Development Functional Testing UML Regression Testing Black Box Testing 834
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References
Average Rating

1 recommendation
Sr. QA Analyst
Healthcare
Dec 2014 - Nov 2015

Established in 1997, L.A. Care Health Plan is an independent local public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 1.8 million members in five health plans, we make sure our members get the right care at the right place at the right time. - www.lacare.org I was responsible for EDI transactions. Responsibilities:
• Involved in testing HIPAA EDI Transactions and mainly focused on 834.
• Involved in validation of the data in 834 transactions in accordance to companion guide.
• Responsible for customer interface, requirements definition, general and detailed design, testing, maintenance and training programs and managed requirements using Rational Requisite Pro.
• Prepared and executed different test cases of HIPAA ANSI X 12 EDI 820, 834 and 837.
• Negotiated and managed multiple priorities, project plans, time frames and trade-offs while ensuring the clinical and administrative staff understood the final results of the projects, sharing detailed vision of cost-benefit analysis
• Performed Back-End testing manually for database integrity using SQL statements on UNIX platform.
• Enrolled members through online screens and 834 Transactions.
• Tested the HIPPA EDI 834, 835, 837 transactions according to test scenarios and verify the data on different modules.
• Involved in testing HIPAA EDI Transactions and mainly focused on eligibility Transactions 834, 835, and 837).
• Used the Rational Unified process methodology for the application development and created Use cases, activity diagrams and drafted UML diagrams using MS Visio.
• Worked on HIPAA Transactions and Code Sets Standards according to the test scenarios such as 834, 835 transactions.
• Followed the RUP methodology for the entire SDLC.
• Modified the 834 file and then checked if the eligibility enrollment is properly loaded
• Performed Back-End Testing to check database integrity by writing SQL queries.
• Used Agile Test Methods to provide rapid feedback to the developers significantly helping them uncover important risks. Involved in testing the HIPAA EDI Transactions for eligibility (270, 271), claims (837, 835) and enrollment (834).
• Extensively performed manual testing and defect reporting using TFS.
• Bug tracking and verification within JIRA for issues encountered during testing.
• Assisted the development team during the second and third iteration using the RUP model.
• Developed design Specification writing Test report s and documenting Test results.
• Used RUP to create use cases, activity, class diagrams and workflow process diagrams.
• Tested HIPAA Transactions & Code Sets HL7 Standards like Premium Payment for enrolled health plan members, 834- Enrollment /De-enrollment to a health plan, 835, and 837) for smooth transition into EDI environment.
• Identified customer requirements besides reviewing test plans and documented the development of these plans.
• Developed automation test scripts for performing regression testing on the application using Quick Test Pro.
• Conducted interviews and workshops for soliciting customer requirements.
• Performed Test execution and wrote and executed Test scenarios/Test Scripts.
• Defect Tracking and Bug Reporting was performed using Quality Center. Environment: Quality Center, HIPPA, EDI, QTP, Windows, SQL, PL/SQL, Oracle 9i, Functional Testing, Quality Center, SDLC, Test Cases, Test Scripts, Test Plans, Quality Center, Black Box Testing, UAT, EDI, ICD, UI, HP ALM, SQL Server 2005 / 2008, SIT.

Windows UNIX UAT Training Test Planning Test Case Preparation SQL Server SQL SDLC EDI Cost Benefit Analysis HP ALM Backend Testing Application Development Agile Methodology Regression Testing Quality Assurance PL/SQL Oracle MS Visio HP QTP HP QC Analysis Manual Testing Functional Testing HIPAA JIRA UML Black Box Testing 834 837
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References
Average Rating

2 recommendations
QA Analyst / Tester
Healthcare
Jul 2012 - Dec 2014

Aetna is promoting the health and well being of the residence of Connecticut. As a QA Analyst I was working closely with BA regarding BRD and FSD. I was extensively involved in Medicare Claim Accuracy Project for Provider Reimbursement and various modules like Multiple Surgeries, Late Payment Interest and Coordination of Benefits. I worked with Facets as well as EDI HIPAA transactions. I was also involved in testing the scanned results of the TFS server with seeds in regards to the ICD-9 codes to validate that the results were not false positive. Responsibilities:
• Responsible for decomposition of the requirements based on the functional specifications, design, development, coding, testing, debugging and documentation of applications to satisfy requirements.
• Prepared Test plan and Test cases based on the functional specifications.
• Involved in writing UAT test cases.
• Performed Positive and Negative Testing manually.
• Set claim processing data for different Facets Module.
• Worked on HIPAA Transactions and Code Sets Standards according to the test scenarios such as 270/271, 276/277,837/834/835 transactions.
• Involved in writing test cases using ALM based on the requirements.
• Checked various EDI transaction codes such as 270/271 (inquire/response health care benefits), 276/277 (Claim status), 820 (Payment order), 834 (Benefit enrollment), 835 (Payment/remittance advice), 837 (Health care claim).
• End to End testing of Creating Eligibility Assessment, Insurance and Enrollments for the Clients.
• Tested HIPAA regulations in Facets HIPAA privacy module.
• Worked with providers and Medicare or Medicaid entities to validate EDI transaction sets or Internet portals. This includes HIPAA 4010 837, 835, 270/271, and others.
• UAT testing for HIPAA 4010 and 5010 projects including legacy testing and HIPAA requirements and compliance mandates.
• Used HP ALM for requirements management, planning, scheduling, running tests, defect tracking and manage the defects and executing the test cases.
• Conducted various tests to validate that the impact analysis performed against ICD codes were accurate.
• Involved in testing of TFS results to validate that seeds used for scanning ICD-9 codes were not false positive.
• Reported defects and maintained Test Cases in HP Quality Center.
• Maintaining knowledge of Medicare and Medicaid rules and regulations pertaining to the Facets configuration.
• Executed SQL queries for searching, creating and updating test data
• Performed daily process testing using SQL scripts execution and logged test results in Quality Center.
• Created and executed test scripts for approved Change Requests, logged their test results and related documentations in Quality Center.
• Identified, analyzed, and documented defects, errors, and inconsistencies in the application using Mercury Quality Center.
• Reported defects according to Defect Life Cycle.
• Expertise in manual tools HP ALM, Quality Center for Configuration Management and Defect Tracking.
• Responsible for defect tracking and bug reporting using Quality Center interacted with developers and Business Analysts to discuss and resolve defects
• Created and Maintained Test Matrix and Traceability Matrix and performed GAP Analysis.
• Involved in User Acceptance Testing.
• Analyzed all the bugs in the QC reported by the users during the UAT.
• Performed feedback concerning completeness and accuracy of AUT.
• Involved in documenting the defects found during AUT.
• Participate in various meeting and discussed Enhancement and Modification request. Environment: Oracle, Windows, IIS, Quality Center, QTP, UAT, UML, Test Cases, Test Plans, Test Scenarios, Test Scripts, TFS, HIPAA, ICD, Facets, 834, 835, 837, HP ALM, SQL Server 2005 / 2008

Windows Test Planning SQL Server SQL Quality Assurance Oracle Negative Testing HP QTP HP QC HIPAA Gap Analysis Documentation EDI Compliance Business Analysis Analysis Test Case Preparation Functional Testing BRD UAT UML HP ALM 834 837
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QA Analyst / Tester
Healthcare
Feb 2011 - Jun 2012

AmeriHealth is the largest health care insurer in the Mid-Atlantic region. With its offices in District of Columbia, Maryland, North Carolina, Northern Virginia and West Virginia and serving nearly 3.1 million members. Responsibilities:
• Reviewed Business Requirements, Functional and Technical specifications with business analyst and QA manager to learn the functionality and process.
• Involved in preparing Test Plan and defined the testing approach, resources and time lines.
• Worked with other team members and conducted the weekly status meeting to make sure the all team members are on the same page.
• Working on Medicaid and Medicare team environment Test Plan, Test cases and responsible for executing the Test Scripts
• Expertise in manual tools HP ALM, Quality Center for Configuration Management and Defect Tracking.
• Involved in writing Test Plan, Test cases and responsible for executing the Test Scripts.
• Motivating other team member and resources to get the job done on time
• Prepared Test Data by developing and executing SQL queries from database.
• Wrote Test Cases in Excel based on Technical and Functional Specifications and upload them in Mercury Quality Center.
• Involved in validation of HIPAA for 837 claims used for Professional, Institutional and Dental billings by writing Test cases, Test Plans.
• Enrolled members from different applications like 834 Transaction, Portal application, Legacy application
• Used EDI tool to verify mapping to X 12 format.
• Worked closely on 834 transaction code for Benefit Enrollment and was involved in Validation of HIPAA for 837, 835, 834 EDI transactions for Medicaid members (MMIS).
• Maintained Requirement Traceability Matrix (RTM) to make sure that test plans were written for all the requirements.
• Involved in Manual testing& Tracking defects using Test Director &Quality Center.
• Performed data validation according to data mapping document with data conversion logics from source system and target system.
• Involved in testing HIPAA EDI Transactions.
• Involved in GUI, Regression, database, Compatibility and Configuration Testing.
• Extensively used SQL queries and procedures for data validation in both source system and target system.
• Created and maintained SQL Queries for back-end testing.
• Provide training in using the system, using reports, executing queries and writing in SQL.
• Executed test cases found errors, reported defects, coordinate with developers and business analyst, determined repair priorities.
• Documented details of test plans, test cases and expected results in HP ALM.
• Perform regression testing after the defect is resolved and closed defect in Mercury Quality Center.
• Generated test execution reports, get sign off and uploaded validation documents in share point web site for review.
• Performed User Acceptance Testing (UAT). Environment: HIPPA, EDI, QUALITY CENTER, SQL, UAT, WINDOWS, Oracle, UNIX, QTP, Test Cases, Test Scripts, Test Plans, Test Scenarios, SQL Queries, Black End Testing, HIPAA, ICD, GUI, EDI, Test Data, Medicare, HP ALM, SQL Server 2005 / 2008

Windows UAT Training Test Planning Test Case Preparation Technical Specifications SQL Server SQL MS SharePoint Regression Testing Quality Assurance Oracle Manual Testing HP QTP HP QC HIPAA EDI Business Requirements Business Analysis Data Mapping HP ALM Microsoft Excel 834 837
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Non-cloudteam Skill
Education
Bachelor's in finance
salem state university, 2007 - 2010
Minor: economics

Due to friend recommendation , i professionally choose to work in IT.

Certifications
certification of Inventory Gathering Tool which pulls inventory from data warehousing
Skills
Agile Methodology
2015
1
Backend Testing
2015
1
Cost Benefit Analysis
2015
1
DB2
2021
1
PL/SQL
2015
1
SOAP
2021
1
UI
2021
1
XML
2021
1
834
2021
9
UML
2021
6
Black Box Testing
2021
5
EDI
2021
5
HIPAA
2021
5
HP QC
2021
5
Oracle
2021
5
Quality Assurance
2021
5
SQL
2021
5
Test Case Preparation
2021
5
Test Planning
2021
5
UAT
2021
5
Windows
2021
5
837
2015
4
Functional Testing
2021
4
HP ALM
2021
4
HP QTP
2015
4
SQL Server
2015
4
UNIX
2015
1
Analysis
2015
3
Business Analysis
2014
3
BRD
2014
2
Compliance
2014
2
Documentation
2014
2
Gap Analysis
2014
2
Manual Testing
2015
2
Negative Testing
2014
2
Regression Testing
2021
2
Training
2015
2
Application Development
2021
1
Business Requirements
2012
1
Data Mapping
2012
1
JIRA
2015
1
Microsoft Excel
2012
1
MS SharePoint
2012
1
MS Visio
2021
1
SDLC
2021
1
Technical Specifications
2012
1
Automated Testing
0
1
Integration Testing
0
1
Load Testing
0
1
Performance Testing
0
1
Security Testing
0
1
Smoke Testing
0
1
System Testing
0
1
Whitebox Testing
0
1