● 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