Seven years of experience as a Business Systems Analyst and Testing Analyst in the IT industry. Expertise in Rational Unified Process (RUP) methodology, AGILE methodology, Use Cases, Software Development Life Cycle (SDLC) processes, Unified Modeling Language (UML) using modeling tools such as Rational Rose and MS Visio. Experience of Client-Server and Web based applications using methodologies and practices in Healthcare Industry. Experience in gathering business requirements, analyzing, and converting user requirements into business requirements and have ability to work effectively both as a team leader and a team member. Efficient in creating Test Plans, Test Strategy, Test Cases for end-to-end functionality testing and configuring Defect Management Process. Possess extensive knowledge of Problem Solving Techniques and excellent Analytical skills coupled with Good Communication and Interpersonal skills describing a committed Team Player.

SPECIFIC EXPERTISE:

• Experienced in Working on HIPAA – EDI 5010 series for EDI Transaction code sets:
• 837 – Claim and encounters.
• 834 – Benefit enrollment and maintenance.
• 270/271 – Eligibility benefit inquiry and response.
• 277 / 276 – Claim request for additional information and response.
• 835 –Claim payment/Advice.
• Excellent knowledge of all phases of Software Development Life Cycle methodologies; with thorough knowledge of various phases including Requirements, analysis, design, development, testing (STLC) and implementation of software applications.
• Adequate knowledge in Health Administration – Claims processing (auto adjudication), Claims pricing and testing, enrollment, membership, EDI, Medicare, Medicaid, CDHP (consumer driven health plans)
• Developed business required documents (BRD) on the basis of JAD sessions for project.
• Worked in GAP analysis to understand the difference between two systems and documented the GAPs in GAP analysis spreadsheet.
• Documented the meeting minutes from the JAD’s and stored the artifacts in an appropriate place holders and SharePoint for both the teams to review.
• Experienced in ETL CA workload runner (Autosys) to run specific jobs for different modules.
• Experienced in creating/maintaining Test Plans, Test Strategy, Test Cases, Traceability Metrics, Test Summary Reports and Test Scripts for end to end functionality testing and configuring Defect Management Process.
• Proficient in Change management.
• Immense experience in various testing types like Functional, System, Regression, Performance, and UAT testing.
• Experienced in performing manual testing and defect tracking using HP Quality Center and Rational Clear Quest.
• Reviewed and analyzed Business Requirements, Functional Specifications, and Detail Design of the Application to develop the test plan.
• Expertise in creating complex SQL Queries using Joins and sub-queries and providing it to developers to build up the logic for the UI screens or Report using IBM Data Studio.
• Excellent Analytical, Decision-Making coupled with good co-ordination, communication, problem solving and interpersonal skills describing a committed Team Player with an ability to handle multiple projects.
• Extensively used tools like Quality Center for defect tracking and change management and Microsoft SQL server R2 (SSIS) for validating cubes.
• Excellent judgment and management skills acquired through experience in identifying areas of high risk early in development life cycle and prioritizing my tasks to focus my testing effort when time is limited.

TECHNICAL SKILLS:

Tools/Applications:

Rally, Service Manager, Microsoft SQL server R2 (SSIS), Ab Initio (EME)portal, Quality and Revenue Management Program (QRPM), Quality Center, Quest, Availity, Siebel, Diamond, EAS, GAP, PL/SQL, CA Workload control Centre (Autosys)

Rational Tools:

Rational Requisite Pro, Rational Clear Quest, Rational Rose

Project Management:

MS SQL Server, MS Visio, MS Office (Word, PowerPoint, Excel, Access), MS Project

Modeling and Analysis Environment:

UML, RUP, Agile, Waterfall Methodology

Operating systems:

Windows 9x/2000/XP/Vista/7