The purpose of this ongoing project is to System test various changes in the Diamond claims system, to validate the quality of the changes made as part of different releases. These testing include testing upstream changes like Membership/Provider changes, ITS, Non-ITS claims Testing, and also testing downstream changes to Finance system. Part of the job expectation is to also support and assist the UAT testers. Also supported the development and implementation of new UI tools for dependent internal teams.

Roles& Responsibilities:

• Working with the Business and Technical POCs of different inter-dependent systems, to walk-through and understand the requirements.
• Working in Agile or Waterfall SDLC methodologies.
• Based on the requirements, create Test scenarios with step-by-step explanation of the testing process, with the pre-conditions, execution and expected results.
• Share the Test scenarios with Business, walk them through the different steps and get the Business approvals on the scenarios.
• Once the Test plan is approved, load the scenarios to ALM (Application Lifecycle Management) or create Test scenarios in Rally.
• Run SQL queries to get the data needed for testing.
• After code deployment to the System testing region, execute the Test scenarios. Validate and document the test results using the HP Screen recorder, and track the execution and validation in ALM.
• Based on the test result, either pass the individual test cases or open a defect and assign it to the development team to fix the issue, if any. Follow-through to ensure the issue is closed and retested before the code is progressed any further.
• Assist the UAT team to perform their testing, to ensure that all approvals are obtained before the code changes are finally deployed to production.
• Assist in the development, implementation and maintenance of new UI tools that help other internal teams to streamline their processes.

Software Used:

Languages: SQL

Database: Oracle, DB2

Tools : Rally, HP ALM, SOAP UI, Test Datagram, HP Screen recorder, SQL Developer/Navigator, IBM Data Studio, Toad, HP Service Manager.

The purpose of this project is to implement changes to support the Medicaid and Medicare claims processing in Anthem WGS Claims processing system. This includes attending business and technical meetings and also working with other inter-dependent systems to analyze and identify collisions and common objectives.

Roles& Responsibilities:

• Working with the Business and Technical POCs of different inter-dependent systems, to propose solutions to achieve the requirements.
• Drill down the requirements to come up with Technical responses to be shared with the development team.
• Work with the Business and the Development teams to ensure that the requirements are being efficiently captured and the optimum Tech responses are being provided.
• Following the SDLC by creating Gating eForms for each stage of development and Service NOW Tickets to deploy the changes.
• Reviewing the development activities and the test results to ensure that the requirements are met.
• Communicating with the onshore Business and Project teams about any delay or issues in the developmental cycle and getting the changes back on track by following all the process.

Software Used: Operating System : MVS/OS390, Windows XP

Languages : COBOL, JCL Database : IMS-DB, DB2

Tools : Change man, IBM Debug Tool, Fault-Analyzer, Table base, SAR, IOF, CTM, File Manager, File Manager IMS.

Others : Mainframe Sort Utilities (DFSORT, ICETOOL), VSAM, IDCAMS, MS- Excel, Word. Project: Claims testing

Domain: Healthcare

The purpose of this ongoing project is to System test various changes in the Diamond claims system, to validate the quality of the changes made as part of different releases. These testing include testing upstream changes like Membership/Provider changes, ITS, Non-ITS claims Testing, and also testing downstream changes to Finance system. Part of the job expectation is to also execute Finance regression test scenarios like ADJCR/ADJDR adjustment, ITS Host 301 adjustment and also to support and assist the UAT testers.

Roles & Responsibilities:

• Working with the Business and Technical POCs of different inter-dependent systems, to walk-through and understand the requirements.
• Based on the requirements, create Test scenarios with step-by-step explanation of the testing process, with the pre-conditions, execution and expected results.
• Share the Test scenarios with Business, walk them through the different steps and get the Business approvals on the scenarios.
• Once the Test plan is approved, load the scenarios to ALM (Application Lifecycle Management) or Rally.
• Run SQL queries to get the data needed for testing.
• After code deployment to the System testing region, execute the Test scenarios. Validate and document the test results using the HP Screen recorder, and track the execution and validation in ALM or Rally.
• Based on the test result, either pass the individual test cases or open a defect and assign it to the development team to fix the issue, if any. Follow-through to ensure the issue is closed and retested before the code is progressed any further.
• Execute Finance regression test scenarios like ADJCR/ADJDR adjustments, and ITS Host 301 Adjustments.
• Assist the UAT team to perform their testing, to ensure that all approvals are obtained before the code changes are finally deployed to production.

Software Used: Languages : SQL Database : Oracle, DB2 Tools : HP ALM, Rally, HP Screen recorder, SQL Developer/Navigator, IBM Data Studio, Blue Square. Project: HIX Subsidy P2P Domain: Healthcare

The purpose of this project is to implement changes to support the Medicaid and Medicare claims processing in Anthem WGS Claims processing system. This includes attending business and technical meetings and also working with other inter-dependent systems to analyze and identify collisions and common objectives.

Roles& Responsibilities:

• Working with the Business and Technical POCs of different inter-dependent systems, to propose solutions to achieve the requirements.
• Drill down the requirements to come up with Technical responses to be shared with the development team.
• Work with the Business and the Development teams to ensure that the requirements are being efficiently captured and the optimum Tech responses are being provided.
• Following the SDLC by creating Gating eForms for each stage of development and Service NOW Tickets to deploy the changes.
• Reviewing the development activities and the test results to ensure that the requirements are met.
• Communicating with the onshore Business and Project teams about any delay or issues in the developmental cycle and getting the changes back on track by following all the process.

Software Used: Operating System : MVS/OS390, Windows XP

Languages : COBOL, JCL Database : IMS-DB, DB2

Tools : Change man, IBM Debug Tool, Fault-Analyzer, Table base, SAR, IOF, CTM, File Manager, File Manager IMS.

Others : Mainframe Sort Utilities (DFSORT, ICETOOL), VSAM, IDCAMS, MS- Excel, Word. Project: Claims testing

Domain: Healthcare