Anthem BCBS, CA, USA- Health Insurance Domain June 2017 – Current

SIT Enrollment Lead- Deloitte

Project Overview:

WellPoint Group System (WGS) is the pivotal IT application, which supports the large Group business of Blue Cross of California. The WGS 2.0 Membership System is part of the WGS 2.0 Family of Systems and is responsible for the Enrollment Activities related to our Members and Clients. It provides other Members of the WGS Family with eligibility and member demographic data. The WGS Membership System also provides this information to systems outside the WGS Family, as well as to Vendors and Clients.

WGS 2.0 Membership system processes membership enrollments. The system uses batch processing to maintain and create extracts and reports of the membership details. The role-based access to the system is defined by business based on the Profiles for the user roles. These profiles define the screens that will be displayed as available to that role (system navigation), which in turn limits the role to specific functionality that is supported through these screens. The Navigation Databases contain the configuration information for each Profile, defining the menus, screens, screen modes (inquiry vs. Update) and PF keys that represent the system functionality that the role can access. Roles are defined for different areas of responsibility and only those users with the defined role can access the functions required for their job description. This allows controls to be set at different levels within the profile roles.

WGS 2.0 Membership focuses on Case installation, Group/Product Setup, Enrollment of members through various sources such as Group Tape, Web interface and online member enrollment, storage and maintenance of member information and the downstream processes. The membership data is referred during claim processing, Billing etc.

Below are the WGS POR’s handled @ Anthem BCBS;

• New York CS-90 Migration & AB Engine
• OAD Letter Generation
• ACCUMS P2P
• Self-Correcting ACCUMS
• AIM Genetic
• Alpha-Numeric Prefix
• ASH Chiro

Environment:

CA IBM Mainframe, COBOL, IMS/DB, DB2, CICS, JCL, IBM DEBUG Tool, File-Manager

Contributions:

• Involved in testing WellPoint Group System(WSG Mainframe) and Individual Small Group(ISG Mainframe)systems
• Involved in creating the LOE’s for each release POR’s
• Involved in Functional testing, Regression Testing and Test Data Support
• Involved in creating TESD as an exit criteria for each release
• Coordinating with SIT Anthem Leads whenever it is required
• Involved in Mainframe based System Testing.
• Involved in the design, Application testing of applications using IBM Mainframe & Oracle products.
• Involved in Testing CICS Online screens and TSO
• Participated in the analysis of the existing mainframe system developed in JCL, DB2, and COBOL to migrate in to modern technology
• Involved in SIT testing in IMSW and IMSN mainframe regions
• Performed data validation and mainframe testing in IMS DB and interactive mainframe environment
• Test the batch/on-line application module(s) to verify whether the changes meet the new business requirements
• Compared the Test files with the Production files.
• Manage design, development, and execution of the entire test process; track and report progress of test execution; document and coordinate the detailed execution plan for all cycles to support testing.
• Discuss regularly with offshore team through conference calls & emails and plan the tasks accordingly.
• Mentoring the team and supporting the members to resolve technical issues
• Preparing effort estimates to identify resource loading

Waybill is a shipping information document that shows the point of origin, destination, route, shipper, consignee, description of shipment, weights and other data necessary to rate, ship and settle the dollar amounts. Waybill can be received from customers through EDI / TDCC Transmissions or Shipping Instructions entered in ShipCSX. In Electronic Data Interchange (EDI) transmission environment, Rail Carrier Shipment Information transaction set (404) is used to transmit rail carrier specific waybill information to a railroad.

• Understanding the requirements of the Customer, involved in analysis of application by interacting with Dev/Analyst/Business Partners
• Involved in running LOAD RUNNER scripts with 250 VUSERS
• Performed back end(core) testing using Mainframes
• Feeding the Input/Output file to generate the test cases
• Involved in providing the QA Estimates to Release Coordinator
• Performing the reviews on Clarification logs, Test cases, Requirement Traceability Matrix and Test Results.
• Review of new defects reported by team in QC/ALM to make sure that all the necessary data has provided to reproduce the defect.
• Manage design, development, and execution of the entire test process; track and report progress of test execution; document and coordinate the detailed execution plan for all cycles to support testing.
• Manage Defect Triage Meetings, prioritizing and assigning defects
• Facilitated planning, building, development, evaluation, testing, troubleshooting, revision, and deployment of client-specific software releases and software patches.
• Performed complete documentation of all software releases in confluence
• Communicate all key project plans, commitments, and changes including requirements, QA plans, schedule, and scope changes
• Negotiate, plan and manage all release activities
• Lead and co-ordinate the Go-Live activities including the execution of the deployment Plans and checklists.
• Participate in CAB meetings to discuss release scope and/or roadblocks
• Communicate release details and schedules to the Business as required

Environment: DB2, Java Server Faces, SOAP UI, IBM Mainframe, HP Quality Center, ALM

The ACT platform is the Hanover’s policy management system for Commercial Package Policies (CPP). Calligo, an in systems product, is currently used to generate Policy Output PDF in conjunction with the ACT Platform.

Calligo to Dialogue Conversion project involves the replacement of the Calligo document generation product with Dialogue. Extreme Dialogue, a Hewlett Packard product, is the enterprise output platform for Hanover. The project aims to replace the internal Calligo system with Dialogue. Dialogue system comprised of two web services i.e. PPDS for generation of XML and EWS for generation of output PDF with Dialogue tool. PPDS fetches data from Oracle database and EWS takes XML as input and produce Output as PDF.

• Passing input parameters (Policy ID& Transaction ID) to the WSDL service endpoint through SOAP UI for XML generation
• Request XML to be edited by removing all name spaces (ns2, ns3, ns4 and ns5) for XSD
• Header and footer of request XML to be changed
• Edited XML to be passed to Extreme Wrapper Service to get Dialogue Output PDF
• EWS service will parse the given XML and will display PDF with the forms available in XML
• Generated(Dialogue) PDF will be compared with Existing system PDF for any defects
• If any variance found in Generated(Dialogue) PDF and existing PDF, then Database to be verified whether XML properly fetching data from database or not
• Understanding the requirements of the Customer, involved in analysis of application by interacting with Dev team.
• Involved in the study and analysis of various backend services that interacts with the database.
• Developed test cases by going through the specification.
• Performing the reviews on Clarification logs, Test cases, Requirement Traceability Matrix and Test Results.
• Review of new defects reported by team in QC to make sure that all the necessary data has provided to reproduce the defect.
• Manage design, development, and execution of the entire test process; track and report progress of test execution; document and coordinate the detailed execution plan for all cycles to support testing.
• Discuss regularly with onsite QA manager through conference calls & emails and plan the tasks accordingly.
• Manage Defect Triage Meetings, prioritizing and assigning defects

Environment: Web services, SOAP UI 2.0, Windows XP, Oracle 9.2

KAMCO is based in Australia and is in the business of smart card based ticketing solutions. Smart Card is based on ticketing payment and ancillary services for the public transport ticketing solution in State of Victoria. NTS Solution consists of customized software, COTS, Hardware devices (CVM, TOM, BDC, TDC, EGK, Smartcard Valuators, and HHD), MS-Dynamics for ERP and CRM solutions, Statewide WLAN, External interfaces to Bank and Government Agencies, B2B Integration with suppliers, DWH/Dashboards/KPI/SLA Management. All the solution components are integrated using BizTalk, XML and Team Foundation Server

SIT/SQT Environment:

• Involved in the testing of the complete e2e integrated with real time device.
• Involved in the testing of the various type of device BDC (Bus Driver Control), TDC (Tram Driver Control, TOM (Ticket Office Machine), EGK (Electronic Gate Kit), FPDm (Fare Payment Device mobile, static).
• Involved in integration of front office device to back office.
• Involved in testing critical functionalities (fares and capping) on smart card.
• Involved in uploading test scripts to quality center and responsible for managing updates in quality center
• Production Support Environment:
• Mentoring the team and supporting the members to resolve technical issues
• Preparing effort estimates to identify resource loading
• Scheduling and attending Client/Onsite calls from offshore.
• Delegating or assigning the work requests across the team and based on the experience levels.
• Performing the reviews on Test cases, Test Results.
• Organizing the training for the team members as and when required
• Implementing Scrum meetings as part of Agile Methodology

Environment: SQL Server 2003, Oracle 9i, Ms Dynamic Axapta 4.0,BizTalk 2000 Server,TPPS

E-Pedigree A Pedigree tracks the details from the origin of a drug till any point in the supply chain. The Objective of the project is to test for all features of e-Pedigree during the Supply chain.

EDI Direct This project is required to eliminate this manual process and automate the receipt and entry of regular direct invoices into the eDirects system. The business is looking to leverage EDI to accommodate this change. By leveraging EDI to support this process, SUPERVALU will save significant money by automating the process of receiving and processing vendor DSD invoices.

LLC Benefits 2008 Albertsons LLC reviews benefit plans offered to associates across the enterprise to determine the cost and effectiveness of the plans for both the company and the associate, based upon participation levels, industry trends, and industry practices. The LLC Benefits 2008 Project is to facilitate the open enrollment processing for Albertsons LLC associates.

• Mentoring the team and supporting the members to resolve technical issues
• Preparing/Reviewing effort estimates for the new projects
• Scheduling and attending Client/Onsite calls from offshore.
• Understanding the project requirements and writing test cases.
• Delegating or assigning the work requests across the team and based on the experience levels.
• Performing the reviews on Clarification logs, Test cases, Requirement Traceability Matrix, Test Results.
• Attend QA staff meetings and train the team on application changes. Organizing the training for the team members as and when required.
• Validation of reports for various projects based on the Requirement Design Documents and MSI master documents.

Environment: Windows, Unix & Mainframe Environment

Web Booking Engine is the backbone for the BW websites supporting Hotel bookings over the internet. Provides an outstanding Customer Experience so that Guests around the world can find the most suitable hotel room at the best rates for them, and complete their booking easily and conveniently. This enhances the Best Western brand and entices Guests to make the Best Western web site their preferred method to find and book hotel rooms.

• Responsible for Analyzing the Application Functionality
• Identify the expected results for each test.
• Functional Testing, System Testing & Black Box Testing
• Co-ordination with Developers& Client Interaction.
• Reporting the bugs
• Validation of Track Record tickets

Environment: J2EE, servlet, Oracle