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Click here or scroll down to respond to this candidateCandidate's Name ,Email: EMAIL AVAILABLEContact No: PHONE NUMBER AVAILABLEProfessional SummaryOver 10+ years of commendable IT experience in Quality Engineering & AssuranceMulti-domain experience including Retail, Healthcare and Life Science, Communications industryExtensive experience in managing and leading the Medium to Large size engagements involving multi-vendor team in Global Delivery ModelGreat experience in identifying, measuring, monitoring, and reporting quality trends and key performance indicators (KPI) to key stake holders and business leaders.Strong working experience of SDLC and QA Life Cycle which includes building and executing Test Plans, Test Scenarios and Test Cases according to Business, Functional and User Cases.Expertise in Preparing Effort Estimation, Test Plans, Test Strategies, Metrics, Test Scenarios, Test Cases, Test Data.Involved in Business Planning, Strategic Planning, requirement gathering and project planning, execution and implementation and Defect ManagementStrong communication and interpersonal skills to collaborate well across cross-functional team including BAs, Product Owners, Dev team.Technical Skill SetMethodologies/Models: Agile, Waterfall, IterativeType of Testing: Functional UAT and SIT testing, End to End testing, Integration testing, Multi Browser testing, Mobile and multi device testing, GUI testing, backend testing, DB/web Application Migration Testing, Web Service Testing, API Testing using Postman.Test Management Tools: Azure AD Cloud, ALM, QTEST, JIRA Software, Mercury Quality CentreDefect Tracking Tools: Q Test, Azure DevOps, JIRA Software, HP Quality CenterDatabases: Big query, Oracle 12c, Oracle 10, SQL Server 2000Software Utilities/Tools: MS Office, Basic Quality Test Professional (QTP), Tidal Enterprise Scheduler (TES), Microsoft Visual Source Safe, GitHub, SharePointTechnology Solutions: Client-Server, Web-Based, Data Migrations (Basic ETL)Software Technology: Adobe CMS, CRM-CXone, Gabby-IVR, PowerBI (Analytics & Reporting), Facets (Trizetto) - Configuration Management Model, Sign-Me-Up (SMU) Enrollment Module, Enterprise Data Finance (EDF) Reporting Module, FACETS to SGOR (Small Group Renewals) Interface,Key Functional skillsHealth Care:In-depth Knowledge of product, subscriber, provider and alert data database testing.In-depth knowledge of Facets Subscriber Enrollment, Eligibility, PCPs, Billing, Automatic Letters, ID Cards generation modules.In-depth knowledge of Claims Processing, EDI Standards including Claim Payment/Advice Transaction set (835), Claim Transaction Set (837), Eligibility Benefit Enquiry (270), Eligibility Response (271).In-depth knowledge of Medicare/Medicaid pharmacy benefitsKey Activities Performed Across ProjectsPlanning & Management: Produce QA strategies and plans, optimum resource and capacity planning in Global Delivery ModelProcess Management and Scoping: Defining and streamlining Testing Scope, Quality Assurance Processes, Project Tracking, Reporting, Test Cycles Planning and Execution, Defect Management.Team Management: Task assignment, external stakeholder management to overcome bottlenecks, Tracking and monitoring progress to meet delivery timelines.Cross functional team Collaboration: Value participation in SDLC including Requirement Reviews, Functional document review, Test Scenario and Test Cases Designs and ReviewsTest Execution: Performing End-to-End testing, Functional Testing, System Integration Testing, Regression Testing, User Acceptance Testing, Usability Testing, GUI Testing, Non-Functional TestingAcademic CredentialsPost graduation in Academics from Lucknow University Lucknow UP IndiaGraduation from IT college Lucknow UP IndiaCertificationsSAFe Scrum Master (2022)Software Testing Certificate (2007)Work ExperienceCognizant Technology Solutions (CTS) 2014 Till DateProject TitleGainwell CA DBO-SITClient / DomainGainwell TechnologiesDuration01/2024 Till DateLocationAtlanta, GeorgiaOperating SystemWindows 8, Windows 11Technology and ToolsDBO, ALM, AzureProject Description:Gainwell Technologies offer digital services and solutions for Federal Medicaid Program, Health Plans and MCOs. As part of the CA_DBO_DDI Project, Gainwell modernized and enhanced CX services supporting Medicaid product. The solution enabled cost-effective and improved customer service by introducing virtual agents, generating case and assign to respective department team.Role and Responsibilities:As a QA lead, the role demanded following primary activities:Understand & plan quality assurance of the end-to-end customer service integration system. It included Gabby IVR System, CXOne CRM, Essette - Case Management In-house solution.Aligning execution strategy based on Sprint requirement, Capacity Planning, Resource Planning, Task Management, Execution tracking to meet commitment.Walk-through of Testing Scope, Test Coverage and Test Result with CA State IT teamDocumenting and Reviewing Test plans, Test cases, addressing requirement gaps of team membersCollaboration with dependent team to address bottlenecksPerforming end-to-end integrated testingDefect tracking, Defect fix follow-ups, Regression Testing and QA Certification.QA Progress Reporting based on established Metrics and KPIsSanity test during production release.Professional Experience and Project DetailsProject TitleHumana ADF SITClient / DomainHumana (author by Humana)Duration06/2022 12/2024LocationAtlanta, GeorgiaOperating SystemWindows 8, Windows 11Technology and ToolsGoogle cloud Platform, JIRA, QTEST, POSTMANProject Description:Humana has established the core platform a.k.a. Edge Platform supporting Alert Data Store. The platform enables improved member care experience utilizing alert system and provide enhanced members insight to care coordinators and Health community.The platform provides improved digital experience to its customers and members supporting key features including Multi-Faceted Enrollment to Medicare Advantage plans. The alert system enables customers and members to take appropriate and timely action to identify and address the targeted goal utilizing Member Portal and Sugar CRM Contact Management supported on variety of digital devices.Edge is designed to help customers receiving useful health information from time to time and participating in variety of Engagement Programs.Lumberjacks ADF team is responsible for populating and replenishing the Author Data Forest (ADF) with time sensitive data that helps the business derive valuable insights and create real time dashboards.. Role and Responsibilities:As a UAT lead, the role demanded following primary activities:Co-ordinating with business leads and development team to understand the requirement and writing test scenarios and Test cases in QTEST in an agile environment.Executing the test cases and providing the report to the stakeholders. Participate in setting up the environment as per the requirements, executing the test cases and reporting the results to various stakeholders.Performing backend testing on Google cloud platform using the Big Query as the database for querying, updating, and deleting data.Preparing test data and testing data flows from inbound buckets to target tables utilizing CRON and batch job, testing the dataset and data type of the Tables as per requirement and testing the flow of data from raw to corresponding tables for BI reportingWriting network of complex queries to replicate business scenarios/ logic to validate the target state expected data that included sub-queries, joining multiple tables, group by clauses. The source system supported various data format including Json Files, CSV Files and DB tables which was loaded into Alert Data Store tables as Target Location.API Testing utilizing Postman to test the flow of Alert data to the frontend Sugar CRM application.Participating in daily/weekly defect review & triage meetings.Monitoring and managing the test execution activities of offshore and onsite team, preparing daily execution status and defect reports.Participating business and status meeting along with development team to report current execution status.Professional Experience and Project DetailsProject TitleHumana Group and SpecialtyClient / DomainHumana Specialty Product BuildDuration03/2021 05/2022LocationAtlanta, GeorgiaOperating SystemWindows 8, Windows 11Technology and ToolsAzure AD cloud group, QTEST,Project Description:Humana has a Specialty Product Development team which is responsible for creating plans and works on various applications in Humana Self Service to facilitate the creation of products based on Plan needs.The Applications include Product Database, Dynamic plan Load Sold plan Finder, Plan Designer, Product Build Tracking and Metrics, Service Area Administration.PDB application is a Database which houses Limits, riders, reimbursements, copayments for plans, It is used for designing plans. Product Build Tracking and metrics is a defect and project tracking tool.DPL sold plan finder is an application is used to find plans by line of business, product type, state of issue, reimbursement types and help in assembling and re assembling of packages and benefit packages for the plan. Service Area Administration helps to add/update, view and copy Service area for a LOB based on Network, state and County.The project work included upgrading the framework of these applications, building compliance checks so that the security checks are in place. Supporting the migration of these applications to Azure AD cloud group and fixing existing issues in UI.Role and Responsibilities:Working with Architect and development team to understand the Acceptance criteria of framework upgrades and security checkpoints and migration of the 5 applications to the Azure cloud. Writing Test scenarios to further understand the requirements.Designing the functional test cases in Qtest. Mapping the requirement to the Test cases to establish Requirement traceability metrics.Preparing Regression Test cases suite for checking the current functionality working as expected.Executing test cases and logging defects in Qtest and Azure board.Participating in daily/weekly defect review & triage meetings.Co-ordinating with other scrum teams like TLM to help in the smooth migration of these applications from SL servers to Azure cloud-based servers.Helping the SIT lead in preparation of Test execution reports and process metrics using Power BI tool for the product Pushers team.Monitoring and managing the test execution activities with Testing team, preparing daily execution status and defect reports.Professional Experience and Project DetailsProject TitleHumana _EDI_EHub_UATClient / DomainHumanaDuration06/2020 02/2021LocationAtlanta, GeorgiaOperating SystemWindows 8, Windows 11Ehub ToolsEligibility viewer, Management tools, Ehub Claims viewerProject Description:The Edge is a new business within Humana that exist to help seniors live life on their terms. While Edge will operate a Medicare Advantage health plan, its focus first and foremost is on seniors and their goals, and not about insurance transaction. As part of this new business model, the Edge chose to participate in the competitive evaluation of a comprehensive administrative Platform to be launched with new membership effective Jan 2021.eHub is the UI tool used by Humana to process claims for all platforms. The project was about eHub to accept and route 837 claims and Encounters filed by providers associated to Edge to the Edge claims processing platform by applying various routing logics. The types of claims covered were professional, institutional medical claims, Dental claims and encounters, including real-time and paper claims with different Payer IDs. The claims were submitted through Availity portal, other channels, UST paper into eHub where the eligibility of the members were verified in the Eligibility viewer which were then accepted and processed and sent to HP(Edge) platform with a 999-response received back from EdgeRole and Responsibilities:As a QA lead, the role demanded following primary activities:Perform testing based on established best practice methods of Cognizant's Project Test Strategy documents and framework using various tools like QTEST, Devops.Co-coordinating with business leads and QA team to understand the requirement and writing test scenarios and Test cases in QTEST,Execute the test cases and providing the report to the stakeholders. Participated in setting up the environment as per the requirements, executing the test cases in the environment, and reporting the results to various stakeholders.Participate in daily/weekly defect review & triage meetings.Preparing of Defect tracker and graphs for easy tracking of open and reopen defects.Preparing daily execution status report and defect reports.Communicating with the offshore team and making them up to date with the progress in current and future campaignsProvided PPV report to the client once the project deployed in production.Professional Experience and Project DetailsProject TitleMacys Sunshine digital MarketingClient / DomainMacysDuration01/2020 05/2020LocationAtlanta, GeorgiaOperating SystemWindows 7, IOS & AndroidProgramming LanguageSelenium, JavaProject Description:Macys Interactive Marketing Platform supporting Macys digital marketing is crucial to business and revenue growth. The business function works round the clock formulating marketing strategies, defining and streamlining Campaign Management to support sales and generate revenue. The Campaign Management unit creates and update campaigns throughout the year to promote events and products leading to high-volume, revenue-oriented time bounded campaigns. The IMP testing team was involved in validating accuracy, effectiveness and completeness of campaign online promotions based on Macys well-defined standards and compliance rules which included but not limited to validating deep links, canonical tags, adobe tags, core metrics, contents and links.Role and Responsibilities:As a QA lead, the role demanded following primary activities: Partner with Macys QA leadership to conduct a seamless QA transition from existing team to Cognizant team. Understand, Streamline and disseminate the best practices and compliance checks established across new team. Set up the execution and communication protocol to support QA function within Campaign Management function. Leading a team of 10 people based on onsite of offshore model. Key point of contact for Stakeholder Management and Reporting including attended daily status calls, campaign walkthroughs, Signed off weekly and bi-weekly campaigns, Resolved daily impediments and glitches.Other activities included Test Estimation, Skillset Alignment, Establishing Process & Best Practices, Progress tracking and Monitoring, Reporting, Defect Management, Test closure activity.Supported Scrum master to keep the campaign delivery realistic by introducing campaign capacity and resource planning strategy for each sprint, tracking and reporting of weekly and bi weekly tasks. Played a crucial role in daily scrum planning and huddle meetings with allstakeholders. Established cross functional team (Product deployment team, Dev Team, etc.) communication protocol to improve communication and avoid delay.Professional Experience and Project DetailsProject TitleCox Home lifeClient / DomainCox Communications / CommunicationsDuration02/2019 01/2020LocationAtlanta, GeorgiaOperating SystemWindows 7, IOS & AndroidProgramming LanguageC, C#, VB Script, JavaProject TitleAlarm.comClient / DomainCox Communications / CommunicationsDuration10/2018 01/2019LocationAtlanta, GeorgiaOperating SystemWindows 7, IOS & AndroidProgramming LanguageC, C#, VB Script, JavaProject Description:Cox Home Life/Alarm.com is a home/business security application that provides cloud-based services for remote control, home/business automation and monitoring services. Services include interactive security, video monitoring, energy management and home/business automation.Role and Responsibilities:As a QA lead, the role demanded following primary activities:Design test cases for certifying web-based applications like management portal for CHL and CBSS, Customer and Dealer portal for Alarm.com. gathering the requirements, analyzing them and designing test cases that are used to certify various server versions of the applications.Execute the test cases for certifying the CHL and CBSS mobiles apps on IOS and android and providing the report to the stakeholders. Participated in setting up the environment as per the requirements, executing the test cases in the environment, and reporting the results to various stakeholders.Perform testing based on established best practice methods of Cognizant's Project Test Strategy documents and framework using various tools like Jira, ALM.Run automation test cases for ADC and CHL regression cycles for testing home security and home automation devices and sensor automation.Participate in daily/weekly defect review & triage meetings.Preparing of Defect tracker and graphs for easy tracking of open and reopen defects.Help in coordinating with the offshore team for requirement clarifications and execution tracking.Professional Experience and Project DetailsProject TitleMigrate FP and Routed Tasks to EMAClient / Industry DomainCVS Caremark / PharmaDuration04/2018 09/2018LocationTampa, FloridaOperating SystemWindowsProgramming LanguageFacets (Trizetto), SQL/PLSQL backend IntegrationProject DescriptionCVS/Caremark a service provided by CVS across national network offers multiple services like pharmacy benefit management and prescription mail order, Prescription coverage plans and strives for ease of accessibility utilizing various channels including Online and mobile channels.The existing program involves re-engineering the legacy group of SILO systems that were manually maintained to support detail recording, updating and managing client information related to structure, hierarchy & benefits. The new product objective is to establish a centralized enrolment repository, one configurable processing engine and seamless user interface and work flow engine by building one user interface and automating the updating and managing client information.Role and Responsibilities:As a QA lead, the role demanded following primary activities:Establishing SOW to define scope of work, generated high level Effort and resource requirement, finalized & documented Cost (Capped T&M) and Execution (Agile) methodology for the User Acceptance Test initiative.Established testing strategy & test plans, finalized acceptance and gateway criteria for UAT, established sprint test cycles, and support for automated regression testing (For previous spring product), held defect management and triage session. Lead the team to establish dedicated UAT environment during the project inception and planning phase including building and maintained test data bed to faster sprint specific testing.Supported Scrum master to keep the sprint delivery realistic by introducing sprint capacity and resource planning strategy for each sprint, tracking and reporting on the sprint health utilizing burn-chart. Played a crucial role in daily scrum planning and huddle meetings with all stakeholders. Established cross functional team (Product deployment team, Dev Team, Batch Job and TES Scheduling Team etc.) communication protocol to improve communication and avoid delays.Conducted weekly all hands meeting including key leads and stakeholder to demo the build product, current state of the sprint, risk and mitigation plan for support timely and smooth sprint execution. Lead the defect triage meeting and defect execution planningProfessional Experience and Project DetailsProject TitleHorizon SSNRI (Social Security Number Removal Initiative)Client / Industry DomainHorizon / HealthCareDuration11/2017 03/2018LocationNew Jersey, NYOperating SystemWindowsProgramming LanguageJavaProject DescriptionHorizon Blue Cross Blue Shield of New Jersey provides health insurance coverage to over 3.2 million people throughout all of New Jersey. It is best known for their managed care and traditional indemnity plans for individuals and employers.The existing program involves conversion of existing HICN involving multiple parties such as Social Security Administration (SSA), Railroad Retirement Board (RRB), and Medicare Plan etc. with new Medicare Beneficiary Identifier (MBI). Horizon initiated Horizon-SSNRI initiative to decrease Medicare beneficiaries vulnerability to identity theft by removing the SSN-based HICN from their Medicare id cards and replacing the HICN with MBI that does not contain SSN or any other personal information. The initiative involves Generating MBIs for all beneficiaries, Issue new, redesigned Medicare cards, Modify systems and business processesRole and Responsibilities:As a QA Lead, the role demanded following primary activities:Participate in the requirement grooming session, requirement and functional specs analysis. Develop Requirement Traceability Matrix, Test Plan, Test Scenarios, Test Cases based on CMS guidelines and deployment artifacts requirements, Develop Test Strategy for Interface Testing (MBI Changes) for applications like EAM, DLM and Facets, Test Data Preparation for crosswalk/cross reference load of MBI from DLM application to EAM, Test data EEAF load files for the new interfaces (MBI) to certify end-to-end member load process from source (Front End application/Bulk Load process) to target (Facets), Validated the reporting and letter generation (Customer Welcome Letter, Dunning, NCTC Letters etc.) processes, Lead Defect Triage/Management meetings, Reporting delivery risks and mitigation plans, worked closely with Tidal support team to schedule all the workflow job as per the production requirement to replicate business as usual scenario.Professional Experience and Project DetailsProject TitleCVS Facets Enrollment UATClient / Industry DomainCVS Caremark / HealthCareDuration11/2015 11/2017LocationTampa, FloridaOperating SystemWindowsProgramming LanguageFacets (Trizetto), SQL/PLSQL backend IntegrationProject Description:CVS/Caremark a service provided by CVS across national network offers multiple services like pharmacy benefit management and prescription mail order, Prescription coverage plans and strives for ease of accessibility utilizing various channels including Online and mobile channels.The existing program involves re-engineering the legacy group of SILO systems that were manually maintained to support detail recording, updating and managing client information related to structure, hierarchy & benefits. The new product objective is to establish a centralized enrolment repository, one configurable processing engine and seamless user interface and work flow engine by building one user interface and automating the updating and managing client information.Role and Responsibilities:As a QA lead, the role demanded following primary activities:Requirement analysis & scope identification, Strategizing test execution and developing test plan in-line to defined agile methodology during the project initiation and planning phase, Established dedicated test environment during project inception and planning phase, Performed capacity planning and resource planning for each sprints, Developing test scenarios and test case design for identified user stories, Developing and maintaining test data bed to support sprint specific testing, Planned effort and execution strategy for regression testing for previous sprints product, Worked with batch job team to schedule job and request on-demand jobs execution utilizing Tidal Enterprise Scheduler, Daily scrum planning, execution and huddle meeting with all stakeholders, Daily progress tracking and reporting on expected progress v/s actual progress achieved, Develop risk & mitigation plan for timely and smooth sprint completion, Daily defect management and upcoming sprint planning to retrofit new requirements or issue, Proactive shared risk & mitigation and external dependency with Scrum master to avoid missing sprint timelinesProfessional Experience and Project DetailsProject TitleBlue Shield of California ProjectClient / Industry DomainBlue Shield Of California / HealthCare InsuranceDuration07/2014 10/2015LocationEl Dorado Hills, CAOperating SystemWindows 2000Programming LanguageFacets (Trizetto Tool) / Informatica (ETL Tool)Project Description:Blue Shield of CA (an independent member of the Blue Shield Association), is a not-for-profit health plan dedicated to providing Californians with access to high-quality health care at an affordable price. Since 1939, the foundation has been focusing and supporting two aspects of health care segments: Health Care & Coverage, Blue Shield against Violence.The existing program involves migration from legacy system to Facets 5X, testing end to end process covering complete healthcare life cycle of Subscriber including Renewals, IFP, SMU (Sign Me UP), reporting, and Claim Processing, Letter & Notifications etc.Role & Responsibilities:As a QA Lead Analyst, the role demanded following primary activities:Lead the QA for the key application like SAA (Shield Advance Acceleration), SMU (Sign Me Up) Facet Enrolment and Membership ModuleSingle point of contact for all stakeholders (internal & external) for SMU module, Worked with business analysts, development team across SDLC phases for all releases, Streamlined testing processes and execution on highly volatile requirement change environment, Agile team management to address scope spike and last minute requirement changes around ID card design and new print vendor requirement, Developed test data load and refresh strategy to speed up the delivery via back-end load, Developed test scenarios and test cases across various business processes including billing, auto-write off, Invoicing adjustments, ID card generation, Direct pay bills, Automated letter generation processes, Utilized Facets (Health management tool) extensively to increase testing coverage scope, Worked with third party print vendor (ODS, DST, Arvato) to validate interface testing as part of end-to-end test scenarios, Worked with Trizetto batch team (utilizing Tidal Schedular) to plan test job execution, Extensively worked on XMLs and XSDs validations, Validated various letter generation process & scenarios, customer letters (Welcome letter toolkits, dunning, NCTC letters etc, and ID card format and content validations, Validated ground summary reports for different LOBs like ASO, Shared ADV, Calpers, CCPOA, FEHBP HMO/Dental etc.Lead the QA for EDF (Enterprise Data Finance Reporting Management)Validate and certified the impact and quality on the reporting downstream (AFA Claims reconciliation Report in Facets, HPXR report in Facets, capitation application for generating capitation allocation report)Lead the QA for other application IFP OON (Individual Family Plan Out of Network Fixes and Enhance Facets), Facet to SGOR (Small Group Broker Portal)Lead the claim process quality assurance team for Individual Family plan, Involved across all phases of SDLC from Requirement Phase to Production Implementation, Developed Test Plan, Test Scenarios, Test Cases around billing process, mass claims adjustment processes and other claim business processes, Extensively utilized ALM as test artefact repository and execution, Extensively utilize JIRA tool for defect logging and management, Worked with BAs to attain sign-off from test cases accuracy, completeness and scope coverage perspective, Proficiently managed release planning, capacity planning and adequate team planning to meet targeted timelines, Worked with stakeholders on test cycles and acceptance criteria for UAT, Worked on Defect classification and defect management process, Automated customer enrolment and electronic claim logging through EDI 837 files, Validated UI interface with backend Facets tables, Validated service match inpatient hospital claims using Hospital Claim Processing and Enquiry applications, Validated Mass claim adjustment through backend testing, Involved in extensive backend testing |
