SAILAJA

sp10d3fe6@westpost.net
Phone: 570 730 1824
Experience Summary:
Over 6 years of experience in the field of Information Technology, Specialized i
n Software Quality Assurance and Implementation of QA Methodologies on both Clie
nt/Server and Web based applications. Working towards client and company satisfa
ction, completing tasks by fulfilling the requirements scheduled within the dead
lines, with dedicated effort, motivation and team spirit.
* Experienced in all aspects of testing processes includes Planning, Preparation
, Execution and Completion.
* Specialized in system study and testing Health Care, Financial, Insurance and
Banking applications developed on various technologies such as Facets, QNXT, J2E
E, JSP, Java, SharePoint, VB.Net, Oracle and SQL Server on Windows NT/2000/XP an
d UNIX environments.
* Extensively involved in Verification and Validation for both Web based on Clie
nt server applications.
* Having very good Experience in Unit Testing, Integration Testing, Regression T
esting, System testing, UAT.
* Having experience in design and execution of Test Plans, Test Scenarios and Te
st Cases based on the requirements for the applications.
* Proficient in bug tracking/test management tools like Team Track, Quality Cent
er and Clear Quest
* Extensively involved in testing Trizetto's Facets and mainly involved in Enrol
lment and Eligibility modules.
* Involved in testing QNXT Member, Provider, Claims Processing, and Utilization
Management, Contracts, and Benefits modules.
* Expert in HIPAA Transactions testing and in-depth knowledge of HIPAA framework
(Health Insurance Portability Accountability Act) rules for ANSI X12 messages 8
37P/I, 835, 276/277, 270/271, 278, TA1 and 997 in 4010A1 Standards.
* Excellent in understanding Business Requirements, Functional Specifications an
d Technical Specifications.
* Knowledge of Rational Unified Process (RUP) methodology, UML, QA Validations t
o ensure the Quality standards, Quality Assurance Life Cycle (QALC) and QA Metho
dologies.
* Expertise in testing Enrollment, Billing and claims processing in FACETS
* Worked on pre authorization of Claims in FACETS and Knowledge of ICD-9, CPT, R
EV codes.
* Expertise in Implementing Configuration and Change management and Versioning t
ools like VSS, CVS, Clear Case and Pro Track, PVCS Tracker and Version Manager.
* Having very good understanding of Software Development lifecycle, QA methodolo
gies and strategies.
* Interacted with developers in fixing the defects by verifying the logs and dat
abases in a lot of occasions.
* Very good team player and also have ability to work independently in time sens
itive environment.
Technical Skills:
Testing Tools QTP, Load Runner, Quality Center , Clear Quest.
Technologies JSP, Java Servlets, XML
Methodologies RUP, OOAD and UML, Structured Analysis/Design, ERD
Source Code Control Visual SourceSafe, CVS, PVCS, share point,
Operating Systems Windows9x/00/XP, Windows NT, UNIX
Database MS Access, SQL Server, Oracle, TOAD
Office Tools MS Word, MS Excel, MS PowerPoint, MS Project

Work Experience:
Dept of Health and Human Services, State of Maine
Dec'09 - Till date
QA Analyst
Description: The Dept of Health and Human services is responsible for health pol
icy and management of the state's publicly funded health systems. These programs
include Medicaid health coverage for those with limited income, mental health s
ervice etc. MIHMS (Maine Integrated Health Management solution)/ MeCMS is repla
cement of legacy MMIS System to web based MMIS.
Responsibilities:
* Developed Test Cases bases on Requirement Specifications and Design Documents.
* Responsible for modification and executing of the Test Scripts.
* Involved in testing QNXT Member, Provider, Claims Processing, Utilization Mana
gement, Accumulators, Contracts and Benefits.
* Involved in manual claims Adjudication process.
* Creating, Approving and Modifying PA in both Portal and QNXT.
* Involved in Adding Contracts to the Provider in QNXT and associating Providers
in Portal while creating claims.
* Involved in processing Claims, EE, and CM Subsystem as part of UAT.
* Involved in Functional, Integration, and Regression testing of the application
.
* Processed Medical claims and applied edits to the claims for testing purposes
* Involved in Processing QNXT 837 Healthcare Claims (Institutional and Professio
nal) in PORTAL with valid TPI.
* Worked in utilization management module for to create and test PA.
* Involved in uploading and processing of EDI 278, 276 claims in Portal.
* Prepared sample EDI test sets for files like 276/77, 278,837 and followed HIPA
A implementation guide in preparing them.
* Coordinated with offshore people and updated the tasks to manager.
* Worked with stakeholders in UAT environment to ensure Business requirements ar
e tested properly.
* Logged defects in Clear quest and worked with the developers to resolve any is
sues.
* Conducted Regression Test for the fixes of the application
* Used RMT for running the tasks like uploading, modifying, executing and taking
logs accordingly.
* Updated status report on weekly Basis and submitted to the team prior to weekl
y meeting.
* Participated actively in conference calls, project meetings and delivered inpu
t.
Environment: ASP.NET, VB.NET, QNXT, DB2, Oracle, SQL, QNXT, UNIX, Windows95/98/N
T/2000/XP, Clear Quest, RMT.
Aetna US HealthCare, CT
Aug'08 - Dec '09
QA Tester

Quote to Bill: The quote to bill engagement replaces and improves upon two curre
nt quoting systems - Broker Express and PC Rate Quote. The new system will be a
unifying application with a centralized, enterprise architecture-based scalable
system providing end-to-end workflow supporting quotes, proposals, new business,
renewals, benefit changes (on- or off-cycle) and migration and account installa
tion. The new system will support appropriate integration with FACETS, supportin
g all authorized users through a Web browser.
Responsibilities:
* Understood the business process that included Sales processes, Rating methodol
ogy, different Products, Group Renewals and Enrollment process in Facets.
* Performed Smoke Testing, End-to-End Functionality Testing, Adhoc Testing, Regr
ession Testing, Integration Testing and User Acceptance Testing (UAT),
* Designed and Documented Test Procedures, Test Requirements, Test Scenarios and
Test Cases for End-to-End functionality testing.
* Extensively involved in testing Facets Member/Subscriber, Billing, Medical Pla
n, Dental Plan modules.
* Involved in testing Facets for Group Information, Enrolling Subscribers, addin
g members, Related Entities, Class/Plan definition, Premium Rate Tables and all.
* Reviewed and Analyzed, Business, System and Technical requirements of the appl
ication.
* Developed and Executed Test Plan, Test Scripts and Test Cases for the applicat
ion based on the requirements.
* Involved in Test Planning, Test Schedule Management, Reporting, and Test Data
gathering.
* Involved in Design, Execution and updating of Test Cases for Functionality tes
ting.
* Conducted Regression test for fixes and enhancements of the application.
* Used Quality Center as test management tool for defect tracking and test case
execution.
* Used Quality Center 9.0 for defect tracking and maintained the trailing histor
y of the bugs.
* Prepared Traceability matrix, bug matrices, weekly and daily status reports an
d sent to management.
* Interacted with Development Team to fix the defects raised during the testing
period.
Environment: PEGA PRPC, Facets, Quality Center, Web services, SQL server, crys
tal reports, Reporting services, MS office Suite, MS Project.
HMSA, BCBS
Jan'07 - Aug'0
8
Core Systems Replacement
QA Tester

Description:
HMSA has planned huge migration of current LRSP system to Trizetto's QNXT syste
m which is a user friendly tool. Core Systems Replacement Project is part of mig
ration. Subscriber's enrollment and Eligibility and claims processing are migrat
ing to QNXT which involved in upgrading applications from Mainframes to QNXT. Th
is is focused on future, with concentration towards quality to provide the best
Health insurance and benefits to its customers.
Responsibilities:
* Responsible for creation of test cases for business requirements in Quality ce
nter.
* Involved in Design, Execution and updating of Test Cases for Functionality tes
ting.
* Worked on following functional Threads like Eligibility, Group.
* Involved in preparing Test plans based on user requirement documents.
* Managed tests using Quality Center.
* Performed Smoke Testing at every new release.
* Involved in overall system testing which including Functional testing, Integra
tion testing.
* Conducted Regression Test for the fixes and enhancement of the application.
* Worked closely with the developers to resolve Bug Issues.
Environment: J2EE, EJB, Servlets, Quality Center, QTP, JSP, Struts, JMS, XML, Wi
ndows 2000/NT, Ms Access, Ingenix, Clear quest, SQL server, crystal reports, Rep
orting services, .Net, MS office Suite, MS Project, MS Visio, Web Logic, QNXT.
State Farm Insurance, Bloomington, IL
Sep 06- Jan' 07
QA Tester
Description: State Farm Insurance is one of the leading insurance company-provid
ing auto and property insurance to its customers. The Application is a client-se
rver application that allows the electronic interaction between the company and
various contractors. All the open claims made by the customers are entered into
the databases that are related to property or autos that could be reviewed by th
e contractors. They can submit their estimations there for the claims that can b
e reviewed by the company officials.
Responsibilities:
* Analyzed System Requirement Specifications and developed test cases.
* Worked with Project Management to scope the testing effort and provide status
and estimates.
* Performed System testing, System integration, Regression testing.
* Implemented whole life cycle of QA methodologies starting from planning, captu
ring, creating, tracking the defects using Test Director.
Environment: Java, UNIX, Win Runner, DB2, Test Director, doors, Web logic, RUP,
UML, clear case
Commerce Bank, MO Aug'05 - Sep'06
QA Engineer
Description: Commerce Bank provides a diversified line of financial services, in
cluding business and personal banking, wealth management, estate planning and in
vestments through its affiliated companies. The project involved testing the onl
ine banking and client management applications that provide client account infor
mation. The modules under test were Order Management and Transaction Management.
Responsibilities:
* Reviewed test cases for requirements coverage, ambiguity and completeness.
* Performed Integration, System and Regression Testing.
* Troubleshot and customized them for different applications so they remained ef
fective and efficient.
* Performed web specific testing like Browser page testing, Application Testing
and Security Testing.
* Documenting the test results using Test Director.
* Interacted with the testing and development team to resolve and to follow up o
n development issues.
Environment: Java, J2EE, XML, HTML, SQL, Oracle 8i, Test Director 8.2, Windows X
P.
Anti fraud Alert, GE
Quality Analyst Jun 04- Aug 05

Description: This product is being developed for Banks for anti-money laundering
and fraud detection. It will generate post transaction alerts on fraud detectio
n. Once the data is read from the Core Banking Solution, the data is processed a
nd check against different benchmarks set by the experts. This product divided i
n three modules.
Responsibilities:
* Involved in Writing Test Cases, and execute them.
* Conducted Functional testing and Integration testing and reported defects.
* Developed daily/weekly/monthly data reports for management review.
* Proficient in Test Preparation, Test Execution, Defect Management, and Managem
ent Reporting.
* Conducted Regression Test for the fixes and enhancement of the application.
* Worked on Test Director for Defect management.
Environment: J2EE, EJB, Servlets, JSP, Struts, JMS, XML, Web Logic, Test Directo
r.
Education:
* Masters in Computers Applications from JNTU, India.
* Bachelor Degree in Computers from Nagarjuna University, India.
References: Provided upon request.
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