SAMPLE HEALTHCARE QA ANALYST RESUME


SAMPLE HEALTHCARE QA ANALYST RESUME WITH 5 YEARS EXPERIENCE


SUNIL KHANAL

Cell Phone: (xxx) xxx-xxxx

Email: xxxx@xxxxcom

OBJECTIVES:

Looking for an innovative and challenging software development and testing environment, which can fully utilize my capabilities and to be dynamic software professional working systematically, building good logics to be globally competitive following the perfect principles of time and quality techniques.

PROFESSIONAL SUMMARY:

  • Over Five years of progressive working experience in the field of Information Technology spanning various areas of the industry with emphasis on Quality Assurance.
  • Well acquainted with the Software Development Life Cycle (SDLC) and Software Test Life Cycle (STLC).
  • Worked on Agile Methodologies with good knowledge on different SDLC
  • Highly analytical in developing the methods and measures to meet requirements and solve any issues that arise during the project.
  • Performed Manual and Automated Testing on Windows and UNIX
  • Good knowledge in using Mercury interactive automated testing tools WinRunner, QTP, and Quality center.
  • Extensive experience in preparing Test Plans, writing Test Cases, execution and follow up efforts.
  • Performed Smoke Testing, Functional Testing, Backend Testing, Black Box Testing, Integration Testing, Regression Testing and User Acceptance Testing (UAT).
  • Participated in Load Testing using LoadRunner and Stress Testing.
  • Very strong SQL skills, including the use of nested table expressions, unions, multi-table joins, scalar functions, outer joins and derived columns.
  • Used HP Quality Center for bugs Reporting and communication to developers, Product support and test team members
  • Maintained Test Matrix, Requirement Traceability Matrix (RTM) to make sure that test plan were written for all the requirements and performed Gap Analysis.
  • Extensive knowledge of gap between HIPAA 4010 and 5010.
  • Excellent knowledge of HIPAA standards, EDI (Electronic data interchange), transaction syntax like ANSI X12, Implementation and Knowledge of HIPAA code sets, ICD-9, ICD-10 coding and HL7.
  • Involved in various HIPAA and HL7 testing and validation for EDI transactions using, 834, 835, 837, 270/271, 267/277, 278.
  • Possess excellent in organizational, interpersonal and com.
  • Communication skills along with a remarkable ability to gather requirement to bring out quality product.
  • Good team player with the ability to lead, manage and work independently.

technical

 

 

 

 

 

 


PROJECT EXPERIENCES:

Tenet Healthcare Corporation,                                                                                Apr 2012 – Sep 2013

Dallas, TX

QA ANALYST

Tenet Healthcare Corporation is a healthcare services company whose subsidies and affiliates own and operate acute care hospitals and related ancillary healthcare businesses.  Tenet’s hospitals aim at providing the best possible care to every patient who comes through their doors with a clear focus on quality and service. Facets are a fully integrated CLAIMS data processing and Medicaid and/or Medicare Management information system for managed healthcare. Facets uses the data feed for the claims adjudication, claims error processing and to prepare the auto- generated reports and correspondence using the Batch Cycle.

As a QA Analyst, I was involved in various kinds of testing of the Facets application modules like Membership, Providers, Finance and Claims.

Responsibilities

  • Involved in developing detail Test Plans for different benefit packages according to Business requirements documentation.
  • Involved in discussion with the Subject Matter Experts (SME) during creation of test plans and updating of business requirements.
  • Acting as liaison between end user and Facets for user problems, outstanding issues, training needs and new software releases
  • Follow up management on errors made by Data Entry associates.
  • Performed UAT Testing Manually in coordination with UAT group to ensure correct business logic.
  • Involved in new development, support, enhancement of application.
  • Worked with business leaders to translate business requirements and processes into test cases according to Facets package requirements and subsequent effective configuration.
  • Involved in FACETS Implementation, involved end to end testing of FACETS Billing, Claim Processing and Subscriber/Member module.
  • Set claim processing data for different Facets Module.
  • Performed Manual Testing using Quality Center (QC) and User Acceptance Testing (UAT).
  • Monitored workflow of the Resolution/Adjustment Unit, delegate tasks accordingly, and ensure that quality, quantity, and efficiency standards are met or exceeded.
  • Worked under HIPAA compliance standards.
  • Performed Front-End Testing, Functionality Testing, and Data Driven Testing using QTP.
  • Developed test automation scripts using Quick Test Pro.
  • Maintained Test Matrix which gives overview of the Testing Effort.
  • Tested Claims intake/Logged claims/Filed claims data from Pulse tables to Oracle Financials.
  • Monitoring the defect life cycle, generating customized graphs and reports for the client, using Quality Center.
  • Used Quality Center to record documenting information useful in debugging process, evaluating test data.
  • Used Quality Center for reporting and tracking bug and generating reports.

 

Environment: FACETS, Java, Windows, Oracle, Quick Test Pro, Load Runner and Quality Center.


 

Highmark, Pittsburgh PA                                                                                           Sep 2010-Feb 2012

QA Analyst/Tester

Highmark is one of the largest health Insurance Company in Unites States. This is a web-based application mainly used by the Administrative Department of Highmark. The application is developed to assign health care programs to employers, add new employers, view employee dependents, and all other related information. Each employer is assigned to a particular health-care program and the user interface gives more flexibility to add new employers and assign programs.

Responsibilities:

  • Thoroughly analyzed the business requirement documents.
  • Implemented Standardized and Unified process throughout the Software Development Life Cycle (SDLC).
  • Actively participated in all the phases of the testing Life cycle (Planning, Designing, Development and Reporting and Results).
  • Extensively used SQL in order to retrieve data from the databases by writing Stored Procedures, views, triggers etc.
  • Used Complex SQL queries using joins and sub-queries to test the reports generated by the different modules as a part of back-end testing.
  • Designed, updated and reviewed the Test Cases.
  • Developed and maintained the test scripts, test data and test cases.
  • Developed the test scripts using Quick Test professional (QTP).
  • Used various types of Checkpoints such as Standard, Database, Bitmap, and Text-Check checkpoints to test the properties and also for validating the contents of the web page using QTP.
  • Involved with other team members to set up testing tools, implementation and other testing environments.
  • Performed both manual and automation testing.
  • Performed various types of testing, such as functional, regression, user acceptance testing manually.
  • Created the test scripts for both positive and negative testing.
  • Involved in Functional, Integration, Regression and End-to-End testing of the application against user requirements.
  • Defect Identification and created defect tracking reports till the close of the defect.
  • Preparing Test Metrics using Quality Center.
  • Attended various Functional Walkthroughs and writing high level testing scenarios.
  • Conducted Load and Performance testing using Load Runner.

Environment: HTML, SQL Server 2000, Quality Center, QTP 10, Load Runner and MS Excel.

 


Leon Medical Centers Health Plans, Inc.

Miami, FL,                                                                                                                      Aug 2009 – Jul 2010

QA Analyst 

Project at Leon Medical Centers Health Plans was undertaken to integrate the newer version Facets 4.41 with the existing system and the entire company’s landscape. I worked as a QA Analyst closely with project team to identify user’s business requirements, interpret complex business needs and translate them into system requirements, write business specifications and forward to technical staff for system integration.

Responsibilities:

  • Reviewed Use Case Requirement, Functional Design Documents and Technical Specification documents and Developed Test Cases after analyzing the BRD’s.
  • Prepared Test Cases based on business requirements and business rules for HIPPA EDI Transaction 276/277, 270/271, 837/835.
  • Conducted backend testing using QTP and inserted different checkpoints in QTP.
  • Performed Data Driven Testing, Functional Testing, System, Integration, and Regression testing using QTP for application releases.
  • Inserted Check Points to check the broken Links, Text, and standard properties of an object using QTP.
  • Tested user interface and navigation controls of the application using QTP.
  • Maintained Test Matrix and Requirement Traceability Matrix.
  • Used Quality Center to create and maintain Test Requirements and to communicate the bugs with the Developers.
  • Participated in the meetings to follow up on Defects/Issues.
  • Maintained knowledge of Medicare and Medicaid rules and regulations pertaining to the Facets configuration and evaluated the impact of proposed changes in rules and regulations.
  • Involved in FACETS Implementation, end to end testing of FACETS Billing, Enrollment Claim Processing and Subscriber/Member module.
  • Performed Backend Testing by using SQL Queries.
  • Used Quality Center for enhancement requests, assigning work activities and access status of the project.
  • Participated in UAT along with the business users after the application was deployed.
  • Participated in requirements reviews, Test Scenarios reviews, and Test Conditions walkthroughs.

Environment: QTP, FACETS, HIPPA 4010 EDI, Quality Center, DB2, Windows 2000, MS Office 2000



Humana Inc.

Louisville, KY                                                                                     Jul 2008 – Jun 2009

QA ANALYST

Humana Inc., headquartered in Louisville, KY, is one of the nation’s largest publicly traded health benefits companies, with approximately 9 million medical members.  They used Facets for managing and processing healthcare claims. This application helps its Membership and Claims Management Information Tracking System, Finance and Utilization management System modules. As a, QA Analyst, I was involved in various kinds of testing of the Facets application modules like Enrollment, Membership and Claims.

Responsibilities:

  • Analyzed system requirements and developed detailed Test Plan.
  • Performed Manual Testing as well as Automation Testing.
  • Developed Test Script for Functionality, Security, and Regression testing.
  • Ran the scripts on multiple environments (QA, UAT and Production) to ensure that requirements were still met.
  • Performed User Acceptance Testing
  • Performed Back-End Testing to check database integrity by writing SQL
  • Involved in FACETS Implementation, involved end to end testing of FACETS Billing, Claim Processing and Subscriber/Member module.
  • Set claim processing data for different Facets Module.
  • Tested HIPAA regulations in Facets HIPAA privacy module.
  • Wrote test cases in QC derived from the Design documents and generated a Traceability Matrix for testing purposes.
  • Used Quality Center to record documenting information useful in debugging process, evaluating test data.
  • Used Quality Center for reporting and tracking bug and generating reports.
  • Participated in release meetings.

 

Environment: Oracle, Windows 2000, IIS, Quality Center. 

Education:

Bachelor’s Degree in xxxxxxxxxx


Related posts

2 Thoughts to “SAMPLE HEALTHCARE QA ANALYST RESUME”

  1. […] domain. Most of them will choose Healthcare as it has high demand. You will be asked to prepare a FAKE RESUME which has 5 years of experience here in Unities states. On weekend everyone will start reading […]

Leave a Comment