SUMMARY: * QA Analyst/Tester with over 17 years of experience in Healthcare and Banking Services Industries. * Knowledge of HIPAA and Healthcare Regulations, knowledge on interaction of different backend systems such FACETS, QCARE, QCAREWE, CPF. * Experience in Claims Processing workflow, Eligibility, Providers and Membership functionality. * Worked with BRDs, TRDs. * Experienced in Black Box, Database Backend, Frontend testing. * Experienced in creating or verifying business requirements Test plans, test cases, test scripts. * Efficient in writing queries for Database testing and experience in Manual and Automated application tools like Test Director, Toad, Query Analyzer. BUSINESS KNOWLEDGE: * Healthcare Domain, Regulatory compliance, HIPAA, Medicaid, Medicare. * Claims Adjudication Process, Life Cycle of Medical Claims. * McKesson ClaimsXten, HIX NY, Multiplan High Dollar, ICD10.

Highlights:

• MySQL, TOOD, ALM
• Information Technology
• Test
• Asset Liability Management
• Banking Industry
• Business Requirements
• C Programming Language
• Claim Processing
• Client/Server
• Coding