1. NISHA VARGHESE
Senior QA Analyst/Test lead
Owings Mills, MD-21117
Ph #: Mobile-443-821-2591
Home-443-451-2664
Email: nis_620@yahoo.co.in
Professional Summary:
Experience:
9 years (Offshore:5 years & Onsite: 4 years) @ Cognizant Technology Solutions as Senior QA
analyst/ Test lead
Domain Knowledge:
Healthcare, Travel& Hospitality, Retail
Certifications:
External : ISTQBfoundation level(2009), ISTQB advancelevel test analyst(2010), Academy
Of Health Management 250(2014)
Cognizant : Traveland hospitality(2007), Winrunner(2007), CSQA(2008), Software
testing(2008), HIPAA(2013), AHM 250(2014)
Visa Status:
Green card
Competencies:
Senior QA Analyst/ Test lead
Review documentations and understand testing requirements in detail by interacting with
client, business analyst, Techinical leads and system architects
Circulating the requirement document to the testing team for review, discussion on same and
consolidating all the clarifications to be taken up with business
Providequalitative feedback on featuresduring requirement analysis/design stages, with an
emphasis on the end user experience and quality
Arriving at accurate and realistic test estimates
Prepare and maintain test plans
2. Task allocation to the team and reviewing all the deliverables by team( Test scenarios and
test cases, Test summary report, requirement traceabilty, test data preparation, defects
reported, test results) to confirm to expected test coverage
Ensure that all the softwareand hardware requirements and other entry criterias are met
before testing starts
Monitor test progress and ensuring timely delivery of all QAdeliverables
Ensure team follows testing and defect reporting process
Ensure that all test artifacts are updated as when changes are required and they are
accessible to testing team and other privileged users
Create report and manage defect life cycle process to closing
Participating/Leading defect review board meeting and walkthrough the issues to the
various external team and providing them support to resolve issues
Prioritize issues in the bug database to expedite bug-fixing efforts.
Status report to client and management with testing progress, Risks, mitigation and
contingency plans
Escalate issues of concern , that willaffectproject timelines, to key stakeholders in a timely
manner.
Providesign-off on all testing deliverables and events once all the exit criterias are met.
Providesupport to business during business acceptance testing and production acceptance
testing.
Trained the business users for applications to be tested and on usage of Quality Center
Test data /environments, delay in code deployment, CRs
Efficientand experience in handling multiple projects
Extensively involved in mentoring the new team members, resolving conflictsand motivating
the team
Create and maintain QA team member skill set Database
Ensure all QA members are developing the needed skill set and encourage certifications
Well experience in Offshore-Onsitemanagement
Getting business knowledge and communicating to team
Contribute to continuous improvement of testing processes based on prior experience,
judgement and others suggestions to increase speed, quality and gain efficiencies
Dealing withcustomers on daily basis in person, emails, Chat and over phone
Respond to customer promptly and answer queries
Communicate and coordinatewith CustomerProjectmanagers,technicaldeliverymanagers/
businessanalysts/Developerstoget resolution to issues
On regular basis verify customer satisfaction
Looking foroppurtunities forgrowing the account
Support a positive workenvironment that promotes customer service, quality, innovation,
and teamwork.
Expertise in designing Test scenarios and develop detailed Test cases and Test execution
Expert in Black box testing ( Unit/Build acceptance/System/ System Integration
testing/Regression/ Data Migration/User acceptance testing)
Reporting defects
Preparing Test summary report
Cognizant 2.0 task creation & assignment
Experience with Sharepointtesting forCarefirst projects when data migration was done from
Lotus notes as wellas to FACETS
3. Well experienced in HP ALM for Requirement analysis & mapping to TCs, Uploading TCs to test
plan and moving to test lab, , Test execution progress, defectreports, Dashboard
Skills :
Testing Web based applications in (IE, Firefox,
Chrome, Safari, Mozilla)
Sharepoint,Lotus notes, XML validations
Healthcare FACETS/NASCO , EOB
Broker express (Creating prospects,
Underwriting process)
Benefit Focus
Methodologies Agile and Water methodology
Mobile testing Iphone 5/4S/4, Samsung galaxy S3, Samsung
Galaxy tablet, IPAD3, Kindle fire
Defecttracking tools Bugzilla, Jira , Product studio (Defect
tracking)
Other tools HPQC-ALM V 9.0, V11.0, 11.09 ( Requirement
analysis & mapping to TCs, Uploading TCs to
test plan and moving to test lab, , Test
execution progress, defect reports )
Irise reader 8.12.2.10( Viewing the
requirements and stimulation of same)
Team project of Microsoft Visual Studio 2008
Soap UI, to populate UI screens as a
workaround when sites are down
Sql Developer
4. Professional Experience:
Cognizant
Project1: Private Exchange for Small/Medium groups
Client Carefirst- BCBS
Duration Jun 2014 – Till Date.
Team size 1 onsite and 15 Offshore
Role Senior Test lead/QA Analyst & Onsite coordinator
About the project:
CareFirst BlueCross BlueShield (CareFirst) Broker Express system is an integrated e-sales platform
to create and install group in to the facets for small and mid-market segment MD,VA and DC
jurisdiction which including connectivity with e-Sales through Benefit focus. All internal sales,
underwriter, fullproducer brokers and general producer brokers can access the portal through
multiple single sign on application. It’s a streamlined process of group sales and installation process
to provide a fully automated process from “Quoteto Bill.” Quote to Bill automation includes
quoting, document management, presentation, sales, underwriting, group set-up, enrollment and
payment processing for 2-50, 51-199 group business.
Responsibilities:
Reviewing the requirements documents and assigning the tasks to the team
Working on the test estimations and sending the testing effortto client and cognizant
management on new requirements/changes
Making sure all the artifacts( Requirement & design documents, test plan, test cases) are upto
date and get the required approvals/feedback from clients
Reviewing the System specific document and providing feedback
Coordinating team meetings to discuss on the requirements and consolidating all the
clarificationsto be taken up with business
Ensuring that all team members are aware of the entire requirement and not just the modules
assigned to them
Reviewing the test scenarios/cases & test results toensure that test coverageis complete
Attending all business calls/DRB related to project
Closely monitoring the testing progress and make sure the project is in green and raise alarm at
the earliest if any impact on the timeline is forseen with proper justifications
Status reporting to client and cognizant management with testing progress, Risks, mitigation
and contingency plans
Providing signoff on testing and sending test summary report
Providesupport to UAT team for their testing withtest data and information they request
5. Project2: Reports for product setup changes
Client Carefirst- BCBS
Duration Mar 2014 – May 2014
Team size 1 onsite
Role Senior Test lead/QA Analyst
About the project:
The request for any changes to the facets products were submitted in Sharepoint, for approval .
Upon approval ,the product changes were uploaded into a template whichwas referred for
updating FACETS. Testing scope was ensuring the approval flow was working as expected.
Responsibilities:
Reviewing the requirements documents and assigning the tasks to the team
Working on the test estimations and sending the testing effortto client and cognizant
management on new requirements/changes
Making sure all the artifacts( Requirement & design documents, test plan, test cases) are upto
date and get the required approvals/feedback from clients
Reviewing the System specific document and providing feedback
Coordinating team meetings to discuss on the requirements and consolidating all the
clarificationsto be taken up with business
Ensuring that all team members are aware of the entire requirement and not just the modules
assigned to them
Reviewing the test scenarios/cases & test results toensure that test coverageis complete
Attending all business calls/DRB related to project
Closely monitoring the testing progress and make sure the project is in green and raise alarm at
the earliest if any impact on the timeline is forseen with proper justifications
Status reporting to client and cognizant management with testing progress, Risks, mitigation
and contingency plans
Providing signoff on testing and sending test summary report
Providesupport to UAT team for their testing withtest data and information they request
Project3: Primary Care Medical Program(PCMH)- Clinical pathway
Client Carefirst- BCBS
Duration Jan 2014 – Feb 2014
Team size 1 onsite
6. Role Senior Test lead//QA Analyst
Aboutthe is project:
The PCMH program seeks to rewarding Primary care physicians fordifferentially focusing on high
risk, high cost patient and achieving improvements in quality of patient care and cost of effieciency
of outcomes. The clinicalpathway is designed to support the implementation of creating various
service requests by hub managers and hub coordinators, placing them for members per the PCPs
instruction , by internal and external CF users (Case managers, Local care coordinator,Regional
care coordinator & Hospital Transition coordinators) and assigning the SRs to vendors to fullfilthe
same.
Responsibilities:
Reviewing the requirements documents and assigning the modules to the team
Working on the test estimations and sending the testing effortto client and cognizant
management on new requirements/changes
Making sure all the artifacts( Requirement & design documents, test plan, test cases) are upto
date and get the required approvals/feedback from clients
Coordinating team meetings to discuss on the requirements and consolidating all the
clarificationsto be taken up with business analyst
Ensuring that all team members are aware of the entire requirement and not just the modules
assigned to them
Reviewing the test scenarios/cases & test results toensure that test coverageis complete
Attending all business calls/DRB related to project
Communicate and coordinate with Customer Projectmanagers, technical delivery managers/
business analysts/Developers to get resolution to issues
Closely monitoring the testing progress and make sure the project is in green and raise alarm at
the earliest if any impact on the timeline is forseen with proper justifications
Status reporting to client and cognizant management with testing progress, Risks, mitigation
and contingency plans
Providing signoff on testing and sending test summary report
Providesupport to UAT team for their testing withtest data and information they request
Project4: HPX Contract generation
Client Carefirst- BCBS
Duration Jan 2013 – Sep 2013
Team size 1 onsite & 5 offshore
Role Senior Test lead/QA Analyst & Onsite coordinator
7. About the project:
The project involved implementation of generating contracts for the Individual Market
Division(IMD)and Maryland and Non-Maryland Small Group reforms (MSGR and NMSGR).
Informatica extracts the contract data from Facets into XMLand queues data to Pega wherein the
Workorder IDs are created. Pega interfaces with HP Extream and viaTIBCO and generates contract
snd stored in File system as PDFswhichis later send to Avanti Management system, a print job
system that prints the contracts. The contrats were getting generated from WINDOWOserverand
as part of one of the enhancements in this project,it was migrated to UNIX server .Testing involved
validating the contract generation flow.
Responsibilities:
Getting KT on the application that was to taken over by Cognizant and making sure that
offshoreunderstood the same
Sending daily updates to offshoreand assigning tasks to them
Reviewing the test results done by offshore and progress of the tasks assignd to them
Making sure that test environment is ready by followingup on the TSR( Service requests)
Ensuring test data is ready before start of execution
Ensuring TCs are up to date and requirement traceability matrix is done
Coordinating with Dev team/business and other teams Coordinating with other teams for
reporting and troubleshooting to get issue resolved
Participate in DRB meeting
Estimation for the testing efforton various enhancements, planning on the resources and issues
ahead forfuture releases of the project
Maintaining the share folders where all the documents of the project are saved
Sending Test status to client on a daily basis and weekly status report to cognizant management
Providing test sign off and delivering Test summary report
Project5: Lotus Notes to SharePoint Migration
Client Carefirst- BCBS
Duration Oct2012 – Dec 2012
Team size 1 onsite & 5 offshore
Role Senior Test lead/QA Analyst & Onsite coordinator
Aboutthe project:
CareFirst made use of Lotus Notes application for multiple purposes. As a part of phase I of Lotus
Notes to SharePoint migration project, certain modules / databases were migrated to CareFirst
SharePoint. As part of phase II of this project, 8 applications got moved to SharePoint. This
migration and re-write started eliminating web browser compatibility issues and enabled the
administrators and users to access the application in a faster, easier way.
Responsibilities:
8. Test Plan preparation
Coordinating with Business Analyst to get answers to questions raised by offshore team and
communicating the same back tothem
Assessing the delay in code deployment and its impact on testing and its timelines and
communicating same to client
Making sure that test environment is ready before start of execution (Access to DB, SIT URL
etc.)
Test design and Test execution for the modules to be handled at onsite
Data migration testing of data migrated from Lotus Notes to Sharepoint
Assigning tasks to Offshoreteam and reviewing the workdone by them
Maintaining issue tracker where questions to business/Dev team are put
Coordinating with business users and various onsite teams(Program /Test/Development
Managers) to get a decision on various issues raised by offshoretesting team in Issue tracker,
during daily DefectReview Board meeting (DRB), and communicate the decisions taken to all
concerned people
Attending all meetings related to project and raising concerns/issues from testing perspective
Assessing the CRs that is requested for in between SIT and taking a decision whether to
incorporate them not based on Time constraints
Preparing Test Summary report/Daily ExecutionReport to client/Weekly Status Report to
Cognizant Management
Estimation for upcoming Enhancements and talking to clients to convinceabout the
estimation/cost
Project6: Member Mobile testing
Client Carefirst- BCBS
Duration Sep 2012 – Sep 2012
Team size 1 onsite
Role Senior Test lead/QA Analyst
Aboutthe project:
The idea of the project is to provide access viamobile devices (smartphones and tablets) to content
and services offeredon CareFirst member-facing web sites, including My Account, enabling
members to view and/or edit content on such sites. Mobile access willbe provided by enabling and
reformatting CareFirst content foruser-friendly display through a mobile-device-based web
browser and by Native Apps, which are applications that the mobile user downloads and installs on
their mobile device. Native App products developed by this project will be distributed on the iTunes
App Store and Android Market.
Responsibilities:
Assigning tasks to Offshoreteam and reviewing the workdone by them
9. Maintaining issue tracker where questions to business/Dev team are put
Coordinating with business users and various onsite teams(Program /Test/Development
Managers) to get a decision on various issues raised by offshoretesting team in Issue tracker,
during daily DefectReview Board meeting (DRB), and communicate the decisions taken to all
concerned people
Attending all meetings related to project and raising concerns/issues from testing perspective
Preparing Test Summary report/Daily ExecutionReport to client/Weekly Status Report to
Cognizant Management
Project7: Member Portal: Explanation of Benefits (EOB)
Client Carefirst- BCBS
Duration May 2012 – Aug 2012
Team size 1 onsite & 10 offshore
Role Senior Test lead/QA Analyst & Onsite coordinator
Aboutthe project:
The finalized claims processed in the source system (Facets and NASCO) were loaded to EOB data
store through the ETLload. Then the aggregation job wass run to generate a document number.
Once the document number was generated, the EOBs are available to view online and email is
triggered to subscriber who has given the consent to receivethe notification
Responsibilties:
Making sure that Member portal UI screens( Claim search, Claim detail page, EOBsearch
page)were tested incorporating EOBrequirement
Ensuring the EOB pdf is validated correctly
Test data preparation-Creating claims to checkthe claim details, remark codes, subscriber paid
claims, Out of pocketexpenses, Upward/downward/statistical adjustments, Non participating
provider claims, Foryour information section, autorecovery,appeal lnguages and cutnumbers ,
populated in EOB pdf
Assigning tasks to Offshoreteam and reviewing the workdone by them
Maintaining issue tracker where questions to business/Dev team are put
Coordinating with business users and various onsite teams(Program /Test/Development
Managers) to get a decision on various issues raised by offshoretesting team in Issue tracker,
during daily DefectReview Board meeting (DRB), and communicate the decisions taken to all
concerned people
Attending all meetings related to project and raising concerns/issues from testing perspective
Preparing Test Summary report/Daily ExecutionReport to client/Weekly Status Report to
Cognizant Management
Project8: Member Portal: Expansion of Benefits (EBS)
10. Client Carefirst- BCBS
Duration Jan 2012 – Apr 2012
Team size 1 onsite & 10 offshore
Role Senior Test lead/QA Analyst & Onsite coordinator
Aboutthe project:
The focus of the project was to capture and make FACETS and NASCO benefit and accum data
available to My Account benefit screens through the ODS. This project also includes the Search and
Browse capability for the benefits using MY account benefit screen and logging user experience for
benefit screens.
The requirements are divided into 3 sections:
Benefit Search and Browse screen: This section includes the requirement for the Benefit screen
where user has the capability to search and browse a specific benefit.
Benefit detail screen: This section includes the requirement for the benefit detail screen which will
house all the details i.e. benefit and accums information for a specific benefit selected through
Benefit Search and Browse screen.
Audit table: This section includes the requirement to capture the user experience for the Benefit
Search and Browse screen.
Responsibilities:
Preparing test data to test the benefits and products
Testing if the products and benefits displayed in the member portal is as per the ODS data store
and the FACETS
Assigning tasks to Offshoreteam and reviewing the workdone by them
Maintaining issue tracker where questions to business/Dev team are put
Coordinating with business users and various onsite teams(Program /Test/Development
Managers) to get a decision on various issues raised by offshoretesting team in Issue tracker,
during daily DefectReview Board meeting (DRB), and communicate the decisions taken to all
concerned people
Attending all meetings related to project and raising concerns/issues from testing perspective
Preparing Test Summary report/Daily ExecutionReport to client/Weekly Status Report to
Cognizant Management
Project9: Member Portal: Healthy Blue 2.0 and 3.0 products ( HB)
Client Carefirst- BCBS
Duration Jun 2011 – Dec 2011
Team size 1 onsite & 12 offshore
11. Role Senior Test lead/QA Analyst & Onsite coordinator
Aboutthe project:
The focus of the project was to pay the members who follow healthy life style. It required to
complete certain steps by member in Member portal site :Completing Health assessment and giving
consent to share the same with provider, PCP should be selected and Health and Evaluation form
should be completed within 120 days of member effective date. Once the members earns the
reward , the group would be paid by deductible reduction or check and IMD through gift card.
Responsibilities:
Reviewing the requirements documents and assigning the modules to the team
Coordinating team meetings to discuss on the requirements and consolidating all the
clarificationsto be taken up with business analyst
Ensuring that all team members are aware of the entire requirement and not just the modules
assigned to them
Reviewing the test scenarios/cases & test results toensure that test coverageis complete
Working closely with Carefirst FACETS team to get the test data ( creating
groups/subgroups/products/setting deductibles) set up ready from their end, verifying the
same and bringing up the issues at the earliest so that testing timeline is not impacted
Successfully managing the highy challenging tasks of coordinating with NASCO team to get the
NASCO data created forthe test cases designed
Helping the team preparing test data ( creating FACETS members/claims) to complicated
scenarios w.r.tto Group and IMD members reward payments
Convincing the management to bring in automation scripts to reduce the manual effortin test
data preparation
Closely monitoring the testing progress and make sure the project is in green and raise alarm at
the earliest if any impact on the timeline is forseen
Status reporting to client and cognizant management with testing progress, Risks, mitigation
and contingency plans
Attending Defectreview board meetings and walkthrough the issues to various teams
Project10: Cognizant 2.0
Client Cognizant
Duration Jan 2010 – Oct 2011
Team size 6 offshore
Role Test lead/QA Analyst
Aboutthe project:
I lead the team in followingmodules of C2.0 application:
Associate Timesheet report (ATS)
12. The effortshould flow to the reports from whereverit is entered in C20 applications
Team Foundation Server (TFS)
The C2.0 application and TFS in MicrosoftVisual Studio were integrated. New team project created
in TFS were mapped to the C2 project and C2.0 project details, resource details & task details were
downloaded into team project. Task and defects weretracked through TFS and synchronization
enabled for data transfer between C2.0 and TFS.
Cost of Quality metrics (COQ)
New metrics section was introduced as ‘Cost of Quality (COQ)’,which calculated the metrics based
on the effortentered fortasks mapped to different was cost namely: Production,Appraisal, Failure
& Prevention, in C20 application
Integration framework
The user can upload project/tasks/resource/workrequest details into C2 through external system
Metrics
Metrics module was introduced into C2 so that the same was defined, tracked and reported in C2
itself and to remove the prolite dependency it had
Responsibilities:
Analyzing BRD/FRD and clearing the clarificationfrom Requirement and Dev team
and keep track of all requirements in the project
Assigning tasks to all in the team and making sure everyone in the team has enough work
Reviewing all the deliverables by team ( Test scenarios, test cases, test results, defects and all
other test deliverables)
Ensure testing is completed on time and resolving conflictsbetween team members and keep
them motivated
Organizing frequent meetings with the team and monitoring the workof team and project
Arrange for the hardware and software requirement for testing
Attend regular management meeting (overphone, chat, emails, in person )and discuss the
status, issues and escalations with client
Creating reports (daily and weekly) and send to management
Defecttriaging and Issue tracking
MOM preparation, Preparing KT docs and understanding docs as well as PPTs
Giving KT on above modules to existing and new members
Impact Analysis of defects
Project11 : Microsoft - IT Academy
Client Microsoft
Duration Jan 2008 – Dec 2009
Team size 2 offshore
Role Test lead/QA Analyst
Aboutthe project:
13. The project was an initiation towards the goal of providing online training as wellas learning
connecting the ITA administrators, instructors and students. ITAcademy supports education
establishments by providing them with programs to deliver quality learning well as training. The
project involvedtwosites namely:
ITA Admin site
Users of Admin site namely Administrator/ Editor/ Approver / Microsoft internal users performed
specific administrative tasks on the site
This site covered the followingfeatures:
Membership Levels: Currently Microsoft provides twocourse levels: Advanced & Essential. The
various programs belong to either one or both the levels.
Groups: Microsoft classifies countries under different groups.
Links: The links are of followingtypes: Announcements, QuickLinks, Overview,Setup, and Support
& More info.The first twoare displayed in member site based on whichgroup the user belongs to,
while the last four type are associated to benefits providing more information on them.
Benefits: This feature is the highlight of this project. Benefit Codes is applicable to either ALL
levels or only one membership level. It is either membership level specific or program specific.
They are basically discounts associated with various programs.
Roles: Here the various roles are set and task assigned to the roles set
ITA Member site
The users/instituitions registered with Microsoftcould access the site
Features of Member site
The following is currently implemented in member site:
The user login withlive ID and password. He is directed to authorization page where he has to
enter Membership ID whichis obtained when the institution/user registers with Microsoft.The
user is directed to ‘My Academy’ page where the subscription details and the benefit codes are
displayed based on the membership level the user belongs to. The user has also the flexibility to
workfor different institutions through an ‘Add an IT Academy’ option.
Responsibilities:
Analyzing BRD/FRD and clearing the clarificationfrom Requirement and Dev team
and keep track of all requirements in the project
Assigning tasks to all in the team and making sure everyone in the team has enough work
Reviewing all the deliverables by team ( Test scenarios, test cases, test results, defects and all
other test deliverables)
Ensure testing is completed on time and resolving conflictsbetween team members and keep
them motivated
Organizing frequent meetings with the team and monitoring the workof team and project
Arrange for the hardware and software requirement for testing
Attend regular management meeting (overphone, chat, emails, in person )and discuss the
status, issues and escalations with client
Creating reports (daily and weekly) and send to management
Defecttriaging and Issue tracking
MOM preparation, Preparing KT docs and understanding docs as well as PPTs
Giving KT on above modules to existing and new members
Impact Analysis of defects
14. Create and maintain QA team member skill set Database
Ensure all QA members are developing the needed skill set and encourage certifications
Project 12: Orbitz - Travel port
Client Orbitz
Duration Apr 2007 – Sep 2007
Team size 4 offshore
Role Test lead/QA Analyst
Project Description:
Orbitz, NASDAQ listed company,is a leading online travel company offeringLeisure and Corporate
travelers a wide selection of low airfares, as well as deals on cruises, vacationpackages and other
travel. The site was created to address consumers' need for an unbiased, comprehensive display of
fares and rates in a single location. Scope of the Travelport team at CTS is functionality testing
(Only Black Box)for the Travel port applications/components; both manual & automation is
carried out.
Responsibilities :
Analyzing BRD/FRD and clearing the clarificationfrom Requirement and Dev team
and keep track of all requirements in the project
Assigning tasks to all in the team and making sure everyone in the team has enough work
Reviewing all the deliverables by team ( Test scenarios, test cases, test results, defects and all
other test deliverables)
Ensure testing is completed on time and resolving conflictsbetween team members and keep
them motivated
Organizing frequent meetings with the team and monitoring the workof team and project
Arrange for the hardware and software requirement for testing
Attend regular management meeting (overphone, chat, emails, in person )and discuss the
status, issues and escalations with client
Creating reports (daily and weekly) and send to management
Defecttriaging and Issue tracking
MOM preparation, Preparing KT docs and understanding docs as well as PPTs
Giving KT on above modules to existing and new members
Impact Analysis of defects
Create and maintain QA team member skill set Database
Ensure all QA members are developing the needed skill set and encourage certifications
Project13 : AETNA Portal
15. Client Orbitz
Duration Jan 2005 – Mar 2005
Team size 2 offshore
Role Tester
Project Description
The applications under the scope of this projectare RXSY and APMCAS. RXSY is the main Pharmacy
System. This project is focused on enhancements like creation of new benefits with integrated
Pharmacy and Medical, installing the new Members and Groups in RXSY and APMCAS which will
provide Members to gain both Pharmacy and Medical Benefits under the same Plan.
In APMCAS there are twoseparate systems called APMHelpDeskand APMClaim. APMHelpDeskis
the online helpdesk that gives all the informations about the Member, Group, Client, Customer etc.
APMCAS receives the entire Drug informations fromthe RXSY system. APMClaim is used forthe
Claim Adjudication. Whenever a member goes to buy a drug from a pharmacy, he/she submits the
claim manually through the APMClaim. The APMCAS System adjudicates his/her claim online. Once
the claim is adjudicated, it is entered in the database of RXSY.A batch load is executed to extract all
the processed and unprocessed claims to the RXSY system. Then it calculates the amount to pay to
every providers and members (if there is any money to send to member also). The Volume Discount
System runs on a quarterly basis. An extraction job runs on this database every quarter and pulls
out those claims for whichthere are rebate contracts set up. Various inclusion/exclusion rules are
applied, along withthe business rules from the contractsand summary files are obtained which
form the input to the invoicing stage. In the invoicing stage, a set of jobs does the actual rebate
amount calculations, based on the manufacturer, contract,client, group, product indicator etc. RXSY
send the information about the Remittance to Aecclaims system or D&B accountpayable. APMCAS
is basically used to checkmember, provider, and group eligibility, quote plan benefits, view claim
details, confirm existing (account)authorization, and verify contractualinformation.
Responsibilities:
In the role of tester, I have handled the below responsibilities:
Designing Test scenarios and develop detailed Test cases and Test execution
Involvedin Blackbox testing ( Unit/Build acceptance/System/ System Integration
testing/Regression/ Data Migration/User acceptance testing)
Reporting defects and tracking the same to close
Preparing Test summary report
Cognizant 2.0 task creation & assignment