Ankit Das

Working on DX Pointer and Tier III post tier validation with below responsibilities:

• Handled a team of 10 members, assigned work and provide consolidated status to onshore
• Requirement analysis, preparation of Test Scenarios and Test Cases, testing artifacts, review checklist and sharing it with all the stakeholders
• Processing Professional, Institutional, Medicare & Medicaid claims
• Execute the TC’s and tracking the defects in JIRA
• Involved in Accumulator testing and handled phases of the pre and post tier validation of claims in WGS
• Conducting Defect triage calls with development team and bringing the issues to closure
• Providing test results walk through and tesD with business.

Worked on 606 Aces Migration and JAA E2E Testing with below responsibilities:

• Requirement analysis and preparation of Test Scenarios and Test Cases
• Providing the Knowledge Transfer of EDI transactions to the new joiners in the Team
• Worked on various types of EDI transactions
• Handled a team of 4 members and providing Knowledge Transfer
• Involved in testing all the loops, segments, and elements within each hierarchal loop for 837
• Preparing the status report and sharing it with all the stakeholders
• Execute the TC’s and tracking the defects in JIRA
• Triage the defects with Development teams and bringing the issues to closure
• 2
• JAA Migrations
• Member from Different TPA’s from NASCO systems are migrated to WGS system through JAA
• Requirement analysis and preparation of Test Scenarios and Test Cases
• Working on different TPA vendors member data analysing and logging claims as per the vendor requirements
• Executing various batch jobs (837 and 835) for Claim and Member data validations
• Handling a team of 4 members and providing Knowledge Transfer
• Involved in Accumulator testing and handled both the phases of project TPA testing and Accumulator testing simultaneously
• Conducting Defect triage calls with development team and bringing the issues to closure
• Execute the TC’s and tracking the defects in JIRA
• Providing test results walk through with business.

Enrolled members into various individual, small group and large group plans through EDI transactions and mainframe application.

• Enroll members into various individual, small group and large group plans using EDI transactions
• Enroll subscriber and dependents using 834 EDI files
• Reinstate and terminate and members
• Validate patient details, provider details and benefit plan in application.

Worked on Benefit testing with below responsibilities:

• Engage with IT & QA from multiple LOBs
• Conduct Sanity, Functional & Regression testing
• Responsible for preparing Test Cases, Test Execution, Bug reporting & Defect management through RTM
• Preparing and providing QA signoff
• Daily Status call with developers& weekly status call with Business.