Athira G R
Bengaluru
Summary
Quality Engineer with 7+ years of experience in manual software testing and 1 year in cloud infrastructure services. Expertise in mainframe online testing and extensive knowledge of the U.S. Healthcare domain. Proficient in JIRA and TMS for defect tracking and test management, with a comprehensive understanding of the software testing lifecycle. Holds an MBA in Operations Management and Human Resources, emphasizing project coordination and process improvement.
Overview
7
7
years of professional experience
Work History
<ul><li>Company Overview: Paix Services is a fully owned subsidiary of Holy Name Medical Center (HNMC). HNMC is a comprehensive 361-bed acute care hospital located in Teaneck, New Jersey. In software base it focuses on mainly product base.</li><li>Project: HNMC Practice Management.</li><li>The Practice Management mainly ensures the quality of the software product which the providers use.</li><li>According to the requirement requested by the providers our team will be validating the requirements without any quality fail in functionality as well as UI basis.</li><li>Performed and executed demos for the client for the developed software product.</li></ul>
Paix Services
Chennai
12.2024 - Current
- Company Overview: Paix Services is a fully owned subsidiary of Holy Name Medical Center (HNMC). HNMC is a comprehensive 361-bed acute care hospital located in Teaneck, New Jersey. In software base it focuses on mainly product base.
- Project: HNMC Practice Management.
- The Practice Management mainly ensures the quality of the software product which the providers use.
- According to the requirement requested by the providers our team will be validating the requirements without any quality fail in functionality as well as UI basis.
- Performed and executed demos for the client for the developed software product.
<ul><li>Project: Health Care Platform - IBX Blue Cross Core Admin Systems Implementation.</li><li>The IBX Blue cross work on the healthcare domain and it is the one of the most well-handled projects which focus on the enrolment, payments, id cards and claims.</li><li>Contributed to cross-functional teams in defining requirements, refining user stories, and providing input on design decisions.</li><li>Excellent knowledge of HIPAA (Health Insurance Portability and Accountability Act), 834 enrollments.</li><li>Performed and executed member enrollments in health care domain with respect to existing and updating business requirements.</li></ul>
UST Global
Chennai
04.2023 - 11.2024
- Project: Health Care Platform - IBX Blue Cross Core Admin Systems Implementation.
- The IBX Blue cross work on the healthcare domain and it is the one of the most well-handled projects which focus on the enrolment, payments, id cards and claims.
- Contributed to cross-functional teams in defining requirements, refining user stories, and providing input on design decisions.
- Excellent knowledge of HIPAA (Health Insurance Portability and Accountability Act), 834 enrollments.
- Performed and executed member enrollments in health care domain with respect to existing and updating business requirements.
<ul><li>Project: Health Care Platform - Colorado Implementation SOW.</li><li>This project handled different aspects such as various inbound and outbound interfaces like Enrolment, Claims, Authorization, and some of the production issues fix. In this area for the interfaces the data which has been produced from the health edge tool were sent to the vendor side such as HealthX.</li><li>Reduced project timelines by prioritizing test cases based on risk assessment and potential impact on customer.</li><li>Ensured compliance with industry standards by rigorously following established testing methodologies and best practices.</li><li>Have done different testing methodologies to resolve the production tickets.</li></ul>
UST Global
Trivandrum
12.2021 - 04.2023
- Project: Health Care Platform - Colorado Implementation SOW.
- This project handled different aspects such as various inbound and outbound interfaces like Enrolment, Claims, Authorization, and some of the production issues fix. In this area for the interfaces the data which has been produced from the health edge tool were sent to the vendor side such as HealthX.
- Reduced project timelines by prioritizing test cases based on risk assessment and potential impact on customer.
- Ensured compliance with industry standards by rigorously following established testing methodologies and best practices.
- Have done different testing methodologies to resolve the production tickets.
<ul><li>Project: Health Care Platform - Piedmont Implementation.</li><li>The health care platform helps in handling different aspects in claims side helps in the quick analysis, resolution of the claims processing about the hospital and the providers and suppliers, the overall process will help a good outcome in the health care platform.</li><li>Reporting defects through JIRA and follow up with development team to successfully get defect fix within time limit.</li><li>Used WinSCP for enrollment of files.</li><li>Read, interpreted and followed written test instructions and procedures to accurately validate each every and test cases.</li></ul>
UST Global
Trivandrum
06.2021 - 12.2021
- Project: Health Care Platform - Piedmont Implementation.
- The health care platform helps in handling different aspects in claims side helps in the quick analysis, resolution of the claims processing about the hospital and the providers and suppliers, the overall process will help a good outcome in the health care platform.
- Reporting defects through JIRA and follow up with development team to successfully get defect fix within time limit.
- Used WinSCP for enrollment of files.
- Read, interpreted and followed written test instructions and procedures to accurately validate each every and test cases.
<ul><li>Project: Apollo / State auto Insurance Company – Cloud Infrastructure Services.</li><li>In State auto Insurance company, the insurance subsidiaries of State Auto Financial Corporation are part of the State Auto Group. The State Auto Group markets its insurance products throughout the United States, through independent insurance agencies, which include retail agencies and wholesale brokers. The Cloud infrastructure Services team helps in handling different aspects and the IAM, Support teams help in the quick analysis, tracking, troubleshooting and resolution of the technical issues before affecting the process flow which will helps the success of the entire process.</li><li>Experienced in quick live call handling with onsite and offshore users regarding different technical issues.</li><li>Quick incident creation and its resolution within time constraint without any delay in process.</li><li>Worked on providing Identify and Access Management and desk side support along with onsite team.</li><li>Participated and worked on different Multifactor Authentication tool.</li><li>Handled high priority incidents and fulfilled issues with in SLA period.</li></ul>
UST Global
Trivandrum
05.2020 - 04.2021
- Project: Apollo / State auto Insurance Company – Cloud Infrastructure Services.
- In State auto Insurance company, the insurance subsidiaries of State Auto Financial Corporation are part of the State Auto Group. The State Auto Group markets its insurance products throughout the United States, through independent insurance agencies, which include retail agencies and wholesale brokers. The Cloud infrastructure Services team helps in handling different aspects and the IAM, Support teams help in the quick analysis, tracking, troubleshooting and resolution of the technical issues before affecting the process flow which will helps the success of the entire process.
- Experienced in quick live call handling with onsite and offshore users regarding different technical issues.
- Quick incident creation and its resolution within time constraint without any delay in process.
- Worked on providing Identify and Access Management and desk side support along with onsite team.
- Participated and worked on different Multifactor Authentication tool.
- Handled high priority incidents and fulfilled issues with in SLA period.
<ul><li>Project info: Broker Commission SIT – Anthem.</li><li>Anthem is one of America’s largest publicly traded healthcare companies, serving the healthcare needs of nearly 9.8 million medical and more than 40 million specialty members nationwide. SCLC system in Anthem is used for storing and maintaining Agents/Brokers data and processing their commissions. This is currently being modernized to a Web application as part of the Modernization project. The modernized system is called COINS. Brokers provide quotes, information about various plans and enrolment assistance to policy holders at no direct cost. The commissions which brokers are paid come out of the monthly premium paid by policy holders for health insurance. Different rules have been created in broker commission system which are known as commission schedules. When a policy is attached to a broker, commission schedules get assigned and brokers get payment based on the schedules assigned.</li><li>Worked in the SCLC system in Anthem which is used for storing and maintaining Agents/Brokers data and processing their commissions.</li><li>Worked on their modernized system called COINS and on their Main frame systems.</li><li>Enhanced user experience by conducting usability testing.</li><li>Operated under Agile and Scrum frameworks to complete releases and well-organized sprints.</li><li>Teamed on planned tests and time-sensitive ad hoc requests.</li><li>Carried out tests to identify, report and repair bugs and glitches.</li></ul>
UST Global
Trivandrum
04.2018 - 03.2020
- Project info: Broker Commission SIT – Anthem.
- Anthem is one of America’s largest publicly traded healthcare companies, serving the healthcare needs of nearly 9.8 million medical and more than 40 million specialty members nationwide. SCLC system in Anthem is used for storing and maintaining Agents/Brokers data and processing their commissions. This is currently being modernized to a Web application as part of the Modernization project. The modernized system is called COINS. Brokers provide quotes, information about various plans and enrolment assistance to policy holders at no direct cost. The commissions which brokers are paid come out of the monthly premium paid by policy holders for health insurance. Different rules have been created in broker commission system which are known as commission schedules. When a policy is attached to a broker, commission schedules get assigned and brokers get payment based on the schedules assigned.
- Worked in the SCLC system in Anthem which is used for storing and maintaining Agents/Brokers data and processing their commissions.
- Worked on their modernized system called COINS and on their Main frame systems.
- Enhanced user experience by conducting usability testing.
- Operated under Agile and Scrum frameworks to complete releases and well-organized sprints.
- Teamed on planned tests and time-sensitive ad hoc requests.
- Carried out tests to identify, report and repair bugs and glitches.
Education
MBA - Operations Management and HR
Trivandrum, India
Trivandrum, India01.2024
B-Tech - Applied Electronics and Instrumentation Engineering
Trivandrum, India
Trivandrum, India01.2017
HSE - Biology Science
Trivandrum, India
Trivandrum, India01.2012
SSLC -
Trivandrum, India
Trivandrum, India01.2010
Skills
- Health Edge tool proficiency
- Mainframe MVS knowledge
- Java fundamentals
- MySQL database management
- Maven project management
- Selenium automation testing
- JUnit framework expertise
- TestNG testing framework
- Continuous integration and delivery (CI/CD)
- Postman API testing tool
- Microsoft Office suite proficiency
- Health Edge tool proficiency
- Mainframe MVS knowledge
- Java fundamentals
- MySQL database management
- Maven project management
- Selenium automation testing
- JUnit framework expertise
- TestNG testing framework
- Continuous integration and delivery (CI/CD)
- Postman API testing tool
- Microsoft Office suite proficiency
Languages
English (R,W,S) Bilingual or Proficient (C2), Malayalam (R,W,S) Bilingual or Proficient (C2), Hindi Upper intermediate (B2)
Training
- USTAR – Rising star - 2020, USTAR – Shining Star - 2022
- Got appreciation and Reward voucher from client for the successful completion of the testing project in 2021
- Undergone training in ‘Mainframe Application Development' course form Keltron Knowledge center Trivandrum.
- Undergone training in Automation, Se - Java
Disclaimer
I hereby declare that the above-furnished details are true and correct to the best of my knowledge.
Timeline
<ul><li>Company Overview: Paix Services is a fully owned subsidiary of Holy Name Medical Center (HNMC). HNMC is a comprehensive 361-bed acute care hospital located in Teaneck, New Jersey. In software base it focuses on mainly product base.</li><li>Project: HNMC Practice Management.</li><li>The Practice Management mainly ensures the quality of the software product which the providers use.</li><li>According to the requirement requested by the providers our team will be validating the requirements without any quality fail in functionality as well as UI basis.</li><li>Performed and executed demos for the client for the developed software product.</li></ul>
Paix Services
12.2024 - Current
<ul><li>Project: Health Care Platform - IBX Blue Cross Core Admin Systems Implementation.</li><li>The IBX Blue cross work on the healthcare domain and it is the one of the most well-handled projects which focus on the enrolment, payments, id cards and claims.</li><li>Contributed to cross-functional teams in defining requirements, refining user stories, and providing input on design decisions.</li><li>Excellent knowledge of HIPAA (Health Insurance Portability and Accountability Act), 834 enrollments.</li><li>Performed and executed member enrollments in health care domain with respect to existing and updating business requirements.</li></ul>
UST Global
04.2023 - 11.2024
<ul><li>Project: Health Care Platform - Colorado Implementation SOW.</li><li>This project handled different aspects such as various inbound and outbound interfaces like Enrolment, Claims, Authorization, and some of the production issues fix. In this area for the interfaces the data which has been produced from the health edge tool were sent to the vendor side such as HealthX.</li><li>Reduced project timelines by prioritizing test cases based on risk assessment and potential impact on customer.</li><li>Ensured compliance with industry standards by rigorously following established testing methodologies and best practices.</li><li>Have done different testing methodologies to resolve the production tickets.</li></ul>
UST Global
12.2021 - 04.2023
<ul><li>Project: Health Care Platform - Piedmont Implementation.</li><li>The health care platform helps in handling different aspects in claims side helps in the quick analysis, resolution of the claims processing about the hospital and the providers and suppliers, the overall process will help a good outcome in the health care platform.</li><li>Reporting defects through JIRA and follow up with development team to successfully get defect fix within time limit.</li><li>Used WinSCP for enrollment of files.</li><li>Read, interpreted and followed written test instructions and procedures to accurately validate each every and test cases.</li></ul>
UST Global
06.2021 - 12.2021
<ul><li>Project: Apollo / State auto Insurance Company – Cloud Infrastructure Services.</li><li>In State auto Insurance company, the insurance subsidiaries of State Auto Financial Corporation are part of the State Auto Group. The State Auto Group markets its insurance products throughout the United States, through independent insurance agencies, which include retail agencies and wholesale brokers. The Cloud infrastructure Services team helps in handling different aspects and the IAM, Support teams help in the quick analysis, tracking, troubleshooting and resolution of the technical issues before affecting the process flow which will helps the success of the entire process.</li><li>Experienced in quick live call handling with onsite and offshore users regarding different technical issues.</li><li>Quick incident creation and its resolution within time constraint without any delay in process.</li><li>Worked on providing Identify and Access Management and desk side support along with onsite team.</li><li>Participated and worked on different Multifactor Authentication tool.</li><li>Handled high priority incidents and fulfilled issues with in SLA period.</li></ul>
UST Global
05.2020 - 04.2021
<ul><li>Project info: Broker Commission SIT – Anthem.</li><li>Anthem is one of America’s largest publicly traded healthcare companies, serving the healthcare needs of nearly 9.8 million medical and more than 40 million specialty members nationwide. SCLC system in Anthem is used for storing and maintaining Agents/Brokers data and processing their commissions. This is currently being modernized to a Web application as part of the Modernization project. The modernized system is called COINS. Brokers provide quotes, information about various plans and enrolment assistance to policy holders at no direct cost. The commissions which brokers are paid come out of the monthly premium paid by policy holders for health insurance. Different rules have been created in broker commission system which are known as commission schedules. When a policy is attached to a broker, commission schedules get assigned and brokers get payment based on the schedules assigned.</li><li>Worked in the SCLC system in Anthem which is used for storing and maintaining Agents/Brokers data and processing their commissions.</li><li>Worked on their modernized system called COINS and on their Main frame systems.</li><li>Enhanced user experience by conducting usability testing.</li><li>Operated under Agile and Scrum frameworks to complete releases and well-organized sprints.</li><li>Teamed on planned tests and time-sensitive ad hoc requests.</li><li>Carried out tests to identify, report and repair bugs and glitches.</li></ul>
UST Global
04.2018 - 03.2020
MBA - Operations Management and HR
Trivandrum, India
B-Tech - Applied Electronics and Instrumentation Engineering
Trivandrum, India
HSE - Biology Science
Trivandrum, India
SSLC -
Trivandrum, India
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