Kowshik Guntipalli

Results-driven Analyst specializing in Python programming and Tosca automation, with a proven track record of enhancing quality assurance processes at Thryve Digital Health LLP. Successfully implemented automated testing solutions that significantly improved workflow efficiency. Expertise in data analysis and collaboration has ensured compliance with healthcare regulations while delivering precise pricing data for major clients, including Blue Cross Blue Shield. Passionate about leveraging technical skills to drive continuous improvement in quality assurance initiatives.

• AWS Academy Data Engineering, Amazon Web Services Training and Certification, 01/01/24
• Tosca AS1 and AS2 Certifications, Tricentis, 01/01/23
• ISTQB Foundation Level, Indian Testing Board, 01/01/24
• SAFe Agile, Scaled Agile, 01/01/24

Transparency in Pricing Mandate Implementation:

• Led a project to ensure compliance with transparency in pricing mandates for a leading healthcare organization
• Developed and executed test cases to validate pricing data accuracy across multiple platforms, ensuring adherence to regulatory requirements
• Automated data validation processes using Tosca, reducing manual effort and improving data integrity.
• Collaborated with cross-functional teams to ensure seamless implementation of pricing transparency features

Corporate Provider Repository (CPR) - Provider Profiles

• Spearheaded the testing and validation of the Corporate Provider Repository (CPR), a centralized system for managing Provider Profiles across the organization
• Developed and executed test cases to ensure the accuracy and completeness of provider data, including demographics, credentials, and network status, while automating data validation processes using Tosca, reducing manual effort; collaborated with cross-functional teams to ensure the repository met regulatory and business requirements

Provider Global Reimbursement Engine (PGRS):

• Played a key role in the implementation and testing of the Provider Global Reimbursement System (PGRS), a system designed to streamline reimbursement processes for healthcare providers
• Conducted functional testing and regression testing to ensure accurate calculation and disbursement of reimbursements based on provider contracts and claims data

Provider Directories:

• Managed the testing and validation of provider directories to ensure accuracy and compliance with regulatory standards
• Developed and executed test cases to validate provider information, including contact details, specialties, and network status
• Collaborated with cross-functional teams to ensure timely updates and compliance with healthcare regulations