Overview
Work History
Education
Skills
Certification
Application Experience
Timeline
Generic

Muralikrishnareddy Etakala

Qa Lead
Hyderabad

Overview

12
12
years of professional experience
4
4
Certifications

Work History

Health rules Manager

Citrix
  • Health rules Designer
  • Quality center
  • Oracle developer
  • TRANSHUTTLE
  • Transcend
  • WinSCP
  • AWA ETL tool for Batch jobs
  • Answers Adhoc Reporting Tool

Team Lead

Kaiser Permanente Insurance Company
  • (KPIC) is a customer running on DIAMOND 950 version 9.3.1 (referred to as D950)
  • The current system processes claims and authorizations submitted with ICD-9 diagnosis and surgical procedure codes from providers
  • By October 1, 2014, the BPO must accept claims and authorizations based on ICD-10 diagnosis and surgical procedure codes for regulatory compliance
  • The scope of the KPIC ICD-10 project is to provide a solution to client (Kaiser’s Diamond 950) to convert inbound claim ICD-10 codes (diagnosis and surgical procedure) to the equivalent ICD-9 codes and load to application for claims processing
  • Professional, Institutional, Pre-priced, paper claims, as well as authorizations will be accounted for
  • Output files and reports will be adjusted to send appropriate ICD-10 codes submitted on the input records
  • ROLE:
  • Involved in requirements analysis
  • Involved in preparation of test scenarios
  • Involved in preparation of test cases
  • Performed peer-review for Test Scripts
  • Performed System testing, Smoke testing, Regression testing and Adhoc testing
  • Involved in preparation of Test Logs and Test Summary Reports
  • Responsible for Verifying and Closing the defects
  • Involved in preparation of DSR and Test Summary Reports
  • Responsible for verifying and closing defects in Test Director and preparing the test Closure Report.

Testing Engineering Analyst

XCELYS, Dell International Services
02.2011
  • XCELYS
  • Client: Well care, Project Description:
  • Xcelys (earlier known as DIAMOND & Paradigm) is a Health Plan Core Administration Software which enables organizations to collect, process, exchange, organize, and retrieve important member, provider, authorization, capitation, billing, and claims data, ranging from member eligibility to provider contract demographics and claims experience
  • During my tenure in the R&D team, I had extensively worked on multiple enhancements for the below applications built on wide range of technology platforms, these are: a) XCELYS Classic Application b) XCELYS Enterprise Midtier and XCELYS New Technologies: c) Health Information Portal (HIP- Web Interface)
  • Some of the Major enhancements that were done for the R&D team are:
  • 5010 -837 Dental Transaction (Internal)
  • 5010 -837 Institutional Transaction
  • (Internal)
  • 5010 -837 Professional Transaction
  • (Internal)
  • 5010 -834 Membership Transaction
  • (Internal)
  • 5010 -835 Remittance Advice
  • (Internal)
  • 5010 -278 Authorization Transaction
  • (Internal)
  • Premium Billing - Payment Plans and Hardship Waivers (Client: Connector)
  • HSS Grouper Pricier Certification- DRG (Client: Wellcare)
  • SSA Rounding for Premium Billing (Client: MBF)
  • CMS TRR inbound transaction (Internal)
  • CMS MMA outbound transaction (Client: CHP)
  • CMS Spring 2009 Updates (Internal)
  • CMS Fall Updates (COB data) (Internal)
  • Roles – Performed the below tasks as a Quality Assurance Team member/Lead for multiple clients - CHP, Ovations, New West, Windsor Health, MBF, Health Alliance Plan, Well care, Kaiser, New West
  • Organize, prioritize, and manage multiple tasks and deliverables for massive projects to make the healthcare IT system compliant with HIPAA 5010 regulations for large payer healthcare clients in United States
  • Led small teams of 3 – 4 testers in multiple locations (US, India & China) which would work on individual modules
  • Assigned tasks to team members, worked with aggressive deliverable schedules
  • Responsible for writing Test Cases for GUI, Functional, Regression Test Scenarios, End to End and UAT of all configuration changes / enhancements implemented
  • Responsible for preparation and analysis of Traceability, Test Metrics using Defect Density, Schedule variance
  • Also coordinating with the development lead to perform Root Cause analysis
  • Estimated the testing scope and effort required for large projects, provided consolidated data required to make decisions on feasibility of projects to stakeholders
  • Responsible for coordinating with the onshore and offshore QA team during various phases of SDLC
  • Establish and sustain strong ongoing relationships with multiple IT teams and business partners
  • Involved in Estimation of System Testing Effort
  • Ensure quality and timely delivery of all assigned tasks.

Senior member technical staff

Metricstream infotech pvtltd, STANDARD CHARTERED BANK
10.2022 - Current
  • MetricStream provides powerful reporting and analytics capabilities across all Risk, Compliance, Audit and CyberSecurity products, enabling business users to create rich analyses and derive deep insights for driving business decisions
  • Roles and Responsibilities:
  • Developing project baselines; monitoring & controlling projects with respect to cost, resource deployment, time over-runs and quality compliance to ensure satisfactory execution of projects
  • Scheduling & executing the Software Testing Life Cycle; conducting system study and coordinating with team members for System Design & Integration, Application Maintenance, etc
  • Planning and coordinating the implementation and availability of the QA test environments, and ensuring compatibility of QA test; carrying out analysis of the application quality and software verification technical assessment review
  • Creating test plans, test scenarios, test cases and test scripts/procedures for carrying out Functional Testing, GUI Testing, Integration Testing and Regression Testing at various stages in the SDLC
  • Handling Defect tracking process involving Defect reporting and verification; doing defect logging in QC
  • Participating in Status Review meetings with the team & other stakeholders/client to monitor project progress; generating Review Report, Defect Summary Report, Progress Report, Test Matrix Report and Test Statistics Reports
  • Verifying change requests and defects; documenting, tracking and communicating test plans, test results and unresolved problems; updating Error Log / Suggestion Log and explaining system bugs to Programmers
  • Building and maintaining healthy business relations with clients, ensuring high customer satisfaction matrices by achieving delivery & service quality norms
  • Creating and sustaining a dynamic environment that fosters development opportunities and motivates high performance amongst team members
  • Test case execution in Proton (manual Run).Application Management tool
  • Dry Run and Formal run of assigned test case execution of project ( OQ Stage)
  • Defect raising while execution of run and closing of defect ID after fixing of defect
  • Documentation of Test Results of each executed test case
  • Compliance as per good documentation practice in each test case.

QA Engineer

Excellor, STANDARD CHARTERED BANK, OPERATIONAL RISK MANAGEMENT
10.2021 - 08.2022
  • Project:
  • MetricStream provides powerful reporting and analytics capabilities across all Risk, Compliance, Audit and CyberSecurity products, enabling business users to create rich analyses and derive deep insights for driving business decisions
  • Roles and Responsibilities:
  • Developing project baselines; monitoring & controlling projects with respect to cost, resource deployment, time over-runs and quality compliance to ensure satisfactory execution of projects
  • Scheduling & executing the Software Testing Life Cycle; conducting system study and coordinating with team members for System Design & Integration, Application Maintenance, etc
  • Planning and coordinating the implementation and availability of the QA test environments, and ensuring compatibility of QA test; carrying out analysis of the application quality and software verification technical assessment review
  • Creating test plans, test scenarios, test cases and test scripts/procedures for carrying out Functional Testing, GUI Testing, Integration Testing and Regression Testing at various stages in the SDLC
  • Handling Defect tracking process involving Defect reporting and verification; doing defect logging in QC
  • Participating in Status Review meetings with the team & other stakeholders/client to monitor project progress; generating Review Report, Defect Summary Report, Progress Report, Test Matrix Report and Test Statistics Reports
  • Verifying change requests and defects; documenting, tracking and communicating test plans, test results and unresolved problems; updating Error Log / Suggestion Log and explaining system bugs to Programmers
  • Building and maintaining healthy business relations with clients, ensuring high customer satisfaction matrices by achieving delivery & service quality norms
  • Creating and sustaining a dynamic environment that fosters development opportunities and motivates high performance amongst team members
  • Test case execution in Proton (manual Run).Application Management tool
  • Dry Run and Formal run of assigned test case execution of project ( OQ Stage)
  • Defect raising while execution of run and closing of defect ID after fixing of defect
  • Documentation of Test Results of each executed test case
  • Compliance as per good documentation practice in each test case.

Software Quality Assurance Analyst

Lifesys, NTT Data Services
09.2021 - 10.2021
  • LifeSys supports life,annuity and group/worksite products and more than four million policies across 30 life insurance companies, many with multiple books of business
  • Due to the depth and breadth of this system, a phased approach was implemented for the migration in order to minimize client impact and associated risks
  • Worked with Manual Testing, Integration Testing, UAT Testing, Regression Testing, Functional Testing, System Testing
  • Analyzed system requirements specification & Functional requirements specifications to understand Business rules of Application
  • Prepared detailed test strategy,test plan and test cases by understanding the business logic and user requirements for manual testing Conducted Manual and
  • Updated Requirement traceability matrix
  • Manual QA Tester Prepared quality assurance reports for each product/game line
  • Documented quality issues with software products.

Software Quality Assurance Analyst

Avmed, NTT Data Services
03.2018 - 08.2020
  • Avmed
  • Project Description: AvMed is a healthcare organization Florida-based
  • AvMed transforming to HRP application, all the records moving to HRP
  • AvMed setting up new configuration rules for all business modules and business operation are expanding with new Provider Contracts to access a nationwide network of healthcare providers
  • Test coverage on the Provider contract, Claims Repriced with functional testing on the HRP manager & in designer
  • Role/Responsibilities:
  • Interacting with the team members, BA, onsite coordinators in clarifying the product functionality
  • Investigation of defects, development of test cases and test case execution
  • Data validation of purge data retrieving from the database
  • Planning and Implementation of all QA activities within the stipulated time frames
  • Mentoring, training and knowledge transition to offshore teams
  • Creation of Test Scenarios for approved business requirements
  • Creating Implementation plans and leading implementation and post implementation activities
  • Monitoring & managing the test schedule, test execution
  • Expertise in identifying various kinds of test data for same scenario flows by changing the configuration and providing ample test coverage
  • Smoke, Functionality, System & Regression test execution
  • Creation & Review of End to End scenarios
  • Preparation of Traceability Matrix

Software Quality Assurance Analyst

Connect Your Care, Data
10.2017 - 02.2018
  • Client Connect your Care
  • ConnectYourCare is one of the nation’s largest benefit savings providers, offering a comprehensive solution supporting all tax-advantaged accounts
  • We’re revolutionizing how employers administer consumer-directed health care (CDH) and how employees use CDH accounts
  • ConnectYourCare
  • Health Savings Account (HSA), Flexible Spending Account (FSA), Health Reimbursement Arrangement (HRA), Employees Employers and Brokers
  • As a Test Analyst, assisted in requirement analysis and preparing Test Scenarios, Test Cases
  • Involved in Test Data preparation as per the scenarios and verifying the same during Test execution
  • Communicating with developer and Business analyst related to requirements and raising Query
  • Taking complete responsibility of requirements preparation and Execution of the same
  • Review of Test cases, executed Pass logs and uploading the same in X-ray tool
  • Complete Agile Scrum Methodology
  • Responsibilities:
  • Analyzing,Designing and Execution of Test cases
  • Used data loader for insert,update and bulk import or export of data from salesforce.com objects
  • Used it to read,extract and load data from comma separated values(CSV)files
  • Understanding the Client Requirements and functionality of the system
  • Identification of test scenarios and extensively involved in Designing Functional Test cases
  • Raising the Queries and interacting with developer to understand the tickets completely
  • Preparation of Test Cases and get it reviewed by the BA
  • Execution of Test Cases and Verifying the actual results against the expected results
  • Defect Tracking, Logging the Bugs in Jira and assigning the defects to Developers
  • Retesting the Test cases where defect has been raised.

Software Quality Assurance Analyst

Tenet, Dell International Services
08.2016 - 07.2017

Dell International Services, blue shield of Rhode island
02.2016 - 07.2016
  • Project: Invoice processing (BPM PEGA) client: TENET environment: PEGA, quality center 12.5, Selenium webdriver
  • Invoice Processing is a Tenet corporate Application that captures the approval of electronic or scanned invoices and sends the approved voucher request To IMMS to cut the check for payment
  • Roles & Responsibilities
  • Automation + Functional (End to End) Testing
  • Data Analysis and automate the repeated work
  • Enhancing the existing script
  • Identifying the pain area and implement automation
  • Portal automation using Selenium
  • Functional testing
  • End to End testing
  • Identifying defect and reporting the same
  • Developed automation framework for the thin client from scratch and delivered stable features which is currently released – Hybrid framework using Java, selenium, Test NG and Jenkins
  • Implement POM for REST API UI testing
  • Blue cross

Software Quality Assurance Analyst

Dell International Services
11.2015 - 01.2016
  • Project: Blue cross blue shield of Rhode Island client: blue cross blue shield of Rhode island environment: FACETS, EDR, NETEZZA, DHP
  • Blue Cross and Blue Shield of Rhode ISLAND: Blue cross Blue shield of Rhode Island is insurance company providing services to the Rhode Island region in United States and it has different applications for Payer domain
  • Core application is facets where member, groups are enrolled and claims etc
  • Basically Testing is done for projects which are divided into two parts EPMO and RSS, incidents
  • I had worked on EPMO, RSS AND incidents as part of the assignment I was doing SIT/UAT testing and Regression Roles & Responsibilities
  • Having extensive knowledge in STLC
  • Proficiency in defining and executing Test cases and analyzing bugs
  • Understood the minutiae about the system concerned, developed and executed the Test Cases against each Business requirements
  • Developed detail test cases to cover total functional system
  • Fruitfully interacted with Developers to visualize the functional aspects of the system under development
  • Ensured 100% Bug Reporting using Defect Tracking System to avoid any unrecorded communication regarding software testing
  • Involved in different types of Testing like Functional Testing, System Testing and Regression Testing
  • Good Experience in Design and Execution of Test Cases
  • Strong Working knowledge on SDLC models
  • Good working Knowledge on Vb Script
  • Knowledge on QTP with Descriptive Programming
  • Having knowledge to work with Excel files using QTP tool
  • Able to work integrate QTP tool with XML files
  • Knowledge on Web Testing using QTP tool
  • Knowledge on Database Testing using QTP tool
  • Well versed with Test Planning & Team formations by following risk factors
  • Strong in Test Scenarios & Test cases document writing by following Block box testing techniques
  • Experience on various levels of test execution like Sanity, Comprehensive, Regular regression & Final regression
  • Automated functional test cases using QTP in hybrid framework for regression cycles
  • Hands on experience in defect reporting & tracking
  • Involvement experience in review meetings and preparation of daily, weekly and monthly review reports including RTM
  • Exposure on Data Warehouse and ETL Concepts
  • Strong in Communication & Team co-ordination
  • Kaiser benefit configuration

Testing Engineering Analyst

Dell International Services
08.2015 - 10.2015
  • Project: Kaiser benefit configuration
  • Client: Kaiser
  • Environment: XCELYS, auto hotkey
  • This project enabled Kaiser Permanente to offer health plans to its customers
  • This project required configuring new plan benefits and testing them in the Kaiser environment by processing claims
  • In Xcelys, keyword CDAPL Claim Detail Authorization Procedure Link provides rules for linking an authorization detail line to a claim detail line, for pricing and pay actions
  • This linking process is performed at the procedure code level
  • Institutional claims received into Xcelys may have services billed at the procedure code level or the alternate procedure code level
  • If services are authorized at the alternate procedure code level (CPT/HCPCS) and then billed at the procedure code level (revenue code)
  • Roles & Responsibilities
  • Involve in understanding the business functionality as specified in the Software Requirement Specification (SRS) and User Requirement Definition (URD) Documents
  • Prepare Test Scope and Test Scenario by analyzing requirements for the product implementation and configuration
  • Configure the payer XCELYS application based on the functional specs
  • Writing Test Cases for GUI, Functional, Regression Test Scenarios, End to End and UAT of all configuration changes / enhancements implemented
  • Execute Test Cases, analyze, re-test and closing defects using Rational Clear Quest tools
  • Responsible for preparation and analysis of Traceability Metrics .Also coordinating with the development lead to perform Root Cause analysis
  • Responsible for coordinating with the onshore and offshore QA team during various phases of SDLC
  • Extensively worked on EDI file formats, mainly XML, X12, flat file etc
  • Ensure quality and timely delivery of all assigned tasks
  • Worked on almost all web services testing of Xcelys using SOAP UI
  • Was part of Xcelys implementation testing for Kaiser
  • Worked for various clients (Kaiser, CHP) in Xcelys
  • Kaiser(ICD10 PREPAREDNESS and ICD-10 Post go live stabilization), PROJECT: ICD10 PREPAREDNESS and ICD-10 Post go live stabiliztion
  • Clients: Kaiser
  • Environment Used: IBM Clear Quest, Putty, and SQL Plus, TOAD
  • Databases : Oracle
  • Project Description:
  • The scope of the project was to test the wrapper solution which was built for Diamond 950 to convert inbound claim ICD-10 codes (Diagnosis and surgical procedure codes) to the equivalent ICD-9 codes and then load the claim into Diamond for claim processing
  • Extensively processed HIPAA 5010 (837 EDI /XML/X12) professional and Institutional inbound claims for ICD-10 to ICD-9 code validation and also validating the respective 835 remittance outbound files for Kaiser
  • ROLE: Testing engineering Analyst
  • Execution of Smoke tests on new builds and providing the Test Results in given time
  • Analysis of Test Results and Preparation of Defect Status Report Involved in root cause analysis for various defects and helping Development Team to fix those defects
  • Involve in backend verification by using SQL server (Query analyzer) and cross check the data with respect to UI Data
  • Investigating software bugs and interfaced with developers to resolve the defects
  • Involve in Regression and System Testing
  • Tracking the defects in a defect-tracking tool and conducting Re-Testing the scripts
  • Validate the x12 w.r.t ICD-10 codes for 837 and 279 Transactions
  • Verified the inbound transactions for 837 and 279 using SFTP in FileZilla

Testing Engineering Analyst

CHPW ICD, Dell International Services
05.2015 - 07.2015

Testing engineering analyst

Dell International Services
05.2014 - 04.2015
  • The scope of this project is to verify all the claim types, authorization whether it is inbound or outbound claims, authorization when passed with diagnosis code and without qualifier code value it should not accept
  • With introduction of ID Qualifier shall be added to the uniqueness criteria that determine if a Diagnosis Code is valid for all claim types and Authorizations to process successfully with ICD-10 diagnosis codes and surgical procedure codes
  • Professional, Institutional as well as authorizations will be accounted for
  • Output files and reports will be adjusted to send appropriate ICD-10 codes submitted on the inbound records
  • ROLE:, Prepare Test plan for the project and review with stake holders
  • Involved in lead calls for QA activity discussion
  • Prepare high level Test scenarios and see the gaps in Requirements and scenarios
  • Update daily status to Test Manager for the daily reports
  • Prepare Test scope document
  • Leading the team of Testing and gave Kt-session on Application under Test
  • Well care HIX(Health information Exchange, PROJECT: Well care HIX (Health information Exchange) 8.2

Testing engineering analyst

Dell International Services
02.2014 - 04.2014
  • Well Care has undertaken a strategic initiative to implement the Healthcare Reform Act 2010 (aka ACA) by integrating with the Federally Facilitated Marketplaces as well as creating a branded Well Care private exchange, Well Care’s decision to participate in HIX will enable them to better retain existing customers while also strengthening Well Care’s position within the Medicaid/Medicare & Underserved Health plans industry
  • ROLE:, Involve in the preparation of Test Effort Estimate, Test Plan and Test Scope documents
  • Preparing Test Scenarios based on the requirements and preparation of Test Cases based on the identified test scenarios
  • Involve in Test Data Preparation as per the test requirements
  • Involve in Internal & Onsite/Client Reviews of prepared test scenarios and test cases to ensure test coverage
  • Involve in the execution of Functional and Regression Test Cases and defects’ QAR & QAT activities
  • Responsible for logging & tracking defects, preparing Defect Status Reports
  • Preparing Daily & Weekly Status Reports and Test Summary Report
  • Responsible for preparing Traceability Matrix, Test Metrics and Quality Records to comply with SQA standards
  • Involve in peer reviews of Test Effort Estimates, Test Scenarios and Test Cases
  • Performed testing of the web services for CSR Lite Web Services using soapUI pro
  • Involved in UAT support for Milestone 3 deliverable
  • Involved in configuration testing
  • Test Case identification for Solution Testing and Implementation Testing
  • ICD10 enhancement for NAMM, PROJECT: ICD10 enhancement for NAMM, NAMM (North American Medical Management)

Test Director

KPIC_ICD
01.2013 - 12.2013
  • NAMM has been using Xcelys 6.2 version at present and have been asked Dell to implement the ICD10 code implementation for their existing system to comply with HIPAA 5010 guidelines and ICD10 compliance
  • Xcelys is an Information System for managed healthcare and the main features included are: Identifying member eligibility for claims processing, pricing claims, and controlling payments based on authorization and benefits and administering complex payer arrangements
  • It is developed for major US Insurance organizations and the major modules in Xcelys are Classic, HIP, and DNT
  • Classic is a client server application and the front end was developed on Power Builder, Classic allows creating the data setup for processing various types of claims
  • HIP is web based application which allows the user to process 278 and 837 transaction files in both XML and X12 format
  • DNT is also a web based application which includes Customer Management
  • Xcelys application has been upgraded recently to comply with HIPAA 5010 guidelines and ICD10 compliance
  • ROLE: Team Lead
  • Involved in requirements analysis
  • Involved in preparation of test scenarios
  • Involved in preparation of test cases
  • Performed peer-review for Test Scripts
  • Performed System testing, Smoke testing, Regression testing and Adhoc testing
  • Involved in preparation of Test Logs and Test Summary Reports
  • Responsible for Verifying and Closing the defects and preparing test closure Report.

WRAPPER

01.2013 - 12.2013
  • Kaiser
  • Environment: S/ .Net Database: Main Frame, Tools: Test Director

Education

Masters - Computer Science

Vinayaka Missions University
Chennai

B.Sc. - Information Technology

Sikkim Manipal University
Manipal

Skills

Coaching and mentoring

Certification

ISTQB/BCS Tester Foundation Level

Application Experience

  • Citrix
  • Health rules Manager
  • Health rules Designer
  • Quality center
  • Oracle developer
  • TRANSHUTTLE
  • Transcend
  • WinSCP
  • AWA ETL tool for Batch jobs
  • Answers Adhoc Reporting Tool

Timeline

Senior member technical staff

Metricstream infotech pvtltd, STANDARD CHARTERED BANK
10.2022 - Current

QA Engineer

Excellor, STANDARD CHARTERED BANK, OPERATIONAL RISK MANAGEMENT
10.2021 - 08.2022

Software Quality Assurance Analyst

Lifesys, NTT Data Services
09.2021 - 10.2021

Software Quality Assurance Analyst

Avmed, NTT Data Services
03.2018 - 08.2020

Software Quality Assurance Analyst

Connect Your Care, Data
10.2017 - 02.2018

Software Quality Assurance Analyst

Tenet, Dell International Services
08.2016 - 07.2017

Dell International Services, blue shield of Rhode island
02.2016 - 07.2016

Software Quality Assurance Analyst

Dell International Services
11.2015 - 01.2016

Testing Engineering Analyst

Dell International Services
08.2015 - 10.2015

Testing Engineering Analyst

CHPW ICD, Dell International Services
05.2015 - 07.2015

Testing engineering analyst

Dell International Services
05.2014 - 04.2015

Testing engineering analyst

Dell International Services
02.2014 - 04.2014

Test Director

KPIC_ICD
01.2013 - 12.2013

WRAPPER

01.2013 - 12.2013

Testing Engineering Analyst

XCELYS, Dell International Services
02.2011

Health rules Manager

Citrix

Team Lead

Kaiser Permanente Insurance Company

Masters - Computer Science

Vinayaka Missions University

B.Sc. - Information Technology

Sikkim Manipal University

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