Puran Shekar Reddy CH
Summary
- Looking for an innovative and challenging software testing environment, which can fully utilize my capabilities and to be dynamic software professional working systematically, building good logics to be globally competitive following the perfect principles of time and quality techniques. Professional Summary:
- Offering over 17 years of IT experience on US healthcare and P & C Insurance.
- Manual Testing and Tosca automation on web application testing, Mobile testing Software Quality Assurance/Testing and Analysis, exposure of working on Agile and Waterfall Methodologies
- Well acquainted with the Software Test Life Cycle (STLC).
- Daily attending scrum calls, groomed sessions, standups call and Triage calls.
- Expertise in QNXT Healthcare Product.
- Expertise in Facets Healthcare Product.
- Involved in testing HIPAA EDI ANSI X12 5010 Transactions.
- Managing the team members and assigning deliverables on a daily basis.
- Experience in using Tools like BizTalk, Oracle SQL developer, HP-ALM and JIRA.
- Involved in all phases of Testing Life Cycle Analysis, Planning, Design, Execution, Evaluating the results and reporting.
- Sound knowledge in reviewing and execution of Test cases.
- Flexible and versatile to adapt to any new environment and work on any project.
- Ability to work in a fast-moving environment with quick turnaround objectives.
- Proven track record in current position to exceed expectations and provide the deliverables on time with utmost Quality.
- Able to play a role of scrum master, project management, and BA roles as well.
Overview
17
17
years of professional experience
1
1
Language
Work History
Senior consultant
Capgemini Technology Services India Limited, EDS
Hyderabad
05.2022 - Current
- Provider data implementation from Metavance, Medica
- The purpose of this project is to successfully enable all the functionalities Implemented in Provider data Load from Metavance to EDS
- Responsibilities
- Every PI release we will update on Kanban boards in ADO and APPTIO
- Requirement analysis and preparation of Test Scenarios and Test Cases from user stories
- Prepared dashboards release wise in cloud Jira x-ray by adding test plans with test cases
- Handling of Test data preparation from offshore and provided with pre-prod, Dev and Stage environments
- Supported and participated on UAT sessions with onshore counter parts
- Execute the TC’s and tracking the defects in APPTIO
- Once the Provider data loaded into system as part of functional testing, we are verifying the providers records
- Verifying the provider data from metavance to EDS and verifying the different layers in kafkahq in consumer provider topic before moving to EDS
- Project, Baptist Health Mobile PineApp (IOS and android Apps) and web portal, : BHSF
- The purpose of this project is to successfully enable all the functionalities Implemented in BHSF Apps and web portal like Home screen, summary for doctors and locations
- Responsibilities
- On Daily basis connecting with internal calls to provide status on going releases
- Providing status on alternative day with leads call with BHSF directors and clients
- Every release I will update on Kanban boards in cloud Jira x-ray
- Requirement analysis and preparation of Test Scenarios and Test Cases from user stories
- Prepared dashboards release wise in cloud Jira x-ray by adding test plans with test cases
- Providing the Knowledge Transfer on Cerner and sorian financial backend systems within the Team
- Successfully handled the various release wise features Health record sharing, Diagnostic appointments, urgent care check-in, Pre-arrival and Enchantments
- A part from SIT testing we use to work on regression suite
- Handling of Test data preparation from offshore and provided with pre-prod, Dev and Stage environments
- Supported and participated on UAT sessions with onshore counter parts including bhsf clients
- Helping automations teams to identifying in which user stories required automation and collaborating with API Postman team with in the project
- 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.
Test Lead
Infinite Computer Solutions
05.2017 - 05.2021
- Project: CY2022 Medicare Growth and MMP Expansion
Programmer Analyst
Cognizant Technology Solutions
03.2011 - 05.2021
- Cognizant Technology Solutions (CTS) and EmblemHealth mutually agreed on Statement of work order since 2015 Transformations and Migration from legacy to FACETS for Executing Testing Engagements
- Within short duration Cognizant team was able to understand EmblemHealth
- Project specific requirements and to continue with this assignment
- Client Description:
- EmblemHealth is a local, neighborhood health plan that has served the New York City area and surrounding communities for more than 75 years
- EmblemHealth was formed from two companies, Group Health Incorporated (GHI) and Health Insurance Plan of Greater New York (HIP), both of which have local roots and share a rich health care history
- Today, we honor our legacy by continuing to put the care of our members and communities first
- EmblemHealth offers a range of commercial and government-sponsored health plans for large groups, small groups, individuals and families, with an extensive network of doctors and hospitals throughout the tristate area
- Responsibilities:
- Created multiple test cases based on Trizetto Healthcare System (Facets) to maintain its functionality
- Has a very good knowledge of FACETS product and Healthcare domain, Worked on the various modules like Subscriber/Member and Claims
- Good experience in manipulating EDI X 12 837I & P (Health care claim)
- Mapping the EDI X 12 files as per the HIPAA guidelines for various EDI Transactions
- Good experience in Legacy to FACETS Transformation and migration to FACETS upgrade testing
- Worked on various Healthcare government program projects like Medicare/Medicaid/CHIP and commercial
- Processing via EDI 837, Various Inbound and Outbound interfaces for Claims functionalities
- Processing claims through EDI 837 files to FACETS system and also worked on scenarios for complete claims lifecycle by running Adjudication (CLMU), and Payment (CKMMs), Adjustments for Overpayment, Under Payment, Resolving the errors associated with claims.
Molina Healthcare
Hyderabad
06.2010 - 03.2011
- The purpose of this project is to successfully enable the states of Medicare Growth and MMP duel plans with the QNXT platform for the processing and Maintenance of Inbound and outbound encounters claims
- Responsibilities
- Requirement analysis and preparation of Test Scenarios and Test Cases
- Providing the Knowledge Transfer of EDI transactions to the new comers in the Team
- Successfully handled the Vendors module for Facets Upgrade and R6A releases
- Worked on various types of EDI transactions
- Handling of Test data preparation of EDI 837I, 837P and 837D related files
- Involved in testing all the loops, segments and elements within each hierarchal loop for 837
- Validated the files as per HIPAA X12 enforced standards
- 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., Team size : 2
- Release, - Monthly
- Description : Introduced a new field in Auto quote flow to collect the miles travelled for the daily usage of the vehicle which serves as a Rating element for the policy
- Responsibilities:
- Analyse the requirements and raised clarifications on the unambiguous requirements, derived Test Scenarios
- Used the Automation scripts in creating the Test Data required for Execution
- Test Design and Execution
- Tracked the Environment Down time for the project
- Defect logging and Tracking
- Communicated Daily status of the project to the Customer, Development team and Project Manager
- Modified Automation scripts for Regression testing of the EHQ application (in Auto Quote flow) which above project change is implemented.
Billing Associate
Inventurus knowledge solutions Pvt. Ltd
Hyderabad
04.2010 - 03.2011
The Hartford Financial Services, Home Renovation
04.2010 - 06.2010
- Line of Business : Consumer Markets
- HA1.2-, Team size : 3
- Scope of Applications : Changes brought across all Personal lines- Home Front End applications
- Release Type : Monthly
- Description: : To give a better price on the policy to the customer among competitors if the home is purchased within 12 months or renovated within 12 months from the effective date of the
- Policy
- Responsibilities:
- Analyse the requirements and raised clarifications on the unambiguous requirements, derived Test Scenarios
- Used the Automation scripts in creating the Test Data required for Execution
- Test Design and Test Execution
- Defect logging and Tracking
- Communicated Daily status of the project to the Customer, Development team and Project Manager
- Enhanced the Automation scripts for the EHQ application (in Home Quote flow) in accordance with this project changes
- Vehicle History Mileage and Rating)
Senior Process Executive
DST worldwide services Pvt ltd
Hyderabad
03.2007 - 04.2010
- Deliver KPI’s against active ITSM processes on service now
- Strong understanding of ITIL v3 Service Management best practices with an emphasis on Incident Management, Problem Management, Change management, Service Level Management, Request Management, Release Management, etc
- Interact with all levels of IT and business leadership
- Service Desk handles incidents and requests and provides an interface for other ITSM processes
- Provides life-cycle management of all service requests and keeps customers informed of progress
- Problem Management resolves the root causes of incidents to minimize the adverse impact of incidents and problems caused by errors in the infrastructure
Cognizant Technology Solutions, CTS, CVS Pharmacy, Inc
08.2012
- (“CVS Health”) mutually agreed on Statement of work order since, for Executing Testing Engagements
- Within short duration Cognizant, team was able to understand CVS Pharmacy, Inc
- Project specific requirements and (“CVS Health”) to continue with this assignment
- Worked in AS400 – BPM, Rx Claims System, Utilization management
- User Acceptance Testing for Employer Commercial and Health Plans
- Technical Summary
- Experience in MED-D & NON-Med testing and Configuration
- Experience in BPM,RX claims and UM(Utilization management testing), FACETS Manual Testing, Benefits Configuration, and Supply chain Management, Overpayment Recovery projects and Claim processing modules
- Knowledge in HCPCS, CPT, ICD–9, ICD-10, CPT CODES and MODIFIERS
- Functional, Technical and Analytical knowledge of US Health Insurance Applications like HIX
- Extensive Experience in Configuration and Testing for PPO, POS and HMO plans.
Education
MBA - undefined
Alagappa university
Skills
SKILL’sundefined
Timeline
Senior consultant
Capgemini Technology Services India Limited, EDS
05.2022 - Current
Test Lead
Infinite Computer Solutions
05.2017 - 05.2021
Cognizant Technology Solutions, CTS, CVS Pharmacy, Inc
08.2012
Programmer Analyst
Cognizant Technology Solutions
03.2011 - 05.2021
Molina Healthcare
06.2010 - 03.2011
Billing Associate
Inventurus knowledge solutions Pvt. Ltd
04.2010 - 03.2011
The Hartford Financial Services, Home Renovation
04.2010 - 06.2010
Senior Process Executive
DST worldwide services Pvt ltd
03.2007 - 04.2010
MBA - undefined
Alagappa university
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