Pradeep Kalyanasundaram

Experienced Quality Assurance Test Manager with 18 years of comprehensive expertise in the IT industry, focusing on Healthcare – Membership, Provider, Claim Adjudication, Pharmacy, Billing, Finance & Accounting and Treasury sub domains. Skilled in managing large scale enterprise programs. Leading project kick-off meetings, conducting thorough requirements gathering and analysis, and proficient in Test Design, including creating Test Strategy, Planning Test cycles, Data Management, and Defect Handling. Experienced in facilitating walkthrough with business stakeholders throughout the Release Train to ensure alignment and comprehension of project objectives.

Noteworthy contributions include playing a significant role in System/Integration testing, ensuring seamless data flow to various downstream systems. Demonstrates exceptional leadership qualities by effectively coordinating project-based activities, motivating and leading project teams to deliver high-quality results.

• Domain Expertise: Extensive testing experience spanning Healthcare IT, Finance & Accounting, and Treasury domains, with a deep understanding of industry-specific terminology, business functions, and processes.
• Enterprise Testing Proficiency: Demonstrated expertise in QA and software testing within large cross-platform Enterprise programs, ensuring comprehensive testing coverage and adherence to quality standards.
• Organizational and Project Management: Strong organizational skills combined with effective project management abilities, ensuring timely delivery of projects and efficient allocation of resources. Revenue Forecasting, Billing & Invoice submission to client, contract management and handling P&L.
• Customer Interaction and Result Orientation: Skilled in engaging with customers, understanding their requirements, and delivering solutions driven by a strong focus on results and outcomes.
• Attention to Detail: Meticulous in Test Design and execution, ensuring thorough coverage of test scenarios and meticulous defect management.

Cigna - Feb 2014 - Till Date, Bloomfield - Connecticut, US

Worked on the below key large scale enterprise programs as Test manager

• AccelRx Program (Pharmacy & Finance)
• QANI (QualCare Inc.) Integration (Finance, Pharmacy, SUWP & Treasury)
• ESI Integration (Pharmacy, Finance & Treasury)
• Supplemental Health Solution, Cornerstone and compliance programs like NYHCRA
• Treasury Programs – BCIP, SWIFT Payments, CEPP Upgrade, Third Bank
• IT Modernization projects – Cognos, FileNet, Windows upgrade and Encryption In-Transit
• Expertise in healthcare business areas like Enrollment, Memberships, Revenues, Claims, Provider Payments, Account Receivables, Account Payables and Treasury processing

Tools / Technologies:

Oracle, SQL Server, Toad, Java, Selenium, Jenkins, HP ALM, CA Rally, IBM Cognos, JIRA, Zephyr, PL/SQL, AWS (S3, Glue, Redshift, CloudWatch, Airflow, S3 Select), Power BI, and Tableau.

Roles and Responsibilities:

• Requirements Gathering & Analysis: Efficiently coordinate between business and functional teams to gather and analyze requirements. Conduct thorough reviews of existing system configurations and operational methods while staying attuned to evolving business needs.
• Test Strategy and Test Design: Create comprehensive test strategy & test plans for compliance, enterprise programs (E2E Testing) and enterprise applications encompassing Claims, Billing, and Adjustment transactions. Facilitate integration of invoicing and payment processes into Cigna's Financial & Accounting and Treasury downstream applications.
• Test Scenario Development and Data Management: Develop test scenarios based on End-to-End test criteria and data migration strategies. Create and implement End-to-End data management plans, coordinating data requests and ensuring alignment with business requirements.
• Test Execution Planning and Timeline Management: Formulate detailed test execution plans with delivery timelines, covering end-to-end workflows. Develop strategies for testing compliance, enterprise programs, and migration initiatives, ensuring thorough coverage and adherence to deadlines.
• Test Execution and Project Status Reporting: Test the applications in System and Integration testing phase. Execute test scripts, log defects, and defect reporting & triaging. Publish Daily status reports with project stakeholders ensuring transparency and alignment with project objectives.
• Business and Functional Acceptance Testing Support: Provide extensive support for business and functional acceptance testing phases, ensuring technical specifications align with business requirements and objectives. Demonstrate the test results in evidence walkthrough and obtain business and project stakeholders sign-off.
• Backend Database Testing: Competently work with databases such as Oracle and SQL Server, ensuring data integrity and reliability throughout testing processes. Create SQL codes to perform the backend tables validation

Aetna - Aug 2010 - Jan 2014, Coimbatore - Tamilnadu, India

Worked on the below key large scale enterprise programs as Test Manager / Test Lead

• 2014 Call Letter & Non-Call Letter for CMS
• Medicare 2013 EGWP Final Rule
• Direct Physician Reimbursement
• Women Wellness HCR – Patient Protection and Affordable Care Act (PPACA)
• Medicare Part D 2012 BIN / PCN
• NCPDP D.0 Compounds Claim Adjudication & Billing
• NCPDP D.0 PBM Claims – Core Adjudication
• Manufacturer Drug Program

Tools / Technologies:

Oracle, .NET, Mainframe, HP Quality Center, IBM Rational ClearQuest, IBM Rational ClearCase, Java, QTP, Selenium, PL/SQL.

Roles and Responsibilities:

• Requirement Analysis and Test Effort Estimation: Analyze project, SR (Service Requests), and PCR (Problem Change Requests) requirements, strategize testing efforts, and provide estimations for testing activities.
• Team Leadership and Coordination: Lead a team of 15 members, effectively coordinating tasks between onsite, offshore, and other component teams to ensure seamless project execution. Engage in resource planning and forecasting activities to ensure adequate resource allocation and optimization for ongoing and upcoming projects.
• Test Planning and Test Design: Develop comprehensive Test Plans and author Manual Test scripts for Smoke, System, and Regression testing levels, ensuring thorough test coverage.
• Test Execution and Project Status Reporting: Execute test scripts, meticulously report defects, and ensure timely resolution to maintain project integrity and quality standards. Share daily status updates of projects, SRs, and PCRs with onsite Project Managers, ensuring transparency and alignment with project objectives.
• Root Cause Analysis (RCA) and Defect Control: Prepare Root Cause Analysis (RCA) reports for defect leakage and implement corrective measures to control and mitigate future occurrences.
• Mentorship: Mentor junior team members to enhance their skills and knowledge. Conduct knowledge transfer sessions to improve the competency of the team.

British Telecom - Feb 2008 - Jul 2010, Chennai - Tamilnadu, India

Tools / Technologies:

.Net,  HP Quality Center, SQL Server, PL/SQL, Eclipse IDE, SSIS

Project Experience and Responsibilities:

Worked on the project as Team Lead

• Transitioned the project from incumbent vendor within 2months and went to steady state within a month
• Lead the offshore team and coordinated the tasks between onsite, offshore and other component teams.
• Lead the Project Quality Audits and Weekly review meetings with client.
• Requirements Analysis and Preparing Test Plan and Test cases.
• Responsible for regression and functional testing.
• Coordinating with customers during Customer Acceptance Testing.
• Proposed Service Improvement Plans to improve the Defect Removal Efficiency and implemented the same to improve quality.
• Mentoring juniors in the team and done knowledge transitions to improve the competency of the team.

Rockwell Collins - Jul 2006 - Jan 2008, Bangalore - Karnataka, India

Tools / Technologies:

Java,   JSP, eMatrix, Tortoise SVN, Oracle, PL/SQL. Eclipse IDE

Project Experience and Responsibilities:

Worked on the project as Test Analyst 

• Requirements Analysis and Preparing Test Plan and Test cases.
• Responsible for regression and functional testing.
• Involved in Defect Prevention Activity and other QA audit activities.
• Development of User Manuals and coordinating with customers during Customer Acceptance Testing for data setup.