Ragavi Sattanathan

CVS Health - Medicare Part D.

• Execute and validate the claims adjudication process for Medicare Part D plans, ensuring compliance with CMS requirements.
• Perform SQL-based query testing to validate back-end processing logic, provider, and claim modules.
• Ensured that the formulary, copay, accumulator, and rejection logic complied with CMS regulations using the RX Claim Platform.
• Work on Medicare Part D modules involving pharmacy claims processing, tiered drug pricing, and LICS (Low Income Subsidy) validations.
• Test and validate real-time and batch claim transactions, verifying drug codes (NDC), and rejection reasons.
• Addressed problems in test environments to facilitate production validation.

• Served as a key liaison between PBM business, with a strong understanding of PBM operational workflows (e.g., formulary management, claims processing, eligibility).
• Experience with data governance, Master Data Management (MDM), and operational data platforms such as ODM.
• Conducted data mapping and impact assessments to ensure accurate data lineage across systems.
• Enabled ODM adoption for 2 PBM operational domains, improving data accuracy and reporting efficiency by 30%.

International Gaming Technology (IGT)

• Developed enterprise-level lottery and gaming solutions, including GT20 interface, WIGT20, and Aurora Navigator.
• Executed functional, regression, integration, and system testing for the Gemini Touch Interface, ensuring seamless user interaction and data sync between hardware and backend systems.
• Conducted API and Service Level Testing for WIGT20 and Aurora Navigator, validating proper communication, error handling, and data integrity between modules.
• Tested player services, including ticket validation, prize payout, loyalty systems, and gameplay interactions across terminal and online interfaces.
• Validated Retailer Services such as transaction processing, sales reporting, and inventory updates to ensure operational readiness.
• Performed environment set-up and data configuration for test scenarios in development, staging, and pre-production environments.

McAfee- Antivirus Software.

• Projects worked on: Endpoint security suite, McAfee ePolicy Orchestrator integration, Cloud threat intelligence modules.
• Validated the functionality and performance of endpoint protection products, including real-time scanning, firewall protection, and malware detection.
• Conducted API testing of backend services interacting with McAfee ePO Server, ensuring secure communication.
• Created automated test scripts using Selenium and TestNG, contributing to faster regression testing cycles.