Rajani Shete

Overall 11+ year of experience as Healthcare consultant with specialized in HIPAA and Affordable Care Act (ACA), EDI Transaction (834 (benefit enrollment), 820 (payment processing) , 835 (Provider Explanation of Benefits (EOB)), 837 (health care claim))

IT experience in developing procedures, implement best practices in manual testing, provide technical leadership, mentoring and management for the testing team.

Participate in PI (Program Increment) Planning

Experience in analysis of existing test strategy, gap analysis, and working across teams to mature integrated testing strategies

Strong health care domain knowledge

Expertise testing monitoring and controlling, delivering small, medium and large program and project using agile methodology

Responsible for managing a team of testers and ensuring that the testing team activities are carried out effectively and efficiently.

Design and maintain robust test automation frameworks that align with the software development lifecycle (SDLC) and Agile methodologies. Collaborating closely with the manual QA team, coordinate testing efforts to ensure comprehensive coverage and oversee the delivery of high-quality software products by continuously improving testing processes and tools

Responsible for Planning, Execution, Defect management and Reporting process and work closely with the development team, other stakeholders to ensure all quality standard are met.

Responsible for coordinating and overseeing the actual testing activities. Allocate tasks to team members, monitor their progress, and provide guidance and support whenever required.

Ensure that all tests are executed properly, and any issues or defects are documented and reported promptly.

Responsible for ensuring effective communication between the testing team, project stakeholders, and other teams involved in the software development lifecycle.

Provide regular updates on the testing progress, highlight any issues or risks, and ensure that stakeholders are kept informed about the overall testing status.

Participate in sprint planning activities, prepare Test Plan, TSR (Test Summary Report), PRR (Product Readiness Review), send daily dashboard.

Well versed with API testing, hands on experience testing tools like Putty, SOAP UI, JMeter, Postman, WinSCP, Jira.

Experience in API testing and GitHub

v Good knowledge in developing and Managing, TestNG and Cucumber Frameworks.

• Design, record, and develop automated test scripts using RFT to cover various functionalities of the application, including user interface interactions, data input, and validation checks.
• Ensured timely delivery of critical deliverables by closely monitoring progress against milestones and adjusting plans as necessary.
• Established strong relationships with clients, leading to repeat business and positive referrals for the company.
• Coordinated project activities for seamless execution and team alignment.
• Prepared project documentation, supporting transparency and accountability.
• Analyzed project requirements to establish clear objectives and deliverables.
• Implemented risk management strategies to minimize project disruptions.

Conducted risk assessments for various projects, prioritizing test efforts based on potential impact and resources available.

A professional one year experience in Customer Relationship Management using Microsoft Dynamic CRM

Experience in full cycle implementation and up-gradation in Dynamic CRM 2013 , D365. Good experience in Software Development Life Cycle (SDLC) using various software development methodologies

Hands on knowledge of implementing and maintaining access controls and permission in CRM based on roles and access conditions.

Involved in meticulously reviewing and analyzing healthcare provider submitted claims to ensure accuracy, compliance with insurance policies, and proper coding, utilizing testing methodologies to identify potential errors or discrepancies before claims are finalized for payment

The Pan-Canadian Electronic Public Health Surveillance System, Panorama, links Public Health professionals, Medical Officers of Health, physicians, hospitals, and other authorized health stakeholders together into an electronic data network.

The solution provides authorized health professionals with confidential access to Public Health functions and provides decision support tools designed to help improve the delivery of Public Health services to Canadians.

The core set of functions provided are Communicable Disease Management, Outbreak Management, Immunization Management, Family Health, Work Management, Vaccine Inventory Management and Notification Management.

Panorama is a web application that provides a secure browser-based interface and a standards-based messaging interface for communications with external systems.

The message interface is based on HL7 standards, allowing:

Created detailed project plans to guide team activities and timelines.

Facilitated team meetings to discuss project objectives and progress.

Monitored team performance to identify areas for improvement.

Coordinated project milestones to align with client expectations.

Modular energy software system that integrates trading, risk/control, credit, back-office, treasury/finance and senior management information needs on a single platform. The end result is a single software platform that easily masters operational and financial transactions of all kinds for the power, gas, crude, emission, and weather derivatives markets. Simplify trading with commodity-specific screens for power, gas, coal, oil, weather, emissions and derivative deal types.

Analyzed project requirements to establish clear objectives and deliverables.

Implemented risk management strategies to minimize project disruptions.

Coordinated project activities for seamless execution and team alignment.

Experience in QTP automation tool

• Destiny from Scentric is a product for automating data management in large IT organizations. Data management involves classification and movement of data based on management policies and rules set by the administrator. Manages data of the outlook (send mails, inbox, received mails etc) and even manages the data file system. Designing large scale enterprise applications. Data Management: Operating System, File System, Windows Kernel. System is also used for Search/Indexing System is also used to for the Backup domain.
• Mentored junior team members, fostering growth and enhancing team performance.
• Standardized bug reporting methods for better communication between QA and development teams.
• Implemented automation tools, increasing testing accuracy and reducing manual effort.
• Managed multiple projects simultaneously, ensuring timely delivery of high-quality products.

• PC Tools is a set of application, which runs on PC and communicates with the gensets controller remotely and locally. It is responsible for the development of several applications, PowerGen Service Tools (In Power), PowerGen Engineering Tool and PowerGen Manufacturing Tool and PCW Tool. In Power is called the Service Tool which is delivered to the end user.
• Evaluated the effectiveness of existing test tools and frameworks, recommending improvements or replacements as needed for enhanced productivity.
• Developed customized test plans for each project, ensuring comprehensive test coverage.
• Reduced defects in production by conducting rigorous regression testing.
• Maintained up-to-date knowledge of industry standards and advancements, applying new techniques as appropriate for better results.