Summary
Overview
Work History
Education
Skills
Accomplishments
Healthcare Domain Experience
Analysis Experience
Timeline
Generic
Sreedhar Ailu

Sreedhar Ailu

Norfolk,MA

Summary

Over 9+years of IT and Management experience in Software Development Life Cycle (SDLC) and Project Life Cycle working as Quality Assurance Analyst in Healthcare domain with prime focus on X12 format EDI claims and claims adjudication, provider, eligibility and prior authorization for Medicaid and Blue Programs. Software-savvy quality assurance professional committed to confirming proper functionality and usability of software products before release. Plans test schedules and strategies according to project scope and delivery dates and monitors and tracks bug resolutions. Reviews software documentation to verify technical accuracy and completeness and to mitigate risks. Proven skills in completing black, white and grey box tests. Background writing and implementing test cases, developing testing plans and identifying use cases. Fully versed in complete SDLC. Talented Manager with expert team leadership, planning and organizational skills built during successful career. Smoothly equip employees to independently handle daily functions and meet customer needs. Diligent trainer and mentor with exceptional management abilities and results-driven approach. Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success. Dedicated [Industry] professional with a history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. Resourceful Manager offering history of success coordinating and monitoring operations across various departments. Effective leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Highly committed with hardworking mentality to maintain quality of services and products.

Overview

11
11
years of professional experience

Work History

UAT Test Lead/Manager

Commenwealth of MA (EOHHS)
10.2014 - Current
  • Primarily responsible are supporting User Acceptance Testing/Users Doing Testing (UAT/UDT) execution and defect management for MA HIX, health connector application as a test manager and supervisor
  • Oversee UAT activities

QA Tester

Premera Blue Cross
01.2024 - 12.2024
  • Premera Blue Cross provides coverage to 2.2 million people through a national network for hospitals, physician and ancillary providers for more than 30 years
  • Premera Blue Cross has provided companies nationwide with a suite of employee benefit products and services including: health plans, COBRA, HIPAA, and flexible spending account administration; dental and vision plans; life insurance benefits, and short-term and long-term disability coverage.

Sr. QA Tester

Highmark Blue Shield
01.2024 - 06.2024
  • Worked as a Sr
  • QA Tester in their Facets (Managed Care System) implementation team
  • I involved in testing of data mapping, data extraction, transformation and loading from legacy system (Mainframes) into Facets as part of conversion
  • Also performed testing for conversions of existing systems and Facets and tested the interfaces.

Sr. QA / AMISYS Tester

WellPoint
07.2013 - 09.2014
  • Analyzed business requirements, functional specifications and business unit workflows / procedures to optimize technology solutions that meet business needs and exceed client expectations

Education

Bachelor of Science - Pharmacy

Kakatiya University
Warangal, India

Master of Science - Regulatory

Northeastern University Boston
Boston

Skills

  • Windows, Mainframe
  • XML, Java script & HTML
  • MS Access, MS SQL Server, Oracle
  • MS Office 2003/2007, Word, Excel, Power Point, Visio
  • MS Project 2003/2007
  • Test Data Management
  • Performance Testing
  • Key Performance Indicator Tracking
  • Teamwork and Positive Attitude
  • Defect tracking
  • Web and Mobile Application QA
  • Results and Deadline-Driven
  • Test planning expertise
  • Monthly maintenance validations
  • End-to-End Testing
  • Documentation proficiency
  • Design Specifications
  • Cross-Functional Team Collaboration
  • Software Development Tools: JIRA, Confluence
  • Data Validation Techniques
  • Manual test case preparation
  • Amazon Web Services
  • Test environment setup
  • Client Requirements
  • Training and Onboarding
  • Team Mentoring
  • Bug Tracking and Resolution
  • Test case design
  • Agile Best Practices
  • Project Management
  • Test implementation
  • Test Automation Knowledge
  • Test strategy development
  • Test Execution Monitoring
  • Continuous Improvement Mindset

Accomplishments

  • Collaborated with team of [Number] in the development of [Project name].
  • Supervised team of [Number] staff members.
  • Achieved [Result] by introducing [Software] for [Type] tasks.
  • Achieved [Result] through effectively helping with [Task].

Healthcare Domain Experience

Good knowledge on different modules within healthcare (Membership, billing, enrollment, claims). Experience with HIPAA compliance and Healthcare systems. Experience providing primary analysis for business processes running on the EDI (Electronic Data Interchange) standard. Experience handling HIPAA ANSI X12 (270/271, 834, 835, 837, 276/277), ICD9/10. Experience with health care Systems: Biz Talk 2009, FACETS, BlueCard, ITS (Interplan Teleprocessing Services), Medicare Part D and Medicaid systems, MMIS, MA21, AWS, HIX

Analysis Experience

Experienced in all phases of Software Development Life Cycle (SDLC) which includes Analysis, Development and Release process. Diverse work experience on Unit Testing, Functionality Testing, Integration Testing, GUI Testing, System Testing, Regression Testing, Performance Testing, User acceptance testing (UAT). Proficient in writing Test Plans, Test Scripts, Test Scenarios and Test Cases for both Manual and Automated Testing. Expertise in performing software bug tracking using Bug Tracking Tools – Quality center, Test Director, Team Track, and Rational Clear Quest. Experience with testing various test cases for Facets interfaces and tracking/explaining bugs to development teams. Experience in creating manual test cases from requirements, design, specifications and process flow diagrams. Experience in creating automated test scripts using HP/Mercury Quick Test Pro, Load runner. Experience executing manual/automated test cases and doing Ad Hoc testing, Black Box, White Box testing. Experience logging defects and tracking to resolution. Experience with best practices and structured QA methodology

Timeline

Sr. QA Tester

Highmark Blue Shield
01.2024 - 06.2024

QA Tester

Premera Blue Cross
01.2024 - 12.2024

UAT Test Lead/Manager

Commenwealth of MA (EOHHS)
10.2014 - Current

Sr. QA / AMISYS Tester

WellPoint
07.2013 - 09.2014

Bachelor of Science - Pharmacy

Kakatiya University

Master of Science - Regulatory

Northeastern University Boston
Sreedhar Ailu