Anand RM

Ø 6+ years of IT experience in Manual testing field. Working as a System TestEngineer in a reputed US Healthcare domain.

Ø Possess expertise in System Integration testing, Functional testing, Regression testing, Database testing, Web based/GUI testing.

Ø Good exposure in creation of inbound EDI files and processing them to the destination and been part of outbound file validation which in turn delivered to various vendors.

Ø Has Good Exposure in EDI 837 claims testing

Ø Have knowledge on US Healthcare business workflow and its functioning.

Ø Have Knowledge on various domains/modules under healthcare such as Member, Payer, Provide, Claim.

Ø Having good experience in Member creation and enrolment process, LOB and Provider assignment.

Ø Have good hands-on Claim creation via 837 EDI files and processing them to Edifecs, manual creation of claims in Facet UI application and claim adjudication process -Benefit testing

Ø Strongly Initiative, Creative and able to learn new technologies.

Ø Hands on experience in Healthcare tools such as QNXT, Facet, Edifecs, PDM,CCA, OPTUM.

• Reduced the manual efforts in the projects worked and have provided high quality deliverables to the project significantly to improve the efficiency and delivery of the project which in turn adds to the cost saving for the project.
• Have been part of QNXT Upgrade and other big programs and have been appreciated by Clients for High quality deliverables and on time delivery.

•Database - SQL.

• EDI Files.

• MYSQL/Oracle DB.

• IDE- Eclipse.

• Build automation tool – Jenkins.

• Selenium Basics.

• Healthcare Tools: QNXT, Facet.

• Test Management Tools: JIRA, ALM.

• Health care Applications: Edifecs EM, ST (Claim Processing), PDM (Provider Data Management) ,CCA, PDM, BAM, Claim BOT, Claim Workflow, OPTUM

•  Methodologies: Waterfall, Agile

• API-Postman tool.

• Automation Tools- Selenium and TOSCA