MUHAMMAD NAEEM

Summary:
 A result-oriented individual with over 8 years of diversified experience in Software Quality Assurance & Testing in
Healthcare and Retail domain.
 Hands on experience with testing of OPL, COB, Healthcare Claim pricing, Healthcare Claim Benefits, End to End
Claim Processing.
 Good experience in leading Onshore/Offshore QA Team for Testing in Agile environment
 Experience as Mobile App Tester in testing Web applications and Mobile applications of native apps, Web apps
and Hybrid apps for iOS and Android Platforms using Emulators and Perfecto Mobile.
 Experience in Mobile application testing in agile environment (Mobile/Tablets/ Mobile Simulator)
 Develop test cases based on business requirements, functional and technical specifications, and development
standards for assigned projects/applications.
 Familiar with HIPAA EDI transactions such as 820, 834, 835, 837 (P, D, I) etc.
 Extensive experience in testing Facets applications mainly in Provider, Group, Subscriber/Family, membership and
billing.
 Perform Backend testing by extensively using SQL queries to verify the integrity of the database.
 Expertise in Manual Testing /Automated Testing applications developed on Windows and UNIX Environment.
 Track issues and work with project managers and developers to resolve
 Perform Regression Test, Planning Execution Also Acceptance testing.
 Proficient in MS Office tools with expertise in MS Word, MS Excel, Power Point, and MS Project.
 Create and send issue reports to project team and management during test cycles.

Technical Skills
Testing Tools: QTP/UFT, SoapUI, Azure DevOps
QA Methodologies: Iterative, Agile, Waterfall
QA Tools: ALM, ALM/Quality Center, Microsoft TFS, Rally, Jira, Zephyr, Clear Quest
Query Tools: TOAD, Rapid SQL, SQL Developer
Operating Systems: Microsoft Windows Family, OS/2 UNIX – Sun Solaris, HP-UX
Databases: Oracle, SQL Server, DB2, Teradata
Languages: SQL, PL/SQL, UNIX Shell Scripts, VB Script

Experience

NTT Data/ Enclara Pharmacia [Humana]- Remote

Jun 2023 - Present
Position: Sr. QA Engineer

As a Sr. QA, I worked on testing their Infinity, Genesis applications and currently I am responsible for writing test
scenarios and test cases, daily standup meetings.
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Responsibilities:
• Formulated test scenarios, test scripts, and test cases derived from Requirements, Detailed Specification Documents,
and GAP documents.
• Devised manual test cases to conduct various types of testing, including functional/regression, interface, black box,
performance testing, smoke/sanity testing, and more.
• Developed a comprehensive Test Plan and Test Cases aligned with the business requirements.
• Planed, executed, and tracked test cases with actionable defects and end-to-end traceability using Azure DevOps
Test plan suite.
• Planed, executed, and tracked test cases with actionable defects and end-to-end traceability using Azure DevOps
Test plan suite.

Care Source/State of OH - Dayton, OH

Sep 2022 – May 2023
Position: Sr QA Engineer
As a Sr QA, I worked on testing their mobile app “CareSource Mobile App”. This simple, easy to use app lets you
manage your CareSource health plan on the go.
 View your digital insurance ID card
 Secure access to your personal My CareSource™ account
 Find a doctor, hospital, clinic, urgent care or pharmacy near you

Responsibilities:
 Developed Test scenarios, Test Scripts and Test cases based on Requirements, Detail Specification Document’s
and GAP documents
 Created test cases manually to perform different types of testing such as functional/regression, interface, black
box, performance testing, smoke/sanity testing, etc.
 Wrote Test Plan and Test Cases according to business requirement.
 Performed data driven testing by data driver wizard and parameterization.
 Creating and updating test cases based on new and/or /updated functional or interface requirements
 Work in Agile, scrum, and sprint environment in order to change the requirements and features set.
 Used XML (API) for transferring the data from the client to the server
 Created User Stories, Test Plans, Test scenarios, Test cases, and Bugs in Azure DevOps/VSTS cloud-based
technology
 Analyzed Business Requirement Document and Technical Specifications Document to identify Test Scenarios and
Test Procedures.
 Execute test cases from azure DevOps test plan and generating report
 Created updated and maintained Test Matrix and Traceability Matrix and involved in Gap Analysis
 Worked with SMEs to Implement functional, regression, performance, security and usability testing on Web, iOS
and Android mobile devices
 Responsible for writing test scenarios and test cases.
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 Planed, executed, and tracked test cases with actionable defects and end-to-end traceability using Azure DevOps
Test plan suite
 Performed browser compatibility and configuration testing on various operating systems such as Android OS, and
IOS etc.
 Writing and Executing Test cases for Android Testing
 Tested the mobile applications in both Native and Web environments and validated the mobile application
functionality on physical smart phone hardware devices and virtual device emulators like: Device Anywhere,
perfecto mobile and Simulators like: Android SDK, iOS SDK etc.
 Tested the applications on mobile for ensuring accessibility compliance
 Performed functional testing of individual modules of the Application on iOS, Android.
 Responsible for testing across mobile web and cross browser across different platforms
 Responsible for testing backward compatibility on various proxies of web services
 Extract data from an Oracle System and create MS Excel and MS Access reports
 Wrote various SQL queries to validate data inserted, deleted and updated in the Oracle database
 Used Azure DevOps to log bugs and track task
 Setting up the scripts to run on Azure pipelines and debug issues faced with various agent pools
 Perform responsibilities of managing and overseeing 508 testing activities and identify contradictions related to
508 compliances.
 Backend testing of the DB by writing PL/SQL queries to test the integrity of the application
 Wrote SQL queries and performed Back-End Testing for data validation to check the data integrity during
migration from back-end to front end.
 Used Perfecto Mobile to test applications on multiple real devices.
 Experienced Manual testing the web services change with different actions using the request and response files
 Attended weekly defect report meetings and presented progress update status.
Environment: Azure DevOps, iPhone, iPad, Android, WSDL, Java, Windows, SQL Server, Services Oriented Architecture
(SOA), Flash, Web Services, JavaScript, Perfecto Mobile, Etc

AmeriHealth Administrators, Philadelphia, PA

Sr. QA Engineer
Jan 20 – Aug 22

As a Sr. QA, I worked on FACETS upgrade project. I was also involved in optimization and maintaining reports across
different healthcare modules of Authorization, Claims, Membership, Eligibility, Enrollment, Billing and Providers.
Also worked on testing their mobile app “myAHABenefits”. It helps Access health information on-the-go from
AmeriHealth Administrators.
 Developed Test scenarios, Test Scripts and Test cases based on Requirements, Detail Specification Document’s
and GAP documents
 Followed Agile Methodology to emphasize on real time communication over written documentation.
 Analyzed the FACETS Requirements and conducted gap analysis.
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 Performed Functionality testing during the various phases of the application and analyzed the results using
UFT/QTP.
 Gathered requirements from the user and prepared functional specifications along with data flow diagrams for the
Member configuration, enrolling subscribers and members, configuring different sections of members like
Eligibility, Address, Medicare, Claims data etc
 Creating High Level End to End Use Cases for each Enrollment, Provider, Claims, Pricing and Customer
management module
 Worked with Agile team of software development engineers to improve quality throughout the software
development lifecycle on Web App & Mobile (iOS & Android) applications
 Implemented functional, regression, and usability testing on iOS and Android mobile devices.
 Tested mobile applications with physical devices on both iOS, Android Platforms.
 Responsible for developing Test Scripts for Android, and iOS devices using Perfecto Mobile tool.
 Worked with Perfecto Mobile for testing of the native mobile app (built on flutter) on different Versions of
Android & iOS Mobile devices for testing the same work flow on multiple devices
 Worked extensively on HP ALM (QC) to track requirements, test conditions and defects.
 Uploaded test cases from excel to HP ALM.
 Work in Agile, scrum, and sprint environment in order to change the requirements and features set.
 Tested Crossover claims for Coordination of benefits between different health plans e.g. Medicare, Medicaid and
Private insurance plans
 Troubleshoot file transmission problems and assisted customers in a call center environment with EDI and
Medicaid Insurance claim related inquiries explained and enforced guidelines in the X12 Implementation guides
(837P, 837I, 837D, 270/271).
 Responsible for testing of healthcare claims, Claim Pricing, Healthcare Claim Benefits, enrollment, End to End
Claims Processing
 Extensively worked on Claims Adjudication Process, Benefits, Enrollment and Benefits applications.
 Involved in Testing the EDIs according to HIPPA code set 834 enrolment and disenrollment in a health plan using
UFT
 Involved in testing EDIs according to code set X12 835 Claim Payment& Remittance Advice Claims processing and
837 Claim transactions.
 Tested 837/835, 270/271, 820, 834 transactions with File Aid.
 Validated Claims Adjudication in the backend files
 Actively participated Agile and scrum meetings, review and developed test scenarios.
 Performed Application Product Testing (APT) and Integration Product testing (IPT) of Billing and Commission on
Facets
 Data mapping on Enrollment Module (EDI 837/835) of FACETS
 Prepared Test Cases based on business requirements and business rules for HIPPA EDI Transaction 820, 834,
837/835.
 Performed Business Process Testing using BPT (Business process testing) module of HP ALM/Quality Center and
UFT/QTP.
 Created test scripts for Security, Positive, Negative and User Acceptance Testing (UAT).
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 Tested SOA processes and methodologies used to deliver Customer order application, New Web application for
quality standards interface to meet customer expectation.
 Assisted in developing test plans for testing the functionality, GUI, and security.
 Involved in FACETS Implementation, involved end to end testing of FACETS Billing, Claim Processing and
Subscriber/Member module.
 Functionally validated Web Services delivered in SOAP XML format as provided in specification document
 Verified the test cases and test scripts written by Jr. Testers.
 Actively worked on the Billing and Commission integration testing from HAP’s Old Legacy system to Facets.
 Prepared EDI files to validate EDI transaction sets.
 Work with the Business users (SME’s) to gather test data.
 Performed data analysis in Oracle SQL developer for parallel testing in Claims, Billing and Commission.
 Performed backend and Frontend testing in Facets.
 Conducted the defect report using Document Generator in QC
 Involved in UAT testing.
Environment: Facets, UFT/QTP, SOAP UI, HP ALM/Quality Center, SQL SERVER, Internet explorer, Windows, Oracle, MS
Office, Etc

United Health Group, Minneapolis, MN

Sr QA /Facets Tester
Mar 17 – Oct 19

United Health Group is one of the leading health insurance providers in US. They use Facets for the claim adjudication
and claim processing. Trizetto’s Facets is a fully integrated CLAIMS data processing and Medicaid and/or Medicare
Management information system for managed healthcare. Trizetto’s Facets uses the data feed for the claims
adjudication, claims error processing and to prepare the auto- generated reports and correspondence using the Batch
Cycle. This application helps its Membership and Claims Management Information Tracking System, Finance and
Utilization Management System modules. As a, QA, I was involved in various kinds of testing of the Facets application
modules including Utilization Management, Membership and Claims.
 Developed Test scenarios, Test Scripts and Test cases based on Requirements, and performed GAP Analysis using
JIRA and Zephyr add-on.
 Edit claims (EDI Claims) with UltraEdit.
 Followed the agile Methodology Process throughout the project and all artifacts are generated for each discipline.
 Performed Regression testing of Facets applications to make sure that the existing functionality is not changed as
a result of conversion.
 Worked with FACETS Team for HIPAA Claims Validation and Verification Process (Pre-Adjudication)
 Responsible for testing of healthcare claims, Claim Pricing, Healthcare Claim Benefits, enrollment, End to End
Claims Processing
 Experience in testing the applications manually using Test Management tool ALM/QC.
 Conducted GUI/Usability Testing and Black Box Testing according to specifications.
 Performed manual testing of 834 Enrollment EDI X12 files in FACETS
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 Worked on EDI X12 transaction set 837 I/P/D, 276/277 feeds to allow for change in the claim number.
 Conducted testing of applications and interfaces relative to converted data from Amisys into Facets
 Involved in the full HIPAA compliance lifecycle from GAP analysis, mapping, implementation, and testing for
processing of Medicaid Claims.
 Validated EDI claims for Medicare and Medicaid. The Claims were processed, co-pay was calculated, and the
pricing was calculated for the Claims processing flow.
 Tested 837/835, 270/271, 820, 834 transactions with File Aid.
 Conducted Business validations for different modules Providers, Claims, enrollment and Membership
 Worked on electronic HIPAA 835 Remittance Advice transactions which include the Electronic Payments of
enrolled members which is EAB (enrollment and billing).
 Worked on 834 which is Benefit Enrollment
 Created test scenarios and tested HIPAA Transactions and Code Sets Standards such as EDI 837/835, 820, 834
 Involved in testing Facets front end applications: Subscriber/Member, Utilization Management, Provider,
Accumulators and claims to validate that the converted data displayed on the screens is accurate
 Mapped the automated test scripts with the manual test cases on ALM/QC
 Worked in testing the Professional, Institutional Claims processing and adjudication and validate data with facets.
 Performed Backend Testing by writing Complex SQL queries.
 Identifying Test Cases to be run for Regression Testing and conducting Regression Testing as and when new
builds were made.
 Generated reports and statistics, correct human errors, and explain changes and adjustments within the
production system
 Logged the defects in the JIRA tool and tracked the progress.
 Performed rigorous manual testing before a release.
 Represented QA team in the project status meeting in order to provide the status summary of ongoing testing
activities.
Environment: Facets, Windows, ALM/QC, Jira, SQL Server, EDI, Java, HTML, Windows, UFT/QTP, Etc

Hanes, Winston-Salem, NC
QA /UAT Tester
Jun 2015 – Feb 2017

Hanes brands Inc. is a global consumer products company with a long of history of apparel manufacturing. I
worked on their online website as quality assurance tester to write test plan, test cases and execution as a motive to
make the website bug free. I have worked on a B2C Ecommerce project involving functionalities such as file
management, image management and web page layout, shopping cart etc. Also, worked on Mobile Web and
application Testing of iOS and Androids including iPad
 Developed UAT Test Plans, UAT Test Cases to test the Screens and workflows for Quality Assurance.
 UAT Project Planning, Test Planning and Execution efforts
 Business requirements understanding, followed by UAT test planning activities ensuring clear traceability
maintained for test impacted scope
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 Performed UAT Testing against User Requirements.

 Created description object with specified properties and values during run time, to use instead of logical names in
test scripts.
 Performed manual and functional testing on various parts of the application and used ALM/Quality Center for
offshore defect tracking and ALM/QUALITY CENTER for onsite defect tracking
 Responsible for Manual Testing and Automation Testing.
 Worked with Agile team of software development engineers to improve quality throughout the software
development lifecycle on Web App & Mobile (iOS & Android) applications by leveraging automation tools like
Xamarin and Perfecto cloud
 Worked on business requirements User Stories and Use cases with Scrum and Agile/Iterative methodology.
 Conduct Agile Scrum meetings to discuss project progress and plan
 Preparation of Requirements Document, AGILE Story cards, etc
 Performed Web testing to check for broken links in a page.
 Analyzed Ecommerce needs and recommended web site structure and basic design guidelines
 Validated database operations by executing SQL statements and compared actual database with new results to
assure there is no data missing.
 Performed backend testing for data validation using SQL Queries.
 Involved performing end to end testing of Ecommerce applications
 Performed Acceptance, Usability, Cross-Platform and Regression Testing during different stages of the application
development.
 Extensively used Microsoft Office Suite of products for documentation and data interpretation.
 Bug Reporting using ALM/Quality Center.
 Interacted with the developers to report and using ALM/Quality Center.
Environment: Windows, ALM/Quality Center, SQL, MS Office Suite

PA Dept of Human Services, Harrisburg, PA

Nov 14 – May 15
QA Tester

New MMIS Implementation Project

 Responsible for testing the Navigation Flow, Functionality Testing, System Testing and User Acceptance Testing.
 Have good exposure to modern Agile methodologies such as SCRUM and TDD.
 Prepared Test Data and executed Test Cases from ALM/Quality Center.
 Prepared test data and helped load test data into the test database environment.
 Principles in an agile or test-driven methodology environment.
 Created and maintained SQL Scripts to perform back-end testing on the oracle database.
 Propose strategies to implement HIPAA 5010 in the new MMIS system and worked on planning and
documentation
 Involved in the testing of web portal of New MMIS system.
 Review application enhancements with UAT tester and business testers
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 Performed rigorous manual testing such Functional Testing, Smoke testing, Integration testing, UAT Testing,
Backend Testing, Performance and Load testing, Regression Testing, Blackbox testing, End to End Testing and
System Testing
 Reviewed extensive SQL Queries with complex multi-table joins and nested queries.
 Involved in reviewing complex SQL queries, views, functions and stored procedures and spotting issues
before/during code migration.
 Involved in validating SOAP XML specifications as per the standards.
 Written complex SQL queries to test various store procedures for the Cognos reports.
 Responsible to verify Web services API request, response data validations in REST, SOAP protocols
 Extensively performed manual testing and defect reporting using ALM/Quality Center.
Environments: Java, J2EE, HTML, Oracle, MS SQL Server, Web Services, SOAP UI, XML, TOAD, HTML, XML, DB2, MS,
QTP, ALM/Quality Center

Education:
MBA in Marketing