Professional Summary
Seasoned Software Test Lead with over 35 years of experience in healthcare systems testing and managing onshore and offshore QA teams, delivering high-quality enterprise solutions through a blend of manual and automated testing practices. Adept at leading QA teams in SAFe Agile environments as a Scrum Master or Kanban Lead, with deep expertise in healthcare IT.
Innovative and detail-oriented Test Architect with over 10 years of experience in leading a team of test automation engineers, cross-functional teams and stakeholders to ensure the delivery of reliable, high-performance software products.
Core Competencies
- Healthcare Systems QA (Facets 2.62 – 6.1, Enrollment, Billing, Claims (Medical and Dental), Provider agreements, Benefits and Mandates, 837 Edi files, X12 Enrollment Files)
- Subject matter expert on health care claims
- ACA Lead Tester 2013- current.
- Team QA lead Cloud Migration Azure
- Onshore & Offshore Team Management
- Manual & Automated Testing (SQA Robot, VBA Scripts, UFT, QTP, Test Complete)
- Test Architecture, plan Automation Script Recording and Maintenance
- Test Strategy, Planning, Design & Execution
- Defect Management (Rational Test Manager, Clear Quest, HP-ALM, Quality Center JIRA)
- Kanban Team Lead
- Agile, SAFe Agile (Scrum & Kanban) & Waterfall Methodologies
- SIT, Functional & Regression Testing
- UAT Coordination & Stakeholder Communication
- Cross-Team Collaboration & Leadership
- Risk-Based Testing & Root Cause Analysis
- Test Data Management & Environment Readiness
- Functional, Regression, Integration & UAT Tester
- Microsoft Office Suite with advanced Excel and Access
- Worked on-Site, Hybrid, and Remote
Professional Experience
Lead QA Test Analyst, Kanban Lead, and Test Architect
CareFirst BlueCross BlueShield
2009 – January 2026
- Designed and implemented an enterprise-wide test automation architecture (with the automation engineers) for health insurance claims 60% automation rate.
- Directed QA efforts for enterprise healthcare systems using manual testing for exploratory and validation tasks, and automated frameworks for regression and smoke testing
- Spearheaded transition from manual to automated testing for medical claims during the Affordable Care Act (ACA) rollout
- ACA Product / Claim configuration testing to ensure claim payment matches Benefits and Mandates. Testing approximately 25K claims per year.
- Supervised a blended testing model with extensive manual testing and gradually introduced automation using TestComplete for repetitive tasks.
- Implemented defect lifecycle processes and built reusable test case libraries to support scalability.
- Partnered with developers to define acceptance criteria and ensured 100% coverage of high-priority test scenarios.
- Helped develop a VBA framework to create and mask 837 claim creation and load into test regions
- Created test complete scripts to apply rate data to groups and Consumer Direct Members
- Introduced test data management strategy using synthetic and production-masked data for high-quality test environments.
- Provided architectural and health care expertise across distributed Agile teams (US, India).
- Mentored and trained test engineers in automation standards, framework usage, and agile testing practices.
- Mentored QA leads and engineers onshore and offshore, fostering high-performing, collaborative team culture.
- Designed and executed testing frameworks for multi-million-dollar Facets Rollout, ensuring 100% compliance with internal audits.
- Oversaw system, integration, and UAT testing of third-party interfaces ( X12, FileNet, TIBCO).
- Led test design, execution, and defect management across multiple Agile Release Trains (ARTs) in a SAFe environment.
- Authored test charters, traceability matrices, and verification protocols in alignment with business requirements and regulatory compliance.
- Provide System Demos
- Scrum team Test Lead
- Kanban Lead
Senior Software Test Engineer
CareFirst BlueCross BlueShield
1998 – 2009
- Worked as a manual tester for the Facets Enrollment and Billing implementation (Functional and System)
- Web Testing for implementation of Intranet site
- Conducted Test walkthroughs with stakeholders
- Test Lead and Tester for Dental claims Implementation on Facets
- Test Lead on the Dental History Migration project, Provider Conversion project (Mainframe to Client Server), and RealMed Claim System project
- Create test timeline and estimates
- Managed QA activities for clinical and billing systems, with full lifecycle oversight from requirements to UAT.
- Supervised a blended testing model with extensive manual testing and gradually introduced automation using SQA Robot for repetitive tasks.
- Partnered with developers to define acceptance criteria and ensured 100% coverage of high-priority test scenarios.
- Log and track defects in Rational test manager, Clear Quest, HP-ALM, Quality Center
- Conduct DRB calls and follow-up
- Provided weekly status reports to Sr. Management
- Developed and fostered a relationship with our offshore partner, including the creation of a “CareFirst University” to teach them about health care
- Create Test plans and requirement traceability documents and led business walkthroughs
- Create detailed test data based on the test plan
- Record Automated test Scripts in Rational SQA Robot, WinRunner
- Tested Custom .Net extensions working 2 in a box with the developer
- Backend testing of data loads via SQL
Network Admin / Technician
BlueCross BlueShield NCA
1997-1998
- Conversion of dumb terminals to Windows PCs on a Novell Network
- User & folder permissions
- Network Print Manager
- Tier 2 support
- Cable management
Claims Adjudicator/ Team Lead
BlueCross BlueShield NCA
1987-1997
- Adjudicate claims
- Managed Claims volume and reporting
- Managed 11 associates in a production environment
- Evaluated and Mentor employee performance
- Wrote updates to edits and Standard Operating Procedures (SOPs)
- Perform User Acceptance Testing
Certifications
- SAFe 6 Scrum Master
- SAFe 4 Agilist
- SAFe 6 Practitioner
- CTFL - International Software Testing Qualifications Board
- MCP - NT Server 4.0, NT Workstation 4.0, Networking Essentials
- CNA - Novell 4.11
Technical Tools & Languages
- Testing Tools: UFT, TestComplete, MS SQL Server, Toad
- Test Management: Clear Case, Rally, ALM/QC, JIRA, Zephyr
- Automation Tools: WinRunner / UFT, Test Complete, VBA Scripts
- API Testing: SoapUI
- Languages: SQL, VBA, JavaScript
- Healthcare Tech: EDI 837, X12, CPT/ICD, SOB
- Manual Testing: Test case design, exploratory testing, checklist testing, UAT, SIT, and Functional
Professional Highlights
- Successfully implemented test automation strategy, reducing manual regression test time by 60%.
- Balanced manual exploratory testing with automated regression to improve quality and test coverage in agile sprints.
- Mentored junior testers in both manual execution techniques and automation scripting, growing in-house QA competency.
- Implantation of Off-Shore “CareFirst” University
