Application QA in an Agile Scrum environment for the Division Of Early Learning/Department of Education

Florida Medicaid Management Information System (FLMMIS)Cycle Monitor (CM) Team, Release and Testing Manager • Managed a local and remote team, responsible for 24/7 monitoring and resolution of batch, online,/web and UNIX incidents to ensure SLA compliance and complete claims processing• Performed employee reviews and made hiring decisions• Documented and updated procedures and processes for the CM team• Performed Disaster Recovery exercise to the satisfaction of AHCA• Coordinated all release activities across multiple sub-systems, to ensure completeness and compliance • Analyzed release metrics for trends• Oversaw testing processes and final sign-off of all project testing.

Tested Healthcare Medical System used by the Florida Departmet of Health for medical history, claims and program reporting in an Agile environment. Developed new processes for improving test cases and scripting.

Software Quality Assurance/testing of a web application for major state and local jurisdiction. Lead testing, test case management, defect management, trained other users, Load testing, Performance Testing, Black Box, White Box, regression, integration, coordinated UAT. Managed requirements for re-platform project, and worked with stakeholders to ensure a good product.ISO9001 Certification Site Co-coordinator

Transportation Systems Sr. QA Analyst.Responsible for all levels of testing and quality assurance of products for transportation solution products for state and local governments.Test plan creation, test case development with requirements traceabilityDefect management tracking and reporting Lead off shore testing team for a high profile project.site co-coordinator for ISO 9001 certification

Fans Services Usher for the Jacksonville Suns, Minor League AA Affiliate of the Florida Marlins. Back to Back Southern League Champions 2009, 2010. Great place to see the stars of the future. Many great players have come through Jacksonville on their way to the Big Leagues.

Development of test plans, test scripts, manual execution of tests, defect management, implementation, documentation, and training for Quest, Diamond, BPA (automated services), Client Letter, FEP Conversion, Claims Accuracy, Audit, ITS, and Blue Squared.Executed testing of the Standard Adjustment Process, a multi-million dollar project to standardize claims adjustments for all lines of business across multiple platforms, resulting in significant corporate savings.Tested Business Process Automation for data correction and error exception handling for the Quest and Diamond applications, resulting in a 20% reduction in manual processing.Developed test plans and scripts from Functional Design Documents (FDD), Technical Design Document (TDD), and Use Cases, to ensure traceability. Participated in JAD/JAR sessions and requirements gathering sessions with business and development teams to refine project scope.Prepared testing data from Oracle databases and verified results with SQL queries ensuring accuracy. Mentored and trained other testers on Quest and Control-m applications to increase productivity.Performed IVP production tests on Quest, Diamond, Citrix, and, ConvergenceX systems for integration into production reducing defects.Created process enhancements, standard operating procedures, and training documentation which improved team performance, increased productivity, and decreased administrative costs.Tested and managed over 30 Control-m jobs in each of the 5 test environments each to improve efficiency.

Developed and tested Legacy Claims and Common Check Writing applications, corrected production 835 file failures for HIPAA compliance, and supported changes for Legacy Claims processing. Performed end-to-end system tests, including ACS entry, claim adjudication, creation of Checks, Electronic Remittance Notifications, Remittance Advices, Explanation of Benefits and HIPAA 835's to ensure accuracy. Managed Security for 100+ users utilizing role governance methodology and security for data processing to ensure HIPAA compliance and significantly reduce maintenance cost.

Supervised 15 Service Associates to ensure production and quality. Provided coaching and mentoring to support team members and increase motivation.Initiated changes to Access database to better utilize existing SAS reports for monitoring inventory. Consistently reduced inventory of over aged claims to exceed production goals.Developed working relationships with all areas to resolve problem claims timely.

Successfully processed HMO claims for North GBU commercial contracts, and Medicare supplemental insurance product lines. Exceeded all quality and production standards. Solved healthcare provider and customer problems efficiently and in a timely manner. Educated members, healthcare providers, and representatives on new implemented process enhancements and mandates to improve accuracy and customer satisfaction.Cross-trained employees on claims entry and adjudication to improve production.