rajivmandalresume

Rajiv Mandal email: [email protected]

Snapshot – 15+ years’ experience in Software Development, Testing & Implementation – driving innovation and strategic growth for global corporations

Job Experience Manager of Business & Systems Integration in Accenture

Consulting Workforce – Dec 2011 till Present Software Quality Assurance Manager in Xerox Inc. – Oct 2005

thru Dec 2011 Test Manager in Infosys Technologies Limited – Feb 2001 thru

Oct 2005 Software Developer in Infosys Technologies Limited – Jul 1999

thru Feb 2001

Software Testing Experience Over 15 years of experience delivering software testing services

using various technologies, methodologies and tools Over 14 years of experience in strategizing and delivering large

scale Testing projects Implemented and operated Testing Center of Excellence Led global teams in Test Planning, Test Automation, Defect

Management, Test Execution and overall Testing Project Management

Designed, implemented, operated and monitored quality gates in all phases of software development life cycle

Business domain Experience

Pharmacy Benefits Manager(Large PBM client) – 3 years and 5 monthso Claims testing experience for a Federal Govt. client going across benefit

setup, eligibility, adjudication, billings and EOB. Utilizing extensive technical knowledge across Mainframe, .Net, VB & Java applications

o Operated a Command Center for Client for Incident Management related to report client issues. Drove a team of Incident Management team thru defined incident lifecycle process with SLAs for timely resolution and future prevention of client reported issues

o Testing end to end aspects of pharmacy claim adjudication, Consumer Driven Health (CDH) accumulator testing with medical partners, specialty pharmacy, mail order pharmacy, Data Warehouse Enterprise applications and client/patient interfaces

o Benefits testing with regards to wide range of pharmacy plans for Commercial, Medicare and Medicaid products

3600 Winthrop Drive, # 1201Lexington, KY 40514Cell: 859-227-0317

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o Data migration strategy development and implementation for platform migration with regards to migration of large scale data for eligibility, claims, prior authorizations, accumulators, refill history, patient notes

Healthcare and Life Insurance (Large Blue Plans, Major Health Insurance and Life Insurance Clients) – 11 years

o Worked on different aspects of healthcare industry including member enrollments, provider contracting, provider credentialing, member/provider lookups, claims pricing, claims processing, member eligibility, claim adjudication systems, claim billing and coding, coordination of benefits, familiar with dental/medical/hospital claims, life insurance systems, beneficiary management, premium waivers, life claims, short term and long term disability management systems, FSA plans, HSA plans, ICD 10, Global Certification testing for Blues Network, COBRA,

Business Process Outsourcing Experience (related to Healthcare Insurance while working in Xerox Inc)

Supporting business processes for healthcare insurance companies – 6 yearso This includes completely supporting the customer’s processing by

performing operations like standardized mailrooms, data capture using OCR techniques, manual data entry, data validations, data transmissions to customers, quality control for data entry functions, quality audits, hosting web reporting and complex web functions to support customer’s business, best techniques for imaging operations for paper and X-rays, handling of electronic intakes for emails and faxes, network support and disaster recovery services

Credit Card Industry Experience (First Data Resources) – 1.5 yearso Worked on credit card processing systems for a major credit card

company

Technical Experience C#.Net, ASP.Net, Delphi, SQL Server 2000, SQL Server 2005, SQL

Management Studio, Visual Studio 2005, Visual Studio 2008, Visual Studio 2010, SharePoint server, ASP

Microsoft Office tools - Microsoft Visio, Microsoft Project, Defect management tools - ClearQuest, Bugtracker, Requirements management tools - Requisite Pro, Use case modeling tools - Rational Rose, Testing tools - Test Manager, HP Quality Center and ALM, Microsoft Test Manager 2010


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Performance testing tools - Microsoft Stress test and Visual Studio 2010 Load test, Selenium IDE and Firebug for web application automation testing

Extensive knowledge of HP ALM for test management, requirements management, defect tracking, standardized metrics and reporting for different levels of audience

Mainframe Experience MVS, COBOL, JCL, DB2, CICS, VSAM, MQ Series, Sequential File Tools - FileAid, Spufi, Startool, Viasoft, Endevor, and Comparex

on Mainframe platform

Certifications and Process Experience Certified in CSQA (Certified Software Quality Analyst – May,

2005) Certified Six Sigma Green belt in Jan, 2009 Currently working on projects executed following QMS (Quality

Management Systems) Worked on multiple projects using the AGILE SCRUM

methodology Prior experience working on projects using CMM Level 5

Delivery Model Experience Managed delivery of IT services in Onshore, Offshore, Near shore

models Budgeting, Resource Management, Staffing, Project Financial

Maintenance for P&L analysis, Forecasting, Hiring, Performance Management of cross functional globally distributed teams

Implemented client’s cost reduction and quality improvement initiatives through strategic implementation of best practices across people, tools and technology

Data Warehouse Experience Hands on Experience with Teradata for Large PBM client, testing

using QUERYMAN, data transformation testing experience using Ab Initio

Testing Automation


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Implementing automation for specific applications using HP QTP. Integration of QTP with ALM for remote unattended execution of automation scripts

Implemented automated results comparison from prior baseline Implemented structured, modular approach for automation

framework for efficient maintenance and scalability Client cost reduction achieve from automated release level

regression

Work Experience

Accenture, Business and Systems Integration Manager (Dec, 2011 till date)Client: EXPRESS SCRIPTS Project : Claims-Capacity Services-DoD Testing Project Duration : September 2014 - July 2015 Assigned Role : Program/Project Manager

Responsibilities: Delivery of testing services for DoD program implementation related to benefits setup, verification of eligibility and claims adjudication through external interfaces, SOAP UI transactions, validation of data-warehouse reports and EOB statements. Testing included functional testing, regression testing, automation testing and performance testing. Developed and executed activities related to end-to-end project management, including project plans and estimates, scoping and requirements through implementation and deployment. Proactively monitor, manage and report on execution of deliverables.Manage team and work, project financials and forecasting, team performance appraisals, interface with client leadership directors and vice presidents.

Client/Company: Express Scripts Project: Command Center Program/Project ManagerProject Duration: April 2014 – September 2014Assigned Role: Program/Project ManagerResponsibilities – Performed multiple roles supporting customer’s Consumer Directed Health product. Responsible for a team of analysts who defined, executed, and delivered a reporting package for the customer’s senior leadership team for Consumer Direct Health (CDH) plan migration from legacy to new platform claim adjudication system. In addition, tracked issues and overall status of all external CDH vendors.


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IT Program Manager for post-migration product support Command Center to address all migration issues as well as escalated issues for legacy clients. Managed a team of 14 project managers who coordinated product support activities.

Conducted numerous Root Cause Analysis (RCA) initiatives of Consumer Direct Health IT and Operational issues and presented recommendations to management to address the most critical and controllable problems. Planned and managed client’s Consumer Directed Health’s 1/1 readiness initiative.

Client/Company: Express Scripts Project: Data Migration Lead, CDH Client Test Lead Project Duration: October 2012 – April 2014Assigned Role: Test ManagerProject & Assignment Description Pharmacy Benefits Manager (Express Scripts Inc.)Express Scripts (ESI) and Medco Health had a merger and needed to consolidate the IT platforms. The goal was to migrate all of ESI legacy IT processes to Medco platform. This was planned over a very aggressive migration schedule to implement the processes and migrate the data from one platform to another.

CDH Client Testing Lead (Apr 2013 – April 2014)Develop an end to end testing plan for these migration processes, stand up a team and deliver based on the plan.Established strong lasting productive relationships with directors and VPs in client's organization. Streamlined End to End Test approach for client and delivered significant benefits and values to the client's clients.Implement governance structure, metrics, reportingManage budget and forecasting for testing services which included on an average of 25 testing FTE every month.Drive deliverable and complete test effort for every phase of migration on time, within budget and with quality.Establish footprint in the PBM testing space and leverage credibility built for engaging as preferred test service partners in this space.

Data Migration Lead Role (Oct 2012- Apr 2013)Data migration strategy development and implementation for platform migration with regards to migration of large scale data for eligibility, claims, prior authorizations, accumulators, refill history, patient notes- Develop data extraction requirements, Develop data load requirements (scale, volume, and performance), Identify critical data, and develop environment build strategy and requirements, execution of data migration test strategy


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Client/Company: Independence Blue Cross (IBC) Project: Blue Core - Testing Foundation Services Project Duration: June 2012 - September 2012 Assigned Role : Program/Project Manager Project & Assignment Description The project involved creating the deliverables for testing foundational services for Blue Core program. Some of the critical deliverables included Test environments management approach, test data management approach, automation test approach, regression test approach, performance test approach, UAT approach, defect management approach, test metrics and reporting approach and testing process handbook. Primary role was project manager. Managed the project deliverables through the situations of resource constraints to finish deliverables on time. Coordinated program level status reporting and meetings.Additional responsibilities included - working with Highmark and IBC testing teams to define joint defect management plan. Actively contributed for creating the automation test approach, test data management approach, metrics and reporting. Provided comments and feedback upon review of the contents in all other deliverables for this project. Helped new joiners to the team being on-boarded, brought up to speed quickly by providing program overview and mentoring closely in the initial few weeks. Contributed towards solution of the testing work from a deal perspective. Reviewed and socialized deliverables with multiple levels of stakeholders in the client team and Highmark, explaining/discussing questions and getting agreement.

Client/Company: Independence Blue Cross (IBC) Project: Core Platform Transformation Project Duration: January 2012 - May 2012 Assigned Role : Program/Project Manager Project & Assignment Description The program involved transformation of IBC's business into Highmark's platform. Managing the project for overall execution, schedule tracking and reporting. Worked with client leads, infrastructure teams, Highmark teams to understand the current organizational processes. Recommended best practices and contributed in discussions for implementing a program level quality and testing strategy. The joint master test strategy addressed a central guide for planning, and management of the test effort. Within the strategy, defined the general approach that will be employed to validate the software solution and to evaluate the results of that testing. Worked with client testing organization to understand every testing activity, tools, methodology and process for testing. Align the IBC process and methodology for addressing testing needs for Core Platform Transformation initiative at the program level. Worked with Highmark to understand environment needs and contribute in determining IBC's environment strategy. Created testing timelines for the program to accommodate ongoing corporate releases, wave migrations and testing activities in support of that. Reviewed and socialized the joint strategy with client stakeholders. Estimated the work for the joint strategy. Interviewed


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new resources for the development of the strategy and mentored them to bring up to speed in the program.

Multiple Projects working at Affiliated Computer Services, a Xerox Company (ACS) (Oct, 2005 – Dec, 2011)ACS is a leader in BPO and IT Outsourcing across a variety of industries and the public sector. At ACS, I have worked several projects delivering services for multiple clients in the Health Insurance domain. The changes included implementing new business processes for the customers, minor and major changes to existing processes and enhancements, services delivered for new customers.

My role as a Software Quality Manager among other things included the following:

Interaction with both internal and external customers of the company

Build relationship with the customers thru different aspects of communication and interactions

Release planning with the delivery management Resource planning Resource hiring and interviews Planning of work assignments thru my QA Leads Managing multiple projects tracking deliverable deadlines and

project progress Managing the team thru my Leads and the structure defined for

the QA tower Responsible for managing all functional and nonfunctional

activities for the team Reporting quality metric to upper management Improvement of quality metric for QA Implementing best practices to improve QA performance Performance appraisal of staff Own the relationship with the management heads of offshore

locations Team mentoring Identifying training needs for team Reviewing customer proposals and statements of work Reviewing expense reports for data accuracy with upper

management

Accomplishments in this role: Defining and implementing a standardized QA process for the

department


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Implementing a standard solution for management of defects Defining and implementing a standardized training plan for new

hires in the QA tower Establishing job roles and expectations from those job roles

within the QA tower Coordinating the hiring process for both domestic and offshore

positions Implementing metric gathering process and reporting for

measuring QA performance and effort deviations Implementing process for analysis of production defects Implementing process for root cause analysis of production

changes outside of the regular install windows Implementing process for analysis of defects data for trending

patterns and conclusions Implementing standard process for estimation of efforts using

work breakdown structure Establishing guidelines for standard reporting of time sheets and

checks to implement data accuracy Establish standard criteria to define staff goals for quarterly and

annual performance and guidelines to objectively measure them Identify training needs and promote learning to increase

knowledge within the team Implement a standard SharePoint site for QA to be used as

central repository All these helped to define and implement best practices within

the QA tower that helped to build a team that can deliver quality products on time

Clients Base – Aetna, Humana, Health Net, Outcomes, Coventry, CareCentrix, Wageworks, Keystone, Cigna

Claim Payment System at Mercy health Plans. (May 2005 – Oct 2005)

Mercy Health Plans is a healthcare insurance company. The project objective was to build a claim payment system and would help the company to pay claims correctly. My role on that project was Onsite QA Manager. The main responsibilities included


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Establishing connectivity for offshore Customer Interfacing Requirements Analysis Review of design docs Review of test docs Work Assignments Project planning and tracking Status reporting Team mentoring Team management Co-ordination of testing team with development and business Project Implementation

Environment: C#.Net, Oracle, Informatica, Toad

Several projects for AETNA Inc at Infosys Technologies Limited, India. (Feb 2004 – May 2005)

Between this timeframe I was in India working for Infosys technologies Limited. My role during this time at Infosys was Software QA Project Manager. Involved in handling multiple projects for Aetna Inc. This included all the major systems for Aetna related to providers, members, and claims adjudication, coordination of benefits, HMO claims, ACAS claims, hospital and provider contracting. My responsibilities included

Work Assignment Effort Estimation Status Reporting Defects Analysis Project SQA audits Team management Team mentoring Business analysis and consultancy Project planning and tracking Co-ordination with the involved testing teams, development

and business Requirements analysis, use case & design review Implementing testing automation

Environment: MVS, COBOL, DB2, CICS, JCL, Sequential Files


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Hospital Pricing Phases A & B at AETNA Inc (Nov 2003 – Feb 2004)

The aim of this project is to automate the pricing of hospital claims using a single source of provider reimbursement data and related applications. This would increase the claim auto adjudication (AA) rate and payment accuracy. Functionality was achieved by creating a common interface across claim platforms. The next phase is dedicated to automate the pricing for DME (Durable Medical Equipment), Default pricing, unsupported payment methods and Stop loss threshold. HMO and ACAS claims will call Strategic pricer and continue to interface with contracts (SCM), rates (SCSR) and provider (EPDB) databases. As a QA Team Lead and analyst of this project my job responsibility includes

Customer interface and interaction with offshore team Effort Estimation Business analysis and consultancy Project planning and tracking Co-ordination with the involved testing teams, development

and business Requirements analysis, use case & design review Test strategy preparation and detailed test planning Defining and implementing automation strategy for testing Smoke & Systems testing Integration testing Regression testing Performance testing Implementation

Environment: MVS, COBOL, DB2, CICS, JCL, Sequential Files

Automated Service Code Load at AETNA Inc. (Jun 2003 – Nov 2003)

The scope of this project includes automation of service code load that is currently performed by business users on an annual basis. My job responsibility as a QA Onsite Project Coordinator and Infosys Team Lead includes

Customer interface and interaction with offshore team Effort Estimation Business analysis and consultancy


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Project planning and tracking Requirements analysis, use case & design review Test strategy preparation and detailed test planning Systems testing Implementation

Environment: MVS, COBOL, DB2, CICS, Sequential File

De-normalization of codes and rates database at AETNA Inc. (Oct 2002 – Jun 2003)

Service Codes Service Rates app (SCSR) was to implement a de-normalization which would reorganize the database to gain performance speed of the Rate API and increase scalability of the database in order to support the goal of being the sole repository of standard rates for both claim systems. Job responsibilities as a QA onsite coordinator and customer interface were

Interaction with customer and offshore team Requirements and design review Issue resolution and escalation Effort estimation and task allocation Preparation and review of test strategy Systems testing Regression testing Performance testing Implementation checkout testing

Environment: MVS, JCL, COBOL, DB2, JCL, Sequential File

Codification of Hospital Contracts at AETNA Inc. (Mar 2002 – Oct 2002)

The objective of this project was to develop a single source of provider reimbursement data repository and eliminate redundant contract databases. This would support strategic contracting methodologies. Software changes needed enhancements to all supporting provider applications and databases. As a QA analyst I was responsible for

Review requirements and design specs Test strategy preparation and review test planning Project planning and tracking Issue resolution and escalation Systems testing


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Regression testing Integration testing Performance testing Roll out of the pilot initiative of using Rational repositories for

testing suite Implementation checkout testing

Environment: MVS, COBOL, JCL, DB2, CICS, Sequential File

Automation of TRS Pricing and DRG Classification at AETNA Inc. (Oct 2001 – Mar 2002)

This project was to derive a strategic solution for the automation of Diagnosis Related Group for both HMO and ACAS claims. Also the automation of Teacher’s Retirement System (TRS) was accomplished for ACAS. As a QA analyst I was responsible for

Review of business requirements Review of design specs Clarification and resolution of issues from pricing

considerations Test strategy preparation Systems testing Regression testing Integration testing Performance testing Implementation checkout testing


APC HCFA Mandate for Hospital Outpatient Payment at AETNA Inc. (Jul 2001 – Oct 2001)

This request was to develop a tactical solution for the Implementation of Hospital Outpatient Prospective Payment system into HMO claims adjudication stream. It included design and developing new online interface for claim processors to use. As a developer and tech consultant I was responsible for

Review of business requirements Preparation of design specs Designing of screens Issue resolution and consultancy for Claims development

team Coding and code review Unit/Integration testing


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Performance testing Implementation

Environment: MVS, COBOL, JCL, DB2, CICS, MQ Series, Sequential File

Automation of IPA Delegation Decision at AETNA Inc. (Dec 2000 – Jul 2001)

This release covered the automation of delegation decision via newly created online-batch combo APIs and send back the appropriate message to claim system per decision found. As a developer and tech consultant I was responsible for

Requirement Analysis Detail Design, Design Review Developing interface requirements with claims Designing of screens Coding and code review Unit/Integration testing Performance testing Implementation


Life Claim System (LCS) VSAM to DB2 Conversion at AETNA Inc. (Jul 2000 – Dec 2000)

This system was based on VSAM files. The purpose of this project was to convert the VSAM database to DB2 database without changing the current functionality of the application. As a module leader and offshore team coordinator I was responsible for

Analysis of requirements Database architecture design Impact analysis Preparation of design specs Coding and code Review Module management activities Unit/Integration testing Preparation of business documentation Implementation

Environment: MVS, COBOL, JCL, DB2, CICS, VSAM, Sequential File

Multi-Language Project of First Data Corp. (Jul 1999 – Jul 2000)The ‘Multi-Language’ project in the Credit Card business domain

was to enable the reporting in multiple client defined language instead


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of current processing in the FDR defined language. Job responsibility as a Developer was

Code Analysis Detail Design from High Level Design Development/Coding Code Review Test Plan Unit Testing Resolution of issues Preparation of Release Documents

Environment: DB2, COBOL, VSAM, MVS, JCL, Revolve, Comparex, Windiff

Education

Bachelor of Engineering (B.E.), Electronics & Telecommunication Engineering, Jadavpur University, Calcutta, India. (86.45%)Higher Secondary Certificate (Grade XII), South Point High School, Calcutta, India. (80.3%)Secondary School Certificate (Grade X), South Point High School, Calcutta, India. (77%)


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