1. Mohd Qamaruddin
Mobile: +91-9891749074.
mqsaifi@gmail.com
Present Address: C-111/A, AbulFazal Enclave-2, Okhla, New Delhi-110025.
Career Objective:
To work in a challenging Environment, which provides me with ample opportunity to learn
and enhance my skills to contribute towards my organization and self-growth.
Professional Experience:
Organization: United Health Group Information Services Pvt. Ltd.
Duration : From 29th Jan 2007 till Date.
Responsibility includes:
● Software Testing Experience – 3.5 years.
● Joined United Health Group Information Services Pvt. Ltd. Gurgaon as Claims
Associate on 29th Jan 2007 and then moved to Software Testing department
which is a part of ITO (Information technology operations) in Jul, 2012 through
internal movement.
● Worked in various Healthcare areas like Enrolment, Benefits, Claims, Medicare,
Medicaid, Eligibility, Adjudication, Auto Adjudication, Authorization COB etc.
Experience in Healthcare concepts such as HIPAA, HCFA 1500 Forms.
● Experience as Quality Analyst with expertise in Insurance, Healthcare
processes, Strategic Planning, and Systems Analysis.
● Experience in various type of testing like Functionality testing, GUI testing and
Regression Testing, Verification, Validation.
● Experienced in preparing test cases and Test Plan based on Business
requirements and Technical Specifications.
● Expertise in understanding the process of Software Development Life Cycle
(SDLC), Software Testing Life Cycle (STLC)
● Communication with onsite team members.
● Experience in US Campaign Domain.
● Good exposure in QTP and VB Scripting.
● Knowledge in HP Quality Centre (MQC).
● Knowledge in Orthogonal Array of Testing Strategy (OATS) and Risk
based Testing (RBT).
Professional Qualification:-
Master of computer Applications (MCA) in 2005 from U.P. Technical University
Lucknow with 72.43% marks.
Educational Qualification:-
● B.Sc. (P.C.M) in 2001 from C.C.S University, Meerut with 68.20% marks.
● Intermediate in 1998 from U.P. Board, Allahabad with 68.80% marks.
● High School in 1996 from U.P. Board, Allahabad with 59.50% marks.

2. Projects highlights
Key Projects:
Project #1
Project Title: PBH (Pacific Behavioural Health)
Client: UnitedHealth Group (UHG)
Team Size: 30
Testing Tools: Manual Testing
Database: Oracle
Software Language: FACETS.Net
Duration: Jan 2014 till date
Description:
FACETS is an integrated healthcare management system designed to handle
complex requirement of Managed Care Programs. Facets encompass sophisticated
technology that automates work processes, reduce costs, and simplifies the process
of navigating through a health care delivery system. The Facets system provides a
comprehensive solution to support multiple lines of business and complex Product
offerings. As a modular system, Facets allows customers to use Facets core modules,
and optionally select additional modules that will meet their business needs.
Facets application was developed by Erisco and is being upgraded & maintained by
Trizetto.
UHG is using this application in many of its business implementation and line of
business.
UHG is currently having 12 instances of facets. The version used is 4.7, which is the
latest and this is ICD-10 and 5010 compliant.
The goal of the Facets Community of Practice is to build a body of knowledge in the
Facets area within UnitedHealth Group by evolving best practices, creating design
patterns and enabling dissemination of knowledge.
Responsibilities:
➢ As a Software Tester my responsibilities include assistance of documenting
Product Test Plan with Team Lead using several SDLC methodologies;
Assisted in writing efficient and effective Test cases, Test Strategy, Test Plan
End-to-End Test and User Acceptance Testing.
➢ Performed User Acceptance testing which covered the entire business process
flow from the initial point of sales through to all the downstream systems.
➢ Participated in the planning, development, coordination and presentation of
specific testing needs as appropriate to the quality assurance needs of the
end user.

3. ➢ Developed and executed SQL queries to verify the proper insertion, deletion
and updates into the data Warehouse supporting tables and cubes.
➢ Assisted business users in defining UAT test cases and plans; Established and
maintained test cases and test data in Quality Centre.
➢ Coordinated with the QA Team for testing activities across multiple systems
and managed Conversion test execution.
➢ Strong experience in conducting Functional testing, User Acceptance Testing
(UAT), Cost benefit analysis and ROI analysis.
➢ Coordination with offshore and Onsite counterparts for defect triaging and
resolution; Bug Reporting in Application Life Cycle Management, Analysing
test results and recreating the defects.
➢ Recommended changes for system design, methods, policies, procedures, and
workflows affecting Medicare/Medicaid claims processing in compliance with
government compliant processes like HIPAA formats and accredited standards
ANSI.
➢ Analysed HIPAA EDI transactions and looked for defects for amendment.
➢ Tested the enhanced FACETS system, evaluating claims adjudication needs
and creating HIPAA-compliant business rules configuration
➢ Extensive testing of EDI Eligibility/Inquiry/Response transactions via reports
generated by developers.
➢ Mapped claims, payments, and status to back-office database.
Project #2
Project Title: GPS (Next Generation Administrative Policy System)
Client: UnitedHealth Group (UHG)
Team Size: 25
Testing Tools: Manual Testing
Database: Oracle
Scripting Language: Java Script
Software Language: Java, EJB
Duration: Jul 2012-Jan 2014
Project Description:-
GPS is a web-based application that administers the federal government’s law to
provide prescription drug (Part D), Medicare Advantage (MA) and Medicare
Advantage Prescription Drug (MAPD) coverage to the senior population (65 and
above) and ESRD (End-Stage Renal Disease) population eligible to Medicare. This
application is used for retrieving membership details, Enrolling prospects/members,
created fulfilment and creates Billing. The major functionalities in GPS are Enrolment,
Employer Accounts (Group), Fulfilment (Mailing), Letter Writing, Billing, Work Queue
and Reporting. The strategic aim of UHG is to have GPS as the premier policy
administration system for administrating PDP, MA and MAPD members.

4. Responsibility:-
➢ Involved in Functionality, GUI, Integrating and Regression Testing.
➢ Walk-through with internal and external Business Team,Onsite co-coordinator
to freeze the Test requirement.
➢ Reviewing Test Cases and procedures to ensure coverage of and conformance
to business requirements.
➢ Executed Test cases to verify actual against expected results.
➢ Defect Reporting with Application Life Cycle Management Tool.
➢ Execution of SQL queries while performing database testing.
➢ Involved in the Production and UAT defect tracking
Computer Skills: Oracle(SQL,PL/SQL),Proficient use of MS Excel,
PowerPoint, Words, Access, Windows,
NT/2000/XP/2003 Server
Testing:
▪ SDLC, STLC, Defect Life Cycle and QA
related processes
▪ Proficiency in Preparing Test Cases, Test
Plan, Test Summary Report and
Reporting the Defect using ALM.
▪ Various types of testing like User
Acceptance Testing, Functional testing,
regression testing, GUI testing,
Integration testing etc.
Personal Details:
Father’s Name : Mr. Mohd. Rahimuddin
Date of Birth : 5th Nov.1982
Marital Status : Married
Nationality : Indian
(Mohd Qamaruddin)