RajivMandalResume

Rajiv Mandal email: mandal.rajiv@gmail.com
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 months
o 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
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
3600 Winthrop Drive, # 1201
Lexington, KY 40514
Cell: 859-227-0317
Page 1 of 13

• 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 years
o 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 years
o 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
• Performance testing tools - Microsoft Stress test and Visual Studio 2010 Load
test, Selenium IDE and Firebug for web application automation testing
Lexington, KY 40514
Cell: 859-227-0317
Page 2 of 13

• 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
• 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
Lexington, KY 40514
Cell: 859-227-0317
Page 3 of 13

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 Manager
Project Duration: April 2014 – September 2014
Assigned Role: Program/Project Manager
Responsibilities –
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.
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 2014
Lexington, KY 40514
Cell: 859-227-0317
Page 4 of 13

Assigned Role: Test Manager
Project & 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, reporting
Manage 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
Client/Company: Independence Blue Cross (IBC)
Project: Blue Core - Testing Foundation Services
Project Duration: June 2012 - September 2012
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.
Lexington, KY 40514
Cell: 859-227-0317
Page 5 of 13

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
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
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.
Lexington, KY 40514
Cell: 859-227-0317
Page 6 of 13

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
• 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
Lexington, KY 40514
Cell: 859-227-0317
Page 7 of 13

• 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
• 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)
Lexington, KY 40514
Cell: 859-227-0317
Page 8 of 13

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
• 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
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
• Co-ordination with the involved testing teams, development and business
• Test strategy preparation and detailed test planning
Lexington, KY 40514
Cell: 859-227-0317
Page 9 of 13

• 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
• 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
Lexington, KY 40514
Cell: 859-227-0317
Page 10 of 13

• 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
• Issue resolution and escalation
• Systems testing
• Roll out of the pilot initiative of using Rational repositories for testing suite
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
Lexington, KY 40514
Cell: 859-227-0317
Page 11 of 13

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
• 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
• 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
Lexington, KY 40514
Cell: 859-227-0317
Page 12 of 13

• Preparation of design specs
• Coding and code Review
• Module management activities
• 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 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%)
Lexington, KY 40514
Cell: 859-227-0317
Page 13 of 13

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