Rahmaan A. Rahim

About Rahmaan A. Rahim

Summary of Experiences15+ Years as a QA Lead/Analyst - Worked with both IBM Rational Suite of Tools, HP Quality Center of Tools & Quick Test Pro (QTP), Mercury Quality Center of tools, Load Runner, WinRunner & Business Process Testing (BPT), Selenium IDE & Webdriver tools under the SDLC of (Waterfall, RUP, AUP, Agile/XP, CARA SDLC/PDLC) methodology, Business Process Management products (BPM), Application Lifecycle Management (ALM), Microsoft Team Foundation Server (TFS) 10+ Years as a Business Analyst – Under the (ISO, CMMI and Six Sigma) and several SDLC (i.e. RUP, AUP, Agile/XP, TDD, Spiral and Waterfall), held Master and Daily SCRUM sessions; Published the Business Requirements Document (BRD), Function Requirements Document (FRD) and Supplemental Requirements Document (SRD) for the 4010/ICD-9 expansion and the 4010/ICD-9, 5010/ICD 10 -conversion, BPM using Blueworks Live, web design using BFS and DFS, User Stories and UML, Business Intelligence, Financial Data Warehouse, Data Migration, Data Integration, Data Governance, Data Models, XML ModelsSystems responsible for were Medical Claims Processing System, Eligibility Processing System, Pharmacy Claims Processing, 270/271 Eligibility Transaction Processing, 276/277 Claims Inquiry Transaction Processing, 837I/837P Claims Submission Processing, 278 Service Authorization Processing, 835 Remittance Advice Processing; NCPDP standard transactions, NCPDP D.0 Retail Pharmacy and Interactive NCPDP 1.2 Retail Pharmacy, SOA03+ Years as a Test Manager/Project Lead – was responsible for the commerce project delivery and ongoing solutions support; served as the primary contact with Upper Management; Overseeing solution code source management, code releases and the SQA process; Ensured that proposed solutions are aligned with the Company’s IT standards and strategies adhere to, communicated and followed the Company’s USA IT project management methodology

Experience

1. Ba, Qa Lead Analyst

   Affinity Health Plan

   Mar 2012 — Present · Bronx, NY, US

   For the Claims, Subscriber/Member, Plan/Product, Claims, Provider, Commissions and Billing Modules of Facets Medical Claims Process; Documented, Analyzed and Implemented the 837/835/834/270/271/277/997(X12 Standards) Medical Claims from the Provider/Payer side regulatory environment including HIPAA, Medicaid/Medicare, CCHIT, EDI and XML; EDI 4010 and 5010 with ICD-9 and ICD-10, analysis & compliance experience from, payers, providers and exchanges perspective, with primary focus on Coordination of benefits; Involved in Facets Output generation, Interface development and Facets Migration Projects, Business Intelligence, Financial Data Warehouse, Data Migration, Data Integration, Data Governance, Data Models, XML ModelsProvided analytical solution for Facets Production Issues; created Master and Detail Test plans, performed Automated Testing using QTP, WinRunner, Load runner and Rational Test Suite; Wrote and executed Data Loading test cases using Informatica (ETL) and Oracle Fusion Applications using Oracle Applications Testing Suite (OATS), Under the (ISO, CMMI and Six Sigma) and several SDLC, Agile/XP, held Master and Daily SCRUM sessions; Published the Business Requirements Document (BRD), Function Requirements Document (FRD) and Supplemental Requirements Document (SRD), BPM using Blueworks Live, web design using BFS and DFS, User Stories and UML, Business Process Testing (BPT), Rapid SQL, HP ALM Quality Center and Rational (RUP)

Education

• Ohio State University-Columbus Campus

  Bachelor’s Degree, Mathematics and Computer Science

  1968 — 1972

• Crystal lake Comunity College

  Associate’s Degree, Electrical and Electronics Engineering

  1976 — 1978

Skills

• 4010/Icd-9, 5010/Icd-10
• Master/Daily Scrums
• Vendor Management
• Data Warehousing
• Quick Test Pro (Qtp),
• Alm
• Visio
• Rup
• Quality Center
• Java
• Testing
• Sharepoint
• Waterfall, Rup, Aup, Agile/Xp, Cara Sdlc/Pdlc
• Requirements Analysis
• Software Development Life Cycle (Sdlc)
• Websphere
• .net
• Financial Data Warehouse
• Ims Db/Dc
• Waterfall
• Etl
• Business Process Testing (Btp)
• Databases
• Db2
• Ibm Db2
• User Stories and Uml
• User Acceptance Testing
• Business Intelligence
• Web Design Using Bfs and Dfs
• Bpmn
• Microsoft Visual Suite
• Business Analysis
• Ibm Rational Tools
• Hp Quality Center
• Iso, Cmmi and Six Sigma
• Agile Methodologies
• Jcl
• Data Migration, Data Integration
• Microsoft Sql Server
• Fda’s 30 Courses on Policies, Procedures and Guidance