Rahat Ali

Background

About Rahat Ali

Over 10+ years of IT Experience with immense Health care industry domain knowledge, Project Management, Agile and overall software development cycle. • Strong domain knowledge on Health care services in Fee for service and Medicaid Dual eligible benefits, Pharmacy benefits, property and casualty claims and process. • Excellent knowledge of industry standard SDLC methodologies like Iterative Software Development Life Cycle Process Agile. • Strong planning, project management, change management, and organizational-change skills & experience. • Expertise in IT systems management, capacity planning, resource planning and problem resolution. • Experience in working across functional (development/testing, deployment, systems/infrastructure) and project teams to ensure continuous operation of build and test systems. • Experience in contributing to an atmosphere of cross-functional teamwork within the organization’s emerging agile delivery lifecycle. • Knowledge of regulatory requirements HIPAA, Claims, Provider management, Contract Negotiations, Enrollment and product awareness. • Skilled in determining system requirements and specifications for complex application development projects of Pharmacy and insurance Companies. • Experience in Data validation in Databases by writing SQL Queries, Visualizing, and presenting data using reporting tools Tableau and Qlik. • Proven expertise in creating Test plans, Test Scenarios, Testing Process, Testing Approaches and the Traceability Matrix. • Excellent Communication, Presentation and Interpersonal skills, self-starter, Team player with Project Management and Leadership skills. • Detail oriented, quick learner, good listener with strong problem-solving skills. • Identified Actors, Activities, Artifacts and Workflows and developed use case diagram. Tracked issues and defects with ClearQuest. • Obtained the requirement specifications from the Business Analysts in the BR, SR meetings for corporate workplace project. • Design and streamlined process to facilitate annual reconciliation of plan sponsors. • Responsible for creating test scenarios, scripting test cases using testing tool and defect management for Policy Management Systems, Payables/Receivables and Claims processing. • Written and executed Test cases for the application when in (UAT) Environment. • Led the testing efforts of the datamarts in development, coordinated moving/setting up of processes in dev/qa/production. Worked with QA team and UAT team to go over the various test scenarios for different types of loads in the datamarts.