Shailja Tiwari, CSM®, CSPO®

Senior Test Analyst at Cognizant
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Contact Information
us****@****om
(386) 825-5501
Location
Irving, Texas, United States, US
Languages
  • English -

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Credentials

  • Certified Scrum Product Owner® (CSPO®)
    Scrum Alliance
    Apr, 2021
    - Sep, 2024
  • Certified ScrumMaster® (CSM®)
    Scrum Alliance
    Jan, 2021
    - Sep, 2024

Experience

  • Cognizant
    • Uzbekistan
    • Education
    • 1 - 100 Employee
    • Senior Test Analyst
      • Aug 2021 - Present
  • CVS Health
    • United States
    • Wellness and Fitness Services
    • 700 & Above Employee
    • Test Analyst
      • Jun 2017 - Present
  • TriZetto Healthcare Products
    • IT Services and IT Consulting
    • 700 & Above Employee
    • Project Associate
      • Jan 2017 - May 2017

      EDI PRODUCTION SUPPORT ANALYST EDI PRODUCTION SUPPORT ANALYST

  • UPS Supply Chain Solutions
    • United States
    • Transportation, Logistics and Storage
    • 700 & Above Employee
    • Consultant
      • May 2016 - Dec 2016

       BizTalk Development/Support. Create BizTalk application with data transformation as per business requirement to post SQL database.  Involved in Sprint release in every 3 weeks.  Create Flat-file schema, WCF-SQL adapter Schema, Custom pipeline and Receive pipeline using flat-file dissembler, Maps, Host and host instances.  Create Receive port, Receive location and Send ports.  Attending daily scrum call with customer and provide regular updates on development progress.  Coordinating with the customer on meeting invites related to BizTalk development part and sprint release date.  Reporting (Daily/Weekly/Monthly)  Involved in any Bug resolution related with BizTalk like Deadlock issue, User password change and testing after password change.  Troubleshooting BizTalk related issues like suspended messages. Show less

  • TriZetto Corporation
    • Customer delivery lead
      • Jan 2016 - May 2016

      Incident Management with NimSoft tool.  Managing Bridge calls Internal as well as External bridge calls  Coordinating with the customer on meeting invites related to incidents and Service requests and align our internal resources accordingly  Reporting (Daily/Weekly/Monthly)  Opening third party tickets and follow-ups  Coordination of Release Management activities  Create Third Party related Infra requests (SR) for our Environment Management team to take appropriate actions  Represent SD in CAB meetings  Attend other cross functional activities Show less

    • Project Associate
      • Mar 2015 - Nov 2015

       Providing Hosting Services to Top 15 payers of USA with strict SLA in Production environment.  Involved in BizTalk Implementation i.e., Configuring Trading Partners for all types of transaction sets (270,271,837P,837I,837D,276,277,835,997)  Analyzing BizTalk errors and Troubleshooting claims.  Supporting weekend maintenance activities in Production (involved in various activities including but not limited to application checkout for Facets, QNXT, QICLINK and EDI server)  Onsite coordinator as part of EDI Hosted team.  Change Pack Pre-post validation for Facets and QNXT clients.  Code Reviews, Code Deployments(ETS script jobs)  Handling the Offshore team activities including coordination of work, trainings, task allocation and monitoring the progress on it.  Coordinating with the customers from Provider/Payer side to find the areas of improvement in process and providing appropriate solutions.  Creating Client Specific documents for clients associated with Facets, QNXT and QICLINK.  Using HIPAA Gateway for claims processing, payment, member enrollment/acknowledgement related validations.  Supporting more than 10,000 jobs running for various payers.  Real-time transactions – 27X- troubleshooting from Gateway perspective  Application troubleshooting (WINSCP, GlobalScape, ECGateway, Facets interactive tool. TP management tool, Inquiry tool)  Involved in research/analysis of claim rejection in 997/999, missing facets claim ID in 277CA files  Capture log for real-time transaction Show less

  • Syntel
    • Netherlands
    • Financial Services
    • 100 - 200 Employee
    • Analyst programmer
      • Jul 2014 - Mar 2015

       CMS (Medicaid and Medicare) support for some Payers. ANSI X12 format data, ANSI to claim proprietary format (KWDs or XMLs) conversion and troubleshooting related issues Trading Partner set up (Facets, QNXT, QICLINK) and maintenance Involved in BizTalk Implementation i.e., Configuring Trading Partners for all types of transaction sets (270,271,837P,837I,837D,276,277,835,997) Analyzing BizTalk errors and Troubleshooting claims. GlobalScape FTP account set up for customer and troubleshooting related issues Facets HIPAA Gateway related issues troubleshooting ETS script, Trading partner and GlobalScape account set up estimation Handling ECGateway tool for QICLINK customer QicLink Gateway and MQs processing and related issues troubleshooting Macess – EDOCS- Images, issues like missing images and loading them into Macess after troubleshooting Working with Batch team on Tidal job schedule set up Audit reporting on transaction counts to clients for different EDI transactions. Count database issue trouble shooting ANSI X12 compliance diagnosis using the CLAREDI tool PGP key set up for new clients Involved in Encrypt and decrypt the EDI files manually Troubleshoot the BAD 835 XML file and correct the errors. Tracking the hourly run of Transaction Log files for QNXT client to add to their Database INI Profile setup/change, deploy into TP management tool Have knowledge of Custom and XSLT map for Facets gateway Show less

    • Analyst programmer
      • Mar 2010 - Jul 2014

       CMS (Medicaid and Medicare) support for some Payers. ANSI X12 format data, ANSI to claim proprietary format (KWDs or XMLs) conversion and troubleshooting related issues Trading Partner set up (Facets, QNXT, QICLINK) and maintenance Involved in BizTalk Implementation i.e., Configuring Trading Partners for all types of transaction sets (270,271,837P,837I,837D,276,277,835,997) Analyzing BizTalk errors and Troubleshooting claims. GlobalScape FTP account set up for customer and troubleshooting related issues Facets HIPAA Gateway related issues troubleshooting ETS script, Trading partner and GlobalScape account set up estimation Handling ECGateway tool for QICLINK customer QicLink Gateway and MQs processing and related issues troubleshooting Macess – EDOCS- Images, issues like missing images and loading them into Macess after troubleshooting Working with Batch team on Tidal job schedule set up Audit reporting on transaction counts to clients for different EDI transactions. Count database issue trouble shooting ANSI X12 compliance diagnosis using the CLAREDI tool PGP key set up for new clients Involved in Encrypt and decrypt the EDI files manually Troubleshoot the BAD 835 XML file and correct the errors. Tracking the hourly run of Transaction Log files for QNXT client to add to their Database INI Profile setup/change, deploy into TP management tool Have knowledge of Custom and XSLT map for Facets gateway Show less

Education

  • Uttar Pradesh Technical University
    Master's Degree, Computer Science
    2005 - 2008
  • KVM Inter College kanpur U.P. India
    Bachelor of Science (B.S.), Mathematics
    2002 - 2005

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