There are a few steps to follow in order to run the utility.
Install .netCore 6.0 SDK - Download .NET 6.0 (Linux, macOS, and Windows) (microsoft.com)
Download and extract the utility to a local folder. This user executing the utility should have write access to this folder.
Unblock the utilities files if necessary:
Gather the projects that will be updated. The VERA Integration must be enabled for each project to be updated.
Ensure that a user is added to each project and the user has the following permissions in qTest:
Manage Field Settings
Edit Test Cases