Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

KATRINA L. JOHNSON

Powhatan,VA

Summary

Highly motivated Scrum Master with a proven track record of leading cross-functional teams and ensuring seamless project delivery. Seeking to transition into a role where I can leverage my strong problem-solving skills, understanding of agile methodologies, and leadership experience to drive capability delivery.

Overview

26
26
years of professional experience
1
1
Certification

Work History

Scrum Master

CVS Healthcare
02.2020 - Current
  • Medicare NextGen Train 1 Intake Lead managing delivery for the following processes: Claims, Referrals, Claim Status Inquiry, Real-Time Eligibility.
  • Manage delivery for multiple concurrent projects.
  • Manage vendor delivery requirements, environment and timeline concerns.
  • Manage obstacles faced by the project and application teams and foster collaboration to resolve and identify contingency plans leading to successful project deliveries.
  • Manage non-production environment challenges and constraints, which impact testing and delivery timelines.
  • Document, track and present project deliverables to application teams and leaders.
  • Implement delivery of capabilities across multiple teams utilizing SAFe agile methodology.
  • Collaborate with Product Owners to refine requirements and ensure alignment with business goals.
  • Collaborate with product owners, team members, technologists, and other scrum masters to define solutions and drive progress
  • Financial Lead responsible for collecting and coordinating resource allocations for the train budget at ~$8M, responsible for forecast and over-allocation activities.
  • Participate and facilitate work intake and ROM estimation activities.
  • Participation in quarterly release planning and pre-planning activities.

Sr. Business Analyst

Aetna
11.2013 - 02.2020
  • Lead business analyst supporting multiple reconciliation processes in the Medicare Enrollment train.
  • Lead business analyst and implementation lead of a validation tool supporting communications to the members.
  • Lead business analyst and implementation lead that delivered functionality to support routing claims to/from Aetna for Commercial and Medicaid membership.
  • Analyzed data to identify root causes of problems and recommend corrective actions.
  • Provided technical support for troubleshooting analytics and reporting issues.
  • Participation in quarterly release planning and pre-planning activities




Sr. Business Analyst

Coventry Health Care
06.2009 - 11.2013
  • Develop requirements, functional specifications, design specifications and test plans for various projects related to electronic, X12 and proprietary, submissions.
  • Interface with clients and internal departments as implementation lead for electronic claims (HIPAA 837) and electronic authorizations (HIPAA 278).
  • Implementation lead to convert electronic authorizations (HIPAA 278) from 4010 to 5010.
  • Implementation lead to redirect electronic claims (HIPAA 837), including all programming changes, associated reports and functionalities for an acquired line of business.
  • Implementation lead to complete analysis, requirements and design of a project to route claims to another entity within the corporation.
  • Technical lead to define database and data needs for HIPAA Eligibility Operating Rules.
  • Communicate with external partners regarding issues with data or mapping.
  • Query Oracle database to research issues.
  • Research, analyze, document and test system change requests as related to regular system enhancements.
  • Maintained the setup/install of Transaction Insight, a reporting tool, and Instream, a compliance engine. Maintained associated database tables and was point of contact for database administrators.
  • Improved project efficiency by analyzing business processes and identifying areas for improvement.

Sr. Applications Developer/Analyst

First Health Services
11.2001 - 06.2009
  • Program EDI HIPAA X12 documents in Sybase's Paperfree software.
  • Analyze specifications and map according to HIPAA guidelines and requirements.
  • Test documents and maps to verify HIPAA compliance and client requirements.
  • Support production EC Gateway - scripting, errors, logs.
  • Program scripts to run tasks and processes.
  • Lead project to convert database from Microsoft Access to Oracle 9.
  • Defined requirements to team that developed reports in new Oracle database.
  • Responsible for recurring Oracle database queries
  • PL/SQL script development.
  • ·Work in conjunction with Oracle DBA on database issues.
  • Gather and report statistics for all EDI accounts on a quarterly basis.
  • Documentation of current processes and procedures.

Programmer/Analyst

Mylan Pharmaceuticals
08.1999 - 11.2001
  • EDI Administrator, Gentran Programmer, Coordinator, Configuration Manager.
  • Client/Server support for Gentran transactions and AIS software to customer service and accounting personnel.
  • Develop System Requirements, Software Requirements, Software Design and formal test plans and procedures.
  • Work with the design and development of client application systems and EDI software development.
  • Production EDI server monitoring, issue resolution, and system upgrades.
  • Develop, debug, test, and maintain computer programs in various languages using formal software development methods under strict configuration control standards.


Education

B.S. - Computer Science, Applied Computer Science Track, Minor in Mathematics

Indiana University of Pennsylvania
Indiana, PA
12-1999

Skills

  • Agile metrics tracking
  • Agile methodology
  • Project management
  • Team collaboration and leadership
  • Financial planning and forecasting
  • API integration
  • Critical thinking
  • Technical analysis

Certification

  • SAFe 4/5 Agilist (SAFe-AG/SA) – Scaled Agile, Inc.
  • Certified ScrumMaster (CSM)

Timeline

Scrum Master

CVS Healthcare
02.2020 - Current

Sr. Business Analyst

Aetna
11.2013 - 02.2020

Sr. Business Analyst

Coventry Health Care
06.2009 - 11.2013

Sr. Applications Developer/Analyst

First Health Services
11.2001 - 06.2009

Programmer/Analyst

Mylan Pharmaceuticals
08.1999 - 11.2001
  • SAFe 4/5 Agilist (SAFe-AG/SA) – Scaled Agile, Inc.
  • Certified ScrumMaster (CSM)

B.S. - Computer Science, Applied Computer Science Track, Minor in Mathematics

Indiana University of Pennsylvania
KATRINA L. JOHNSON