Donna Wells

Senior Consultant

Donna is a business analyst in CSG’s Healthcare and Human Services practice. She has more than 24 years of experience working in Medicaid, including working for seven state Medicaid programs and the Centers for Medicare and Medicaid Services (CMS). Donna’s wide-ranging expertise within the Medicaid program includes Electronic Data Interchange transactions, quality metric data, enterprise data warehousing, fraud and abuse detection, Program Integrity, ICD-10, and Third Party Liability. She also has extensive experience with requirements gathering and management and CMS certification processes. Prior to joining CSG, she spent more than five years working on the New Jersey Delivery System Reform Incentive Payment Program, including managing the development of a provide web portal, the development and ongoing updates to quality metric criteria data specifications, and all levels of provider-initiated measure appeals related to payment forfeiture.

Experience

24 years of Medicaid experience
11 years of project and operational management experience
20 years of requirements management experience
17 years working in healthcare and hospitals

Expertise

Medicaid
Process improvement
Federal certification
MITA
ICD-10