Donna Button Email & Phone Number

Wallingford, Connecticut, United States

Wallingford, Connecticut, United States

Designed and implemented innovative IT solutions at the local level and the Anthem enterprise level to solve complex business needs. Guided IT peers and Business Partners as a Senior team to solve issues, answer questions, mentor, and provide support.• Led Northeast Claims IT team on Enterprise project across 6 Claims systems to solution for Anthem’s rapid response to COVID-19 to assure compliance with multiple Federal, State as well as Anthem specific regulatory orders.• Developed reports for business clients on COVID-19 claims data containing various scenarios to help business and IT teams make decisions and to ascertain impacted COVID-19 claim volumes.• Consolidated Anthem NE claims pricing system to a common enterprise platform resulting in an approximate savings of over $2 million per year resulting in no disruption to Anthem Northeast claims processing or abrasion to Anthem Providers.• Improved market competitiveness by implementing a new Commercial Outpatient Pricing Methodology changes for one of Anthem's largest Providers and acting as key liaison between technical IT staff and non-technical business staff.• Acted as a trusted team member, assisting in root cause analysis for projects and lights on defects, analyzing and documenting existing system processes, performing SQL queries against claims data warehouse to provide extracts for analysis and testing to assist both business and IT team members succeed and to help drive business results.• Fielded questions and attended conference calls with high volume NH Hospital to articulate Pricing system changes and offer testing support data resulting in gained confidence in Anthems ability to administer a new pricing contract.• Analyzed ongoing Enterprise Plan of record projects determining NE Claims system impacts, delivering ROM estimates and providing high level resource needs enabling determination of funding for Anthem Strategic Initiatives and mandates.

Wallingford, Connecticut

Investigated and solutioned complex Claims and Provider Pricing system Issues and oversaw development by providing detailed design documentation and programming specifications. Provided guidance to developers and system testers to ensure accurate delivery of system changes.• Managed development and testing performed by 8 On-shore and 25 offshore resources by facilitating peer reviews and serving as a key subject matter expert (SME) ensuring delivery of quality solutions with minimal claims system impact.• Increased market competitiveness by overseeing Anthem strategic projects such as Consumer-Driven Health Plans, Provider Incentive programs, and Provider Centers of Excellence enabling member and provider satisfaction.• Recognized as key player on team collaborating with other cross-functional teams to design, test and execute prioritized, enterprise-wide consolidated projects such as ICD10 expansion, National Provider ID Processing, and strategic Provider Pricing initiatives.• Researched defects and enhancements dealing with full lifecycle of claim from intake through adjudication, and with all subsystems attached to claims system; provider, benefit, and membership.• Fostered strong relationships with Business and IT, establishing collaborative and productive work environment.

North Haven, Connecticut

Designed, coded and implemented COBOL program modifications in support the Provider demographic and Reimbursement systems.Lead on migration of Maine and New Hampshire Provider and Pricing systems to Anthems ACES system overseeing team members to ensure migration accomplished on time and within budget.