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Cheri Riddle

Director Information Technology

589 followers

Newtown, Pennsylvania, United States

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Timeline
About me
Managing Director at Deloitte Tohmatsu Consulting LLC.
Education
- Pennsbury HS
  -
- University of Pennsylvania
  -
  Bachelor's degree Marketing/Marketing Management, General
- Weatherhead School of Management at Case Western Reserve University
  1995 - 1997
  MBA Finance, Healthcare
Experience
- QualChoice Health Insurance
  Oct 1998 - Aug 2007
  Director Information Technology
  Health insurance company owned by University Hospitals in Cleveland. Managed Amisys configuration and programming, IT infrastructure and help desk. Stood up Managed Medicaid program.
- Deloitte
  Sept 2007 - Jan 2011
  Manager Health Insurance Technology
  Health Plan Technology Implementation and Optimization; Benefits and Medical Policy configuration; Enrollment and Premium Billing; Claims auto-adjudication optimization. Blues ITS Home/Host Platforms: FACETS, Amisys, HealthEdge, custom
- Deloitte
  Aug 2011 - Jun 2018
  Senior Manager Health Plan Technology
  Medicaid and Exchanges Core Claims system implementation, data migration, command center & stabilization; ACA Exchanges Enrollment & Billing System Migration. Technology: HealthEdge HRP; HPS
- Deloitte
  Sept 2018 - now
  Managing Director
  Medicare Claims system implementations (CMS interfaces/reporting, membership, benefits, medical policy, provider network, claims, encounters, data migration); Medicaid management system implementation; Pharmacy Benefit Manager migrations; Claims system optimization. Systems: HealthEdge HRP, Altruista; FACETS; Custom. Clients: CVS/Aetna, Humana, P32H/Tufts HP, HCSC, BCBSNE
Licenses & Certifications
- Project Management Professional (PMP)
  Project Management Institute