Kerrie Richards-Knowles Email and Phone Number
Marlborough, MA, US
Kerrie Richards-Knowles's Location
Marlborough, Massachusetts, United States, United States
About Kerrie Richards-Knowles
PROFESSIONAL SUMMARYSeasoned Senior Operations Manager and EDI/ETP Leader with over 15 years of experience in optimizing business operations, enhancing electronic data interchange systems, and spearheading enterprise technology projects. Demonstrated expertise in business ownership, driving operational excellence, and implementing innovative IT solutions to streamline processes and boost efficiency. Proven track record of leading cross-functional teams, managing complex projects, and delivering strategic solutions that align with organizational goals. Adept at leveraging a deep understanding of business and technology to achieve sustainable growth and operational success.
Kerrie Richards-Knowles's Current Company Details
Kerrie Richards-Knowles Work Experience Details
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Manager Of Production SupportNeighborhood Health Plan Of Rhode IslandMarlborough, Ma, Us
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Business Owner/ConsultantEnterprise Services Consulting Group, Inc. Sep 2013 - Present
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Sr. Operations ManagerConduent May 2022 - Nov 2022Boston, Massachusetts, United States* Directed day-to-day operations as DHCF/Commonwealth-MA vendor for ASO pharmacy benefits management - providers.* Coached/mentored team: provider relations, clinical business analyst, technical writer.* Facilitated/presented client-facing meetings/presentations via in-person/online.* Resolved provider questions/issues per SLAs/policies/procedures in a timely/accurate manner. -
Sr. Edi ManagerLogixhealth Mar 2021 - Apr 2022Bedford, Massachusetts, United States* Directed day-to-day operations for EDI file processing: 270/271, 276/277, 837I/P, 835, 820, 834, 997/999/TA1.* Built/lead EDI team through extensive recruiting, training, and mentoring. -
Edi/Tpt ManagerMaximus Jan 2014 - Dec 2020Boston, Massachusetts, United States* Directed EDI technical support call center as DHHS/Commonwealth-MA vendor for MassHealth CSC.* Built/managed EDI team to support MassHealth trading partners per contractual SLAs/policies/procedures - ICD-9/ICD-10.* Troubleshot EDI file-related issues: (270/271, 276/277, 837I/P, 835, 820, 834, 999/TA1), SOAP/MIME protocol.* Conducted TPT and created/presented client approved slides at Provider Association Forum (PAF) meetings/online webinars. -
Project LeadershipRoad Scholar Sep 2013 - Jan 2014Boston, Massachusetts, United States* Directed IT projects with cross-functional teams/vendor for Soarian Financials upgrade.* Defined/implemented PMO methodology/project life cycle framework/best-practice. -
Project Manager/Business AnalystTufts Health Plan Feb 2013 - Aug 2013Watertown, Massachusetts, United States* Led the implementation of clinical/IT project for clinical system enhancements/integrations.* Created project/technical documentation: scope, plan, status report, issues log, technical requirements.* Delivered documentation to clinical/technical lead and obtained feedback/signoff.
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Project Manager / Technical AnalystPublic Consulting Group Apr 2012 - Dec 2012Boston, Massachusetts, United States* Lead team of business and IT resources as DHCF/Commonwealth-DC vendor for ASO Medicaid claims clearinghouse SaaS (EZ-CAP) project portfolio.* Facilitated/documented client meetings: status update, issue review, business/technical requirements. -
Technical AnalystFresenius Medical Care Dec 2009 - Apr 2012Lexington, Massachusetts, United States* Improved user experience, reduced web application latency, and resolved interface related issues.* Troubleshot/documented claims management/revenue/reporting systems: Soarian Financials, eCube Financials.* EDI ANSI x12: 837, 835, 999/TA1.* Interfaces: JVM SnapUtility, Coradiant, IIS, JVMs, WebSphere, OPENLink (MsgSvcs/STREAM), eGate. -
Sr. Integration AnalystCasenet Jan 2009 - Oct 2009Bedford, Massachusetts, United States* Delivered documentation within a newly developing CM/DM/UM, SOA product for a Fortune 500 client.* Researched/created EDI Companion Guide for 278 Request for Review/Response transaction sets.* Created functional/technical concept documents: outbound faxing, telephony, McKesson InterQual w/SSO, technical specifications, workflows, use cases, system entity diagrams. -
Client Technology And Operations DirectorCuraspan Health Group, Inc. Apr 2007 - Jan 2009Newton, Massachusetts, United States* Directed successful SaaS implementations and operations to support discharge planning solutions (eDischarge).* Reduced client rollout timeline by 8 weeks after implementing PMO/SDLC best practices.* Reduced call center call volume by 10% after improving data quality in hospital ADT HL7. * Created/updated documentation: HL7 ADT interface requirements, technical implementation manual. * Led/mentored employees, conducted performance reviews, handled day-to-day performance and client scheduling related issues. -
It DirectorL.R. Mccoy & Company, Inc. May 2005 - Apr 2007Worcester County, Massachusetts, United States* Managed day-to-day IT infrastructure/operations to 60 users over WAN/LAN.* Implemented order processing/revenue management solution (bisTrack, Great Plains, Crystal Reports).* Significantly reduced duplicative, manual tasks by implementing a CRM environment for order processing, inventory, billing, accounting, reporting.
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Manager Project ManagementProvider Service Network Sep 2002 - Jan 2005Roxbury Crossing, Massachusetts, United States* Implemented PMO/SDLC and managed a portfolio of clinical systems (Pharmacy, HEDIS/Quality Registry, Claims Audit).* Significantly reduced software defects by implementing SDLC/traceability requirements management.* Facilitated JAD sessions with cross-functional teams to elicit/document: requirements, test plans, training and support.* Managed/mentored employees, conducted performance reviews, and handled day-to-day performance issues.
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Project ManagerWorkscape, Inc., Apr 2001 - Jan 2002Framingham, Massachusetts, United States* Implemented and supported an Employee Benefits Administration system for Fortune 500 clients -
It ManagerAkibia Inc 1999 - 2001Westborough, Massachusetts, United States* Implemented PMO and best practices of SDLC.* Managed/mentored team of project managers/business analysts. -
It Project AnalystPrivate Healthcare Systems, Inc. 1998 - 1999Waltham, Massachusetts, United States* Provided mentoring on best practices of project management.* Documented project issues, time tracking, and budget.
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Edi Project ManagerHarvard Pilgrim Health Care 1996 - 1998Greater Boston Area* Attended daily production/test issues meetings.* Documented/maintained project budget. -
Project ManagerThe Mathworks 1993 - 1996Greater Boston AreaSales & Marketing Software Implementations
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Programmer / Graphic DesignerGraphic Harmony 1988 - 1993Greater Boston Area
Kerrie Richards-Knowles Education Details
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Bachelor'S Degree
Frequently Asked Questions about Kerrie Richards-Knowles
What company does Kerrie Richards-Knowles work for?
Kerrie Richards-Knowles works for Neighborhood Health Plan Of Rhode Island
What is Kerrie Richards-Knowles's role at the current company?
Kerrie Richards-Knowles's current role is Manager of Production Support.
What schools did Kerrie Richards-Knowles attend?
Kerrie Richards-Knowles attended Northeastern University, Project Management Institute.
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