Pamela Riddle

Pamela Riddle

Risk Adjustment Acuracy Management (Raam) Project Manager @ Highmark

About Pamela Riddle

Pamela Riddle is a Risk Adjustment Accuracy Management Project Manager at Highmark Inc., with extensive experience in healthcare management and quality assurance. She has held various roles in organizations such as UPMC Health Plan, Vitalant, and UPMC, accumulating over three decades of experience in clinical and project management.

Work at Highmark

Pamela Riddle currently serves as the Risk Adjustment Accuracy Management (RAAM) Project Manager at Highmark Inc. She has held this position since 2022, contributing to the organization's efforts in managing risk adjustment processes. Prior to this role, she worked as a Senior Project Manager for Clinical Solution Validation at Highmark Health from 2021 to 2022. Her experience at Highmark reflects her extensive background in project management within the healthcare sector.

Previous Experience in Healthcare

Pamela Riddle has a diverse background in healthcare, having worked in various roles across multiple organizations. She served as a Business Process Consultant at UPMC Health Plan from 2015 to 2017 and as a Clinical Service Quality Manager at Vitalant from 2020 to 2021. Additionally, she held positions at UPMC Passavant as a Point of Care Coordinator and Medical Technologist, and at UPMC as a Quality Specialist and Stem Cell Specialist. Her experience spans over three decades in the healthcare industry.

Education and Expertise

Pamela Riddle holds a Bachelor of Science degree in Health Science and Business Management from Carlow University, which she completed from 1989 to 1993. She also achieved a Six Sigma Black Belt from Villanova University in 2011. Her education is complemented by certifications in Lean Six Sigma (LSS) and as a Certified Scrum Master (CSM). She specializes in the Toyota Production System and Good Manufacturing Practice (GMP), with expertise in flow cytometry, blood gas analysis, and tissue culture.

Certifications and Specializations

Pamela Riddle possesses several professional certifications that enhance her qualifications in the healthcare field. She is certified in Lean Six Sigma (LSS) and as a Certified Scrum Master (CSM). Her specializations include the Toyota Production System and Good Manufacturing Practice (GMP). Additionally, she has experience in regulatory and quality management, which is critical in the healthcare sector, and has a background in Point of Care and insurance division management.

Career Timeline

Pamela Riddle's career spans several decades, with significant roles in various healthcare organizations. She began her career at ITXM Diagnostics Inc. as a Viral Testing Supervisor from 1988 to 1993. Over the years, she has held positions such as Afternoon and Midnight Supervisor at Indiana Regional Medical Center and West Penn Allegheny Health System, and Interim Director of Laboratory Operations at Precision Therapeutics in 2010. Her career reflects a continuous progression in responsibilities and expertise within the healthcare industry.

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