Marcia Harrison

Marcia Harrison Email and Phone Number

Vice President, Administration, Transformation, Compliance | Executive Leadership Team @ MedCost
Chapel Hill, NC, US
Marcia Harrison's Location
Raleigh-Durham-Chapel Hill Area, United States
About Marcia Harrison

Throughout my career, I have gravitated towards taking on challenging and unscripted assignments, focused on building and/or improving on how an organization conducts business. It’s been about using knowledge and experiences from programs, problems, and compliance to advance business goals.Progressing through various roles overseeing compliance and regulatory matters for BlueCross BlueShield North Carolina, I secured a position as Chief Compliance Officer to help guide the start-up of Experience Health, a multi-million-dollar enterprise and an independent licensee of the BCBSA. From strategic consulting on annual product development, bid submissions to risk adjustments, my contributions provided solid compliance foundation and guardrails for achieving organizational goals that met regulatory standards without notices of non-compliance.My expansive role centered around building a robust, right-sized compliance infrastructure program for entry into North Carolina’s Medicare Advantage market —an infrastructure which yielded no sanctions, civil penalties, fines or warning letters during the company’s launch and rapid growth in eight North Carolina counties over three years.If you are interested in learning more about my background and qualifications, please invite me to connect on LinkedIn or contact me at marciazharrison@gmail.com.

Marcia Harrison's Current Company Details
MedCost

Medcost

View
Vice President, Administration, Transformation, Compliance | Executive Leadership Team
Chapel Hill, NC, US
Website:
medcost.com
Employees:
283
Marcia Harrison Work Experience Details
  • Medcost
    Vice President, Administration, Transformation, Compliance | Executive Leadership Team
    Medcost
    Chapel Hill, Nc, Us
  • Experience Health
    Chief Compliance Officer | Vice President
    Experience Health 2019 - Present
    Durham, North Carolina
    Working in close partnership with C-Suite leaders, Board members and service providers, I helped establish the governance infrastructure during the startup of this payer-provider company. I conducted ongoing assessments and analysis to ensure comprehensive and compliant practices were followed by all first tier, downstream and related entities, inclusive of 16 functional areas of business. Crucial to the business was year-round attention to the compliance drivers of Medicare Stars, leading to increased payments from CMS due to improved Star Rating from 4/5 stars in 2022 to 4.5/5 stars in 2023. By leveraging insights from the compliance work plan, we enhanced benefit design used to attract and retain members to yield annual enrollment member retention over 90 percent in 2021 and 2022.I oversaw government relations, HIPAA privacy and security, audits, complaints, fraud investigations, marketing reviews, plan submissions.
  • Blue Cross Nc
    Director And Corporate Compliance Official, Health Policy & Compliance
    Blue Cross Nc 2015 - 2019
    Durham, North Carolina
    While in this position, I represented the health insurance plan on NCDOI and CMS compliance and regulatory matters, supporting a service organization with over 3M members and 4,000 employees.A key accomplishment during my time in this role involved integrating lean process improvements which resulted in zero notices of non-compliance during my tenure. These initiatives also improved the CMS Program audit score from 2.9 (in 2013) to .77 (in 2017), achieved with zero invalid data submissions.
  • Blue Cross Nc
    Senior Manager, Operational Strategy & Performance
    Blue Cross Nc 2014 - 2015
    Durham, North Carolina
    This position focused on consolidating two systems support areas into one end-to-end department that served multiple business units and reduced administrative expenses. I also mobilized a unit of 30 employees supporting the largest corporate budget division.
  • Blue Cross Nc
    Workstream Lead, Business Readiness, Icd-10, Enterprise Program - Pmo
    Blue Cross Nc 2011 - 2014
    Durham, North Carolina
    As Workstream Lead, I directed large-scale, complex ICD-10 initiatives for 50+ vendor products and services. I oversaw ICD-10 business impact testing with predictive analytics that prevented disruption to the business. I also presented an actionable, outcomes-based plan at the national conference in 2013.
  • Blue Cross Nc
    Problem Management Lead, Commercial And Government Operations Support
    Blue Cross Nc 2009 - 2011
    Durham, North Carolina
    As Problem Management Lead, I coauthored a directional future state business architecture model and facilitated review sessions with Leadership staff. I also routinely hosted war rooms and end-to-end business process redesign initiatives to solve complex problems.
  • Blue Cross Nc
    Manager, Process, Compliance & Controls / Leader, Audit & Compliance, Inter-Plan Programs
    Blue Cross Nc 2006 - 2009
    Durham, North Carolina
    In this position, I led audit, compliance, problem management, and process improvements that addressed BCBS Association bulletins and memorandums, federal and state regulations, CMS regulations, provider, group and member contracts. I also pioneered IPP’s portfolio risk assessment and contingency program to support migration of core adjudication platform, enabling systems and subsequent system releases.

Marcia Harrison Education Details

Frequently Asked Questions about Marcia Harrison

What company does Marcia Harrison work for?

Marcia Harrison works for Medcost

What is Marcia Harrison's role at the current company?

Marcia Harrison's current role is Vice President, Administration, Transformation, Compliance | Executive Leadership Team.

What schools did Marcia Harrison attend?

Marcia Harrison attended Pace University - Lubin School Of Business, City University Of New York-Brooklyn College.

Who are Marcia Harrison's colleagues?

Marcia Harrison's colleagues are John Phillips, Tamara Stevenson, Matilde Berrospi, Michelle Endicott, Lakeshia Thomas, Amy Presley, Patrenia Johnson.

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