Marcia G. James Appointed Vice-President for Accountable Care at Mercy Health System
Conshohocken, PA (November 8, 2013) – Mercy Health System (MHS) has announced that Center City resident Marcia G. James has been appointed to the newly created role of Vice-President for Accountable Care at Mercy Health System. Marcia will provide leadership for Mercy Health System’s Strategic Repositioning initiatives targeting Accountable Care Organization development and the Health Care Delivery Model.
Marcia brings with her over 25 years of leadership experience in the healthcare and health insurance industries to her new role. She began her career in Physician Practice management and advanced into consulting for physician practices in the areas of revenue cycle, insurance contracting, compliance, coding efficiency and practice operations.
Marcia joined Humana, Inc. in 2007 where she held leadership roles in the development of strategy, implementation and operations of health reform activities related to changes in payment methodology, including Patient Centered Medical Home (PCMH) and Accountable Care models. She served as the company resource for industry and government-related information on commercial and Medicare ACOs, and was a principal operational leader in Humana’s ACO development, integrating processes between the providers and payers. Marcia also served on Humana’s Executive Committee for the Patient Centered Primary Care Collaborative and was a key driver in the development of Humana’s PCMH model and the subsequent achievement of Level 3 NCAQ-PCMH recognition for multiple practices. She is a subject matter expert on Meaningful Use and has served on national industry workgroups including America’s Health Insurance Plans (AHIP), Patient Centered Primary Care Collaborative (PCPCC), Utilization Review Accreditation Commission (URAC), Workgroup for Electronic Data Interchange (WEDI), Brookings Dartmouth ACO Learning Network and the electronic Health Initiative (eHI).
“Marcia’s leadership skills and healthcare expertise will help move Mercy Health System’s strategic positioning efforts into the future,” says Dan Ahern, Senior Vice President, Strategic Planning and Analysis, Mercy Health System. “I welcome her into the newly created role of providing leadership in driving our accountable care initiatives.”
Marcia holds a B.S. Degree in Biology from Mary Washington College, a M.S. in Community Health from Old Dominion University, and a M.B.A. from Regis University. She is also a Certified Professional Coder through the American Academy of Professional Coders.