An accomplished healthcare executive, Mark Marciante facilitates innovative care management through digital health platforms. He has established expertise in healthcare interoperability and artificial intelligence (AI) transparency for payers, providers, employers, and patients.

Mark is a thought leader with a unique skillset combining technical expertise with policy analysis. He assists payer, provider, and digital health clients, offering practical expertise in implementing Centers for Medicare and Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) interoperability rules, as well as navigating the impacts of the Trusted Exchange Framework and Common Agreement (TEFCA). He also supports digital health transformation alliances like OneUtah Digital Health Collaborative and Digital Quality Implementers Community, and CARIN, led out of the Leavitt Center for Alliances.

Before joining Leavitt Partners, an HMA Company, Mark spent over a decade successfully driving digital transformations for healthcare payers, leveraging industry-leading processes. As director of engineering at enGen, he led the launch of a cutting-edge care management platform with National Committee for Quality Assurance (NCQA) certification, serving over 11 million members across seven states. The platform reduced decision times for prior authorization, increased outreach for the most vulnerable members in care planning and aligned with crucial legislative measures for burden reduction and AI transparency standards.

In addition, Mark worked extensively with the payer community, helping implement the CMS interoperability rules’ requirements, including HL7® FHIR® API-based prior authorization. Prior to his work at enGen, he served as director of architecture at CareFirst BlueCross BlueShield, overseeing successful implementation of the CMS Interoperability and Patient Access final rule as well as implementation of the Affordable Care Act. He also supported CareFirst as the board chairperson for the CareFirst Political Action Committee.

Mark received his bachelor’s degree from the University of Illinois. He holds multiple technical certifications from Amazon Web Services (AWS) and Scaled Agile Framework (SAFe®). In addition, he holds a Fellow, Academy for Healthcare Management (FAHM®) designation from America’s Health Insurance Plans (AHIP).