Tracy McCaughey
Consultant
TMcCaughey@attacconsulting.com
As a healthcare consultant, Tracy McCaughey helps Medicare Advantage plans strengthen operational readiness, prepare for CMS scrutiny, and build compliance practices that are practical, durable, and aligned with business goals.
Tracy is a subject matter expert with more than 30 years of experience helping health plans navigate complex regulatory and operational environments. She specializes in Medicare readiness, CMS audit preparedness, and regulatory compliance, with hands-on leadership experience guiding organizations through CMS program audits and CMS financial audits with consistent, successful outcomes.
Tracy most recently served as Managing Director of Claims Operations and Grievances and Appeals at Blue Cross and Blue Shield of Rhode Island, where she led claims processing, appeals administration, and delegated vendor oversight. Her responsibilities included ensuring compliance with CMS, ACA, DOL, and State of Rhode Island regulations across both in-house operations and delegated functions. She has deep experience managing delegates and vendors to align performance with corporate goals. Her teams processed approximately 11 million claims and 30,000 grievance and appeal cases annually while maintaining strict adherence to regulatory requirements and timeframes. She also led the organization through multiple CMS Program Audits and CMS Financial Audits, supporting continued participation in Medicare and government programs.
Previously, as Managing Director of Compliance and Ethics and Corporate Compliance Officer, Tracy oversaw the enterprise-wide compliance program, audit response, corrective action planning, and board reporting. She led a top-quartile CMS Program Audit, restructured compliance functions to improve effectiveness, and ensured ongoing alignment with CMS, DOL, ACA, and state regulatory requirements. Her approach emphasizes practical readiness, defensible documentation, and sustainable compliance models that stand up to regulatory scrutiny.
Clients value Tracy’s ability to connect regulatory expectations with day-to-day operations, helping teams move from audit response to long-term readiness.
Tracy is also recognized for ethical leadership and mentorship, including being named Providence Business News’ Outstanding Mentor of the Year in 2021.
