Vice President of National Payers

HI, I’M JAMES LAMB

I’m here to help you gain a comprehensive view of your provider data, enabling you to make strategic decisions about your network and achieve the best possible care for your members. 

BREAKING SILOS, LEVERAGE EFFICIENCIES AND REDUCING RISK

Seeking scalability and visibility across all of their networks, a new SVPs started putting a plan in motion that has led to greater compliance confidence, consistent reporting and faster speed to market. Learn what it takes to break down organizational silos and what you can expect to gain as the reward.

A PROVEN EXPERT

James is a distinguished expert in provider network management with a track record of leadership and success. With nearly a decade of experience as a strategic partner for prominent healthcare organizations, including the nation’s eight largest, he has played a pivotal role in enhancing network performance, ensuring regulatory compliance and advancing access to care across all lines of business. Committed to promoting equal access to healthcare, James devotes his time to serving on multiple Boards for non-profit organizations dedicated to improving the lives of individuals with special needs.

Four Things to Know: CMS MA Final Rule

The Four Phases of Implementing a Provider Data and Directory Verification Process

Provider Data Errors to Avoid When Responding to a Medicaid RFP

MHPA 2022 maybe over but the planning never stops. Let’s stay connect and continue the conversation about achieving your goals.

Upcoming Events

CMS Health Equity Conference
We are excited to see you at the CMS Health Equity Conference in Bethesda, MD on May 29-30, 2024! We are honored to be speakers at this prestigious event, which...
Quest Analytics’ Regulator-Only Webinar | Minnesota’s Roadmap to Mental Health Equity: Engaging Stakeholders for Change
Join us for this exclusive webinar tailored specifically for you and your peers as we dive into disparities in mental and behavioral health access and how the State of Minnesota...
AHIP Conference
We’re excited to be back at AHIP 2024, June 11-13, in Las Vegas, Nevada! We have some exciting new features and functionalities in Quest Enterprise ServicesTM that will help you...
Vision Quest
Elevating Provider Network Management through Innovation and Industry Collaboration Join us on September 10-12, 2024, in Austin, Texas Vision Quest offers an exclusive opportunity to connect with thought leaders, influencers,...
NADP Converge Conference
We’re excited to be back at NADP 2024, September 23-26, in Minneapolis, Minnesota! We have some exciting new features and functionalities in Quest Enterprise ServicesTM that will help you comply with...
Consumer Experience And Digital Health Forum
We’re excited to be back at the 2024 Consumer Experience and Digital Health Forum, September 24-26, in Nashville, TN! We have some exciting new features and functionalities in Quest Enterprise...

Case Studies

Growing Nowhere Fast
To quickly expand multiple lines of business into new counties and states, the health plan needed a faster, easier, and more cost-effective way to build adequate networks.
Outgrown Homegrown System
This MCO faced unique challenges in efficiently assessing and ensuring network adequacy and provider data accuracy for its Medicaid program.
Oversight, Meet Insight
They had manual oversight of provider network adequacy—but zero insight into provider availability, provider data accuracy or performance across health plans.
A Tale of Two Networks
Having struggled to build a Medicaid network, they now faced the more complex requirements of Medicare — with only one shot to get it right.
The Best Offense Wins
Their team was looking for automated and integrated tools and insights that would allow them to better communicate the value of their Integrated Delivery Network, by specialty, with an end...
Building Their Own HMO
Wanting to set up their own HMO, they needed to build a county-wide Medicare Advantage network — with no previous experience managing CMS network adequacy requirements

SOLVE YOUR PROVIDER DIRECTORY ACCURACY CHALLENGES TODAY

Our team is ready to help you address the challenges provider data presents. We want to help you take your member experiences to the next level and avoid regulatory risks, like audits, and meet the mandates around surprise billing.

Contact us today to book a strategy session to understand and provide guidance to limit your exposure.

Schedule Now