Sr Sales Executive National Payer Segment

HI, I’M Mark

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.

A PROVEN EXPERT

Mark is an accomplished Executive Sales Leader, specializing in collaborating with health insurance companies to deliver cutting-edge solutions that fuel growth and enhance network and member satisfaction. Boasting over 20 years of invaluable experience in the health insurance realm, Mark has consistently provided a diverse range of innovative solutions, addressing the most pressing challenges faced by health plans strategically. His expertise extends across various healthcare domains, successfully introducing new-to-market solutions through early-stage organizations and holding key roles within prominent insurance carriers. Currently, as a valued member of the Quest National Team, Mark focuses on empowering key National Plan partners, including four of the nation’s largest, to optimize network performance, maintain regulatory compliance, and elevate access to care across all lines of business.

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Case Studies

Outgrown Homegrown System
This MCO faced unique challenges in efficiently assessing and ensuring network adequacy and provider data accuracy for its Medicaid program.
“Are We Compliant — or Not?”
They had no effective way to find their own adequacy gaps — but CMS and state regulators were finding plenty
Working Smarter, Not Harder
The Sales team at a Top 10 National Payer needed to stand out from their competitors when responding to Employer Group Benefits RFPs. To do so, quickly generating network access...
More Than Meets the ROI
A costly CMS penalty proved they couldn’t keep managing their provider networks the same old way. For a New York health plan, smarter provider network management was a better investment...
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.
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.

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