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

University of Kansas Engineering & Computing Career Fair
We are thrilled to announce that we will be attending the University of Kansas Engineering & Computing Career Fair! This is a great opportunity for us to connect with talented...
Join Quest Analytics® at the CAHP Annual Conference
We are thrilled to see you in person at the CAHP Annual Conference in Palm Desert, CA! Stop by our booth #501 to discover the exciting new features and functionalities...
UCM Fall 2025 Careers in Computing Fair
We are thrilled to announce that we will be attending the UCM Fall 2025 Careers in Computing Fair! This is a great opportunity for us to connect with talented and...
Join Quest Analytics® at Arcadia Aggregate 2025
Get ready for an exciting experience at Arcadia Aggregate 2025! From October 14-16 in Las Vegas. We’ll be showcasing some exciting new features and functionalities in Quest Enterprise Services™ that...
Insights to Transform Network Performance Through Affiliation Intelligence
Health plans are working to turn complex data into actionable insights—but one persistent challenge is understanding how providers and facilities are affiliated. Without clear visibility into these relationships, network design...
Join Quest Analytics® at TAHP Covered
Get ready for an exciting experience at the Texas Association of Health Plans at the Texas Covered Conference + Expo from November 3-5, 2025, in Austin, TX! We’ll be showcasing some...

Case Studies

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.
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...
National Vision Care Administrator Enhances Provider Network and Expands Health Plans with Quest Analytics®
Discover how a National Vision Care Administration achieved a 15+ Health Plan Expansion and a reliable provider data accuracy process with Quest Analytics®.
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
“Are We Compliant — or Not?”
They had no effective way to find their own adequacy gaps — but CMS and state regulators were finding plenty
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.

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.

Start a Conversation Today!