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

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
Get ready for an exciting experience at NADP CONVERGE 2024! From September 23-26 in vibrant Minneapolis, Minnesota, we’re thrilled to be back and share what’s new. We have some exciting...
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...
CAHP Annual Conference
We are excited to see you in person at the CAHP Annual Conference in Desert Springs, CA from October 21-23, 2024! We have some exciting new features and functionalities in...
TAHP
We are excited to see you in person at the TAHP Annual Conference in Austin, TX from November 4-6, 2024! We have some exciting new features and functionalities in Quest...
Becker’s Fall Payer Issues Roundtable
We’re thrilled to see you at Becker’s Fall Payer Issues Roundtable on November 4 – 6, 2024. As a trusted leader in healthcare provider network management, we are excited to...

Case Studies

Accelerating Expansion with Quest Enterprise Services
Learn how this health plan accelerated its expansion into new counties and states.
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...
Uniting an Enterprise
Struggling to meet the diverse adequacy requirements of CMS and states, the plan needed a smarter way to work.
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.
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...
“Are We Compliant — or Not?”
They had no effective way to find their own adequacy gaps — but CMS and state regulators were finding plenty

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!