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

HIMSS
Join us at HIMSS25 from March 3-6, 2025! This premier event is your opportunity to stay ahead of industry trends, connect with like-minded professionals, and explore cutting-edge solutions transforming healthcare....
Join Quest Analytics at the MHPA Advocacy Leadership Forum 2025
We are excited to announce that we will be attending the MHPA Advocacy Leadership Forum on March 4-5, 2025! This premier event brings together a diverse group of Medicaid managed...
Join Quest Analytics at the 2025 Medicare, Medicaid, Duals & Commercial Markets Forum
We’re thrilled to see you at the 2025 Medicare, Medicaid, Duals & Commercial Markets Forum on March 25-27, 2025! This forum will address the most pressing policy priorities, emerging issues,...
Join Quest Analytics at Becker’s Spring Payer Issues Roundtable
We’re thrilled to see you at Becker’s Spring Payer Issues Roundtable on April 28-29, 2025. As a trusted leader in healthcare provider network management, we are excited to sponsor and...
Join Quest Analytics at AHIP 2025
Quest Analytics is excited to announce our participation in AHIP 2025, happening from June 17-19 in Seattle, WA! We are proud to introduce groundbreaking features and functionalities within Quest Enterprise...
Join Quest Analytics at MHPA
We’re thrilled to see you at MHPA 2025 on September 10-12, 2025! Join us and attend our sessions to discover how we are transforming healthcare provider network management. Engage with...

Case Studies

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...
Accelerating Expansion with Quest Enterprise Services
Learn how this health plan accelerated its expansion into new counties and states.
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.
Meeting Medicaid Network Adequacy With Advanced Network Management Solutions
This MCO faced unique challenges in efficiently assessing and ensuring network adequacy and provider data accuracy for its Medicaid program.
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
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!