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

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 16-18 in Las Vegas, NV! We are proud to introduce groundbreaking features and functionalities within Quest...
Join Quest Analytics at NAIC Summer 2025
We are excited to see you at the NAIC Summer 2025! Join us August 10-13th in beautiful Minneapolis, MN to discover how we are transforming healthcare provider network management. Engage...
KCDC 2025
We are thrilled to announce that we will be attending the Kansas City Developer Conference 2025, one of the most exciting events for software developers in the Midwest. This is...
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...
Join Quest Analytics at the NADP Converge Conference
Get ready for an exciting experience at NADP CONVERGE 2025! From September 15-18 in Indian Wells Resort, CA. We’ll be showcasing some exciting new features and functionalities in Quest Enterprise...

Case Studies

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
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...
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...
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.
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.
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...

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!