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

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...
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...
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.
Too Bad to Ignore, Too Big to Fix
Provider data accuracy issues could have jeopardized their partner relationships — but they didn’t have an effective way to address them.
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.

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