Client Solutions Architect, National Payer Segment

HI, I’M Melissa

I’m here to help you obtain the analytics and insights needed to help you make strategic decisions about your network and achieve the best possible care for your members.

A THOUGHT LEADER

Melissa is an esteemed thought leader in the realm of provider network management, leveraging her extensive expertise for nearly two decades to transform data and analytics into actionable insights that drive significant value for America’s healthcare organizations and regulatory programs alike. With a background as an Actuary and in Medical Economics, Melissa has seamlessly collaborated with diverse departments, fostering a profound understanding of the intricate workings of health plans. Possessing an innovative mindset, she actively collaborates with clients, striving to pioneer out-of-the-box solutions and tailor-made reports that empower customers to achieve their organizational objectives.

Case Studies

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...
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®.
“Are We Compliant — or Not?”
They had no effective way to find their own adequacy gaps — but CMS and state regulators were finding plenty
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...
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

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.

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