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

How Enhanced Data Insights Helped a Health Plan Improve Healthcare Access
Case Study How Enhanced Data Insights Helped a Health Plan Improve Healthcare Access Who We Helped A Southwest Regional Plan Their Challenge A Southwest Regional Plan is focused on addressing...
Accelerating Territory Expansion in Three Months with Quest Enterprise Services®
Learn how this health plan accelerated its expansion into new counties and states.
National Vision Care Administrator Enhances Provider Network Data and Expands Health Plans
Discover how a National Vision Care Administration achieved a 15+ Health Plan Expansion and a reliable provider data accuracy process with Quest Analytics®.
How Quest Analytics Helped a Health System Build Their Own CMS-Compliant 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
Oversight, Meet Insight: Automating Network Visibility with QES®
They had manual oversight of provider network adequacy—but zero insight into provider availability, provider data accuracy or performance across health plans.
Removing Compliance Guesswork: A Healthcare Network Adequacy Case Study
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.

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