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

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.
How QES® Transformed Medicare and Medicaid Network Building
Having struggled to build a Medicaid network, they now faced the more complex requirements of Medicare — with only one shot to get it right.
QES® Helps a National Health System Take the Offensive in Payer Negotiations
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...
Achieving Enterprise-Wide Compliance Across Medicare and Medicaid Networks
Struggling to meet the diverse adequacy requirements of CMS and states, the plan needed a smarter way to work.
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 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...

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!