Senior Account Executive

HI, I’M John

I’m here to illuminate your provider data, leading to better decision making, measurable efficiency gains and enhanced member experience.

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A PROVEN EXPERT

John is an experienced business development professional with extensive healthcare expertise and a strong commitment to tackling challenging issues. For close to two decades, he has served as a strategic partner and valuable resource for healthcare organizations across America. John’s mission is to offer intelligence and support that optimizes network performance, ensures regulatory compliance, and enhances the overall member experience. Residing in Kentucky with his wife and two cats, John brings passion and dedication to his work in the healthcare industry.

Case Studies

Case Study
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.
Case Study
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
Case Study
Uniting an Enterprise
Struggling to meet the diverse adequacy requirements of CMS and states, the plan needed a smarter way to work.
Case Study
“Are We Compliant — or Not?”
They had no effective way to find their own adequacy gaps — but CMS and state regulators were finding plenty
Case Study
Outgrown Homegrown System
This MCO faced unique challenges in efficiently assessing and ensuring network adequacy and provider data accuracy for its Medicaid program.
Case Study
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.

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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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