Quest Analytics

Quest Analytics

Software for health network adequacy optimization

Overview

Quest Analytics provides software solutions and consulting services focused on healthcare provider network adequacy and optimization. Its core offerings are decision applications that help clients model networks, evaluate changes (such as adding or removing providers), identify gaps, and visualize network adequacy. Clients access these tools via subscriptions and also receive strategy advice through consulting, with additional value from events like Quest Labs that teach tool usage and enable networking. The company stands out through its emphasis on regulatory compliance and network optimization for US health plans, providers, CMS, and state agencies, backed by a track record with major government and healthcare entities. The primary goal is to help customers meet regulatory requirements and improve provider networks to deliver better patient care.

About Quest Analytics

Simplify's Rating
Why Quest Analytics is rated
B-
Rated B on Competitive Edge
Rated B on Growth Potential
Rated C on Differentiation

Industries

Data & Analytics

Consulting

Enterprise Software

Healthcare

Company Size

201-500

Company Stage

N/A

Total Funding

$530K

Headquarters

Appleton, Wisconsin

Founded

2003

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Simplify's Take

What believers are saying

  • May 2026 added Chris Lance, signaling faster AI productization across QES.
  • June 2025 Arcadia partnership strengthens physician-level intelligence for competitive network design.
  • January 2026 CMS rules increase demand for provider validation and gap analysis.

What critics are saying

  • CMS 2026 rules commoditize adequacy workflows by standardizing statewide filing requirements.
  • Quest's 2026 AI push depends on Chris Lance delivering product execution quickly.
  • Longer-term, public directory portals and payer software vendors can compress Quest's pricing.

What makes Quest Analytics unique

  • CMS and 30-plus state agencies use Quest for network adequacy filings.
  • Quest manages 7,000-plus provider networks and 150 billion provider records monthly.
  • Arcadia and Motive integrations deepen provider-performance intelligence inside QES.

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Funding

Total Funding

$530k

Above

Industry Average

Funded Over

1 Rounds

Angel funding comparison data is currently unavailable. We're working to provide this information soon!
Angel Funding Comparison
Coming Soon

Benefits

Competitive salary

Success-sharing bonus

Company matching 401K and HSA Contribution

FSA, HSA and commuter benefits

100% company-paid high-deductible health plan, dental and vision for employee

PPO Plan option offered

Wellness benefits

Casual and fun work environment

Free gourmet coffee, drinks and snacks

Social and community outreach programs

Flexible work arrangements and telecommuting

Professional development and training

Monthly culture-building activities

Growth & Insights and Company News

Headcount

6 month growth

0%

1 year growth

0%

2 year growth

0%
PR Newswire
May 12th, 2026
Quest Analytics appoints Chris Lance as chief product officer to drive AI innovation

Quest Analytics has appointed Chris Lance as chief product officer to lead product strategy and AI-powered solutions for health plan clients. Lance will oversee vision, strategy and execution across the company's portfolio, helping health plans build and optimise provider networks. Lance brings over 20 years of product and technology leadership experience. He previously served as CPO at Edifecs, where he led the transition to a cloud-first SaaS model, and at Avalon Healthcare Solutions. He also held senior product roles at Evolent Health and Change Healthcare. Quest Analytics serves over 400 clients, including major health plans and health systems, managing 7,000-plus provider networks. The platform processes more than 150 billion provider records monthly and supports 700,000 healthcare professionals.

PR Newswire
Apr 21st, 2026
Quest Analytics appoints Mike Cavan as chief commercial officer to drive revenue growth

Quest Analytics has appointed Mike Cavan as Chief Commercial Officer to oversee sales and marketing and drive revenue performance. Cavan brings over 30 years of healthcare technology experience, including 15 years in SaaS businesses. He joins from Inovalon, where he served as Senior Vice President leading sales for Payer and Pharmacy units. His previous roles include positions at WellSky, ClearCare, Brightree and SAP. Quest Analytics delivers provider network design and management solutions to over 400 clients, including major health plans, 50% of the largest 100 health systems, and 30+ state agencies. The platform processes over 150 billion provider records monthly and supports networks serving 90% of Americans. Cavan will align go-to-market strategy with customer outcomes across the full lifecycle.

Wallowa.com
Apr 21st, 2026
Quest Analytics expands leadership team with appointment of Mike Cavan as Chief Commercial Officer.

Quest Analytics expands leadership team with appointment of Mike Cavan as Chief Commercial Officer. PR Newswire Today at 4:00am PDT Seasoned healthcare growth leader to oversee sales and marketing and drive end-to-end revenue performance OVERLAND PARK, Kan., April 21, 2026 /PRNewswire/ - Quest Analytics(R) today announced the appointment of Mike Cavan as Chief Commercial Officer (CCO). In this role, Cavan will oversee the company's Sales and Marketing organizations and drive end-to-end revenue performance by aligning go-to-market strategy with customer outcomes across the full customer lifecycle. Cavan brings more than 30 years of experience leading commercial teams in healthcare technology, including more than 15 years in SaaS-based businesses. He joins Quest Analytics from Inovalon, where he most recently served as Senior Vice President, leading sales for the company's Payer and Pharmacy business units. His prior leadership roles include WellSky, ClearCare, Brightree, and SAP, where he helped scale enterprise technology solutions in healthcare and other commercial markets. "Mike is an exceptional commercial leader who knows how to build and scale high-performing revenue organizations in healthcare technology," said Steve Levin, Chief Executive Officer, Quest Analytics. "His experience modernizing platforms and growing enterprise payer solutions mirrors the journey we're on at Quest Analytics, and his track record of aligning sales, marketing, and customer success around outcomes makes him exactly the right leader for this moment." "I'm excited to join Quest Analytics and work with a team that is focused on improving access to quality care," said Cavan, Chief Commercial Officer, Quest Analytics. "What drew me to Quest Analytics is the alignment between its brand promise and the customer experience - helping health plans turn complex network data into confident decisions. I look forward to supporting customers across the lifecycle and delivering on that promise." Cavan is based in the Atlanta area. About Quest Analytics Quest Analytics(R) delivers trusted provider network design and management solutions and services used by 400+ clients - including all the nation's largest health plans, 50% of the largest 100 health systems, 30+ state regulatory agencies, and CMS - to manage, model, and monitor 7K+ provider networks. Their platform processes 150B+ provider records monthly and supports 700K+ healthcare professionals from 360K+ locations in attesting their data. The company helps 90% of healthcare networks deliver differentiated member experiences, thereby improving access to quality care for 90% of Americans. Learn more at Quest Analytics. SOURCE Quest Analytics, L.L.C. This is a paid placement. For further inquiries, please contact PR Newswire directly.

PR Newswire
Jun 16th, 2025
Quest Analytics Announces Strategic Integration Partnership With Arcadia

On showcase at AHIP 2025: The integrated solution delivers advanced provider performance intelligence within Quest Analytics' flagship network management technology platform.LAS VEGAS, June 16, 2025 /PRNewswire/ -- Quest Analytics®, the leader in provider network design and management solutions, announced today a strategic data integration partnership with Arcadia, a leading healthcare data platform and supplier of provider performance insights. This collaboration gives Quest Analytics clients enhanced physician-level intelligence within a single platform to build high-quality, competitive networks. Quest Enterprise Services® (QES®), Quest Analytics' data-driven SaaS platform, enables clients to combine proprietary and third-party data for smarter, clinically informed network decisions. Its Provider Claims Insights (PCI) solution delivers metrics on claims activity, procedures, conditions treated, efficiency, effectiveness, and payer mix — key data for evaluating provider quality and cost

PR Newswire
Apr 9th, 2024
Quest Analytics(R) Announces Strategic Integration Partnership With Motive Practicing Wisely

OVERLAND PARK, Kan., April 9, 2024 /PRNewswire/ -- Quest Analytics, LLC, the leader in provider network compliance and performance solutions, announced today a new integration partnership with Motive Practicing Wisely, the leading provider of evidence-based measures for the evaluation of physician performance, to provide Quest Analytics clients deeper physician-specific information available within a singular platform to build high-quality, high-performing provider networks. Motive Practicing Wisely Solutions logo. Quest Enterprise Services™ (QES™) is Quest Analytics dynamic, data-driven SaaS platform for provider network management, design and performance. Clients benefit from the ability to access Quest Analytics' proprietary data, as well as add third-party content, enabling them to make powerful, data-driven decisions. With Provider Claims Insights, a QES platform solution, clients leverage data on claims activity, top procedures and conditions treated, efficiency, effectiveness and payer mix, providing important metrics to evaluate provider activity, quality and cost. By integrating additional data insights, such as the Motive Practicing Wisely appropriateness measures into QES, organizations get a more holistic view of physician quality which in turn helps them build more efficient networks, emphasizing quality and care appropriateness

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