Senior Provider Engagement & Operations Strategist

Optum; Knoxville (TN); On-site; USD 73,000 - 130,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

Job summary

Optum is a global health services company. The Senior Provider Engagement Specialist works with provider groups and internal teams to analyze performance, develop strategies, and drive improvements in revenue and quality metrics.

Based in Knoxville, Tennessee, the role requires travel up to 70 percent and close collaboration with clinicians, office staff, and leaders to implement solutions that support care optimization and overall performance.

Qualifications

• 5+ years of experience in a related medical field or health plan setting.
• Experience with Medicare operations, HEDIS, CMS models and MA.
• Strong relationship-building and independent decision-making.
• Experience communicating in strategic meetings with groups of varying sizes.
• Proficiency in Word, Excel and PowerPoint.
• Willingness to travel up to 70% locally and non-locally.

Responsibilities

• Analyze risk pool and provider group performance to identify improvement opportunities.
• Develop strategies and action plans aligning pools with company goals and quality outcomes.
• Drive processes that impact revenue, HEDIS/STAR measures, and documentation improvements.
• Use data to identify trends and inform discussions with clients and partners.
• Collaborate with clinical services teams to monitor utilization and risk pools.
• Support provider groups in investigating standard and non-standard requests and issues.
• Publish and distribute client and operational reports on product performance.
• Communicate effectively with physicians, staff, and internal departments.

Skills

Analytical thinking

Communication

Presentation skills

Data analysis

Travel flexibility

Relationship management

MS Word

MS Excel

MS PowerPoint

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Job description

Optum is a global health services company. The Senior Provider Engagement Specialist works with provider groups and internal teams to analyze performance, develop strategies, and drive improvements in revenue and quality metrics.

Based in Knoxville, Tennessee, the role requires travel up to 70 percent and close collaboration with clinicians, office staff, and leaders to implement solutions that support care optimization and overall performance.