Senior Provider Engagement & Performance Analyst

UnitedHealth Group; Chattanooga (TN); On-site; USD 73,000 - 130,000; Full time

Benefits offered by this job

Benefits package

401(k) plan

Incentive programs

Job summary

UnitedHealth Group is seeking a Senior Provider Engagement Specialist to serve as a subject matter expert in Client Services operations, driving data-driven analysis and strategic planning for provider groups. The role partners with leadership to implement business solutions and improve performance across markets.

The position emphasizes collaboration with providers, offices staff, and internal teams to enhance revenue, quality measures, and service delivery. Travel up to 70% may be required.

Qualifications

• 5+ years of experience in a related medical field or health plan setting.
• Experience with Medicare health care operations including HEDIS, CMS reimbursement models, and Medicare Advantage.
• Proficiency in Microsoft Word, Excel and PowerPoint.
• Strong communication and strategic meeting facilitation.
• Ability to travel up to 70% as required.

Responsibilities

• Analyze risk pool and provider group performance to identify opportunities for improvement.
• Develop strategies and action plans aligning provider pools with company initiatives and quality outcomes.
• Drive processes and improvement initiatives impacting revenue and quality metrics.
• Use data to identify trends and collaborate with colleagues to root cause issues.
• Collaborate with internal clinical services teams to monitor utilization trends and risk pools.
• Assist provider groups with investigating standard and non-standard requests and problems.

Skills

Presentation skills

Problem solving

Conflict resolution

Independent work

Tools

MS Word

MS Excel

MS PowerPoint

Job description

UnitedHealth Group is seeking a Senior Provider Engagement Specialist to serve as a subject matter expert in Client Services operations, driving data-driven analysis and strategic planning for provider groups. The role partners with leadership to implement business solutions and improve performance across markets.

The position emphasizes collaboration with providers, offices staff, and internal teams to enhance revenue, quality measures, and service delivery. Travel up to 70% may be required.