Strategic Provider Engagement Lead

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

Job summary

UnitedHealth Group in Knoxville, TN, is seeking a Senior Provider Engagement Specialist to serve as a subject matter expert in client service operations. You will analyze performance data, forecast trends, and present insights to support planning and strategic decisions.

You will partner with provider groups and account managers to develop and implement business solutions, maintaining strong day-to-day relationships and driving revenue, quality metrics, and operational improvements across the

Qualifications

• 5+ years in a related medical field or health plan setting.
• Experience with Medicare operations including HEDIS, CMS reimbursement models, and Medicare Advantage.
• Experience developing long-term positive working relationships.
• Experience communicating and facilitating strategic meetings with groups of all sizes.
• Experience working independently, using good judgment and decision-making.
• Experience conducting performance evaluations to identify performance measures or indicators and the actions needed to improve performance.
• Knowledge of state and federal laws relating to Medicare.
• Proficiency in Microsoft Word, Excel and PowerPoint.
• Reliable transportation and willingness to travel up to 70%.

Responsibilities

• Analyze risk pool and provider group performance to identify improvement opportunities.
• Develop strategies and action plans aligning provider pools with company initiatives, goals and quality outcomes.
• Drive processes and improvement initiatives impacting revenue and quality metrics.
• Use data to identify trends and opportunities for the business and clients.
• 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.
• Maintain stakeholder relationships and support services with leadership and departments.
• Communicate effectively with physicians, staff and internal teams.

Skills

Healthcare operations

Relationship building

Strategic meetings

Analytical thinking

Decision making

Communication skills

Travel readiness

Tools

Microsoft Word

Excel

PowerPoint

Job description

UnitedHealth Group in Knoxville, TN, is seeking a Senior Provider Engagement Specialist to serve as a subject matter expert in client service operations. You will analyze performance data, forecast trends, and present insights to support planning and strategic decisions.

You will partner with provider groups and account managers to develop and implement business solutions, maintaining strong day-to-day relationships and driving revenue, quality metrics, and operational improvements across the