Sr. Account Manager PBM Service Delivery - Remote - Remote Eligible

Senior Account Manager

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The Senior Account Manager serves as the primary liaison between OptumRx and the Health Plan team, ensuring seamless coordination of activities across multiple internal departments to deliver best-in-class service. This role is responsible for leading cross-functional collaboration with operational partners to ensure all client requirements and contractual obligations are met. Success in this position requires the ability to proactively anticipate client needs, develop strategic action plans, and drive execution with accountability. Building and maintaining strong relationships both internally and with key client stakeholders is essential to achieving high levels of client satisfaction. As a key member of the account team, the Senior Account Manager supports the Senior Director of Account Management in driving client retention, growth, and operational delivery. The role requires a high-performing individual with strong communication skills and a deep understanding of the healthcare landscape, including the broader healthcare system and government markets.

You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Conduct regular client action log meetings to proactively review client-specific activities, track progress against work plans, and ensure alignment on priorities, timelines, and deliverables.
• Execute against client contract terms and conditions, including monitoring, supporting, and reporting on performance guarantees
• Partner with operational teams to ensure clear understanding and execution of client contractual requirements, goals, and processes
• Serve as the primary OptumRx contact for the tactical, day-to-day management of assigned Health Plan client processes and inquiries
• Coordinate member outreach initiatives, participating as needed
• Collaborate with internal partners to manage client issues, track and report on resolution metrics, and proactively identify, escalate, and resolve systemic or global concerns
• Partner with Data Analytics to monitor data integrity and file exchange processes, ensuring accurate reporting and communication of status to the client
• Support program and product implementations in collaboration with Strategic Partnership and cross-functional teams
• Partner closely with Regulatory and Policy teams to interpret and operationalize regulatory requirements, ensuring compliance and alignment with client contracts and industry standards.
• Perform other duties as assigned in support of client needs and broader organizational objectives

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• 3+ years of experience in PBM Client Management or Client Support role
• 3+ year of experience working in PBM operations
• 1+ years of experience with managing and ensuring compliance with PBM Government markets
• 1+ years of experience navigating and handling complex PBM client issues
• Proficiency with RxClaim or Claims Adjudications Platforms
• Proficiency with MS Suite (Outlook, Word, Excel, PowerPoint, TEAMs)

Preferred Qualifications:

• PBM Client Management experience working with HealthPlan clients
• PBM reporting experience
• Complex issue resolution and remediation experience
• Ability to use PBM tools to drive operational activities (reporting, issue management, claims adjudication)
• Multiple LOB experience (Commercial, ACA, Medicaid, Medicare Part D)
• Proven solid written and verbal communications skills
• Proven solid organizational skills

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.