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Optum Pbm Jobs (NOW HIRING)

... Optum, CVS Caremark, Prime, Humana, and MedImpact. You will operate at the intersection of ... Own a portfolio of large, complex PBM partnerships with significant revenue impact -managing the ...

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Optum is a global organization that delivers care, aided by technology to help millions of people ... PBM experience * Advanced knowledge of NCPDP and other types of prescription drug claims * Working ...

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Optum Pbm information

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$23.5K

$37.7K

$51K

How much do optum pbm jobs pay per year?

As of Jun 12, 2026, the average yearly pay for optum pbm in the United States is $37,714.00, according to ZipRecruiter salary data. Most workers in this role earn between $33,500.00 and $41,500.00 per year, depending on experience, location, and employer.

Who is the CEO of Optum PBM?

The CEO of Optum, which includes Optum Prescription Benefit Management (PBM), is Andrew Witty. He has been leading the company since 2018, overseeing its healthcare services and pharmacy benefit management operations.

Does Optum have a PBM?

Optum, a healthcare services company, operates a pharmacy benefit management (PBM) called OptumRx. As a PBM, OptumRx manages prescription drug benefits for health plans, employers, and government programs, handling formulary management, claims processing, and pharmacy network services.

What are some common challenges faced by professionals working in Optum PBM roles, and how can they be addressed?

Professionals in Optum PBM roles often encounter challenges such as navigating complex pharmacy benefit structures, managing evolving regulatory requirements, and balancing the needs of clients, members, and pharmacies. Effective communication and collaboration with cross-functional teams—such as clinical, IT, and client services—are essential to address these challenges. Staying current with industry trends and participating in ongoing training can also help team members adapt and succeed in this dynamic environment.

What is Optum PBM?

Optum PBM, or Optum Pharmacy Benefit Management, is a division of Optum (part of UnitedHealth Group) that manages prescription drug benefits on behalf of employers, health plans, and government programs. As a PBM, Optum negotiates with drug manufacturers and pharmacies to control costs and improve access to medications for members. They also provide services such as formulary management, mail-order pharmacy, and clinical programs to ensure safe and effective medication use. Optum PBM aims to balance cost savings with quality care for its clients and their members.

What is the difference between Optum Pbm vs Pharmacy Technician?

AspectOptum PbmPharmacy Technician
CredentialsVaries; often requires certification or licensure depending on roleHigh school diploma or equivalent; certification preferred
Work EnvironmentCorporate healthcare setting, call centers, or administrative officesRetail or hospital pharmacy settings
Employer & IndustryHealthcare and pharmacy benefit management companiesPharmacies, hospitals, or healthcare facilities
Job FocusManaging pharmacy benefits, processing claims, customer servicePreparing medications, customer assistance, inventory management

Optum Pbm roles focus on pharmacy benefit management, including claims processing and customer support, often requiring specialized certifications. Pharmacy Technicians work directly in pharmacies, assisting with medication preparation and customer service. While both roles are integral to healthcare, they differ in responsibilities, work environment, and required credentials.

How much PTO does Optum offer?

Optum Pbm typically offers paid time off (PTO) that varies based on factors such as tenure and employment status. Employees generally accrue PTO hours per pay period, with full-time staff often receiving around 15-20 days annually, plus additional holidays. Specific PTO policies can differ by location and role, so it is advisable to consult the company's HR resources or employment agreement for precise details.

What are the key skills and qualifications needed to thrive as a Pharmacy Benefit Manager (PBM) professional at Optum, and why are they important?

To thrive as a PBM professional at Optum, you need a solid understanding of pharmacy benefit management, healthcare regulations, and data analysis, often supported by a degree in pharmacy, healthcare administration, or a related field. Familiarity with pharmacy claims processing systems, formulary management tools, and industry certifications such as CPhT or PBM-specific training is typically required. Strong analytical thinking, attention to detail, and effective communication skills help professionals collaborate with clients, providers, and internal teams. These competencies are vital for optimizing pharmacy benefit plans, ensuring regulatory compliance, and delivering cost-effective, high-quality patient care.

How long is the Optum Pbm hiring process?

The Optum Pbm hiring process typically takes between two to four weeks, depending on the role and the number of interview stages involved. It often includes an initial application review, multiple interviews, and background checks, with candidates being informed of their status at each step.
More about Optum Pbm jobs
What cities are hiring for Optum Pbm jobs? Cities with the most Optum Pbm job openings:
What states have the most Optum Pbm jobs? States with the most job openings for Optum Pbm jobs include:
Infographic showing various Optum Pbm job openings in the United States as of June 2026, with employment types broken down into 2% As Needed, 57% Full Time, 39% Part Time, and 2% Contract. Highlights an 47% Physical, 7% Hybrid, and 46% Remote job distribution, with an average salary of $37,714 per year, or $18.1 per hour.
Sr. Director of PBM Health Plan Strategic Partnerships - Remote

Sr. Director of PBM Health Plan Strategic Partnerships - Remote

UnitedHealth Group

Eden Prairie, MN • Remote

Full-time

Retirement

Posted 14 days ago


UnitedHealth Group rating

7.5

Company rating: 7.5 out of 10

Based on 140 frontline employees who took The Breakroom Quiz

225th of 871 rated healthcare providers


Job description

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 Director of Health Plan Strategic Partnerships partners with our Health Plans clients on strategic initiatives to ensure future success.  The Senior Director leads a team of Strategic Account executive, who partners with our health plan executive team to analyze how current pharmacy trends interest with our clients' organizational goals and strategic growth initiatives.

The Senior Director will have the accountability for building, maintaining, and expanding relationships with client leadership and key client stakeholders relative to all of a client's lines of business.

This role will own the overall strategy for maintaining client satisfaction, establishing client expectations (in accordance with client contracts, agreed upon enhancements), communicating these expectations with functional Optum teams, developing client delivery plans, and ensuring consistent Optum execution that meets or exceeds client expectations.

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

Primary Responsibilities:

  • Partners with Client Executives and key business stakeholders to develop and execute a strategic client plan that addresses client's business needs (current and emerging), supports growth, provides measurable value, and increases client engagement / loyalty
  • Establishes, cultivates, and manages, the customer relationship at multiple levels, (executive suite to solution owners) serving as a trusted business advisor / partner to the client
  • Refines client strategy through continual discussions with client stakeholders, detailed understanding of client context, anticipation of client needs, and holds design sessions with relevant Optum leaders to define solutions and execution plans
  • Acts as "ambassador" for Optum at client, advancing Optum's interests with client stakeholders.   Represents and articulates value of Optum solutions to various levels within the client, including executives, decision makers and key influencers
  • Supports clients in winning and implementing new business across all applicable lines of business (Commercial, Medicare D, and Medicaid as necessary)
  • Ensures contract compliance, including negotiation and reporting of performance guarantees.  Negotiates contractual agreements, statements of work, serving as liaison with contracting / legal / finance
  • Constantly assesses the value our solutions are delivering and leads team members to develop approaches that increase the value we provide and / or increases the impact Optum has on the client's business
  • Engages cross functional client teams on the delivery of services, escalating issues where necessary and driving resolution.  Holds functional teams accountable to deliver against client requirements and expectations
  • Owns successful client renewal process, identifying expansion / enhancement opportunities, gauging client receptivity, facilitating contracting processes
  • Key liaison between client and Optum business leaders
  • Maintains accurate and current client plan in CRM System (SalesForce.com), including client planning, opportunity management, contact management, current solution footprint, etc.
  • Ensures Client Satisfaction and client willingness to serve as a reference

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:

  • 5 years of experience in strategic client relationship management within a PBM, or Health Plan with direct oversight of a PBM
  • 5 years of experience working with senior level c - suite executives and demonstrating progressively increasing responsibility
  • 2 years of experience leading a team to deliver results
  • 2 years of experience with PBM Medicaid Medicare client contract management
  • Profit & loss PBM client contract management experience
  • Experience messaging, positioning, and presenting information for maximum customer impact and influence (e.g. leading and coordinating Executive Review Committees, bi-annual summits, executive dashboards, Large Case Reviews, etc.)
  • Experience initiating project plans and successfully manage projects to full execution
  • Experience leading the RFP (Request for Proposals) process, finalist presentations and negotiating client contracts (specifically, Renewals and Market Checks)
  • Experience working with complex health care solutions (e.g., outsourced health care solutions)
  • Employee Engagement Experience, specifically, building high-performing teams, team engagement, and employee retention as documented by improved employee satisfaction scores
  • Proven team development/training/mentor experience including operationalizing development plans and ongoing training to support the team, client, market, and business needs
  • Ability to travel up to 25%

Preferred Qualifications:

  • 3 years of experience managing PBM health plan client contracts
  • Project management experience
  • Experience leading client management teams while managing client performance guarantees
  • Experience with PBM Medicare Part D and Medicaid
  • Experience with RXClaim
  • Experience with PBM rebates and values

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

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 $134,600 to $230,800 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 believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. 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.


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