Optum Prior Authorization Jobs in Addison, TX (NOW HIRING)

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 talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Optum Specialty Pharmacy is one of the nation's largest specialty pharmacies, supporting patients with complex, chronic, and rare conditions, including autoimmune and inflammatory conditions, through high-touch clinical care and coordinated access to therapy.

As a Regional Account Manager (RAM), you will work directly with rheumatology, dermatology, and gastroenterology provider offices throughout the territory to help patients gain access to specialty medications. Your customers include physicians, advanced practice providers, medical assistants, referral coordinators, office managers, and prior authorization teams. You will serve as a trusted resource on specialty pharmacy services, patient support programs, access solutions, and prescription referral workflows while growing referral volume to Optum Specialty Pharmacy.

This is a field-based sales and account-management role with full ownership of a book of business and the resources of a Fortune 5 enterprise behind you. Successful RAMs are trusted partners to provider offices, highly organized account managers, strong territory strategists, and relentless advocates for patients navigating the specialty medication journey. They are curious, detail-oriented, proactive, and known for following through.

The right person does not just deliver individual results. They share what works, support teammates, and help raise the level of the entire team. We are looking for someone who genuinely wants this job and is motivated by both the business opportunity and the impact on patient access.

Primary Responsibilities:

• Develop and execute a territory business plan that grows specialty prescription referral volume and achieves revenue and growth goals
• Own and grow a defined book of business through disciplined account management, territory planning, relationship development, and follow-through
• Build trusted relationships across rheumatology, dermatology, and gastroenterology provider offices, including physicians, advanced practice providers, medical assistants, referral coordinators, office managers, and prior authorization teams
• Understand each office's referral workflow, uncover barriers to therapy access, and connect provider teams with specialty pharmacy, patient-support, and access solutions
• Present the value of Optum Specialty Pharmacy and partner with internal intake, pharmacy, clinical, and patient-access teams to support provider and patient needs from referral through onboarding
• Use Salesforce, territory data, dashboards, and business tools to prioritize opportunities, maintain accurate account information, track commitments, and grow the book of business
• Build productive relationships with pharmaceutical manufacturer field representatives and collaborate with sales leadership on priority accounts and therapies
• Demonstrate persistence, accountability, sound judgment, and the highest ethical standards while complying with UnitedHealth Group, HIPAA, and applicable government policies and regulations

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 specialty pharmacy, pharmaceutical, medical device, healthcare, and/or business-to-business sales
• Experience managing a territory and prioritizing competing opportunities
• Proficiency with Salesforce or a comparable CRM platform and Microsoft 365
• Proven track record of meeting or exceeding sales and revenue goals
• Demonstrated account-management experience owning, growing, and retaining a portfolio of accounts
• Proven solid attention to detail, organizational skills, and follow-through
• Proven effective verbal and written communication skills, with a proven in-person selling presence
• Valid driver's license, reliable transportation, and the ability to travel throughout the assigned territory
• Currently reside in the Dallas-Fort Worth Metroplex

Preferred Qualifications:

• Experience selling biologics or supporting autoimmune and inflammatory disease states
• Specialty pharmacy, buy-and-bill, or provider-administered therapy experience
• Experience working with rheumatology, dermatology, or gastroenterology practices
• Proven experience gaining access to and building relationships with healthcare providers and office staff
• Formal sales training, such as Challenger or an equivalent program

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 $60,000 - $130,000 annually based on full-time employment. This role is also eligible to receive bonuses based on sales performance. We comply with all minimum wage laws as applicable.

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.