Lead OptumRx's Underwriting team by optimizing financial performance, driving pricing strategies, and providing exceptional team leadership. Collaborate cross-functionally to influence market strategies and enhance operational outcomes with a focus on AI integration.
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.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
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:
Preferred Qualifications:
*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 $156,400 to $268,000 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.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Optimize financial performance through enhancements that balance pricing discipline and sales success with specific responsibility for OptumRx's Underwriting team leading external Health Plan pricing
- Evolve segment-specific bid strategy and decision making in lockstep with transformation initiatives and external positioning through an in-depth understanding of OptumRx and health plan competitors, industry trends, market dynamics and internal key performance indicators
- Interact with all levels of the organization; routinely with OptumRx Market Presidents to influence go to market strategies and goal setting. Regularly meet with OptumRx ELT leaders to drive goals, strategy, and build solid relationships
- Delivering all pricing strategies and objectives within established deadlines through active collaboration and engagement with the Sales and Account Management leadership team; identify and prioritize key areas of focus
- Drive strategic decision making that ultimately delivers on OptumRx revenue, margin, and retention targets established in Annual Business Plan; directly impact PBM, Specialty, and Home Delivery business segments
- Provide exceptional team leadership with a focus on employee engagement, development, retention, and attracting top talent into the organization
- Function as AI champion driving integration into tools and processes
- Lead and manage a team to achieve high quality outcomes and improve process targets driven by KPIs
- Develop capabilities to leverage market-driven insights that systematically turn intelligence into actionable recommendations and competitive practices
- Empower colleagues and key partners with targeted support that delivers strategic viewpoints and advisement driven by insights from key stakeholders
- Execute with agility by driving enterprise-wide "closed loop" collaboration that efficiently addresses market shifts
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:
- 8+ years of experience in financial pharmacy benefit management, working with the PBM pricing, underwriting or actuary
- 5+ years of experience in a direct management role, leading and inspiring people at various levels within the organization
- Client-facing experience, including negotiating and consulting with clients
- Experience collaborating cross-functionally and communicating effectively and efficiently at multiple levels of large, complex organizations
- Advanced skills in MS Excel, MS Office product suite
- Demonstrated solid business and financial acumen, including solid financial analysis experience
- Proven eagerness to drive AI integration
- Ability to travel up to 25%
Preferred Qualifications:
- Experience working with Health Plan clients
- Experience managing a P&L
*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 $156,400 to $268,000 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.
Top Skills
Excel
MS Office
Similar Jobs at Optum
An Hour Ago
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Medical Director reviews medical claims, ensures benefit coverage, communicates with healthcare providers, and maintains high quality of care.
Top Skills:
ExcelMs WordOutlook
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Medical Director oversees clinical operations and manages coverage determinations, collaborates with providers and staff to ensure quality care, and engages in clinical reviews and quality improvement processes.
Top Skills:
ExcelMs WordOutlook
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Medical Director manages clinical coverage and medical claims reviews, collaborates with teams, conducts coverage reviews, educates providers, and ensures quality medical care delivery.
Top Skills:
ExcelMs WordOutlook
What you need to know about the Boston Tech Scene
Boston is a powerhouse for technology innovation thanks to world-class research universities like MIT and Harvard and a robust pipeline of venture capital investment. Host to the first telephone call and one of the first general-purpose computers ever put into use, Boston is now a hub for biotechnology, robotics and artificial intelligence — though it’s also home to several B2B software giants. So it’s no surprise that the city consistently ranks among the greatest startup ecosystems in the world.
Key Facts About Boston Tech
- Number of Tech Workers: 269,000; 9.4% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Thermo Fisher Scientific, Toast, Klaviyo, HubSpot, DraftKings
- Key Industries: Artificial intelligence, biotechnology, robotics, software, aerospace
- Funding Landscape: $15.7 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Summit Partners, Volition Capital, Bain Capital Ventures, MassVentures, Highland Capital Partners
- Research Centers and Universities: MIT, Harvard University, Boston College, Tufts University, Boston University, Northeastern University, Smithsonian Astrophysical Observatory, National Bureau of Economic Research, Broad Institute, Lowell Center for Space Science & Technology, National Emerging Infectious Diseases Laboratories

