Pharmacy Account Manager (Offshore) - Mandatory RxClaim & PBM Experience
Location: Gurugram, Noida, Hyderabad, Chennai or Bangalore
We are looking for an experienced Pharmacy Account Manager to support our Onshore Pharmacy Account Management team through strong operational coordination, proactive planning, and reliable execution. This role is critical in ensuring seamless internal collaboration, maintaining high-quality service delivery, and driving continuous process improvements.
Key Responsibilities
Operational & Account Management
- Read, analyze, and interpret SOPs and operational reporting.
- Partner with cross-functional teams in a complex matrix environment to ensure high-quality service delivery.
- Review and evaluate current processes to identify efficiency and improvement opportunities.
- Facilitate resolution of escalated requests by coordinating with internal stakeholders.
- Address non-standard issues by translating concepts into actionable solutions.
- Manage complex daily tasks while closely collaborating with PAM team members and leaders.
Process Improvement & Reporting
- Proactively identify and support process improvement initiatives.
- Provide ongoing communication to leadership regarding concerns, risks, and feedback.
- Document and share best practices across teams.
- Serve as a Subject Matter Expert (SME) for assigned operational areas.
- Support impact reporting, root cause analysis, remediation, and 1/1 readiness activities.
- Monitor new products/groups, perform scenario testing, and drive daily progress updates.
Additional Responsibilities
- Maintain accurate documentation and tracking across activities.
- Anticipate operational needs and assist with proactive planning.
- Perform additional duties as assigned by leadership.
Required Skills & Qualifications
- Mandatory: RxClaim experience (Benifit Operations Manager or CS preferred).
- Mandatory: Pharmacy Benefit Management (PBM) experience with ability to work on reporting, issue management, and claims adjudication tools.
- Graduate
- Strong analytical, critical-thinking, and problem-solving capabilities.
- Prior experience in Account Management or supporting operational teams.
- Ability to work independently in a fast-paced production environment and manage multiple priorities.
- Experience with internal applications and reporting systems.
- Excellent communication skills, a positive attitude, and strong professionalism.
- Proficiency in Microsoft Office (Teams, Excel, Word, PowerPoint, SharePoint).
- Experience in project coordination or facilitation is a plus.
- Self-driven with the ability to seek stretch opportunities and expand skillsets.
Optum Compensation & Benefits Highlights
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Healthcare Strength — Health coverage offers multiple plan types with employer HSA contributions, in‑network preventive care at 100%, and included 24/7 virtual visits, alongside dental and vision options. This breadth allows predictable copay choices or tax‑advantaged HSA designs to fit different usage needs.
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Retirement Support — Retirement programs include a 401(k) with employer match eligibility and full vesting over time plus an Employee Stock Purchase Plan at a discount. Together these elements support long‑term savings and ownership.
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Parental & Family Support — Family supports include six weeks paid parental leave, paid caregiver leave, adoption assistance, and subsidized Bright Horizons back‑up care. Emotional well‑being resources like a premium Calm subscription and a 24/7 EAP complement these supports.
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What We Do
Optum, part of the UnitedHealth Group family of businesses, 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. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.
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Hybrid Workspace
Employees engage in a combination of remote and on-site work.
Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.
