Pharmacy Account Manager (Offshore) - Mandatory RxClaim & PBM Experience
Location: Gurugram, Noida, Hyderabad or Bangalore
We are looking for an experienced Pharmacy Account Manager with 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.
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work. SM
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Top Skills
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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Optum Offices
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.
