Associate Director, Medicaid Account Management - Columbia, SC

Posted 2 Days Ago
Be an Early Applicant
Columbia, SC, USA
In-Office
113K-193K Annually
Junior
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Role
Lead day-to-day Optum operations for a State Medicaid pharmacy account, manage contract compliance and account team, coordinate cross-functional delivery of pharmacy program strategy, drive client satisfaction and retention, support renewals and special projects, and serve as primary client contact with periodic on-site presence.
Summary Generated by Built In
Requisition Number: 2376069
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 Associate Director, Medicaid Account Management will be responsible for account operations, coordinating solutions for client pharmacy program strategy, ensuring contract compliance, managing special projects, managing account team members, and serving as the Optum day-to-day operations point of contact with the State's pharmacy team. The position will report to the Optum Pharmacy Director on the account and have a leadership role on the team.
  • Position is expected to start in January 2027

If you are located in Columbia, SC, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
  • Manages ongoing contract relationships and service delivery
  • Acts as outward-facing, dedicated resource for assigned accounts, typically with direct client contact (not call center) and large or complex accounts
  • Builds relationships with client contacts and serves as the primary point of contact for overall and day-to-day service delivery
  • Represents client internally and coordinates with other functions to implement client systems, complete projects, and address ongoing service needs
  • Functions in a dedicated on-site service capacity
  • Works closely with sales on renewals and upselling
  • Contributes to segment NPS, EXI
  • Impacts work at the operational or local business unit or market level

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:
  • 2+ years of leadership experience supporting a State Medicaid account
  • Experience managing Medicaid systems operations, including benefits administration, reporting and analytics, and contract administration
  • Experience collaborating with cross-functional internal business partners to deliver on contractual obligations, support special projects, and resolve operational issues
  • Experience using a pharmacy claims processing system and reporting tools
  • Demonstrated knowledge of Medicaid pharmacy operations and the integration of pharmacy programs within the broader Medicaid Enterprise Systems (MES) environment
  • Proficiency in Microsoft Office applications, including Word, Excel, PowerPoint, and Outlook
  • Proven ability to lead and facilitate meetings, both in person and virtually through Microsoft Teams
  • Demonstrated success in driving client satisfaction and maintaining solid client retention
  • Demonstrated ability to work at the client location in Columbia, SC 25%-50% of the time

Preferred Qualifications:
  • Certified Pharmacy Technician (CPhT) certification and active pharmacy technician license
  • Experience with Optum Rx claims processing platform (RxClaim)
  • Experience with Optum Rx reporting and analytics platform (RxTrack)

*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 $112,700 - $193,200 annually based on full-time employment. 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.

Skills Required

  • 2+ years of leadership experience supporting a State Medicaid account
  • Experience managing Medicaid systems operations, including benefits administration, reporting and analytics, and contract administration
  • Experience using a pharmacy claims processing system and reporting tools
  • Demonstrated knowledge of Medicaid pharmacy operations and integration within Medicaid Enterprise Systems (MES)
  • Experience collaborating with cross-functional internal business partners to meet contractual obligations and resolve operational issues
  • Proficiency in Microsoft Office applications (Word, Excel, PowerPoint, Outlook)
  • Proven ability to lead and facilitate meetings in person and virtually (Microsoft Teams)
  • Demonstrated success in driving client satisfaction and maintaining client retention
  • Ability to work at the client location in Columbia, SC 25%-50% of the time
  • Pass a pre-employment drug test

What the Team is Saying

Optum Compensation & Benefits Highlights

  • Healthcare Strength Official materials highlight copay and HSA medical plan choices with in‑network preventive care at 100%, prescription coverage, and low/no‑cost virtual visits, plus company HSA contributions. Dental preventive services are 100% in network, and mental health resources include an EAP and premium Calm access.
  • Parental & Family Support Programs include six weeks paid parental leave, up to two weeks paid caregiver leave, and Bright Horizons back‑up care with enhanced family supports. Adoption assistance up to $10,000 for full‑time employees reinforces family‑oriented benefits.
  • Equity Value & Accessibility Financial benefits include an Employee Stock Purchase Plan at a 10% discount, expanding access to equity ownership.

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The Company
HQ: Eden Prairie, MN
160,000 Employees
Year Founded: 2011

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.

Typical time on-site: Not Specified
HQEden Prairie, MN
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