Sr. PBM Client Implementation Project Manager - Remote

Reposted Yesterday
Hiring Remotely in Costa Mesa, CA, USA
In-Office or Remote
92K-164K Annually
Senior level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Role
Lead end-to-end client onboarding and implementation of pharmacy benefit plans. Serve as primary client contact, coordinate cross-functional teams (formulary, specialty, networks), manage risks and audits, present to stakeholders, track and report implementation status, and mentor implementation team members. Travel 20-25%.
Summary Generated by Built In
Requisition Number: 2374327
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.
Optum is working to create the health care system of tomorrow. We are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we are doing a lot of good.
Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.
Come to Optum, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
  • Manage the entire client on - boarding project for implementation, main contact for the client
  • Conduct the client benefit discussions with all parties and ensure client sign - off for their benefit intent forms
  • Coordinate efforts with internal departments for the creation of formulary, specialty products and pharmacy networks
  • Coordinate formulary / specialty disruption analysis to impacted membership
  • Work with Operations, and Functional leaders to proactively identify implementation issues and drive their resolution
  • Develop and present presentations for new business customer finalist presentations with Sales
  • Facilitate meetings at various levels of the organization, including management weekly reviews
  • Monitor, track and report implementation status and performance, internally and the client
  • Identify implementation risks, implement a mitigation / action plan and drive improved outcomes, communicate to senior leadership
  • Manages the implementation of pharmacy benefit plans for all direct business market types
  • Ensure accuracy of plan updates and missed deliverables from all teams
  • Manage pre - implementation audits with the audit department and the client
  • Ability to mentor other team members within Implementation
  • 20 - 25% travel

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 experience in Pharmacy Benefit Management
  • 2+ years in a Client Facing role
  • 2+ years of Implementation project management experience or account management new or existing client implementations
  • Proficiency with Microsoft Outlook, Excel, PowerPoint and Word (Outlook - manage email / Excel - input data and run reports / PowerPoint - create and edit presentations / Word - create and edit documents)
  • Solid experience in influencing externally with soft power, driving cross - functional collaboration, and negotiating win - win solutions
  • Proven ability to present to all levels of management and audiences
  • Proven ability to ascertain client needs through active listening skills, and consultatively work with clients to achieve business objectives
  • Proven effective skills for navigating and driving results across operations, network, and clinical domains in a highly complex, matrix environment

Preferred Qualifications:
  • PMP Certification
  • Certified Pharmacy Technician
  • Experience managing complex projects with various stakeholders
  • Proficiency with Microsoft Project

*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 $91,700 to $163,700 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.
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.

Skills Required

  • 2+ years of experience in Pharmacy Benefit Management
  • 2+ years in a Client Facing role
  • 2+ years of Implementation project management experience or account management new or existing client implementations
  • Proficiency with Microsoft Outlook, Excel, PowerPoint and Word
  • Experience influencing externally, driving cross-functional collaboration, and negotiating win-win solutions
  • Proven ability to present to all levels of management and audiences
  • Proven ability to ascertain client needs through active listening and consultative engagement
  • Proven skills for navigating and driving results across operations, network, and clinical domains in a complex matrix environment
  • PMP Certification
  • Certified Pharmacy Technician
  • Experience managing complex projects with various stakeholders
  • Proficiency with Microsoft Project

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
Metro Manila, Philippines
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Atlanta, GA
Baltimore, MD
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Madison, WI
Minneapolis, MN
Nashville, TN
New Delhi, India
Philadelphia, PA
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Pune, India
Raleigh, NC
San Diego, CA
Washington, DC
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