The Role
Executive leader owning strategy, roadmap, and execution for Pharmacy Network and Pharmacy Revenue Cycle Management products. Oversee claims routing, eligibility, billing, edits, ePA, platform modernization, API capabilities, regulatory compliance, and revenue integrity. Partner with Engineering, Operations, Compliance, Sales, and Finance to deliver scalable products, lead launches, build product teams, and drive operational and financial performance.
Summary Generated by Built In
Requisition Number: 2372353
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.
The Vice President, Product - Pharmacy Network & Revenue Cycle Management (RCM) is responsible for executive leadership of Optum's Pharmacy Network and Pharmacy RCM product portfolio. This leader will own end-to-end product strategy, roadmap development, execution, and lifecycle management for solutions supporting retail, specialty, outpatient, and medical-adjacent pharmacy workflows. Responsibilities include oversight of claims routing, eligibility, billing, edits, electronic prior authorization (ePA), and related network and revenue cycle capabilities.
This role provides strategic leadership for platform modernization initiatives, API-driven product capabilities, regulatory readiness, revenue integrity, operational excellence, and scalable growth. The Vice President will partner across Product, Engineering, Operations, Compliance, Sales, Account Management, and Finance to deliver high-performing solutions that meet customer and market needs.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
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 $200,400 to $343,500 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.
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.
The Vice President, Product - Pharmacy Network & Revenue Cycle Management (RCM) is responsible for executive leadership of Optum's Pharmacy Network and Pharmacy RCM product portfolio. This leader will own end-to-end product strategy, roadmap development, execution, and lifecycle management for solutions supporting retail, specialty, outpatient, and medical-adjacent pharmacy workflows. Responsibilities include oversight of claims routing, eligibility, billing, edits, electronic prior authorization (ePA), and related network and revenue cycle capabilities.
This role provides strategic leadership for platform modernization initiatives, API-driven product capabilities, regulatory readiness, revenue integrity, operational excellence, and scalable growth. The Vice President will partner across Product, Engineering, Operations, Compliance, Sales, Account Management, and Finance to deliver high-performing solutions that meet customer and market needs.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
- Own the vision, strategy, roadmap, and execution for Pharmacy Network and Pharmacy Revenue Cycle Management products
- Lead a portfolio supporting pharmacy network operations, claims processing, eligibility services, billing, edits, ePA, and related pharmacy technology solutions
- Drive modernization of legacy and emerging platforms, including API-enabled capabilities and scalable product architectures
- Ensure operational excellence, revenue integrity, system reliability, and regulatory compliance across the product portfolio
- Partner with Engineering and Technology leaders to prioritize investments, enhance platform capabilities, and accelerate product delivery
- Collaborate with Operations, Compliance, Sales, Account Management, and Finance stakeholders to align product investments with business priorities and customer requirements
- Lead major product launches, platform enhancements, and operational readiness activities
- Build and develop high-performing teams of Directors, Product Managers, Technical Program Managers, and emerging leaders
- Establish performance metrics and accountability frameworks that support growth, customer satisfaction, operational efficiency, and financial performance
- Represent the product organization with senior executives, customers, strategic partners, and industry stakeholders
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:
- Bachelor's degree or equivalent experience
- 10+ years of progressive leadership experience in product management, healthcare technology, pharmacy technology, revenue cycle management, or related healthcare services
- Experience leading large cross-functional product organizations
- Demonstrated success developing and executing enterprise product strategies
- Experience partnering with technology, operations, compliance, and commercial organizations
- Proven ability to manage complex, highly regulated products and services
- Experience leading strategic initiatives across multiple business functions
- Solid executive communication, stakeholder management, and organizational leadership skills
Preferred Qualifications:
- Advanced degree in Business, Healthcare Administration, Pharmacy, Technology, or a related field
- Pharmacy, PBM, claims processing, healthcare transactions, network management, or revenue cycle management experience
- Experience managing large-scale platform modernization efforts
- Knowledge of healthcare regulatory requirements and compliance frameworks
- Experience managing significant revenue-generating products and portfolios
- Experience working with national health plans, providers, pharmacies, or healthcare technology organizations
*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 $200,400 to $343,500 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
- Bachelor's degree or equivalent experience
- 10+ years of progressive leadership in product management, healthcare technology, pharmacy technology, revenue cycle management, or related healthcare services
- Experience leading large cross-functional product organizations
- Demonstrated success developing and executing enterprise product strategies
- Experience partnering with technology, operations, compliance, and commercial organizations
- Proven ability to manage complex, highly regulated products and services
- Experience leading strategic initiatives across multiple business functions
- Strong executive communication, stakeholder management, and organizational leadership skills
- Advanced degree in Business, Healthcare Administration, Pharmacy, Technology, or related field
- Pharmacy, PBM, claims processing, healthcare transactions, network management, or revenue cycle management experience
- Experience managing large-scale platform modernization efforts
- Knowledge of healthcare regulatory requirements and compliance frameworks
- Experience managing significant revenue-generating products and portfolios
- Experience working with national health plans, providers, pharmacies, or healthcare technology organizations
Optum Compensation & Benefits Highlights
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Leave & Time Off Breadth — PTO accrues each pay period with eight paid U.S. holidays plus a floating holiday, and generous time away is consistently emphasized. This breadth supports planned and unplanned time off beyond standard vacation days.
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Parental & Family Support — Six weeks of paid parental leave, up to two weeks of paid caregiver leave, Bright Horizons back‑up care, and adoption assistance signal strong family-oriented support. EAP access with counseling sessions further extends help to employees and their households.
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Wellbeing & Lifestyle Benefits — Company‑paid short‑ and long‑term disability, Calm app membership, tuition reimbursement, commuter and FSA accounts, and broad employee discounts expand everyday wellbeing resources. Free or low‑cost virtual visits complement these lifestyle supports.
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The Company
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
