Top Tech Jobs & Startup Jobs

Manage day-to-day specialty PBM account relationships and service delivery for employer/group clients. Own escalations, coordinate implementations, lead operational maintenance, conduct root-cause analysis, drive process improvements, manage reporting and pricing negotiations, mentor junior staff, and ensure performance guarantee compliance.

Lead enterprise data architecture and AI strategy: define target-state architectures, run hands-on pilots/proofs-of-concept, design semantic/metadata/knowledge systems, evaluate emerging AI (RAG, vector/embedding, agentic patterns), author reference architectures and data contracts, establish governance/privacy/security/AI safety, and align multi-year platform investments across engineering, security, legal, and compliance.

Lead software engineering strategy and platform modernization for Utilization Management, migrate Behavioral Health and Home & Community UM to the OCM platform, integrate enterprise AI and automation, establish architecture and DevOps standards, drive AI workforce transformation and ethical governance, manage budgets and global engineering teams, and partner with executive stakeholders to improve clinical workflows and care delivery.

Manage and grow a portfolio of large self-funded employer accounts (5,000+), drive renewals and profitability, develop client-specific strategic plans, coordinate internal teams for service delivery, conduct presentations and RFP responses, and maintain senior-level client and broker relationships.

Sell home health and hospice services by building relationships with referral sources, delivering presentations and community education, documenting sales activities, and coordinating between referral partners, patients/families, and agency staff to grow referrals and market share.

Support financial analysis, reporting, forecasting, and decision support for Optum Health. Partner cross-functionally to evaluate pricing, contracts, and value-based care performance, build standardized reports and dashboards, track remediation initiatives, and drive process automation and executive-ready presentations.

Lead pharmacy communications for Optum Rx: develop and implement strategic internal and external communications, manage media and issues, advise executives, drive stakeholder engagement (including government and policy audiences), partner cross-functionally, and use data to measure and optimize campaigns.

Lead and grow a regional home health sales organization by hiring, coaching, and managing Account Executives to achieve admit and census goals. Develop sales strategies, share best practices, partner with operations leadership, implement corporate initiatives, and drive market share growth while addressing performance gaps and operational challenges.

Monitor and analyze inventory metrics daily, assign work to meet KPIs, produce reports and dashboards, lead operations inventory meetings, escalate and resolve inventory issues, and collaborate with operations to improve processes and staffing.

Answer inbound customer calls about benefits, eligibility, billing, authorizations and EOBs; identify issues, educate/redirect callers, work reports while on calls, and meet efficiency, accuracy, quality, satisfaction and attendance targets.