Jobs at Optum

Lead product vision, strategy, and roadmap for Claim Review products. Collaborate with engineering, AI/ML, analytics, and GTM teams to build data-driven, cloud-based solutions. Prioritize features, measure KPIs, ensure successful launches, and scale client-proven innovations while monitoring market and regulatory trends.

Lead rebate modeling and pre-deal analytics for pharmaceutical formularies, forecast rebate opportunities, build rebate guarantee models, evaluate pricing risk, and support cross-functional teams on RFPs and strategic pricing to drive client growth and margin retention.

Lead rebate forecasting and optimization for pharmaceutical and medical drug rebates across client formularies. Analyze client and competitor formularies, advise underwriting and sales on rebate strategy, design pricing/plan options, audit forecasting tools, and present clear executive insights to support RFPs and margin retention.

Use advanced analytics and machine learning on complex healthcare datasets to identify patterns, design and prototype models, evaluate experiments, and translate insights into business solutions that improve patient outcomes and operational efficiency.

Lead cross-functional programs supporting product launches and operations: develop integrated plans, manage timelines and risks, coordinate stakeholders, prepare executive reporting and dashboards, analyze business and market data to generate actionable insights, and support vendor/manufacturer engagements.

Lead development of rebate and formulary strategies for pharmaceutical products on OptumRx and custom client formularies. Perform financial modeling and strategic analytics, collaborate cross-functionally with finance, clinical, legal and contracting teams, manage manufacturer relationships, apply OptumRx P&T clinical guidelines, and present recommendations to senior leadership.

Lead product strategy and execution for Provider Education and Coding Advisor products, define vision and roadmaps, collaborate with engineering/AI/analytics, measure KPIs and ROI, drive go-to-market and scale client-proven innovations, and monitor market and regulatory trends.

Lead commercial analytics for PBM formulary design, pricing, and benefit strategy. Translate business needs into analytical frameworks, evaluate financial and utilization trade-offs, support scenario analysis and forecasting, liaise between stakeholders and analytics teams, and produce executive-ready recommendations and presentations for clients and leadership.

The Lead Technical Product Manager will define product vision, strategy, and collaborate with teams to deliver clinical data solutions, ensuring measurable outcomes and facilitating agile practices.

Lead delivery of a large-scale claims audit platform transformation. Manage execution backlog, translate requirements into epics and user stories, coordinate cross-team dependencies, drive prioritization with Product, support PI planning, and communicate progress and risks to senior stakeholders.

Lead a Network Account Management team to define and execute PBM network strategy for health plan partners. Oversee client implementations, network transitions, stakeholder relationships, process improvements, sales strategy, market analysis, performance reporting, and cross-functional collaboration to drive affordability, growth, and customer satisfaction.

The Policy Manager develops and maintains reimbursement policies, ensures accurate coding updates, analyzes data, and provides expertise on reimbursement initiatives.

Lead a global exploratory ideation team within Payment Integrity to identify, validate, and convert new medical cost savings opportunities. Own pipeline prioritization, governance, financial reporting, forecasting, and delivery against savings targets. Partner with Product, Operations, and enablement teams to operationalize concepts into production and communicate progress and risks to senior leadership.

The Associate Director manages pharmaceutical manufacturer relationships to negotiate rebate discounts, leads cross-functional teams, and ensures compliance with corporate policies.

Manage relationships with pharmaceutical manufacturers as primary contact, coordinate cross-functional support, develop account strategies and operational processes, track performance metrics, conduct business reviews, and drive continuous improvement in Pharma Services.

Lead design and deliver scalable full-stack AI-enabled backend services and APIs, architect microservice platforms (Node.js/TypeScript, Python, Java), integrate with EHRs using FHIR, build AI/LLM pipelines and vector DB integrations, enforce PHI/security/compliance, implement IaC and CI/CD, and mentor/lead engineering teams across product, data science, and platform stakeholders.

The Product Manager will drive AI solution strategies, prioritize initiatives, and oversee the delivery of AI/ML products while ensuring stakeholder alignment and adoption in a hybrid work environment.

The Product Manager for AI/ML Solutions will manage product lifecycle, work in Agile teams, and improve business processes using AI/ML technologies.

The Senior Director guides network pricing strategies, aligning with regulations and managing financial performance while leading a team of analysts and collaborating across various departments.

Lead the development and implementation of advanced reporting and analytics tools to support clinical teams while managing a team of analysts. Collaborate cross-functionally to ensure high-quality deliverables and foster a high-performance culture.