Account Manager - Pharmacy Benefits - Multiple Locations

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 Global Pharmacy Account Manager provides organized and reliable operational support to keep internal teams coordinated and on track. The role anticipates needs, supports proactive planning and ensures deliveries are met. Working closely with Domestic Pharmacy Account Management partners, this position maintains accurate documentation, tracks progress and contributes to continuous process improvement. As a dedicated back‑office partner, it enables the domestic PAMs to focus on client-facing responsibilities while Global manages supporting activities such as documentation updates, configuration coordination, testing support, reporting and remediation support.

Primary Responsibilities

• Read, analyze and interpret SOPs, client documentation and reporting to support accurate task execution
• Collaborate with multiple operational teams in a complex matrix environment to ensure high-quality, timely service delivery
• Review existing processes and identify improvement opportunities to enhance accuracy and efficiency
• Facilitate resolution of escalated requests by coordinating closely with internal partners
• Identify solutions to non-standard issues and translate them into actionable steps
• Manage assigned operational activities with daily interaction and alignment with PAM teams and PAM leaders
• Coordinate plan design change support, including documentation updates, configuration coordination, testing and validation
• Prepare or validate reports, ensuring accuracy and alignment with onshore expectations
• Support remediation work by helping define issue scope, coordinating root‑cause analysis steps and aligning with internal partners
• Maintain solid collaboration loops with onshore partners to ensure work is context‑rich, accurate and ready for client-facing validation
• Support readiness tasks including new product/group monitoring, scenario testing and progress updates
• Share best practices with peers and contribute to continuous improvement
• Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
  
  

• 3+ years of Pharmacy, OR Pharmacy Benefit Management (PBM) experience
• 3+ years of Account Management experience
• Rx Claim experience
• Account management experience with strong operational coordination skills
• Experience with benefit design and configuration processes, including comfort navigating plan design changes
• Experience using internal applications and ability to learn PBM tools (reporting systems, issue management platforms, claims adjudication tools)
• RxClaim experience (prior BOM or Customer Service for Rx considered solid fit)
• Pharmacy Benefit Management (PBM) experience or the ability to quickly learn PBM processes and tools
• Proficient in Microsoft applications (Word, Excel, SharePoint, Outlook, etc.)
• Proficiency with Microsoft Office applications including SharePoint, Teams, Excel, Word and PowerPoint
• Proven ability to work independently in a self‑motivated, structured and disciplined environment
• Proven solid analytical capabilities to interpret reports, identify trends and support issue scoping
• Proven critical thinking and the ability to translate ambiguous or non‑standard requests into clear actions
• Proven excellent communication skills, professionalism and positive partnership mindset when working with internal teams.
• Proven ability to manage and prioritize multiple tasks in a fast‑paced operational environment.
• Proven solid problem‑solving skills and comfort operating in a complex, cross‑functional matrix
• Proven project coordination and facilitation skills across multiple operational partners
• Ability to work a minimum 8-hour shift during regular business hours