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UnitedHealth Group
Eden Prairie, Minnesota, United States
(on-site)
Posted
23 hours ago
UnitedHealth Group
Eden Prairie, Minnesota, United States
(on-site)
Job Type
Full-Time
Vice President, Product - Pharmacy Network & Revenue Cycle Management
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Vice President, Product - Pharmacy Network & Revenue Cycle Management
The insights provided are generated by AI and may contain inaccuracies. Please independently verify any critical information before relying on it.
Description
OptumInsightis 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, andultimately consumers. Our deepexpertisein the industry and innovative technology empower us to help organizations reduce costs while improving risk management,qualityand revenue growth. Ready to help us deliver results that improve lives?Join us to startCaring. 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'llenjoy 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'llbe 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 asprovidedevelopment 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 berequiredto 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,locationand 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 marginalizedgroupsand those with lower incomes. We are committed to mitigating our impact on the environment and enabling and deliveringequitablecare 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 adrug -free workplace. Candidatesare required topass a drug test before beginning employment.
Requisition #: 2372353
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Requirements
Job ID: 85107989

UnitedHealth Group
Insurance
California
,
United States
At UnitedHealth Group, the mission is to help people live healthier lives. To achieve this goal, we are focused on building a modern, adaptable, innovative and inclusive system of health care services. Our scale and potential to improve health makes us one of the most visible stewards of America’s vast health care system. Entrusted with both important resources and responsibilities, we are involved on a daily basis in decision-making that has life-changing consequences for millions of Americans.
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