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SVP Underwriting - OptumRx - 2216110

UnitedHealth Group

UnitedHealth Group

Eden Prairie, MN, USA
Posted on Monday, June 10, 2024

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

This leader will report directly to the Chief Pricing & Underwriting Officer of OptumRx and shares accountability for a $17B new sales revenue goal, $300M margin goal, and 98% retention rate goal. This leader will have daily interaction with Optum Rx Market Presidents and the OptumRx leadership team (CEO, COO, CFO). The span of influence crosses business segments (PBM, Home Delivery, and Specialty) and teams (Finance, Sales, Account Management, Industry Relations, and Network Relations). The Key responsibilities of this position include, leading all core Underwriting functions for OptumRx, managing a team of 65+ Underwriters from analysts to vice presidents, playing a leadership role in achieving OptumRx’s sales and renewal financial targets, interfacing with Rx Pricing, and cross functional teams to develop, implement, and continuously improve got to market pricing strategies, tactics, and designs. This leader will also be integral to the development of external market economic targets that will form the basis of plans and goals.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Core PBM Underwriting leader for all OptumRx Market Segments
    • External Health Plan
    • External Employer and Strategic Accounts
    • Public Sector
    • UHC E&I PBM
  • Lead OptumRx RFP approval process and executive leadership team communication
  • Will lead the development of a deep understanding of how ORx pricing in understood by the market and distribution channel and will develop channel specific strategies and tactics to improve how ORx competitiveness is valued within the marketplace
  • Ownership of Spreadsheet Strategy function to translate pricing strategy into tactics curated on a consultant specific basis
  • Strong tie into ORx competitive intelligence and pricing strategy team to ensure all relevant strategy and tactics are effectively incorporated into UW pricing tools
  • Developing feedback loop and communication plan to all relevant cross functional teams to increase ORx wide understanding of current and likely market trends
  • Conduct regular broad communication outreach regarding market trends to key internal constituencies
  • Strategy to incorporate/increase penetration of ORx product/services
  • Play a leadership role in achieving OptumRx’s sales and renewal financial targets
  • Lead strategic decision making through an in-depth understanding of OptumRx and all competitors, industry trends, market dynamics and internal key indicators
  • Interact with all levels of the organization; routinely with OptumRx executive leadership (CFO, CEO, and COO) to influence go to market strategies and long-range planning objectives
  • Drive strategic decision making that ultimately delivers on OptumRx revenue, margin, and retention targets established in Annual Business Plan
  • Provide exceptional team leadership with a focus on employee engagement, development, retention, and attracting top talent into the organization

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
  • 12+ years of experience with PBM pricing, underwriting or strategy
  • 5+ years of experience in a direct management role, leading and inspiring people at various levels within the organization
  • Experience managing scope and resources, and meeting timelines and budget targets
  • Client-facing experience, including negotiating and consulting with clients
  • Solid business and financial acumen, including solid financial analysis experience
  • Experience collaborating cross-functionally and communicating effectively and efficiently at multiple levels of large, complex organizations
  • Intermediate skills in MS Excel, MS Office product suite
  • Ability to travel up to 10%

Preferred Qualifications:

  • Advanced degree or MBA is highly desirable
  • Experience managing a P&L


  • Demonstrated strategic thinking coupled with a gritty and collaborative approach; ability to move fluidly from strategic to tactical with appropriate balance
  • Judgement to separate what’s important vs. “noise”, comfort with ambiguity
  • Deep systems thinking, ability to assess and anticipate program implications on the overall business
  • Ability to quickly synthesize large volumes of information and drive to business decisions
  • High detail orientation
  • Clear and succinct communication capabilities across varied audiences
  • Effective relationship building skills at all levels of the organization

Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island or Washington residents is $181,600 to $345,500. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.