PBM Specialty Operations & Strategy Lead - Remote

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 in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.

The Specialty Operations & Strategy Lead is responsible for leading specialty pharmacy operations and pricing oversight for HealthTrust, ensuring programs and services are delivered effectively, financial performance is actively managed, and client objectives are achieved. The role also contributes to specialty strategy by identifying operational, pricing, and market opportunities that support the evolving needs of HealthTrust.

The role is accountable for operational performance across the specialty pharmacy portfolio, including service delivery, pricing governance, financial monitoring, issue resolution, and continuous improvement. This position works closely with HealthTrust, Optum Specialty, and Optum Rx stakeholders to ensure specialty products, programs, and services deliver clinical value, competitive pricing, a solid member and provider experience, and achievement of client program objectives.

Working across operations, pricing, contracting, clinical, analytics, product, and account management teams, this individual provides day-to-day leadership, establishes accountability, monitors performance, and drives timely execution of specialty initiatives. The role requires a deep understanding of specialty pharmacy operations, pricing methodologies, financial drivers, and emerging market dynamics, along with the ability to lead complex cross-functional work and build trusted client and executive relationships.

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

Primary Responsibilities:

• Lead the operational performance and delivery of specialty pharmacy services and programs supporting HealthTrust • Provide oversight of specialty pricing, financial performance, guarantees, and related contractual commitments • Establish governance, operating routines, and accountability across HealthTrust, Optum Specialty, and Optum Rx teams • Monitor service levels, operational metrics, pricing results, and client outcomes; identify risks and lead corrective actions • Partner with pricing, underwriting, contracting, finance, and analytics teams to evaluate specialty cost drivers and support competitive, sustainable pricing • Lead issue resolution and escalation management for complex specialty operational, pricing, and service matters • Collaborate with clinical, product, account management, and operations teams to ensure successful implementation and execution of specialty initiatives • Drive continuous improvement efforts that strengthen operational efficiency, service quality, financial performance, and the HealthTrust partnership • Serve as the primary specialty pharmacy subject matter expert and operational advisor to HealthTrust leadership and stakeholders • Lead business reviews, operational planning sessions, pricing discussions, and client presentations • Assess specialty pharmacy trends, pipeline therapies, biosimilars, gene therapies, and regulatory developments for operational and financial impact • Contribute to specialty strategy and roadmap decisions by bringing forward client needs, performance insights, market intelligence, and practical recommendations