Remote PBM Specialty Strategy Director

Optum; Eden Prairie (MN); Remote; USD 112,700 - 193,200; Full time

Job summary

Optum is seeking a PBM Director of Specialty Strategy to design and execute HealthTrust's multi-year specialty strategy. Remote work within the U.S. and collaboration with HealthTrust, Optum Specialty, and OptumRx leaders are core.

The role requires expert knowledge of specialty pharmacy, market trends, and cross-functional execution to drive clinical outcomes, member experience, and cost of care for large healthcare clients. Strong executive communication is essential.

Qualifications

• 5+ years in healthcare, PBM, specialty pharmacy, managed care or healthcare consulting.
• 5+ years developing and driving strategic initiatives, business plans, and client-focused solutions.
• Demonstrated expertise in specialty pharmacy products, programs, clinical management strategies, and market trends.
• Proven experience serving as a strategic advisor to executive stakeholders and large healthcare clients.
• Solid understanding of specialty drug management, utilization trends, reimbursement models, and emerging therapies.
• Experience leading complex, cross‑functional initiatives and influencing outcomes across product, clinical, operations, contracting, and account management teams.

Responsibilities

• Develop and execute a multi-year specialty pharmacy strategic plan for HealthTrust that supports client goals and business growth objectives
• Serve as the primary specialty pharmacy subject matter expert and strategic advisor to HealthTrust leadership and stakeholders
• Act as the principal liaison between HealthTrust, Optum Specialty, and internal Optum Rx product, clinical, operational, and executive teams
• Identify, assess, and recommend specialty pharmacy solutions, programs, and innovations that improve clinical outcomes, member experience, and total cost of care
• Advocate for client priorities by bringing strategic recommendations, market intelligence, and emerging opportunities to product and business leaders
• Influence specialty product strategy and roadmap development based on HealthTrust's evolving needs and competitive market dynamics
• Oversee performance and delivery of all specialty pharmacy services and programs supporting HealthTrust
• Monitor specialty pharmacy trends, pipeline therapies, biosimilars, gene therapies, and regulatory developments to identify opportunities and risks
• Lead executive-level discussions, business reviews, strategic planning sessions, and client presentations
• Collaborate with account management, analytics, clinical, operations, and contracting teams to ensure successful implementation and execution of specialty initiatives
• Establish and monitor key performance metrics to evaluate specialty program effectiveness and achievement of client objectives
• Drive continuous improvement efforts and strategic initiatives that enhance value, differentiate offerings, and strengthen the HealthTrust partnership

Skills

Strategic planning

Executive communication

Cross-functional leadership

Financial acumen

Market intelligence

Job description

Optum is seeking a PBM Director of Specialty Strategy to design and execute HealthTrust's multi-year specialty strategy. Remote work within the U.S. and collaboration with HealthTrust, Optum Specialty, and OptumRx leaders are core.

The role requires expert knowledge of specialty pharmacy, market trends, and cross-functional execution to drive clinical outcomes, member experience, and cost of care for large healthcare clients. Strong executive communication is essential.