Remote Senior Strategic Account Executive — Healthplans

Optum; Eden Prairie (MN); On-site; USD 113,000 - 193,000; Full time

Job summary

Optum is seeking a Sr. Strategic Account Executive to manage ongoing contract relationships and service delivery for large, complex client accounts across the healthcare/PBM space.

This senior role requires autonomy, initiative, and the ability to navigate dynamic client environments, coordinating with cross-functional teams to drive retention and growth. You will lead strategic account plans, engage executive stakeholders, and deliver business reviews while guiding renewal activities and growth

Qualifications

• 5+ years of client relationship management and/or account management experience.
• 2+ years of experience managing large, complex client accounts with multiple stakeholders.
• 2+ years of experience within healthcare, PBM, or related industry.
• Experience with contract renewals, client negotiations, and working through amendments with legal/contracting teams.
• Experience analyzing performance, delivering business reviews, and communicating value to clients.
• Demonstrated ability to independently lead client interactions and drive outcomes in a high-visibility environment.

Responsibilities

• Serve as the primary point of contact for assigned accounts, owning the overall client relationship and day-to-day service delivery.
• Demonstrate initiative by independently leading client conversations, including complex topics, with minimal oversight.
• Develop and execute strategic account plans focused on client retention, performance improvement, and long-term growth.
• Build and maintain multi-level client relationships, including executive stakeholders, and act as a trusted advisor.
• Navigate complex client dynamics with professionalism and accountability.
• Lead client contract renewal activities with a focus on retention and profitability.
• Partner with sales and internal stakeholders to identify and support growth opportunities (cross-sell/upsell).
• Monitor and manage financial guarantees, reporting, and reconciliation activities, including audits.
• Deliver quarterly and ongoing business reviews with insights on performance, cost drivers, utilization, and strategic recommendations.
• Collaborate cross-functionally to implement solutions and continuously improve client outcomes.
• Identify risks/opportunities and drive process improvements; contribute to innovation across teams.
• Provide guidance and leadership to team members to foster a collaborative, high-performing environment.

Skills

Client relationship management

Account management

Healthcare / PBM knowledge

Contract negotiations

Analytics / performance reviews

Executive communication

Cross-functional collaboration

Travel flexibility

Presentation skills

Self-directed initiative

Job description

Optum is seeking a Sr. Strategic Account Executive to manage ongoing contract relationships and service delivery for large, complex client accounts across the healthcare/PBM space.

This senior role requires autonomy, initiative, and the ability to navigate dynamic client environments, coordinating with cross-functional teams to drive retention and growth. You will lead strategic account plans, engage executive stakeholders, and deliver business reviews while guiding renewal activities and growth