Manager, Pharmacy Payor Services - Remote

Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind Caring. Connecting. Growing together.

The Manager, Pharmacy Payor Services leads the development and successful implementation of pharmacy services, including but not limited to client's payor enrollment, contracting, and payor credentialing & reporting . The Manager, Pharmacy Payor Services is expected to build solid collaborative relationships with key leaders, and stakeholders within CPS Solutions, LLC, as well as client leaders, and key stakeholders across the CPS Solutions book of business. In addition, the Manager will engage with senior leaders, clients, and key stakeholders to ensure the optimal utilization of technology, and all services provided by the CPS program.

You'll enjoy the flexibility to work remotely as you take on some tough challenges.

Primary Responsibilities:

• Facilitate and assist in the development of client-specific specialty and Ambulatory pharmacy payor implementation plans
• Assist in the development and successful execution of integrated plans for the delivery of payor enrollment and other key initiatives
• Being an essential and critical business partner with client and CPS Solutions leadership teams
• Collaborate on the ongoing assessment of existing payor pharmacy practices and initiatives
• Support a collaboration between clients' pharmacy, medical contracting and key stakeholder to leverage organizational, pharmaceutical and medical expertise to develop and maximize payor programs, strategy and access
• Execute upon goals, strategies, and tactics to ensure ongoing client success
• Be integral in the development of specialty pharmacy operations related to payor relations and lead the progression of the pharmacy culture
• Promote and assure a high level of collaboration and coordination in the development and consistently successful payor strategy execution
• Identify opportunities and issues that impact client services and performance by engaging key stakeholders to plan, develop, and successfully execute timely and appropriate initiatives and solutions that result in appropriate performance improvement
• Establish systems to manage external relationships with third-party payors on behalf of CPS clients
• Under the direction of senior leaders and in collaboration with strategic business partners, clients, and key stakeholders
• Provide leadership and direction in the development and successful execution of integrated strategies for the implementation and utilization of proprietary pharmacy IT payor platform to achieve high quality documentation of payor successes

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 in a health care related field or in lieu of degree, comparable industry experience
• Related Payor Relations experience in Specialty Pharmacy to include: Experience managing and/or collaborating with pharmacy payors,
• Proficient with Microsoft tools: Outlook, Teams, Word, Excel and PowerPoint
• Able to travel up to 60% of the time by plane or car
• Able to meet company standards for an MVR
• Driver's License and access to reliable transportation

Preferred Qualifications:

• 3+ years Payor experience
• 2+ years of successful internal and external leadership through relationship management

*All employees working remotely will be required to 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 $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

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 a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Client-provided location(s): Kansas City, MO

Job ID: UHG-2324717

Employment Type: FULL_TIME

Posted: 2025-11-24T20:16:57