Senior Vice President, OptumRx Capabilities

Improve the lives of others while Caring. Connecting. Growing together.

Job Description - Senior Vice President, Optum Rx Capabilities (2370963)

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 to start Caring. Connecting. Growing together.

At Optum Rx, we are transforming pharmacy care—modernizing how medications are accessed, managed, and delivered to improve outcomes, reduce costs, and create a more seamless experience across members, providers, clients, and pharmacists.

As part of our Senior Leadership Team, this role will lead the Optum Rx capability strategy and execution across pharmacy and PBM operations—advancing our ambition to become the most transparent and innovative Pharmacy Care Services organization.

The SVP, Rx Capabilities is a critical Rx leader responsible for enabling large scale transformation across Rx. This role is defining and delivering the capabilities, platforms, and technology investments that enable Optum Rx strategy.

This role drives transformation across the full pharmacy and PBM ecosystem—powering growth, improving quality and speed to therapy, and delivering differentiated experiences through AI, automation, and modern platforms.

The leader will guide the organization toward an intelligent, continuously orchestrated Pharmacy Care Services model, unlocking significant Rx-wide value while enhancing outcomes and experiences at scale.

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

For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

• Translate Optum Rx strategy into capability roadmaps, technology investments, and delivery plans
• Lead cross-functional alignment across product, operations, clinical, and technology to deliver scalable capabilities
• Ensure delivery of capabilities that support base offerings, new products, and client commitments
• Ensure all capabilities meet federal, state, and contractual regulatory requirements. Lead proactive compliance readiness and execution across evolving healthcare regulations
• Lead the transformation to an AI native Pharmacy and PBM, leveraging AI as the control layer across operations and experiences
• Drive large-scale deployment of AI-powered assistants, digital workforce capabilities, and intelligent automation across member, provider, client, and workforce journeys
• Establish and execute a multi-year AI roadmap that drives measurable business value and operational transformation

• Reduce provider abrasion by simplifying prior authorization and integrating workflows into EHR ecosystems
• Enable seamless, digitally driven member and prescriber experiences with transparency, choice, and affordability at the point of care
• Drive Rx-wide efforts to improve NPS and experience outcomes across stakeholders

• Lead transformation of PBM and pharmacy operations through automation, platform modernization, and workflow redesign
• Improve throughput, quality, and efficiency by reducing manual effort and optimizing end-to-end workflows
• Deliver measurable operational and financial outcomes through capability investments

• Oversee the development of Rx-wide platforms that power pharmacy and PBM operations (e.g., prior authorization, fulfillment, plan build, pricing)
• Ensure high-quality delivery through strong governance, delivery assurance, and adoption
• Align capital allocation to highest-value initiatives and ensure benefits realization
• Deliver against Rx value targets, including cost…