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.
The Senior Capability Manager is responsible for leading the strategic alignment of client implementation activities with RxClaim intake, prioritization, and delivery processes. This role serves as the central point of coordination between client implementation teams, intake and demand management functions, capability management teams, and business stakeholders to ensure client requests are appropriately assessed, prioritized, communicated, and executed.
The position plays a critical leadership role in managing client-specific demand, balancing competing priorities, and driving operational excellence across the implementation lifecycle. The Senior Capability Manager ensures transparency, accountability, and alignment between business objectives, implementation timelines, and enterprise delivery capabilities while continuously advancing process maturity and organizational effectiveness.
This individual operates with a high degree of independence, influences cross-functional teams, and serves as a trusted advisor to leadership on implementation readiness, prioritization decisions, intake governance, and demand management strategies.
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.
Primary Responsibilities:
- Strategic Leadership & Capability Management
- Lead the alignment of client implementation processes with RxClaim intake, demand management, and prioritization frameworks
- Establish and maintain governance processes that ensure consistent evaluation, prioritization, and execution of client implementation requests
- Partner with leadership to balance business priorities, resource constraints, and delivery commitments across multiple initiatives
- Identify opportunities to improve intake efficiency, transparency, scalability, and overall capability maturity
- Client Implementation Demand Management
- Oversee the intake, assessment, tracking, and management of client implementation requests throughout the delivery lifecycle
- Monitor implementation pipelines and demand forecasts to ensure capacity planning and prioritization decisions support strategic objectives
- Facilitate prioritization discussions across business, operations, and technology teams to ensure alignment on delivery expectations
- Ensure implementation requests are routed to the appropriate solution path and delivery teams
- Stakeholder Engagement & Communication
- Serve as the primary liaison between client implementation teams, capability managers, business stakeholders, and leadership
- Provide clear and consistent communication regarding priorities, implementation status, risks, timelines, dependencies, and delivery commitments
- Drive stakeholder alignment and proactively manage escalations to minimize implementation impacts
- Prepare executive-level updates, decision materials, and recommendations to support leadership discussions
- Operational Excellence & Process Improvement
- Develop and implement metrics, reporting, and performance indicators to measure implementation effectiveness and intake performance
- Drive continuous improvement initiatives focused on intake governance, request management, prioritization frameworks, and implementation execution
- Identify process bottlenecks and partner with stakeholders to implement sustainable solutions
- Promote best practices and standardization across client implementation and intake management functions
- Risk & Issue Management
- Proactively identify implementation risks, resource constraints, competing priorities, and dependency impacts
- Facilitate mitigation planning and escalation management to support successful client delivery outcomes
- Ensure issues are documented, tracked, communicated, and resolved in a timely manner
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 or equivalent work experience
- 7+ years of experience in capability management, client implementation, program management, product management, operational leadership, or a related field
- Experience supporting healthcare, PBM, claims adjudication, or similar highly regulated operational environments
- Demonstrated experience managing intake processes, demand management functions, prioritization frameworks, or implementation governance
- Experience managing multiple complex initiatives with competing priorities and tight timelines
- Proven solid analytical, organizational, and problem-solving skills
- Proven excellent verbal, written, and executive-level communication capabilities
- Proven ability to influence cross-functional teams and drive alignment across business, operations, and technology organizations
Preferred Qualifications:
- Agile, SAFe, Product Management, or Project Management certifications
- Healthcare or PBM client implementation experience
- Experience with RxClaim, claims adjudication platforms, or pharmacy benefit management operations
- Experience with AHA/AHAS processes, demand intake frameworks, or portfolio management methodologies
- Experience implementing process improvement initiatives using Lean, Six Sigma, or similar methodologies
- Experience developing executive reporting, scorecards, dashboards, and performance metrics
- Knowledge of Agile, Product Management, Scrum, SAFe, or related delivery methodologies
Key Competencies / Skills
- Leadership & Influence
- Strategic thinking and decision-making
- Organizational leadership without direct authority
- Executive presence and stakeholder management
- Change leadership and organizational influence
- Demand & Portfolio Management
- Intake governance and prioritization
- Capacity planning and workload management
- Portfolio and demand management
- Risk assessment and mitigation
- Client & Operational Excellence
- Client implementation lifecycle management
- Process optimization and continuous improvement
- Escalation management and issue resolution
- Delivery planning and execution oversight
- Communication & Collaboration
- Executive-level communication
- Cross-functional team leadership
- Relationship building and stakeholder alignment
- Facilitation, negotiation, and conflict resolution
- Technical & Industry Knowledge
- RxClaim and PBM operations
- AHA/AHAS intake processes
- Agile and product delivery methodologies
- Data-driven decision making and performance measurement
*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 $112,700 - $193,200 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.
