JAMIE YOUNG
@jamieyoung2
Director-level PBM and healthcare product leader driving implementation, delivery transformation, and operational excellence in regulated markets.
ZimbabweWhat I'm looking for
I’m a senior PBM and healthcare executive with 20+ years leading large-scale client implementation, delivery transformation, and operational excellence across pharmacy benefit management, specialty pharmacy, and health system environments. I’m known for disciplined execution in complex, highly regulated markets and for building cross-functional organizations across product, operations, clinical, underwriting, finance, technology, and compliance.
I lead enterprise implementation and support frameworks that improve delivery quality, scalability, and client experience across PBM, mail order, retail network, and specialty pharmacy channels. My work consistently strengthens client outcomes through data-driven performance management, continuous improvement, and strong executive stakeholder alignment—especially when requirements and transparency expectations evolve.
In my current role, I lead enterprise strategy and product development for retail network and modular, transparent, unbundled PBM solutions across a 125M-lives target market. I design competitive pricing frameworks, define market/RFP deal strategy, transform roadmaps across pricing and reimbursement to reduce variability, and govern a $3M+ product capital investment portfolio to improve ROI and visibility.
Across prior leadership roles, I’ve managed multimillion-dollar product portfolios and federal and commercial programs including TRICARE, Medicare, Medicaid, and employer segments. I’ve also led affordability and specialty/rare disease launches end-to-end, including SaaS pharmacy revenue cycle integrations and 340B program expertise—always with a focus on compliant delivery, measurable ROI, and sustained performance.
Experience
Work history, roles, and key accomplishments
Director, Product Development
OptumRx
Jan 2025 - Present (1 year 5 months)
Led enterprise strategy and product development for retail network and modular, transparent PBM solutions across a 125M+ lives market, aligning product, pricing, finance, underwriting, operations, clinical, and compliance partners. Improved bid competitiveness with new pricing frameworks and drove $40M+ 2027 revenue pipeline; governed a $3M+ product capital portfolio and integrated CAA transparenc
Provided product leadership for pharmacy financial solutions, aligning engineering, finance, and compliance to deliver scalable, market-ready offerings. Implemented customer co-creation and MVP frameworks to improve product-market fit while ensuring compliance with financial and regulatory requirements.
Managed a ~$50M product portfolio of affordability solutions across commercial health plans, state health, and employer segments. Built integrated cash card products embedded into pharmacy benefit design to drive plan/member savings and product revenue, and led recovery/relaunch of a manufacturer copay product to mitigate risk, reduce client abrasion, and strengthen client trust.
Led end-to-end launch of complex specialty and rare disease products, negotiating single-source provider agreements and LDD pricing while enabling first-to-market generic launches. Coordinated clinical, pharmacy, and manufacturer relationship management (infusion care, REMS, patient assistance) to secure compliant, cost-effective patient access and improve earlier therapy adoption.
Senior Manager, TPHARM Governance
ESI
Jan 2014 - Jan 2018 (4 years)
Oversaw performance, analytics, and evolution of the TPHARM contract, driving contract adherence, performance management, and strategic initiatives for TRICARE Pharmacy. Led enterprise implementation across PBM, mail-order, retail, specialty, and overseas service member populations, establishing performance management, reporting, and analytics; supported negotiation of the 2025 contract shaping en
Professional Services Manager
Craneware
Jan 2011 - Jan 2014 (3 years)
Drove end-to-end delivery for a new-to-market SaaS application for health system pharmacy revenue cycle management. Built integrations across pharmacy systems, procurement, drug cabinet, and patient finance using pricing logic (NCPDP coding, CMS-related distillations, and payer reimbursement requirements) and created ROI models to ensure clients met projected outcomes.
Progressively managed retail chain and independent pharmacy clients across credit/GPO management and 340B program operations, supporting sales administration and new product development. Provided technical sales and operational excellence for program execution and client outcomes.
Education
Degrees, certifications, and relevant coursework
Lindenwood University
Master of Science, Healthcare Administration
Earned an M.S. in Healthcare Administration from Lindenwood University in 2017.
Lindenwood University
Bachelor of Arts, Business Administration
Earned a B.A. in Business Administration from Lindenwood University in 2011.
Availability
Location
ZimbabweAuthorized to work in
Job categories
Skills
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