Predicting ground-state conformation from the corresponding molecular graph is crucial for many chemical applications, such as molecular modeling, molecular docking, and molecular property prediction. Recently, many learning-based methods have been proposed to replace time-consuming simulations for this task. However, these methods are often inefficient and sub-optimal as they merely rely on molecular graph information to make predictions from scratch. In this work, considering that molecular low-quality conformations are readily available, we propose a novel framework called ConfOpt to predict molecular ground-state conformation from the perspective of conformation optimization. Specifically, ConfOpt takes the molecular graph and corresponding low-quality 3D conformation as inputs, and then derives the ground-state conformation by iteratively optimizing the low-quality conformation under the guidance of the molecular graph. During training, ConfOpt concurrently optimizes the predicted atomic 3D coordinates and the corresponding interatomic distances, resulting in a strong predictive model. Extensive experiments demonstrate that ConfOpt significantly outperforms existing methods, thus providing a new paradigm for efficiently and accurately predicting molecular ground-state conformation.