Walmart
(USA) Director, Payer Programs - PBM Account Manager Contracting
Walmart, Bentonville, Arkansas, United States, 72712
Position Summary
Lead the development and execution of contracting and pricing strategies for assigned key accounts, including PBM, Plans, and medical/immunization agreements. You’ll develop the business case behind each deal, showing how financials and terms impact other lines of business and aligning opportunities with Walmart’s broader healthcare strategy. Collaborate closely with Finance, Underwriting, Operations and Legal teams to develop account strategies that optimize profitability. Develop deep knowledge of assigned key accounts, including their challenges, contract terms, performance metrics, and growth opportunities, while serving as a key driver of immunization pharmacy and medical contracting. What you’ll do
Oversee full lifecycle contract negotiations with PBM and health plans from new business and renewals to amendments and escalations on both the pharmacy and medical benefit. Develop deal “stories” and negotiation framework, ensuring alignment of proposed contracts to enterprise strategy Be the senior relationship owner for top-tier PBM accounts; develop account strategy, performance accountability, and growth initiatives. Transitioning the client relationship from transactional to solutions-oriented. Work in tandem with legal, pricing, finance, operations, and clinical teams to operationalize contract terms, implement changes, and mitigate reimbursement issues. Identify, pitch, and lead new contracting opportunities (e.g. immunization, value-based models, network expansion) to expand Walmart’s role in payer-provider partnerships. About the Team
You’ll join Walmart’s Payer Relations team, a high-impact, cross-functional group that leads contracting strategy with PBMs, payers, and health plans. The team drives enterprise-level financial performance, ensures optimal reimbursement for pharmacy and medical services, and shapes strategic partnerships that advance Walmart’s healthcare strategy. You will play a key role in elevating contracting rigor, implementing innovative payment models, and scaling immunizations service offerings. What You’ll Bring
Significant leadership experience in PBM, payer contracting, or network negotiations especially overseeing high-value accounts. Deep fluency with reimbursement models (AWP, NADAC, PAC, WAC) Proven ability to build deal frameworks and negotiate complex deals. Skill in managing complex, high-stakes stakeholder dynamics and cross-functional alignment in matrixed organizations. A track record in driving contract performance, scaling new lines of business, and converting contractual language into execution. The above information has been designed to indicate the general nature and level of work performed in the role. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job. The full Job Description can be made available as part of the hiring process. This position is based at our main corporate campus in Bentonville, Arkansas. We have an excellent relocation package to help you get here! Location
Primary Location: 2608 Se J St, Bentonville, AR 72712, United States of America Compensation
Base pay range: $130,000.00/yr - $260,000.00/yr The annual salary range for this position is $130,000.00-$260,000.00 Walmart provided pay range: Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Senioriy level
Director Employment type
Contract Job function
Other Industries
Retail Referrals increase your chances of interviewing at Walmart by 2x For information about PTO and benefits, see One.Walmart. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment.
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Lead the development and execution of contracting and pricing strategies for assigned key accounts, including PBM, Plans, and medical/immunization agreements. You’ll develop the business case behind each deal, showing how financials and terms impact other lines of business and aligning opportunities with Walmart’s broader healthcare strategy. Collaborate closely with Finance, Underwriting, Operations and Legal teams to develop account strategies that optimize profitability. Develop deep knowledge of assigned key accounts, including their challenges, contract terms, performance metrics, and growth opportunities, while serving as a key driver of immunization pharmacy and medical contracting. What you’ll do
Oversee full lifecycle contract negotiations with PBM and health plans from new business and renewals to amendments and escalations on both the pharmacy and medical benefit. Develop deal “stories” and negotiation framework, ensuring alignment of proposed contracts to enterprise strategy Be the senior relationship owner for top-tier PBM accounts; develop account strategy, performance accountability, and growth initiatives. Transitioning the client relationship from transactional to solutions-oriented. Work in tandem with legal, pricing, finance, operations, and clinical teams to operationalize contract terms, implement changes, and mitigate reimbursement issues. Identify, pitch, and lead new contracting opportunities (e.g. immunization, value-based models, network expansion) to expand Walmart’s role in payer-provider partnerships. About the Team
You’ll join Walmart’s Payer Relations team, a high-impact, cross-functional group that leads contracting strategy with PBMs, payers, and health plans. The team drives enterprise-level financial performance, ensures optimal reimbursement for pharmacy and medical services, and shapes strategic partnerships that advance Walmart’s healthcare strategy. You will play a key role in elevating contracting rigor, implementing innovative payment models, and scaling immunizations service offerings. What You’ll Bring
Significant leadership experience in PBM, payer contracting, or network negotiations especially overseeing high-value accounts. Deep fluency with reimbursement models (AWP, NADAC, PAC, WAC) Proven ability to build deal frameworks and negotiate complex deals. Skill in managing complex, high-stakes stakeholder dynamics and cross-functional alignment in matrixed organizations. A track record in driving contract performance, scaling new lines of business, and converting contractual language into execution. The above information has been designed to indicate the general nature and level of work performed in the role. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job. The full Job Description can be made available as part of the hiring process. This position is based at our main corporate campus in Bentonville, Arkansas. We have an excellent relocation package to help you get here! Location
Primary Location: 2608 Se J St, Bentonville, AR 72712, United States of America Compensation
Base pay range: $130,000.00/yr - $260,000.00/yr The annual salary range for this position is $130,000.00-$260,000.00 Walmart provided pay range: Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Senioriy level
Director Employment type
Contract Job function
Other Industries
Retail Referrals increase your chances of interviewing at Walmart by 2x For information about PTO and benefits, see One.Walmart. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment.
#J-18808-Ljbffr