Walmart
(USA) Senior Manager, Payer Programs - Pharmacy Clinical Services
Walmart, Bentonville, Arkansas, United States, 72712
Overview
As Senior Manager, Payer Programs (Rx Clinical Services), you will drive Walmart’s payer strategy by building strategic partnerships with health plans to expand access to care in underserved communities through the expanded scope of pharmacist practice. By blending strategy, payer engagement, and cross-functional collaboration, you will deliver impactful payer programs that improve outcomes, bring pharmacist-led care to millions nationwide, and shape the future of accessible healthcare. What you’ll do
Manage end-to-end payer relationships, from business development and payer pitches through contract negotiations and long-term account management, ensuring partnership success and alignment with Walmart’s payer strategy. Lead business development in priority states and markets, identifying opportunities to expand pharmacist-led services and designing contracting approaches that increase access in underserved communities. Facilitate external and internal briefings with payers and senior leadership, delivering pitches, strategic updates, deal summaries, and performance insights. Partner with a variety of Walmart Health & Wellness stakeholder teams – including Legal, Operations, Clinical, Enrollment, Billing and Analytics – to operationalize payer programs, secure favorable contract terms, ensure successful implementation, and monitor payer partnership performance. About the team: The Rx Clinical Services – Payer Programs team works to expand coverage of pharmacist-led care by building strong payer partnerships and ensuring effective implementation. In this role, you will directly advance Walmart’s mission of making affordable healthcare accessible through the everyday channels where patients live, work, and shop. What you’ll bring: Experience leading payer contract negotiations, specifically medical benefit and physician agreements across multiple lines of business (Medicare, Medicaid, Commercial, and Exchange). Ability to independently manage payer relationships and represent the organization confidently with both external payer executives and internal senior leadership. Background in strategic problem-solving, with demonstrated success designing creative contracting approaches or reimbursement models that expand access to care. Experience working cross-functionally to operationalize programs and ensure successful implementation. Passion for improving healthcare access and outcomes for underserved populations, with a commitment to advancing pharmacist-led care as part of the solution. Minimum Qualifications: - Bachelor’s degree and 4 years’ experience in billing, healthcare, legal, or related area OR 6 years’ experience in billing, healthcare, legal, or related area. 1 year of supervisory experience. Preferred Qualifications
Outlined below are the optional preferred qualifications for this position. If none are listed, there are no preferred qualifications. Contract Management, Working in or with Pharmacy Benefit Management Masters: Finance, Masters: Healthcare Primary Location
2608 Se J St, Bentonville, AR 72712, United States of America Walmart and its subsidiaries are committed to maintaining a drug-free workplace and has a no tolerance policy regarding the use of illegal drugs and alcohol on the job. This policy applies to all employees and aims to create a safe and productive work environment. Benefits and other information: Live Better U is a Walmart-paid education benefit program for full-time and part-time associates in Walmart and Sam’s Club facilities. Programs range from high school completion to bachelor’s degrees, including English Language Learning and short-form certificates. Tuition, books, and fees are completely paid for by Walmart. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to a specific plan or program terms. For information about benefits and eligibility, see One.Walmart. The annual salary range for this position is $90,000.00-$180,000.00. Additional compensation includes annual or quarterly performance bonuses. Stock may be included. Additional compensation for certain positions may also include: Stock
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As Senior Manager, Payer Programs (Rx Clinical Services), you will drive Walmart’s payer strategy by building strategic partnerships with health plans to expand access to care in underserved communities through the expanded scope of pharmacist practice. By blending strategy, payer engagement, and cross-functional collaboration, you will deliver impactful payer programs that improve outcomes, bring pharmacist-led care to millions nationwide, and shape the future of accessible healthcare. What you’ll do
Manage end-to-end payer relationships, from business development and payer pitches through contract negotiations and long-term account management, ensuring partnership success and alignment with Walmart’s payer strategy. Lead business development in priority states and markets, identifying opportunities to expand pharmacist-led services and designing contracting approaches that increase access in underserved communities. Facilitate external and internal briefings with payers and senior leadership, delivering pitches, strategic updates, deal summaries, and performance insights. Partner with a variety of Walmart Health & Wellness stakeholder teams – including Legal, Operations, Clinical, Enrollment, Billing and Analytics – to operationalize payer programs, secure favorable contract terms, ensure successful implementation, and monitor payer partnership performance. About the team: The Rx Clinical Services – Payer Programs team works to expand coverage of pharmacist-led care by building strong payer partnerships and ensuring effective implementation. In this role, you will directly advance Walmart’s mission of making affordable healthcare accessible through the everyday channels where patients live, work, and shop. What you’ll bring: Experience leading payer contract negotiations, specifically medical benefit and physician agreements across multiple lines of business (Medicare, Medicaid, Commercial, and Exchange). Ability to independently manage payer relationships and represent the organization confidently with both external payer executives and internal senior leadership. Background in strategic problem-solving, with demonstrated success designing creative contracting approaches or reimbursement models that expand access to care. Experience working cross-functionally to operationalize programs and ensure successful implementation. Passion for improving healthcare access and outcomes for underserved populations, with a commitment to advancing pharmacist-led care as part of the solution. Minimum Qualifications: - Bachelor’s degree and 4 years’ experience in billing, healthcare, legal, or related area OR 6 years’ experience in billing, healthcare, legal, or related area. 1 year of supervisory experience. Preferred Qualifications
Outlined below are the optional preferred qualifications for this position. If none are listed, there are no preferred qualifications. Contract Management, Working in or with Pharmacy Benefit Management Masters: Finance, Masters: Healthcare Primary Location
2608 Se J St, Bentonville, AR 72712, United States of America Walmart and its subsidiaries are committed to maintaining a drug-free workplace and has a no tolerance policy regarding the use of illegal drugs and alcohol on the job. This policy applies to all employees and aims to create a safe and productive work environment. Benefits and other information: Live Better U is a Walmart-paid education benefit program for full-time and part-time associates in Walmart and Sam’s Club facilities. Programs range from high school completion to bachelor’s degrees, including English Language Learning and short-form certificates. Tuition, books, and fees are completely paid for by Walmart. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to a specific plan or program terms. For information about benefits and eligibility, see One.Walmart. The annual salary range for this position is $90,000.00-$180,000.00. Additional compensation includes annual or quarterly performance bonuses. Stock may be included. Additional compensation for certain positions may also include: Stock
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