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Walmart Canada · 1 month ago

Director, Payer Programs - Pharmacy Clinical Services

Bentonville, AR

Full-time

Onsite

Director/Executive

$130K/yr - $260K/yr

7+ years exp

Walmart Inc. is a leading retail corporation, and they are seeking a Director of Payer Programs in Pharmacy Clinical Services. In this role, you will lead pharmacy clinical services contracting and payer relationship development to secure partnerships with government and commercial payers nationwide, ensuring compliance and driving sustainable value for Walmart Health & Wellness.

DeliveryRetailShopping

Responsibilities

Direct pharmacy clinical services contracting by overseeing complex negotiations, governance structures, and regulatory projects, ensuring favorable agreements and compliance with evolving state and federal requirements

Lead reporting and performance management processes, including KPI development, market forecasting, and presenting insights and strategy recommendations to governance committees and executive leadership

Identify payer partnership opportunities, guide business development efforts, and leverage financial modeling and business cases to expand pharmacist-led services and support sustainable growth

Establish and maintain strong internal and external partnerships, collaborating with key stakeholders to improve efficiency, ensure effective program implementation, and advance Walmart’s payer contracting strategy

Build and mentor a strong team by fostering talent development, encouraging accountability, and driving excellence in payer contracting and partnership management

Qualification

Payer contract negotiationsHealthcare complianceFinancial modelingKPI reportingHealthcare financingRelationship managementMicrosoft tools proficiencyTeam leadership

Required

Bachelor's degree business, finance, accounting, economics, or related area with 7 years' experience in managed care contracting/negotiations, healthcare billing, healthcare finance, or healthcare compliance/legal; or Ten years of relevant experience in managed care contracting/negotiations, healthcare billing, healthcare finance, or healthcare compliance/legal

Demonstrated experience in payer negotiations or relationship management; must be able to speak to concrete experiences and positive outcomes

Well-developed understanding of healthcare financing, revenue cycle processes and care delivery

Previous supervisory experience

Proficiency with all Microsoft tools

Preferred

Experience with at least five of those years in a director or above role with a commercial or government program Payer or Provider Organization

Master's degree in Business, Healthcare, Finance, or related area

Supervisory experience

Benefits

Health benefits include medical, vision and dental coverage.

Financial benefits include 401(k), stock purchase and company-paid life insurance.

Paid time off benefits include PTO (including sick leave), parental leave, family care leave, bereavement, jury duty, and voting.

Other benefits include short-term and long-term disability, company discounts, Military Leave Pay, adoption and surrogacy expense reimbursement, and more.

Live Better U is a Walmart-paid education benefit program for full-time and part-time associates in Walmart and Sam's Club facilities.