Bentonville, AR, United States of America
3 hours ago
(USA) Director, Payer Programs - Pharmacy Clinical Services
Position Summary...As Director, Payer Programs (Rx Clinical Services), you will lead pharmacy clinical services contracting and payer relationship development to secure partnerships with government and commercial payers nationwide. In this role, you will blend strategy, business development, negotiation, critical thinking, and relationship management to advance pharmacist scope of practice initiatives, ensure compliance with regulatory requirements, and drive sustainable value for Walmart Health & Wellness. By establishing strong payer partnerships, you will expand access to affordable pharmacist-led care in underserved communities and help transform how patients experience healthcare.

What you'll do...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.

About the team:

The Rx Clinical Services – Payer Programs team leads Walmart’s efforts to expand coverage of pharmacist-led care by establishing and managing payer partnerships nationwide. We focus on governance, compliance, and effective implementation to ensure sustainable payer programs. In this role, you will play a critical part in advancing Walmart’s mission to increase access to affordable, community-based healthcare at scale.

What you’ll bring:

Experience leading complex payer contract negotiations, including medical benefit, physician, and value-based care agreements across Medicaid, Medicare, Commercial, and Exchange lines of business.Proven ability to build and oversee payer governance structures, ensuring compliance with evolving state and federal regulations.Strong financial and analytical acumen, with expertise in forecasting, KPI reporting, and developing business cases to support sustainable payer programs.Demonstrated success leading teams and influencing stakeholders, with a track record of developing talent and driving large-scale initiatives.Passion for advancing pharmacist scope of practice and improving healthcare access for underserved populations nationwide.

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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!

Learn more about what Bentonville has to offer:

https://www.bentonvillear.com/https://greaterbentonville.com/relocating/

At Walmart, we offer competitive pay as well as performance-based bonus awards and other great benefits for a happier mind, body, and wallet. 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.

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You will also receive PTO and/or PPTO that can be used for vacation, sick leave, holidays, or other purposes. The amount you receive depends on your job classification and length of employment. It will meet or exceed the requirements of paid sick leave laws, where applicable.

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For information about PTO, see https://one.walmart.com/notices.

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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.

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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.

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For information about benefits and eligibility, see One.Walmart.

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The annual salary range for this position is $130,000.00-$260,000.00

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Additional compensation includes annual or quarterly performance bonuses.

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Additional compensation for certain positions may also include:

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- Stock

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Minimum Qualifications...

Outlined below are the required minimum qualifications for this position. If none are listed, there are no minimum qualifications.

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 Qualifications...

Outlined below are the optional preferred qualifications for this position. If none are listed, there are no preferred qualifications.

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

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.
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