(USA) Senior Manager, Payer Programs - RX Clinical Services

Senior Manager, Payer Programs (Rx Clinical Services)

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 years' supervisory experience.

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. Walmart, Inc. is an Equal Opportunity Employer- By Choice. We believe we are best equipped to help our associates, customers, and the communities we serve live better when we really know them. That means understanding, respecting, and valuing diversity- unique styles, experiences, identities, abilities, ideas and opinions- while being inclusive of all people.