USA) Senior Director, Payer Programs

1601 Se 10th St
Bentonville, AR

R-2583571

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$160,000 - $320,000/yr

Regular/ Permanent

Position Summary... What you'll do... Position Summary... What you'll do...
Role summary:
The Senior Director, Payer Programs, leads the strategic direction and execution of payer program implementations, ensuring alignment with business objectives and regulatory compliance. This role oversees cross-functional teams managing contract negotiations, quality assurance, and vendor relationships to optimize program performance. By driving risk mitigation and continuous process improvements, the position supports sustainable growth and operational excellence. The Senior Director fosters a culture of integrity, collaboration, and talent development, leveraging data-driven insights to enhance outcomes and deliver value to stakeholders across government and commercial payer segments.
About the team:
You will join Walmart’s Payer Relations team, a cross-functional group leading contracting strategy with PBMs, payers, and health plans. This team drives enterprise financial performance, ensures optimal reimbursement for pharmacy and medical services, and shapes strategic partnerships that advance Walmart’s healthcare goals. The team plays a key role in enhancing contracting rigor and implementing innovative payment models. Members collaborate closely to align business strategies, manage regulatory compliance, and mitigate risks, ensuring effective stakeholder communications and successful execution of payer programs that support Walmart’s commitment to delivering value in healthcare.
What you'll do:

• Leadanddirectteamstoimplementnewpayeraccountsandlarge-scale upgrades,ensuringalignmentwithbusinessobjectivesandtimelycompletion.
• Overseecontractnegotiations,program implementations,andpost-implementation activities,optimizingprocessesforefficiencyandaccuracy.
• Buildandmaintainvendorrelationships,monitorreimbursementrates,andrecommendsystemimprovements.
• Ensurecompliancewithfederalandstateregulationswhilemitigatingrisksforgovernmentandcommercialpayers.
• Developandexecutestrategicbusinessplans,analyze outcomes,andidentifyopportunitiesforcontinuousimprovement.

What you'll bring:

• Provenleadershipexperiencedirectingcompleximplementationprojectsandcross-functionalteamsinhealthcareorpayerprogramenvironments.
• Strongexpertiseinnegotiatingandmanagingcontractualagreementswithgovernmentandcommercialpayers.
• In-depthknowledgeofregulatorycomplianceandriskmitigationrelatedtofederalandstatehealthcareprograms.
• Abilitytodevelopandexecutestrategicbusinessplansalignedwithorganizationalobjectives.
• Excellentstakeholdercommunicationskillstoensuretransparencyandcollaborationacrossbusinessunits.
• Demonstratedcapabilitytoidentifyprocessimprovementsanddriveoperationalexcellence.

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.

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. For information about PTO, see  . Live Better U is a Walmart-paid education benefit program for full-time and part-time associates in Walmart and…