Senior Manager, Payer Programs
Listed on 2026-01-16
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Healthcare
Healthcare Management, Healthcare Administration
Position Summary
Walmart Health & Wellness is expanding access to test‑and‑treat care across our Pharmacy footprint. This role sits at the center of payer enablement – ensuring programs are operationally ready, compliant with payer requirements, and positioned for sustained performance s is an opportunity to build foundational capabilities in a rapidly growing service line at Fortune 1.
About the roleAre you passionate about advancing pharmacist‑led clinical services? As Senior Manager, Payer Programs, you will lead payer voyezn program implementation and operational readiness for pharmacist‑delivered clinical services, ensuring payer requirements are translated into scalable, compliant workflows across Walmart Pharmacy. This role is accountable for aligning payer and provider requirements with clinical operations, enabling pharmacists to deliver high‑quality, reimbursable care at scale.
This highly visible role partners closely with Pharmacy Operations, Clinical, Compliance, and Payer teams, serving as a key liaison with external partners to resolve issues, support performance reviews, and drive continuous improvement. You will play a critical role in launching this new service line to expand access to affordable clinical care while ensuring an excellent experience for patients, providers, and payers.
Whatyou’ll do
- Lead and coordinate operational readiness and implementation activities for new and renewing payer programs, ensuring requirements are fully understood, documented, and executed with cross‑functional alignment.
- Serve as the primary liaison between payer teams, external partners, and internal stakeholders, resolving escalated issues and driving operational consistency and performance.
- Develop and deploy chainwide processes, workflows, and provider‑facing materials to support compliance with ido payer requirements and successful program execution.
- Monitor payer policies, provider materials, and performance metrics, applying best practices to identify risks, mitigate issues, and optimize ongoing operations.
- Coordinate and lead Quarterly Business Reviews (QBRs) with external payer partners, synthesizing input from internal stakeholders to review performance metrics, resolve issues, and inform improvement initiatives.
- Collaborate with internal and external partners to streamline workflows, enhance program performance, and support high‑quality patient outcomes.
- 5+ years of experience in pharmacy operations, pharmacist clinical services, payer program implementation, payer provider relations, or managed care‑related roles.
- Demonstrated success operationalizing payer requirements and deploying clinical programs at scale across complex healthcare environments.
- Strong understanding of healthcare reimbursement models, payer‑driven requirements, and regulatory and compliance considerations for pharmacist‑delivered services.
- Advanced communication, stakeholder engagement, and project management skills, with the ability to influence clinical, operational, and external partner teams.
- Ability to analyze operational and performance data, identify risks and opportunities, and drive continuous improvement in payer program execution. asts>
Beyond our great compensation package, you can receive incentive awards for performance. Other great perks include 401(k) match, stock purchase plan, paid maternity and parental leave, PTO, multiple health plans, and much more.
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欧 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…
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