(USA) Director, Payer Programs - PBM Account Manager Contracting

Contracting And Pricing Strategy Lead

Lead the development and execution of contracting and pricing strategies for assigned key accounts, including PBM, plans, and medical / immunization agreements. You'll develop the business case behind each deal, showing how financials and terms impact other lines of business and aligning opportunities with Walmart's broader healthcare strategy. Collaborate closely with Finance, Underwriting, Operations, and Legal teams to develop account strategies that optimize profitability. Develop deep knowledge of assigned key accounts, including their challenges, contract terms, performance metrics, and growth opportunities, while serving as a key driver of immunization pharmacy and medical contracting.

Oversee full lifecycle contract negotiations with PBM and health plans from new business and renewals to amendments and escalations on both the pharmacy and medical benefit. Develop deal "stories" and negotiation framework, ensuring alignment of proposed contracts to enterprise strategy. Be the senior relationship owner for top-tier PBM accounts; develop account strategy, performance accountability, and growth initiatives. Transitioning the client relationship from transactional to solutions-oriented. Work in tandem with legal, pricing, finance, operations, and clinical teams to operationalize contract terms, implement changes, and mitigate reimbursement issues. Identify, pitch, and lead new contracting opportunities (e.g. immunization, value-based models, network expansion) to expand Walmart's role in payer-provider partnerships.

You'll join Walmart's Payer Relations team, a high-impact, cross-functional group that leads contracting strategy with PBMs, payers, and health plans. The team drives enterprise-level financial performance, ensures optimal reimbursement for pharmacy and medical services, and shapes strategic partnerships that advance Walmart's healthcare strategy. You will play a key role in elevating contracting rigor, implementing innovative payment models, and scaling immunizations service offerings.

Significant leadership experience in PBM, payer contracting, or network negotiations especially overseeing high-value accounts. Deep fluency with reimbursement models (AWP, NADAC, PAC, WAC). Proven ability to build deal frameworks and negotiate complex deals. Skill in managing complex, high-stakes stakeholder dynamics and cross-functional alignment in matrixed organizations. A track record in driving contract performance, scaling new lines of business, and converting contractual language into execution.

Minimum qualifications : Option 1 : Bachelor's degree in business, accounting, economics, or related area and 4 years' experience in procurement, strategic sourcing, contract management, or related area. Option 2 : 7 years' experience in procurement, strategic sourcing, contract management, or related area. 1 year's supervisory experience.

Preferred qualifications : Master's degree in Business Administration.