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

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.

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.

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.

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