Director Payer Operation Jobs (NOW HIRING)

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:

• Lead and direct teams to implement new payer accounts and large-scale upgrades, ensuring alignment with business objectives and timely completion.
• Oversee contract negotiations, program implementations, and post-implementation activities, optimizing processes for efficiency and accuracy.
• Build and maintain vendor relationships, monitor reimbursement rates, and recommend system improvements.
• Ensure compliance with federal and state regulations while mitigating risks for government and commercial payers.
• Develop and execute strategic business plans, analyze outcomes, and identify opportunities for continuous improvement.

 
What you'll bring:

• Proven leadership experience directing complex implementation projects and cross-functional teams in healthcare or payer program environments.
• Strong expertise in negotiating and managing contractual agreements with government and commercial payers.
• In-depth knowledge of regulatory compliance and risk mitigation related to federal and state healthcare programs.
• Ability to develop and execute strategic business plans aligned with organizational objectives.
• Excellent stakeholder communication skills to ensure transparency and collaboration across business units.
• Demonstrated capability to identify process improvements and drive operational excellence.

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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 https://one.walmart.com/notices. Live Better U is a Walmart-paid education benefit program for full-time and part-time associates in Walmart and Sam's Club facilities. Programs range from high school completion to bachelor's degrees, including English Language Learning and short-form certificates. Tuition, books, and fees are completely paid for by Walmart.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to a specific plan or program terms.
For information about benefits and eligibility, see One.Walmart.
The annual salary range for this position is $160,000.00 - $320,000.00 Additional compensation includes annual or quarterly performance bonuses. Additional compensation for certain positions may also include :
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Minimum Qualifications...

Outlined below are the required minimum qualifications for this position. If none are listed, there are no minimum qualifications.

Minimum Qualifications: Bachelor’s degree and 6 years’ experience in billing, healthcare, legal, or related area OR 8 years’ experience in billing, healthcare, legal, or related area. 3 years’ supervisory experience. Preferred Qualifications...

Outlined below are the optional preferred qualifications for this position. If none are listed, there are no preferred qualifications.

Contract Management, Working in or with Pharmacy Benefit Management Masters: Finance, Masters: Healthcare Primary Location... 1601 SE 10th St, Bentonville, AR 72716, 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.