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 at scale. This is an opportunity to build foundational capabilities in a rapidly growing service line at Fortune 1.

About the role
Are you passionate about advancing pharmacist-led clinical services? As Senior Manager, Payer Programs, you will lead payer 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.

What you'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 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.

What you'll bring:

·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.

The above information has been designed to indicate the general nature and level of work performed in the role. It is not designed to contain or be interpreted as a comprehensive inventory of all responsibilities and qualifications required of employees assigned to this job. The full Job Description can be made available as part of the hiring process.

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Benefits & Perks:

Beyond our great compensation package, you can receive incentive awards for your performance. Other great perks include 401(k) match, stock purchase plan, paid maternity and parental leave, PTO, multiple health plans, and much more.

Equal Opportunity Employer:

Walmart Inc. is an Equal Opportunity Employer- By Choice. We believe we are best equipped to help our associates, customers, and the communities we serve live better when we really know them. That means understanding, respecting, and valuing unique styles, experiences, identities, abilities, ideas and opinions- while welcoming all people.

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 $90,000.00 - $180,000.00 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 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...

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...

2501 Se J Street Ste B, Bentonville, AR 72712-7761, 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.