Director Billing

Director Billing

  • Location BENTONVILLE, AR
  • Career Area -
  • Job Function Healthcare - Other
  • Employment Type Full Time
  • Position Type Salary
  • Requisition 1194439BR

What you'll do at

• Provides overall direction by analyzing business objectives and customer needs; developing, communicating, building support for, and implementing business strategies, plans, and practices; analyzing costs and forecasts and incorporating them into business plans; determining and supporting resource requirements; evaluating operational processes; measuring outcomes to ensure desired results; identifying and capitalizing on improvement opportunities; promoting a customer environment; and demonstrating adaptability and sponsoring continuous learning.
• Develops and implements strategies to attract and maintain a highly skilled and engaged workforce by diagnosing capability gaps; recruiting, selecting, and developing talent; supporting mentorship, workforce development, and succession planning; and leveraging the capabilities of new and existing talent.
• Cultivates an environment where associates respect and adhere to company standards of integrity and ethics by integrating these values into all programs and practices; developing consequences for violations or non-compliance; and supporting the Open Door Policy.
• Develops and leverages internal and external partnerships and networks to maximize the achievement of business goals by sponsoring and leading key community outreach and involvement initiatives; engaging key stakeholders in the development, execution, and evaluation of appropriate business plans and initiatives; and supporting associate efforts in these areas.
• Evaluates the returns and risks of Health and Wellness business choices by analyzing objective financial and business data; analyzing current outcomes to identify and communicate areas of opportunity to the billing teams or improve operational or
systematic processes; analyzing trends and patterns to determine root causes; overseeing the development of plans to increase profitability; collaborating with contracting teams, third-party vendors, and financial services to minimize financial loss; ensuring team identifies financial loss patterns and seeks resolutions; determining needed process changes and validating new process improvement; working on cross-functional teams to operationalize reporting requirements; evaluating operational processes; and measuring outcomes to ensure desired results.
• Directs all functions of the reconciliation and contract management processes from concept to implementation by ensuring contractual obligations are met; applying cross-functional knowledge and resources to produce results to support the company strategy; collaborating and communicating with key stakeholders to determine process gaps; communicating where inefficiencies occur; utilizing internal and external resources to apply successful business solutions; presenting immediate and future business projections, results, risks, and needs to senior leadership; determining needed process changes, seeking resolution, and validating new process improvements; developing models to facilitate and ensure proper controls and plan profitability; developing new Maximum Allowable Cost (MAC) Pricing review; evaluating the financial reconciliation on our pharmacy contracts; utilizing models and analysis to negotiate contract terms; managing the development of all reconciliation and plan profitability reporting; and negotiating recoupment.
• Oversees risk mitigation for financial reporting by ensuring division adherence to and compliance with company and legal standards (for example, Sarbanes-Oxley); collaborating with Health and Wellness controller to ensure accuracy of accounts receivable; ensuring cash application rules and business processes; overseeing government payment compliance; managing audit of third-party sales reporting; determining possible areas of risk; and developing risk mitigation plans.
• Serves as the contract reconciliation subject matter expert and senior advisor to the contracting group by directing and recommending reconciliation contract terms, profitability, an

Minimum Qualifications

• Bachelor’s degree in Pharmacy, Healthcare Administration, Healthcare Informatics, or related field and 5 years experience in healthcare billing services, or related field OR 10 years’ experience in healthcare services, or related field.
• 6 years of supervisory experience

Preferred Qualifications

Bachelor’s degree in Finance, Accounting, Data Analytics, Healthcare Administration, or related field and 6 years’ experience financial analysis, financial modeling, accounting, data analytics, or related field OR Master’s degree in Business Administration, Healthcare Administration, Data Analytics, or related field and 4 years’ experience financial analysis, financial modeling, accounting, data analytics, or related field OR 8 years’ experience financial analysis, financial modeling, accounting, data analytics, or related field.
5 years’ supervisory or cross-functional experience
Master’s degree in Business Administration, Healthcare Administration, Data Analytics, or related field
2 years’ experience pharmacy benefits management, insurance, or related field
6 years’ experience billings and receivable support

About Walmart

At Walmart, we help people save money so they can live better. This mission serves as the foundation for every decision we make, from responsible sourcing to sustainability—and everything in between. As a Walmart associate, you will play an integral role in shaping the future of retail, tech, merchandising, finance and hundreds of other industries—all while affecting the lives of millions of customers all over the world. Here, your work makes an impact every day. What are you waiting for?

Hello, NW Arkansas

With over 200 miles of trails, an emerging locally-sourced food scene, the world-renowned Crystal Bridges Museum—NWA has something for everyone.

Discover NW Arkansas
Northwest Arkansas
NWA Crystal Bridges Museum of American Art

All the benefits you need for you and your family

  • Multiple health plan options
  • Vision & dental plans for you & dependents
  • Associate discounts in-store and online
  • Financial benefits including 401(k), stock purchase plans and more
  • Education assistance for Associate and dependents

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