Wal-Mart Bentonville , AR 72716
Posted 3 weeks ago
Position Summary...
What you'll do...
This role will be responsible for coordinating strategic negotiation planning, including conducting industry and payer research, supporting retail and specialty pharmacy negotiations and new business development. This role will also involve developing and maintaining relationships with key internal and external stakeholders (industry and governmental), negotiating pricing and drafting agreement terms, drafting policies and procedures, conducting root cause analysis, and ensuring compliance with regulatory requirements and industry standards.
You'll sweep us off our feet if:
You have experience with managing and overseeing aspects of provider or pharmacy benefit manager (PBM) operations, contracting, claims management, enrollment, and/or provider databases.
You have a strong understanding of health plan/PBM and provider managed care principals.
You are experienced with negotiating provider agreements (retail pharmacy and/or specialty pharmacy).
You possess excellent communication and organization skills.
You have the ability to develop and analyze operational metrics.
Additional responsibilities:
Directs teams in the coordination of implementation activities for new accounts and/or large-scale upgrades to existing accounts by
Directs implementation of core payer program processes by
Directs quality assurance processes and work flows by
Builds, manages, and owns relationships with outside vendors by
Oversees risk mitigation for government and commercial payers and ensures compliance with federal and state regulatory requirements and company standards for supporting programs by
Provides overall direction by
Develops and implements strategies to attract and maintain a highly skilled and engaged workforce by
Cultivates an environment where associates respect and adhere to company standards of integrity and ethics by
Develops and leverages internal and external partnerships and networks to maximize the achievement of business goals by
#LI-MF4
Live our Values
Culture Champion
Servant Leadership
Embrace Change
Curiosity & Courage
Digital Transformation & Change
Deliver for the Customer
Customer Focus
Strategic Thinking
Focus on our Associates
Diversity, Equity & Inclusion
Collaboration & Influence
Talent Management
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:
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...
2501 Se J Street Ste B, Bentonville, AR 72712-7761, United States of America
Wal-Mart