Job Information
Walmart (USA) Senior Manager, Contracting - Payer & Pharmacy Clinical Services in Bentonville, Arkansas
Position Summary...
What you'll do...
This position will have two distinct functions: (1) Pharmacy Clinical Services payer contracting, and (2) Vendor management, complex initiative reporting and enrollment process management.
Pharmacy Clinical Services payer contracting responsibilities will include:
You will establish and manage relationships with medical and pharmacy benefit plans as well as lead contracting efforts for Pharmacy Clinical Services, ensuring that the organization secures favorable payer contracts. This role will involve developing collaborative relationships with key internal and external stakeholders, negotiating pricing and contract terms, adhering to the Pharmacy Clinical Services strategic playbook, and working with the Operations Committee to gain internal alignment and ensure smooth contract deployment. This role will be also responsible for staying informed on regulatory changes and ensuring compliance with regulatory requirements.
Candidate requirements:
Strong understanding of the expanded scope of pharmacists' practice
Deep knowledge of the payer landscape across all lines of business
Expertise in reviewing and negotiating payer contracts
Excellent communication skills and adept at managing relationships
Skill in analyzing market trends and establish mutually beneficial agreements with payers
Capability to manage multiple projects and reporting initiatives by collaborating with the sourcing director
Ability to successfully address contracting issues as they arise
Proficiency in effectively communicate updates and results to the director and senior leadership
Additional functions of this role will include:
P romoting and supporting company policies, procedures, mission, values, and standards of ethics and integrity by training and providing direction to team members. Utilizing and supporting the Open Door Policy.
Adhering to contracting guardrails, developing solutions based on financial modeling to drive cost savings and efficiencies, and proposing recommendations to the sourcing director. You will work closely with internal teams to develop business cases for new or enhanced payer relationships for Pharmacy Clinical Services.
Ensuring business needs are met by evaluating the ongoing effectiveness of contracting plans, programs, and initiatives. This position will be expected to consult with business partners, managers, co-workers, and other key stakeholders to evaluate and implement recommended improvements for increasing efficiency and cost-effectiveness.
You will provide strategic direction by:
Assessing business objectives and customer needs
Developing, communicating, garnering support for, and executing business strategies, plans, and practices
Analyzing costs and forecasts and incorporating them into business plans
Evaluating operational processes
Measuring outcomes to ensure desired results
Identifying and capitalizing on improvement opportunities
Promoting a customer-centric environment
Demonstrating adaptability and sponsoring continuous learning
Vendor management, complex initiative reporting and enrollment process management functions are outlined below:
Oversees the vendor selection process to support the development of the reporting strategy by
working with sourcing managers to determine project requirements
creating cost models of different contract variables to assist with vendor negotiation
generating various scenarios to determine business benefits
assessing range of negotiation outcomes
assisting in the negotiations of vendor data terms
executing defined negotiation strategies to ensure business needs are met and strategies are aligned and monitoring vendor performance to ensure compliance with expectations.
Manages multiple complex reporting project initiatives by
working with sourcing managers to determine resource constraints
assisting in the review and revision of existing reporting metric standards
assisting with the incorporation of industry and company standards, reporting innovations, and best practices for demonstrating program value into reporting process
assisting with the development of localized reports to incorporate various types of data
ensuring proper process documentation for data comparisons by region
managing reporting strategy cadence based on events and audience
addressing issues as they arise and communicating updates and results to senior management.
Directs a segment of the healthcare contracting and enrollment process and execution by
reviewing multiple complex and subjective key performance indicators
identifying trends and forecasting potential scenarios impacting business continuity, sales, and timeliness of enrollment
managing inconsistent, competing, and shifting deadlines with layered due dates
overseeing the management of the information influx from multiple channels
influencing and collaborating with other stakeholders within the company
managing multiple complex regulatory projects in emerging markets and establishing metrics for measuring enrollment compliance.
Directs continuous improvement in vendor management and analyzes travel spending patterns for assigned category by
partnering with sourcing managers to develop sourcing plans
determining vendor implications based on strategy and initiatives
researching industry trends
benchmarking with industry leaders and competitors
utilizing product expertise to recognize industry trends and innovations
analyzing existing contracts and capabilities to determine areas of opportunity
developing solutions based on financial modeling to drive cost savings and efficiencies
making recommendations to sourcing managers
working with internal teams to develop business cases for new or enhanced vendor relationships
working with vendors to identify and promote service and product improvements and participating in the development of recommendations for changes to vendor agreements.
Manages strategic initiatives related to strategic programs to drive new sales and market share by
evaluating short and long-term return on investments in sales and profitability
analyzing current data and forecasts and assisting in developing and implementing appropriate action plans to achieve financial goals or initiatives
Drives the execution of multiple business plans and projects by
identifying customer and operational needs
developing and communicating business plans and priorities
removing barriers and obstacles that impact performance
providing resources; identifying performance standards
measuring progress and adjusting performance accordingly
developing contingency plans and demonstrating adaptability and supporting continuous learning.
Provides supervision and development opportunities for associates by
selecting and training, mentoring, assigning duties, building a team-based work environment
establishing performance expectations and conducting regular performance evaluations
providing recognition and rewards
coaching for success and improvement and ensuring diversity awareness.
Promotes and supports company policies, procedures, mission, values, and standards of ethics and integrity by
training and providing direction to others in their use and application
ensuring compliance with them and utilizing and supporting the Open Door Policy.
Ensures business needs are being met by
evaluating the ongoing effectiveness of current plans, programs, and initiatives
consulting with business partners, managers, co-workers, or other key stakeholders
soliciting, evaluating, and applying suggestions for improving efficiency and cost-effectiveness; and participating in and supporting community outreach events.
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Curiosity & Courage
- Demonstrates curiosity and a growth mindset; fosters an environment that supports learning, innovation, and intelligent risk-taking; and exhibits resilience in the face of setbacks.
Digital Transformation & Change
- Seeks and implements continuous improvements and encourages the team to leverage new digital tools and ways of working.
Deliver for the Customer
Customer Focus
- Delivers expected business results while putting the customer first and consistently applying an omni-merchant mindset and the EDLP and EDLC business models to all plans.
Strategic Thinking
- Adopts a holistic perspective that considers data, analytics, customer insights, and different parts of the business when making plans and shaping the team's strategy.
Focus on our Associates
Diversity, Equity & Inclusion
- Identifies, attracts, and retains diverse and inclusive team members; builds a high-performing team; embraces diversity in all its forms; and actively supports diversity goal programs.
Collaboration & Influence
- Builds strong and trusting relationships with team members and business partners; works collaboratively and cross-functionally to achieve objectives; and communicates with energy and positivity to motivate, influence, and inspire commitment and action.
Talent Management
- Creates a discipline and focus around developing talent, promotes an environment allowing everyone to bring their best selves to work, empowers associates and partners to act in the best interest of the customer and company, and regularly recognizes others' contributions and accomplishments.
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:
- Stock
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 in Business, Accounting, Economics, or related field and 3 years' experience in procurement, strategic sourcing, contract management, or related area OR 5 years' experience in procurement, strategic sourcing, contract management, or related area.
Preferred Qualifications...
Outlined below are the optional preferred qualifications for this position. If none are listed, there are no preferred qualifications.
Insurance, Medicare, Medicade, or other government funded health care program, Supervising Associates, Walmart Health and Wellness, Working in or with Pharmacy Benefit Management
Project Management - Project Management Professional - Certification, Six Sigma Black Belt - Certification, Six Sigma Green Belt - Certification
Primary Location...
2608 Se J St, Bentonville, AR 72716-3724, United States of America
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 diversity- unique styles, experiences, identities, abilities, ideas and opinions- while being inclusive of all people.
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