(USA) Director, Payer Programs - Pharmacy Clinical Services

Position Summary...

As Director, Payer Programs (Rx Clinical Services), you will lead pharmacy clinical services contracting and payer relationship development to secure partnerships with government and commercial payers nationwide. In this role, you will blend strategy, business development, negotiation, critical thinking, and relationship management to advance pharmacist scope of practice initiatives, ensure compliance with regulatory requirements, and drive sustainable value for Walmart Health & Wellness. By establishing strong payer partnerships, you will expand access to affordable pharmacist-led care in underserved communities and help transform how patients experience healthcare.

What you'll do...

• Direct pharmacy clinical services contracting by overseeing complex negotiations, governance structures, and regulatory projects, ensuring favorable agreements and compliance with evolving state and federal requirements.
• Lead reporting and performance management processes, including KPI development, market forecasting, and presenting insights and strategy recommendations to governance committees and executive leadership.
• Identify payer partnership opportunities, guide business development efforts, and leverage financial modeling and business cases to expand pharmacist-led services and support sustainable growth.
• Establish and maintain strong internal and external partnerships, collaborating with key stakeholders to improve efficiency, ensure effective program implementation, and advance Walmart’s payer contracting strategy.
• Build and mentor a strong team by fostering talent development, encouraging accountability, and driving excellence in payer contracting and partnership management.

About the team:

The Rx Clinical Services – Payer Programs team leads Walmart’s efforts to expand coverage of pharmacist-led care by establishing and managing payer partnerships nationwide. We focus on governance, compliance, and effective implementation to ensure sustainable payer programs. In this role, you will play a critical part in advancing Walmart’s mission to increase access to affordable, community-based healthcare at scale.

What you’ll bring:

• Experience leading complex payer contract negotiations, including medical benefit, physician, and value-based care agreements across Medicaid, Medicare, Commercial, and Exchange lines of business.
• Proven ability to build and oversee payer governance structures, ensuring compliance with evolving state and federal regulations.
• Strong financial and analytical acumen, with expertise in forecasting, KPI reporting, and developing business cases to support sustainable payer programs.
• Demonstrated success leading teams and influencing stakeholders, with a track record of developing talent and driving large-scale initiatives.
• Passion for advancing pharmacist scope of practice and improving healthcare access for underserved populations nationwide.

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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 duties, responsibilities and qualifications required of employees assigned to this job. The full Job Description can be made available as part of the hiring process.

This position is based at our main corporate campus in Bentonville, Arkansas!  We have an excellent relocation package to help you get here!

Learn more about what Bentonville has to offer:

• https://www.bentonvillear.com/
• https://greaterbentonville.com/relocating/

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