Group Director, Payer Programs - Negotiations, Modeling & Strategy

Position Summary...

The Group Director, Negotiations, Modeling & Strategy – Payer Programs is an enterprise leader accountable for setting and executing payer strategy across Walmart U.S. and Sam’s Club, with decision authority over financial modeling, negotiations, and regulatory positioning impacting $40–50B in enterprise value.

This role operates at the intersection of Health & Wellness, Finance, Merchandising, Legal, and Government Affairs, serving as Walmart’s enterprise authority on payer economics, Rx and Optical modeling, discount card strategy, and complex external negotiations. The role requires advanced financial acumen, executive-level influence, and the ability to lead enterprise outcomes in a highly matrixed environment.

What you'll do...

Enterprise Financial Modeling & Analytics 

• Lead enterprise-wide Rx modeling for Walmart U.S. (excluding Sam’s Rx modeling), ensuring accuracy, scalability, and alignment with enterprise financial objectives. 

• Own Specialty Pharmacy modeling across payer programs, including scenario analysis, margin optimization, and growth forecasting. 

• Lead Optical modeling and analytics for both Walmart U.S. and Sam’s Club, supporting pricing strategy, profitability, and vendor negotiations. 

• Partner with Finance and Merchandising (via dotted-line relationship) to deliver advanced business analytics, performance trends, pricing insights, and opportunity identification. 

Negotiations & Payer Strategy 

• Lead and execute for Walmart U.S. and Sam’s Club, including pricing, contract terms, rebates, and performance guarantees. 

• Collaborate with Merchandising to establish and own discount card strategy, including pricing, negotiation, contracting, and alignment with industry best practices. 

• Serve as the enterprise authority on industry practices, supporting Legal and Government Affairs with regulatory analysis and compliance recommendations. 

• Provide strategic modeling, negotiation, and contracting support for Direct-to-Employer (DTE) programs in partnership with Merchandising and enterprise stakeholders. 

Legal, Regulatory & Government Affairs Partnership 

• Act as Walmart’s corporate subject matter expert for Rx and payer economics in support of FTC subpoenas and PBM-related investigations. 

• Partner closely with Health & Wellness Legal and Government Affairs to assess complex business terms, financial risk exposure, and regulatory implications. 

• Translate regulatory and legal considerations into actionable enterprise financial and commercial strategies. 

Reporting, Governance & Executive Decision Support 

• Own Rx and Optical payer reporting, ensuring data integrity, executive-ready insights, and alignment with enterprise KPIs. 

• Deliver clear, data-driven insights to senior executives to support pricing, margin, regulatory, and payer strategy decisions.