Manager, Payer Programs

2 weeks ago

Cave Springs, United States Walmart Full time
Position Summary...

What you'll do...

Position Description:
Responsible for the drafting, reviewing, editing, coordination of stakeholder review, and execution of healthcare contracts, as assigned
Responsible for maintaining an organized filing system for the history of reviews, redlines, and other items necessary and applicable to the coordinated review of contracts
Manages the contract review process in support of Health & Wellness business initiatives
Responsible for maintaining an organized filing system for all active healthcare contracts
Responsible for applying continuous quality and process improvement where necessary
Support Health & Wellness strategic initiatives provided by senior leadership
Provides support and development opportunities for fellow associates
Ensures compliance with company policies and procedures and supports company mission, values, and standards of ethics and integrity

Preferred Qualifications :
  • Paralegal or Juris Doctor
  • Proficiency in contract redlining, writing and review
  • Technical writing skills
  • Supervisory experience
  • Experience in the healthcare insurance industry
  • Paralegal program completion
  • Project Management certification
  • Six Sigma certification
  • Enjoy a supporting role
  • Have developed critical thinking skills
  • Be detail-oriented
  • Value and practice good communication
  • Be curious and inquisitive
  • Be flexible
  • Be organized


Manages the contract review process to support Health & Wellness strategic initiatives by working with business teams to determine project requirements and evaluating contract variables to assist with negotiation and ensuring compliance with company policies, procedures, and standards; generating various scenarios to determine business benefits; assessing range of negotiation outcomes; assisting in the negotiation of data terms within contracts; and executing defined negotiation strategies to ensure business needs are met and strategies are aligned.

Manages project initiatives by working to determine resource constraints; assisting in the review and revision of existing contract standards; assisting with the incorporation of industry and company standards, innovating and defining best practices; 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.

Manages the contracting and execution process by reviewing multiple 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 projects; and establishing metrics for measuring compliance.

Manages continuous improvement in contract management and retention; 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.

Coordinates, completes, and oversees job-related activities and assignments by developing and maintaining relationships with key stakeholders; supporting plans and initiatives to meet customer and business needs; identifying and communicating goals and objectives; building accountability for and measuring progress in achieving results; identifying and addressing improvement opportunities; and demonstrating adaptability and promoting continuous learning.

Provides supervision and development opportunities for associates by hiring and training; mentoring; assigning duties; providing recognition; and ensuring diversity awareness. Ensures compliance with company policies and procedures and supports company mission, values, and standards of ethics and integrity by implementing related action plans; utilizing and supporting the Open Door Policy; and providing direction and guidance on applying these in executing business processes and practices.

#LI-KL

Live our Values

Culture Champion
Models the Walmart values to foster our culture; holds oneself and others accountable; and supports Walmart's commitment to communities, social justice, corporate social responsibility, and sustainability; maintains and promotes the highest standards of integrity, ethics and compliance.

Servant Leadership
Acts as an altruistic servant leader and is consistently humble, self-aware, honest, and transparent.

Embrace Change

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

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 2 years' experience in billing, healthcare, legal, or related area OR 4 years' experience in billing, healthcare, legal, or related area.

Preferred Qualifications...

Outlined below are the optional preferred qualifications for this position. If none are listed, there are no preferred qualifications.

Contract Management, Supervising Associates, Working in or with Pharmacy Benefit Management

Masters: Finance, Masters: Healthcare

Primary Location...
2608 Se J St, BENTONVILLE, AR 72712, United States of America

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