ABM/Segment Director
Garner HealthSalary not specified
Full Time
Senior (5 to 8 years)
Not SpecifiedCompensation
Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Pharmacy Benefits Management, Retail HealthcareIndustries
Requirements
- Significant leadership experience in PBM, payer contracting, or network negotiations especially overseeing high-value accounts
- Deep fluency with reimbursement models (AWP, NADAC, PAC, WAC)
- Proven ability to build deal frameworks and negotiate complex deals
- Skill in managing complex, high-stakes stakeholder dynamics and cross-functional alignment in matrixed organizations
- A track record in driving contract performance, scaling new lines of business, and converting contractual language into execution
Responsibilities
- Lead the development and execution of contracting and pricing strategies for assigned key accounts, including PBM and Plans
- Develop the business case behind each deal, showing how financials and terms impact other lines of business and aligning opportunities with Walmart’s broader healthcare strategy
- Collaborate closely with Finance, Underwriting, Operations and Legal teams to develop account strategies that optimize profitability
- Develop deep knowledge of assigned key accounts, including their challenges, contract terms, performance metrics, and growth opportunities, while serving as a key driver of immunization pharmacy and medical contracting
- Oversee full lifecycle contract negotiations with PBM and health plans from new business and renewals to amendments and escalations on both the pharmacy and medical benefit
- Develop deal “stories” and negotiation framework, ensuring alignment of proposed contracts to enterprise strategy
- Be the senior relationship owner for top-tier PBM accounts; develops account strategy, performance accountability, and growth initiatives. Transitioning the client relationship from transactional to solutions-oriented
- Work in tandem with legal, pricing, finance, operations, and clinical teams to operationalize contract terms, implement changes, and mitigate reimbursement issues
- Identify, pitch, and lead new contracting opportunities (e.g. immunization, value-based models, network expansion) to expand Walmart’s role in payer-provider partnerships
Skills
Key technologies and capabilities for this role
Questions & Answers
Common questions about this position
What experience is required for the Director, Payer Programs role?
The role requires significant leadership experience in PBM, payer contracting, or network negotiations especially overseeing high-value accounts, deep fluency with reimbursement models like AWP, NADAC, PAC, WAC, proven ability to build deal frameworks and negotiate complex deals, skill in managing complex stakeholder dynamics and cross-functional alignment, and a track record in driving contract performance and scaling new business lines.
What does the Payer Relations team at Walmart focus on?
You'll join Walmart’s Payer Relations team, a high-impact, cross-functional group that leads contracting strategy with PBMs, payers, and health plans, drives enterprise-level financial performance, ensures optimal reimbursement for pharmacy and medical services, and shapes strategic partnerships.
Is this a remote position or does it require office work?
This information is not specified in the job description.
What is the salary or compensation for this role?
This information is not specified in the job description.
What makes a strong candidate for this PBM Account Manager Contracting role?
Strong candidates will have significant leadership in PBM or payer contracting with high-value accounts, deep knowledge of reimbursement models, proven negotiation skills for complex deals, and experience managing cross-functional teams in matrixed organizations while driving contract performance.
Walmart
Global retail chain offering affordable products
About Walmart
Walmart operates a chain of hypermarkets, discount department stores, and grocery stores, providing a wide variety of products at low prices to everyday consumers, families, and communities. The company combines physical retail locations with an e-commerce platform, allowing customers to shop for groceries, apparel, electronics, and household items both in-store and online. Walmart's efficient supply chain management and large-scale purchasing enable it to maintain affordability, setting it apart from competitors. The company also offers financial services and health and wellness services, including pharmacies and vision centers. Walmart's goal is to save people money and support communities, as demonstrated by its efforts during the COVID-19 pandemic and its commitment to social responsibility, including programs for veterans and military families.
Bentonville, ArkansasHeadquarters
1962Year Founded
$5,515MTotal Funding
IPOCompany Stage
Financial Services, Consumer GoodsIndustries
10,001+Employees
Benefits
PTO: Paid vacation, sick time, personal time and holiday time
10% discount on regularly priced general merchandise and fresh fruits and vegetables
6% 401(k) match to all employees, including hourly workers, after one year
Roth IRA available
Associate Stock Purchase Plan
maximum and eligible preventive care covered at 100%
Health reimbursement plans
Risks
Rising U.S. labor costs could pressure profit margins.
Amazon's grocery delivery expansion threatens Walmart's market share.
Fintech investments expose Walmart to financial regulatory risks.
Differentiation
Walmart's omnichannel strategy integrates physical and online retail seamlessly.
The company offers a wide range of products at consistently low prices.
Walmart's commitment to community support enhances its brand reputation.
Upsides
Walmart's investment in fintech expands its financial services offerings.
Robotics integration in distribution centers boosts operational efficiency.
Culturally themed product lines attract diverse customer segments.
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