Analyst, Billing - DS (Pharmacy Audit)
Walmart
IT
Posted on Mar 21, 2026
Position Summary...
The Billing Analyst supports pharmacy billing compliance by responding to third‑party payer audit requests, researching claim details, and assisting with appeal documentation. This audit role helps identify trends, mitigate billing risk, and ensure pharmacy billing practices align with payer and regulatory requirements.About the Team
You will be part of the Health & Wellness Billing team, which supports pharmacy operations by responding to third‑party payer audits and investigations. The team works closely with pharmacies and business partners to verify claims, address recoupments, and help ensure accurate billing and regulatory compliance.
What you'll do...
- Respond to third‑party payer audit requests by researching claim and billing information, gathering prescription records, and preparing documentation.
- Review audit findings, support appeals, and track audit requests to ensure deadlines and compliance requirements are met.
- Analyze billing data and recoupments to identify trends, risks, and opportunities to improve processes.
- Collaborate with pharmacy teams, managers, and business partners to resolve billing issues and provide guidance on audit findings.
- Maintain HIPAA‑compliant documentation and ensure records meet federal and company requirements.
- This role reports to the Billing Manager.
- Knowledge of pharmacy billing processes or healthcare reimbursement environments.
- Experience using Excel to review, organize, and analyze audit data.
- Strong attention to detail when reviewing claims, records, and audit documentation.
- Ability to manage multiple audit requests and deadlines while maintaining accuracy.
- Clear communication skills when working with cross‑functional partners and pharmacy teams.
Minimum Qualifications...
- Associate’s degree in Business Administration, Finance, Accounting, or related field OR 1 year’s experience in accounting, medical billing, medical coding, or related area.
- Experience working with pharmacy claims, third‑party payer audits, or billing compliance.
- Experience reviewing large datasets to identify trends, patterns, or discrepancies.
- Familiarity with AI tools or technologies that support data analysis or workflow efficiency such as ChatGPT, Dataiku, SQL, Python, Code Puppy.
- Experience improving operational workflows or identifying opportunities for process improvement.
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 responsibilities and qualifications required of employees assigned to this job. The full Job Description can be made available as part of the hiring process.
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 hourly wage range for this position is $26.00 - $51.00* *The actual hourly rate will equal or exceed the required minimum wage applicable to the job location. Additional compensation in the form of premiums may be paid in amounts ranging from $0.35 per hour to $3.00 per hour in specific circumstances. Premiums may be based on schedule, facility, season, or specific work performed. Multiple premiums may apply if applicable criteria are met.
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Minimum Qualifications...
Outlined below are the required minimum qualifications for this position. If none are listed, there are no minimum qualifications.
Minimum Qualifications: Associate’s degree in Business Administration, Finance, Accounting, or related field OR 1 year’s experience in accounting, medical billing, medical coding, or related area.Preferred Qualifications...
Outlined below are the optional preferred qualifications for this position. If none are listed, there are no preferred qualifications.
