Group Director, Payer Programs - Negotiations, Modeling & Strategy
Walmart
USD 195k-370k / year + Equity
Posted on Apr 3, 2026
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.
- Influence outcomes across Health & Wellness, Finance, Merchandising, and Corporate Affairs without direct authority.
Enterprise Leadership & Decision Authority
- Serves as the enterprise owner of payer negotiations, modeling, and strategy across Health & Wellness.
- Establishes standards, frameworks, and governance used by Finance, Merchandising, Legal, and Government Affairs.
- Makes enterprise-level recommendations that directly influence pricing strategy, margin performance, regulatory risk, and external positioning.
- Operates with enterprise decision rights in highly ambiguous, high-risk environments.
Scope & Impact
- Financial Scope: $40–50B enterprise exposure
- Enterprise Coverage: Walmart U.S. and Sam’s Club (Optical; Rx excluding Sam’s Rx modeling)
- Operating Model: Leads through influence across a highly matrixed enterprise, with accountability for outcomes rather than direct line ownership
- Visibility: Regular engagement with senior executives and external regulatory bodies
What you’ll bring:
- Bachelor’s degree in Finance, Economics, Business, or related field (MBA or advanced degree preferred).
- 10+ years of progressive experience in financial modeling, payer negotiations, healthcare economics, or related fields.
- Deep expertise in Rx, Specialty Pharmacy, Optical, and payer economics.
- Proven experience leading complex, high-stakes negotiations with external partners.
- Strong understanding of regulatory, legal, and compliance considerations impacting pharmacy and payer programs.
- Exceptional executive communication, influence, and stakeholder management skills.
Preferred Qualifications
- Experience supporting or leading responses to regulatory investigations or government inquiries.
- Enterprise experience operating in large, matrixed organizations.
- Demonstrated ability to translate complex financial and regulatory concepts into executive-level recommendations.
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 annual salary range for this position is $195,000.00 - $370,000.00 Additional compensation includes annual or quarterly performance bonuses. Additional compensation for certain positions may also include :
- Stock
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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: Bachelor’s degree and 7 years’ experience in billing, healthcare, legal, or related area OR 9 years’ experience in billing, healthcare, legal, or related area. 4 years’ supervisory experience.Preferred Qualifications...
Outlined below are the optional preferred qualifications for this position. If none are listed, there are no preferred qualifications.
Contract Management, Working in or with Pharmacy Benefit ManagementMasters: Finance, Masters: Healthcare
