(USA) Senior Manager, Contracting Review - Health and Wellness 340B
Walmart

Position Summary...

What you'll do...

Responsibilities:

• Maintains highly professional standards and accountability to achieve/exceed departmental and individual objectives.
• Serves as the liaison between wholesale distributor, pharmacies, market leaders, manufacturers, legal counsel, supply chain, HRSA/OPAIS, pharmacy leadership, and others as relates to the operation and management of 340B pharmacy business.
• Serves as a 340B subject matter expert including registration, compliance, policies and procedures, and pharmacy operational issues.
• Demonstrate expertise and understanding of end-to-end 340B pharmacy business processes.
• Perform audits to ensure credit/memos and replenishment are compliant with all standards.
• Assist in develop and oversee implementation of 340B contracting initiatives that will drive additional revenue for the company.
• Proactively meet with third party administrators on a quarterly basis at minimum and seek out strategic opportunities.
• Ensure 340B covered entities have an account development plan and plans are updated annually.
• Meet with strategic 340B accounts on a quarterly basis at minimum. Partnering with the finance department, monitor performance of contracts and ensure KPI's are being met.
• Internally meet on KPIs for strategic accounts with market managers and operations teams periodically.
• Monitors trends and assists in the improvement of 340B pharmacy services by analyzing operating procedures and recommending cost-effective solutions and/or revenue enhancing opportunities.
• Responsible for managing, reviewing, and troubleshooting 340B pharmacy issues.
• Reviews and make recommendations on pharmacy contracting and other 340B opportunities and strategies while assessing impact from a financial, and operational perspective.
• Responsible for reviewing and analyzing current, past and new business opportunities for compliance and cost savings potential.
• Leads the assessment & implementation of contract and 340B pharmacy opportunities which may include the implementation or revision of 340B contracts and 340B pharmacy programs.
• Reviews current and prospective vendors for tools, technology, and design that will best service the compliance requirements of the 340B program.

Develops and maintains relationships with internal and external partners to meet business goals and objectives for Payer Relations Implementation (PRI) by

• identifying and ranking priorities for all Payer Relations contracts
• communicating and managing priorities of Payer Relations team with business partners (for example, Legal Priority Management Office (PMO), Innovations)
• partnering with internal stakeholders (for example, Compliance, Legal, Real Estate) to evaluate adherence to standards and regulations in the development of contracts
• engaging with and leveraging external agencies(for example, Medicare, Medicaid, NCPDP) throughout contract implementation.

Oversees corporate governance and compliance of contracts in Payer Relations Implementation (PRI) for Walmart Health and Wellness by

• identifying and researching laws and corporate governance standards (for example, contract, tax, licensing)
• overseeing development of processes and procedures of contracts to ensure compliance with laws and corporate governance standards
• guiding and training Contracting Review team in conducting research and performing contract reviews to ensure compliance
• ensuring contracts are in alignment with corporate and organizational goals and standards.

Oversees and develops processes to detect, mitigate, and manage risk in contracting review for Payer Relations Implementation (PRI) in Health and Wellness by

• directing the development of processes to assess and mitigate emerging risk patterns
• collaborating with Compliance department to identify, and assess risk factors
• creating and conducting evaluations of current and future guidelines to assess short- and long-term change requirements
• ensuring compliance with legal and regulatory requirements that affect the execution of risk mitigation and management strategies
• driving risk mitigation plans to completion.

Drives the execution of multiple business plans and projects by

• identifying customer and operational needs
• developing and communicating business plans and priorities
• removing barriers and obstacles that impact performance
• providing resources
• identifying performance standards
• measuring progress and adjusting performance accordingly
• developing contingency plans; and demonstrating adaptability and supporting continuous learning.

Provides supervision and development opportunities for associates by

• selecting and training
• mentoring
• assigning duties
• building a team-based work environment
• establishing performance expectations and conducting regular performance evaluations
• providing recognition and rewards
• coaching for success and improvement
• ensuring diversity awareness.

Promotes and supports company policies, procedures, mission, values, and standards of ethics and integrity by

• training and providing direction to others in their use and application
• ensuring compliance with them
• utilizing and supporting the Open Door Policy.

Ensures business needs are being met by

• evaluating the ongoing effectiveness of current plans, programs, and initiatives
• consulting with business partners, managers, co-workers, or other key stakeholders
• soliciting, evaluating, and applying suggestions for improving efficiency and cost-effectiveness
• participating in and supporting community outreach events.

#LI-MF4

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 accomplishments.

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 in Business, Arts and Sciences, or related field and 2 years experience in healthcare, legal, health insurance, managed care or related field OR 6 years experience in healthcare, legal, health insurance, managed care or related field.

Preferred Qualifications...

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

Contract Management, Healthcare Strategy, Microsoft Office, Pharmacy, Supervising Associates

Doctorate, Masters: Business Administration

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

This job has expired.