(USA) Manager, Procurement (Program Management)

Walmart • Bentonville, AR

104d • $70,000 - $130,000

About The Position

We are in the business of people. At Walmart Claims Services, we have a passion for helping our associates and customers get back to their everyday lives after an accident or injury. Making a difference and impacting the lives of others, through the stressful time of a claim is our expertise. Our value goes beyond competitive wages, health benefits and stock ownership. Our flexible work environment, company-wide collaboration, and a fresh take on industry best practices means that Walmart Claims Services is more than just a job, it is a career destination.

Requirements

• 3-5 years' experience working in the claims, healthcare or risk management field.
• 1-3 years' experience in project management related to program management.
• Ability to form positive working relationships with internal and external stakeholders.
• Working understanding of medical terminology, CPT coding and occupational medical treatment standards.
• Strong analytical and data interpretation skills, with proficiency in Excel and data visualization.
• Experience managing third-party vendors or service providers.
• Knowledge of workers' compensation laws, regulations and medical billing practices.
• Familiarity with AI-driven bill review processes or tools.
• Experience in large-scale workers' compensation or healthcare management.

Nice To Haves

• Demonstrated experience proactively partnering with a business throughout negotiation process.
• Experience engaging in data analysis, understanding business perspective and needs.
• Drives execution and implementation of WCS projects and programs by developing timelines and communication materials.
• Successfully executed and implemented large-scale projects and programs impacting teams in a highly matrixed organization.
• Documented ability to manage multiple program streams at a national level meeting quarterly and annual program OKRs.
• Insurance industry certifications preferred (Including but not limited to AIC, CPCU, ARM, etc).

Responsibilities

• Help design and deliver a comprehensive vendor management program that supports our nationwide claims business.
• Lead the vendor selection process, design and execute a new strategy for RFPs, and manage legacy programs.
• Negotiate contracts on behalf of Walmart Claims Services and manage ongoing program management.
• Develop strong relationships with internal contracting and procurement partners as well as external vendors.
• Monitor vendor performance against service level agreements (SLAs) and ensure compliance with contractual obligations and quality standards.
• Conduct regular performance reviews and provide feedback for continuous improvement.
• Oversee the end-to-end medical bill review process to ensure timely and accurate processing.
• Oversee pharmacy benefit management program with related service provider.
• Review and approve vendor-recommended adjustments and cost savings.
• Address and resolve discrepancies or escalations in the bill review process.
• Generate and present detailed reports on bill review performance, cost savings, and compliance metrics to Walmart leadership.
• Collaborate with vendors to develop and track key performance indicators (KPIs).
• Stay updated on legislative changes that may impact the bill review and collaborate with vendors to implement necessary adjustments.

Benefits

• Competitive pay and performance-based bonus awards.
• Health benefits including medical, vision and dental coverage.
• Financial benefits including 401(k), stock purchase and company-paid life insurance.
• Paid time off benefits including PTO, parental leave, family care leave, bereavement, jury duty, and voting.
• Short-term and long-term disability.
• Company discounts.
• Military Leave Pay.
• Adoption and surrogacy expense reimbursement.
• Live Better U education benefit program for associates.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Industry: General Merchandise Retailers
• Education Level: Bachelor's degree