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Analyst I, Specialty Compliance and Ethics

company-logo

Walmart

2.7

Lowell, AR

Why you should apply for a job with Walmart:

  • 52%

    Reviewers say women are treated fairly and equally to men

  • All eligible associates have affordable options that include no lifetime maximum and eligible preventive care covered at 100%.

  • The enhanced maternity benefit supports birth moms with up to 10 weeks of protected paid time away from work.

  • Associates can take advantage of Resources for Living, a free confidential counseling and health information service.

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Position summary

Position Summary...

What you'll do...

Manages bill review processes by researching and interpreting workers' compensation state fee schedules, laws and regulations, and applying them to current processes or developing new procedures; ensuring fee schedule changes are applied and communicated to vendor processors to ensure bill review compliance; testing and approving new or updating system applications; ensuring bill review software is functional to communicate software needs or programming issues to the bill review vendor; developing alternate workflows to accommodate system deficiencies; submitting rule requests and testing to ensure rule accuracy; and using reports and logs to identify negative trends and creating action plans to mitigate disputes and penalties and to identify positive trends to maximize benefits.

Oversees vendor processors and vendor payments by communicating expectations to vendors and ensuring vendors comply with contractual obligations; verifying vendor invoices; developing and reviewing reports to track vendor performance; providing guidance regarding policies and best practices and supporting vendors with bill decisions and guidelines; and participating in vendor selection and on boarding.

Ensures medical EDI reporting compliance by researching data element requirements; validating system fields are correct; communicates with stakeholders; monitors and corrects rejection reasons. Complies with state-mandated E-billing requirements.

Live our Values
Culture Champion
• Models the Walmart values to foster our culture; holds oneself 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
• Is consistently humble, self-aware, honest, and transparent.
Embrace Change
Curiosity & Courage
• Demonstrates curiosity and a growth mindset; supports innovation and intelligent risk-taking; and exhibits resilience in the face of setbacks.
Digital Transformation & Change
• Implements and supports continuous improvements and willingly embraces new digital tools and ways of working.
Deliver for the Customer
Customer Focus
• Delivers results while putting the customer first and applying an omnimerchant mindset and the EDLP and EDLC business models to all plans.
Strategic Thinking
• Adopts a broad perspective that considers data, analytics, customer insights, and different parts of the business when making plans.
Focus on our Associates
Diversity, Equity & Inclusion
• Embraces diversity in all its forms and actively supports diversity of ideas and perspectives, as well as diversity goal programs.
Collaboration & Influence
• Builds strong and trusting relationships with team members and business partners; works collaboratively to achieve objectives; communicates with
impact to a range of audiences; and demonstrates energy and positivity for own work.
Talent Management
• Contributes to an environment allowing everyone to bring their best selves to work, demonstrates engagement and commitment to the team, and 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, Human Resources, or related field OR 2 years' experience in compliance, ethics, legal, project management, or related area.

Preferred Qualifications...

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

Customer Research, Data Analysis and Insights

Masters: Business Administration

Project Management - Project Management Professional - Certification
Primary Location...
608 SW 8TH ST, BENTONVILLE, AR 72712-6207, United States of America

About the company

52045

Walmart

Industry: Retail: Supermarket Company

In 1962, Sam Walton started a single mom-and-pop shop and transformed it into the world’s largest retailer. Since those founding days, one thing has remained consistent: helping our customers save money so they can live better. Today, we’re reinventing the shopping experience - and our associates are at the heart of it (all 2.2 million of them).  When you join our Walmart family of ...

Why you should apply for a job with Walmart:

  • 52%

    Reviewers say women are treated fairly and equally to men

  • All eligible associates have affordable options that include no lifetime maximum and eligible preventive care covered at 100%.

  • The enhanced maternity benefit supports birth moms with up to 10 weeks of protected paid time away from work.

  • Associates can take advantage of Resources for Living, a free confidential counseling and health information service.

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