Director of Business Development, Market Access

What Edgepark and Advanced Diabetes Supply Group (ADSG) contributes to Cardinal Health

Edgepark and Advanced Diabetes Supply Group (ADSG) are leading providers of direct-to-home durable medical equipment and supplies, serving a wide range of patient needs across critical therapy areas. Collectively, Edgepark and ADSG represent the insurance billing and direct-to-patient supplier arm of Cardinal Health - a Fortune 15 global healthcare services and products company headquartered in Dublin, OH.

Location

Fully remote (nationwide search), with up to 30% travel expected (generally once or twice per month)

Responsibilities

Proactively identify, target, and secure transformative agreements with national and regional payers, with a primary focus on sole-source value-based arrangements (ex : capitation, risk-sharing).

Lead the conceptualization, financial modeling, and contract structuring of new clinical and financial programs that leverage the company's capabilities to optimize patient outcomes and reduce the total cost of care.

Create and deliver high-impact, data-driven presentations to C-suite and executive leaders within payer organizations, translating complex clinical and operational data into clear financial and quality outcomes.

Lead meticulous needs assessments focused on the payer's overarching clinical, financial, and member engagement goals. Leverage these insights to design and present highly customized DMEPOS solutions that deliver clear ROI and ensure direct alignment with the payer's strategic imperatives.

Function as a dedicated, embedded partner to the Account Management team, actively participating in strategic payer meetings to introduce, present, and close complex, value-based programs.

Collaborate directly with the Market Access Account Management team across the full commercial cycle, specifically partnering on opportunity identification, account segmentation / stratification, contracting execution, ensuring flawless implementation, and establishing robust post-implementation compliance tracking.

Continuously monitor and synthesize evolving regulatory, competitive, and payer environments to ensure the organization's partnership strategies are differentiated and positioned at the forefront of value-based innovation.

Champion cross-functional alignment by serving as the primary internal liaison, coordinating seamlessly with Sales, Operations, Clinical, and Finance teams to ensure the successful handoff and flawless operationalization of complex payer contracts.

Establish and lead Joint Operating Committees (JOCs) and Quarterly Business Reviews (QBRs) with key payer partners to rigorously monitor contract performance, validate value realization, and proactively manage relationship health.

Drive opportunities for contract expansion, renewal, and the introduction of new value-based programs, demonstrating long-term strategic partnership management.

Serve as the primary strategic partner to the Finance department, providing the necessary deal intelligence, modeling assumptions, and market context required for accurate contract valuation, forecasting, and robust P&L impact analysis throughout the contract lifecycle.

Serve as the external subject matter expert on managed care, value-based payment methodologies, and population health trends, leveraging this knowledge to build credibility and trust with C-suite and senior payer leadership.

Function as the chief internal strategist for managed care, proactively synthesizing industry dynamics and market insights to inform and influence executive decisions regarding future investment areas, solution development, and long-term strategic planning.

Qualifications

Ideally targeting individuals with 10+ years of industry-specific experience which could include working for a national / regional payer, working in DME (durable medical equipment), working for a manufacturer, or working for a digital chronic condition management company

Proven track record driving new business, achieving measurable revenue targets, and securing high-value, complex partnerships with national / regional payers, self-funded employer groups, and / or integrated care delivery networks (preferred)

Expert knowledge in designing, negotiating, and implementing value-based contracts and risk-sharing agreements (ex : capitation, bundled payments, ACOs)

Demonstrated success developing and managing strategic relationships with C-suite payor executives as well as managed care clinical / network management / operations leaders

Full cycle RFP / RFQ management success—from initial market analysis through submission, award, and implementation

Specialization in total addressable market analysis, segmentation, financial profit pool modeling, and executed value-based care contracting frameworks

Robust network of strong, existing professional relationships with key decision-makers and influencers within major national and critical regional payer organizations, preferred

Anticipated pay range

$220,700 - $269,100 (includes targeted variable pay)

Bonus eligible

Yes

Benefits

Medical, dental and vision coverage

Paid time off plan

Health savings account (HSA)

401k savings plan

Access to wages before pay day with myFlexPay

Flexible spending accounts (FSAs)

Short- and long-term disability coverage

Work-Life resources

Paid parental leave

Healthy lifestyle programs

Application window anticipated to close

12 / 01 / 2025

• if interested in opportunity, please submit application as soon as possible.

Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply. Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity / expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.

The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.

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