Director of Business Development, Market Access

Director of Business Development, Market Access

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. The Director of Business Development, Market Access is a seasoned managed care executive and strategic individual contributor responsible for developing and securing transformative payer contracts for Edgepark and Advanced Diabetes Supply Group (ADSG). This individual will be focused on expanding the organization's strategic footprint and influence in value-based care contracting. Functioning as a strategic hunter, this Director is the deal architect, personally driving the identification, structuring, and closing of complex, valuable arrangements with national and regional payers that leverage our capabilities to reduce the total cost of care and improve outcomes.

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 :

Anticipated pay range : $220,700 - $269,100 (includes targeted variable pay) Bonus eligible : Yes Benefits :

Application window anticipated to close : 12 / 01 / 2025