About Cardinal Health

Cardinal Health, a Fortune 500 healthcare services and products leader, empowers pharmacies, hospitals, and healthcare providers with innovative solutions that improve patient outcomes and streamline operations. With annual revenue exceeding $200 billion, Cardinal Health specializes in pharmaceutical distribution, medical product manufacturing, and specialty solutions like Revenue Cycle Management (RCM) for home medical equipment (HME/DME) businesses. Our patient-facing divisions, including Advanced Diabetes Supply Group (ADSG), US MED, and Edgepark, deliver essential diabetes and durable medical equipment supplies nationwide. Cardinal Health's RCM team ensures financial sustainability through payer compliance, clean claims, denial prevention, and optimized cash collection across Medicare, Medicaid, Medicare Advantage, Managed Medicaid, and commercial payers.

Role Overview

The Director, Payer Relations (Revenue Cycle Management) is a strategic leadership position responsible for enterprise-wide payer engagement, high-impact escalations, and denial prevention. Reporting to senior RCM leadership, this fully remote role (US nationwide with up to 25% travel) offers a disclosed salary range of $105,600 - $178,750 USD annually, with potential for higher compensation based on experience. You will oversee Payer Advisors, Senior Analysts (Global Denials/Denials Prevention Task Force), and Payer Rules Advisors, serving as the ultimate accountability point for resolving complex payer issues, operationalizing contract terms, and protecting revenue integrity.

Strategic Impact

This role drives systemic improvements in reimbursement performance by addressing payer policy variability, authorization complexities, and adjudication inconsistencies. Expect to engage directly with health plan executives, CMS, and regulatory bodies to enforce accountability and recover material dollars at risk.

Key Responsibilities

Lead with precision in this high-stakes position:

• Provide strategic oversight for payer escalations, denial prevention, and rule governance across ADSG, US MED, and Edgepark.
• Develop and own the enterprise escalation framework, prioritizing high-risk payers and facilitating executive-level interventions.
• Cultivate executive relationships with health plan Provider Relations leaders to preempt reimbursement disruptions.
• Act as final escalation authority for claims, billing, contracting, and AR disputes, ensuring compliant resolutions.
• Spearhead the Denials Prevention Task Force, utilizing advanced analytics to quantify risks and implement remediations.
• Negotiate payer settlements using data-driven insights to accelerate cash collection.
• Partner with AR, Market Access, Legal, Compliance, Finance, and Operations to embed payer requirements in systems and workflows.
• Deliver analytical support for contract negotiations, highlighting denial trends and operational feasibility.
• Establish KPIs, governance, and reporting for sustained payer performance improvements.
• Liaise across Revenue Cycle, IT/Data, Finance, and payers to translate strategies into financial results.

Qualifications & Requirements

Cardinal Health seeks proven leaders with:

• Bachelor's degree in Business, Finance, Healthcare Administration, or related field; Master's or MBA preferred.
• 10+ years in payer relations, RCM, or healthcare revenue integrity, with 5+ years in director-level roles.
• Direct experience managing escalations with Medicare, Medicaid, Medicare Advantage, Managed Medicaid, and commercial payers.
• Expertise in denial management, claims adjudication, payer contracts, and regulatory compliance (e.g., CMS guidelines).
• Strong analytical skills with proficiency in ATB reporting, denial trend analysis, and financial impact modeling.
• Executive relationship-building and negotiation prowess, including health plan leadership engagement.
• Hands-on knowledge of billing systems, workflows, and payer configurations (e.g., EDI, authorization processes).
• Ability to travel up to 25% for payer meetings, conferences, or site visits.
• Excellent communication, mediation, and cross-functional collaboration skills.

Preferred Experience

Background in HME/DME revenue cycle, payer governance, or denial task forces is highly valued. Familiarity with Cardinal Health's businesses (ADSG, US MED, Edgepark) is a plus.

Benefits & Perks

Cardinal Health invests in top talent with industry-leading rewards:

• Competitive base salary $105,600-$178,750, plus performance incentives and bonus potential up to 10-15%.
• Fully remote nationwide flexibility with comprehensive home office stipend.
• Robust health benefits including medical, dental, vision, with low premiums and HSA contributions.
• 401(k) with 6% employer match and immediate vesting.
• Generous PTO: 20+ days vacation, 10 sick days, 10 paid holidays, plus floating holidays.
• Tuition reimbursement up to $5,250/year and leadership development programs.
• Wellness programs, employee stock purchase plan, and family leave benefits.
• Access to cutting-edge healthcare analytics tools and enterprise resources.

Career Growth

Advance rapidly in Cardinal Health's dynamic RCM organization. This Director role positions you for VP-level opportunities in Revenue Cycle, Market Access, or Payer Strategy. Benefit from mentorship, cross-functional exposure, and leadership training. High performers access our global mobility program and executive development tracks.

Why Join Us

At Cardinal Health, you'll impact millions by safeguarding revenue that funds life-saving HME/DME care. Join a collaborative culture prioritizing innovation, integrity, and results. Our remote-first model supports work-life balance while delivering enterprise-scale challenges. With stable Fortune 500 backing, enjoy job security and growth in the booming $100B+ HME/DME market.

Role FAQs

Is this role fully remote?

Yes, fully remote US nationwide, with preference for candidates open to 25% travel.

What is the salary range?

Disclosed: $105,600 - $178,750 USD/year, with incentives pushing total comp higher.

What payers will I work with?

Medicare, Medicaid, Managed Medicaid, Medicare Advantage, and commercial health plans.

Do I need HME/DME experience?

Strongly preferred but not required; payer relations expertise is paramount.

How do I apply?

Submit your resume via Cardinal Health careers portal. Top candidates receive rapid response.