Dental Network Discounts Analyst – PPO Optimization

CVS Health Corporation; Louisiana; Hybrid; USD 47,000 - 122,000; Full time

Job summary

CVS Health is seeking a Senior Analyst for PPO Network Discount Optimization to improve discount performance across the U.S. In this mostly remote role, you will analyze provider reimbursement, lead fee negotiations, and help rebalance networks while supporting member access and network adequacy.

The ideal candidate has strong analytical, negotiation, and communication skills, with experience in dental networks and reimbursement data. Occasional travel may be required.

Qualifications

• Strong analytical and problem‑solving skills with the ability to interpret complex data and translate findings into actionable strategies.
• Proven negotiation, influencing, and relationship‑building capabilities.
• Excellent verbal, written, and presentation communication skills.
• Proficiency in data analysis and experience working with claims or reimbursement data.

Responsibilities

• Analyze provider reimbursement arrangements, claims data, and network performance metrics to identify opportunities for PPO discount improvement.
• Lead provider fee schedule negotiations and network optimization initiatives that support organizational financial goals.
• Evaluate market conditions, competitive dynamics, and provider-specific factors to develop targeted contracting strategies.
• Assess the financial and operational impact of proposed reimbursement changes and network adjustments.
• Collaborate with internal stakeholders across network management, contracting, analytics, provider relations, and product teams.
• Build and maintain productive relationships with dental providers and provider groups to facilitate successful negotiations.
• Present data-driven recommendations and business cases to leadership and key stakeholders.

Skills

Analytical skills

Negotiation & influence

Communication skills

Data analysis

Education

Associate's degree

Job description

CVS Health is seeking a Senior Analyst for PPO Network Discount Optimization to improve discount performance across the U.S. In this mostly remote role, you will analyze provider reimbursement, lead fee negotiations, and help rebalance networks while supporting member access and network adequacy.

The ideal candidate has strong analytical, negotiation, and communication skills, with experience in dental networks and reimbursement data. Occasional travel may be required.