Dental Network Relations Senior Analyst

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

Benefits offered by this job

Bonus / incentive programme

Comprehensive benefits package

Job summary

CVS Health Corporation seeks a Senior Analyst for PPO Network Discount Optimization to enhance discount performance across the national Aetna Dental provider network. The role focuses on analyzing reimbursement arrangements, leading fee schedule negotiations and network rebalancing initiatives with a data-driven approach.

The ideal candidate will have strong analytical capabilities and negotiation experience, working remotely with occasional travel, and contribute to better provider

Qualifications

• Minimum of 3 years in provider network management or similar roles.
• Strong analytical and problem-solving skills with ability to translate data into strategies.
• Proven negotiation, influencing and relationship-building capabilities.
• Excellent verbal, written and presentation skills.
• Proficiency in data analysis and reimbursement data experience.

Responsibilities

• Analyse provider reimbursement arrangements, claims data and network performance metrics to identify opportunities for PPO discount improvement.
• Lead provider fee schedule negotiations and network optimisation initiatives.
• Evaluate market conditions and provider factors to develop contracting strategies.
• Assess financial and operational impact of proposed changes.
• Collaborate with network management, contracting, analytics and provider relations teams.
• Build relationships with dental providers to facilitate negotiations.
• Present data-driven recommendations and business cases to leadership.

Skills

Provider network management

Analytical skills

Negotiation / influencing

Communication skills

Data analysis

Education

Associate's degree

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritise safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary

The Senior Analyst, PPO Network Discount Optimization plays a critical role in enhancing the value and competitiveness of Aetna Dental's provider networks by driving improvements in PPO discount performance across the United States. This position is responsible for analyzing provider reimbursement arrangements, identifying optimisation opportunities, and executing provider fee schedule renegotiations and network rebalancing strategies.

The ideal candidate possesses a strong understanding of dental insurance products, including PPO and Medicare plans, along with knowledge of market dynamics, provider economics and competitive network strategies. This role requires advanced analytical capabilities, strategic thinking and strong relationship management skills to influence provider participation and achieve financial and operational objectives.

The Senior Analyst leverages claims, reimbursement and market data to assess network performance, quantify business impacts and develop recommendations that improve discount outcomes while maintaining provider network adequacy and member access. While the role is primarily remote and conducted through virtual and telephonic engagement occasional travel may be required.

Key Responsibilities

• Analyse provider reimbursement arrangements, claims data and network performance metrics to identify opportunities for PPO discount improvement.
• Lead provider fee schedule negotiations and network optimisation initiatives that support organisational 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.

Required Qualifications

• Minimum of 3 years of experience in provider network management, sales, provider relations, customer service, healthcare reimbursement, dental practice operations or a payer environment.
• 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.

Preferred Qualifications

• 5+ years of experience within the dental industry including familiarity with PPO DMO Medicare and other dental network products.
• Knowledge of provider contracting fee schedule development and healthcare reimbursement methodologies.
• One to three years of financial analysis healthcare economics or related analytical experience.
• Experience utilising data visualisation and reporting tools to support business decision-making.

Education

• Associate's degree or equivalent combination of education and experience.

Key Competencies

• Strategic Thinking
• Data Analysis & Interpretation
• Contract Negotiation
• Financial Acumen
• Relationship Management
• Influencing & Persuasion
• Communication & Presentation Skills
• Process Improvement
• Business Impact Assessment

This position offers the opportunity to directly influence network performance provider engagement and overall business results while supporting the continued growth and competitiveness of Aetna Dental's national provider network.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$46,988.00 - $122,400.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience education geography and other relevant factors. This position is eligible for a CVS Health bonus commission or short-term incentive programme in addition to the base pay range listed above.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional and financial well‑being of colleagues and their families. The benefits for this position include medical dental and vision coverage paid time off retirement savings options wellness programmes and other resources based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 10/23/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal state and local laws.