Dental Network Strategy Lead—PPO Discounts

CVS Health; Milton (MA); Remote; USD 47,000 - 122,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a Senior Analyst to optimize PPO network discounts for Aetna Dental across the United States. You will analyze provider reimbursements, renegotiate fee schedules, and guide network rebalancing to improve discount outcomes while preserving network adequacy and member access.

The role emphasizes advanced analytics, strategic thinking, and stakeholder collaboration; it is primarily remote with potential travel requirements.

Qualifications

• Minimum of 3 years in provider network management, sales, provider relations, customer service, healthcare reimbursement, dental practice operations, or payer environment.
• Strong analytical and problem-solving skills; translate data into actionable strategies.
• Proven negotiation, influencing, and relationship-building capabilities.
• Excellent verbal, written, and presentation skills.
• Proficiency in data analysis and 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.
• Evaluate market conditions and provider factors to develop contracting strategies.
• Assess financial and operational impact of reimbursement changes and network adjustments.
• Collaborate with network management, contracting, analytics, provider relations, and product teams.

Skills

Provider network management

Analytical thinking

Negotiation

Communication

Data analysis

Education

Associate's degree or equivalent

Job description

CVS Health is seeking a Senior Analyst to optimize PPO network discounts for Aetna Dental across the United States. You will analyze provider reimbursements, renegotiate fee schedules, and guide network rebalancing to improve discount outcomes while preserving network adequacy and member access.

The role emphasizes advanced analytics, strategic thinking, and stakeholder collaboration; it is primarily remote with potential travel requirements.