Dental PPO Network Strategy & Negotiations Analyst

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

Benefits offered by this job

Bonus eligible

Comprehensive benefits

Job summary

CVS Health Corporation is seeking a Senior Analyst to optimize PPO discounts across the United States for Aetna Dental. You will analyze provider reimbursement, negotiate fee schedules, and rebalance networks to improve discount performance while preserving network adequacy and member access.

The role emphasizes advanced analytics, strategic contracting, and cross-functional collaboration with network management, analytics, and product teams. Remote work with occasional travel is expected.

Qualifications

• At least 3 years in provider network management or related healthcare reimbursement roles.
• Strong analytical and problem-solving skills.
• Excellent negotiation and relationship-building abilities.
• Experience 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

Relationship management

Communication

Data analysis

Education

Associate's degree

Tools

Claims data systems

Data visualization tools

Job description

CVS Health Corporation is seeking a Senior Analyst to optimize PPO discounts across the United States for Aetna Dental. You will analyze provider reimbursement, negotiate fee schedules, and rebalance networks to improve discount performance while preserving network adequacy and member access.

The role emphasizes advanced analytics, strategic contracting, and cross-functional collaboration with network management, analytics, and product teams. Remote work with occasional travel is expected.