PPO Network Discount Strategist - Senior Analyst

Sky Pediatric Dentistry; Georgia; Hybrid; USD 47,000 - 122,000; Full time

Job summary

CVS Health is seeking a Senior Analyst, PPO Network Discount Optimization to strengthen Aetna Dental's provider networks nationwide. The role focuses on analyzing reimbursement structures, identifying optimization opportunities, and guiding fee schedule negotiations to improve discount outcomes while maintaining access.

The successful candidate will leverage claims and market data, influence provider participation, and collaborate with network management, contracting, analytics, and product

Qualifications

• Minimum of 3 years 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.

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 building

Communication

Data analysis

Problem solving

Presentation

Education

Associate degree

Tools

Data visualization tools

Reporting tools

Job description

CVS Health is seeking a Senior Analyst, PPO Network Discount Optimization to strengthen Aetna Dental's provider networks nationwide. The role focuses on analyzing reimbursement structures, identifying optimization opportunities, and guiding fee schedule negotiations to improve discount outcomes while maintaining access.

The successful candidate will leverage claims and market data, influence provider participation, and collaborate with network management, contracting, analytics, and product