PPO Network Discounts Senior Analyst (Remote)

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

Benefits offered by this job

Bonus eligibility

Job summary

CVS Health Corporation is seeking a Senior Analyst to optimize PPO network discounts for Aetna Dental across the United States. The role focuses on analyzing provider reimbursement structures, renegotiations, and network rebalancing to improve discount outcomes while maintaining network access.

The ideal candidate has strong data analytics, negotiation, and stakeholder management skills, with experience in dental networks and reimbursement methodologies.

Qualifications

• Minimum 3 years in provider network management, sales, provider relations, customer service, or payer environment.
• Ability to analyze claims data and translate findings into actionable strategies.
• Proven negotiation and relationship-building capabilities.

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

Data analysis

Presentation skills

Education

Associate's degree or equivalent

Job description

CVS Health Corporation is seeking a Senior Analyst to optimize PPO network discounts for Aetna Dental across the United States. The role focuses on analyzing provider reimbursement structures, renegotiations, and network rebalancing to improve discount outcomes while maintaining network access.

The ideal candidate has strong data analytics, negotiation, and stakeholder management skills, with experience in dental networks and reimbursement methodologies.