Remote Dental Network Discount Strategist

CVS Health; Wilmington (VT); Remote; USD 47,000 - 122,000; Full time

Job summary

CVS Health is seeking a Senior Analyst to optimize PPO network discounts for Aetna Dental across the U.S. You will analyze provider reimbursement arrangements, claims data and network performance to identify opportunities and drive negotiated fee schedules that improve discounts while preserving access.

The role combines advanced analytics with strategic contracting, market assessment, and cross-functional collaboration to impact network value and member access.

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.

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 thinking

Problem solving

Negotiation

Relationship building

Communication

Data analysis

Education

Associate's degree

Tools

Data visualization tools

Reporting tools

Job description

CVS Health is seeking a Senior Analyst to optimize PPO network discounts for Aetna Dental across the U.S. You will analyze provider reimbursement arrangements, claims data and network performance to identify opportunities and drive negotiated fee schedules that improve discounts while preserving access.

The role combines advanced analytics with strategic contracting, market assessment, and cross-functional collaboration to impact network value and member access.