Remote Dental Network Discount Strategy Analyst

CVS Health; Clifton (TX); Remote; USD 47,000 - 122,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Retirement savings options

Job summary

The Senior Analyst, PPO Network Discount Optimization at CVS Health supports Aetna Dental's national provider network. You will analyze reimbursement arrangements, drive PPO discount improvements, and lead network rebalancing while collaborating with contracting, analytics, and provider relations teams.

This remote-friendly role requires strong analytical capabilities and experience in dental networks to influence provider participation and achieve financial and operational objectives.

Qualifications

• Minimum of 3 years of experience in provider network management or related areas.
• 5+ years in the dental industry, with PPO/Medicare familiarity.
• Strong analytical and problem-solving skills for complex data.
• Proven negotiation, influencing and relationship-building abilities.
• Experience using claims or reimbursement data and data visualization tools.

Responsibilities

• Analyze provider reimbursement arrangements and network performance metrics.
• Lead provider fee schedule negotiations and network optimization initiatives.
• Evaluate market conditions and contracting strategies for discounts.
• Assess financial/operational impact of reimbursement changes and network adjustments.
• Collaborate with network management, contracting, analytics, and provider relations.
• Build relationships with dental providers to facilitate negotiations.
• Present data-driven recommendations and business cases to leadership.

Skills

Data Analysis

Negotiation

Financial Acumen

Relationship Building

Problem Solving

Tools

Data Visualization Tools

Job description

The Senior Analyst, PPO Network Discount Optimization at CVS Health supports Aetna Dental's national provider network. You will analyze reimbursement arrangements, drive PPO discount improvements, and lead network rebalancing while collaborating with contracting, analytics, and provider relations teams.

This remote-friendly role requires strong analytical capabilities and experience in dental networks to influence provider participation and achieve financial and operational objectives.