Remote Dental Network Discounts Senior Analyst

CVS Health Corporation; Maryland; Hybrid; USD 46,000 - 122,000; Full time

Job summary

CVS Health Corporation's Senior Analyst, PPO Network Discount Optimization plays a critical role in enhancing the value and competitiveness of Aetna Dental's provider networks across the United States. This role analyzes provider reimbursement arrangements, identifies optimization opportunities, and leads fee schedule renegotiations and network rebalancing strategies.

The ideal candidate has strong analytical capabilities, proven negotiation skills, and the ability to influence provider

Qualifications

• Minimum 3 years in provider network management, sales, provider relations, or a payer environment.
• Strong analytical and problem-solving skills.
• 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 management

Communication skills

Data analysis

Problem-solving

Presentation skills

Education

Associate degree

Job description

CVS Health Corporation's Senior Analyst, PPO Network Discount Optimization plays a critical role in enhancing the value and competitiveness of Aetna Dental's provider networks across the United States. This role analyzes provider reimbursement arrangements, identifies optimization opportunities, and leads fee schedule renegotiations and network rebalancing strategies.

The ideal candidate has strong analytical capabilities, proven negotiation skills, and the ability to influence provider