Remote Dental Network Negotiations Analyst

Sky Pediatric Dentistry

North Dakota

Hybrid

USD 47,000 - 122,000

Full time

5 days ago
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Job summary

CVS Health is seeking a Senior Analyst for PPO Network Discount Optimization to enhance discount performance across the United States by analyzing provider reimbursement arrangements and leading fee schedule renegotiations. The role emphasizes data-driven decision making, strategic contracting, and cross-functional collaboration.

The position is primarily remote, with travel as needed, and requires strong analytical capabilities, negotiation skills, and the ability to influence provider

Qualifications

  • Strong analytical and problem-solving skills with the ability to interpret complex data.
  • 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
Negotiation
Communication
Data analysis

Education

Associate's degree

Job description

CVS Health is seeking a Senior Analyst for PPO Network Discount Optimization to enhance discount performance across the United States by analyzing provider reimbursement arrangements and leading fee schedule renegotiations. The role emphasizes data-driven decision making, strategic contracting, and cross-functional collaboration.

The position is primarily remote, with travel as needed, and requires strong analytical capabilities, negotiation skills, and the ability to influence provider

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