Remote Dental Network Strategy & Discount Analyst

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

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement plans

Wellness programs

Job summary

CVS Health Corporation is seeking a Senior Analyst, PPO Network Discount Optimization to strengthen Aetna Dental's provider networks across the United States. You will analyze reimbursement structures, identify optimization opportunities, and lead negotiations to improve PPO discounts while preserving network adequacy.

This role emphasizes data-driven decision making, cross-functional collaboration, and remote work with occasional travel.

Qualifications

• Minimum of 3 years in provider network management or related healthcare roles.
• Strong analytical and problem-solving skills with data interpretation.
• Proven negotiation and relationship-building capabilities.
• Excellent verbal, written and presentation communication skills.
• Experience with data analysis of claims or reimbursement data.

Responsibilities

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

Skills

Analytical thinking

Negotiation

Communication

Relationship management

Data analysis

Education

Associate's degree

Job description

CVS Health Corporation is seeking a Senior Analyst, PPO Network Discount Optimization to strengthen Aetna Dental's provider networks across the United States. You will analyze reimbursement structures, identify optimization opportunities, and lead negotiations to improve PPO discounts while preserving network adequacy.

This role emphasizes data-driven decision making, cross-functional collaboration, and remote work with occasional travel.