Remote Dental Network Strategy & Discounts Analyst

CVS Health Corporation

South Dakota

Hybrid

USD 47,000 - 122,000

Full time

5 days ago
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Benefits offered by this job

Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement plan
Wellness programs

Job summary

CVS Health Corporation in the United States is seeking a Senior Analyst, PPO Network Discount Optimization to strengthen Aetna Dental's provider networks and improve PPO discount performance across the nation. The role emphasizes data-driven analysis, strategic contracting, and cross-functional collaboration.

You will analyze claims and reimbursement data, lead fee schedule negotiations, and shape network strategies while ensuring provider participation and member access.

Qualifications

  • Minimum 3 years of experience in provider network management, sales or related healthcare roles.
  • Strong analytical and problem-solving skills with ability to translate data into strategy.
  • Proven negotiation and relationship-building capabilities.

Responsibilities

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

Skills

Data analysis
Negotiation
Relationship management
Communication
Problem solving
Strategic thinking

Education

Associate's degree

Job description

CVS Health Corporation in the United States is seeking a Senior Analyst, PPO Network Discount Optimization to strengthen Aetna Dental's provider networks and improve PPO discount performance across the nation. The role emphasizes data-driven analysis, strategic contracting, and cross-functional collaboration.

You will analyze claims and reimbursement data, lead fee schedule negotiations, and shape network strategies while ensuring provider participation and member access.

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