Remote Dental Network Strategy & Optimization Analyst

Sky Pediatric Dentistry; Kansas; Remote; USD 47,000 - 122,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings

Job summary

CVS Health is seeking a Senior Analyst for PPO Network Discount Optimization to enhance the value of Aetna Dental's provider networks. You will analyze reimbursement arrangements, negotiate fee schedules, and drive network rebalancing while maintaining member access nationwide.

The role emphasizes data-driven decision making, strategic thinking, and strong stakeholder collaboration. Occasional travel may be required in a primarily remote position.

Qualifications

• 3+ years of experience in provider network management, sales, provider relations, or payer environments.
• Strong analytical and problem-solving skills to interpret data and guide strategies.
• Proven negotiation, influencing, and relationship-building capabilities.
• Excellent verbal, written, and presentation communication skills.
• Proficiency in data analysis and working with claims or reimbursement data.

Responsibilities

• Analyze provider reimbursement arrangements, claims data, and network metrics to identify PPO discount opportunities.
• Lead provider fee schedule negotiations and network optimization initiatives aligned with financial goals.
• Evaluate market conditions and provider factors to develop targeted 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 relationships with dental providers to facilitate successful negotiations.
• Present data-driven recommendations and business cases to leadership.

Skills

Analytical thinking

Negotiation

Relationship management

Data analysis

Education

Associate's degree

Tools

Data visualization

Reporting tools

Job description

CVS Health is seeking a Senior Analyst for PPO Network Discount Optimization to enhance the value of Aetna Dental's provider networks. You will analyze reimbursement arrangements, negotiate fee schedules, and drive network rebalancing while maintaining member access nationwide.

The role emphasizes data-driven decision making, strategic thinking, and strong stakeholder collaboration. Occasional travel may be required in a primarily remote position.