Remote Dental Network Strategy Senior Analyst

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

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Retirement savings

Job summary

CVS Health is seeking a Senior Analyst for PPO Network Discount Optimization to enhance Aetna Dental's provider networks and drive PPO discount performance nationwide. You will analyze reimbursement arrangements and lead renegotiations while balancing network adequacy and member access.

The role emphasizes advanced analytics, strategic thinking, and strong relationship management to influence providers and achieve financial and operational goals.

Qualifications

• Experience with provider network management or healthcare reimbursement.
• Strong ability to interpret complex data and translate findings into actionable strategies.
• Proven negotiation and relationship-building abilities.

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

Communication skills

Data analysis

Education

Associate's degree

Job description

CVS Health is seeking a Senior Analyst for PPO Network Discount Optimization to enhance Aetna Dental's provider networks and drive PPO discount performance nationwide. You will analyze reimbursement arrangements and lead renegotiations while balancing network adequacy and member access.

The role emphasizes advanced analytics, strategic thinking, and strong relationship management to influence providers and achieve financial and operational goals.