Remote Dental PPO Network Optimization Analyst

Sky Pediatric Dentistry; Connecticut; Hybrid; USD 47,000 - 122,000; Full time

Job summary

CVS Health/Aetna Dental is seeking a Senior Analyst to optimize PPO discounts across the national network. The role analyzes provider reimbursement, negotiates fee schedules, and guides network rebalancing strategies to improve discount performance while maintaining access.

Remote role with occasional travel; strong collaboration with network management, analytics, and product teams is essential to drive financial and operational objectives.

Qualifications

• 3+ years in provider network management, sales, provider relations, or payer environment.
• Strong analytical and problem-solving skills with the ability to translate data into actions.
• Proven negotiation, influencing, and relationship-building capabilities.
• Excellent verbal, written, and presentation skills.

Responsibilities

• Analyze reimbursement arrangements, claims data, and network performance to identify PPO discount improvement opportunities.
• Lead provider fee schedule negotiations and network optimization initiatives.
• Evaluate market conditions and provider factors to develop contracting strategies.
• Assess financial and operational impact of reimbursement changes and network adjustments.
• Collaborate with internal teams across network management, contracting, analytics, and provider relations.

Skills

Analytical skills

Negotiation

Data analysis

Communication

Provider network management

Education

Associate's degree or equivalent

Tools

Data visualization tools

Claims data analysis tools

Job description

CVS Health/Aetna Dental is seeking a Senior Analyst to optimize PPO discounts across the national network. The role analyzes provider reimbursement, negotiates fee schedules, and guides network rebalancing strategies to improve discount performance while maintaining access.

Remote role with occasional travel; strong collaboration with network management, analytics, and product teams is essential to drive financial and operational objectives.