Remote Dental PPO Network Optimization Analyst

CVS Health Corporation; New York (NY); Híbrido; USD 47.000 - 122.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Descripción de la vacante

CVS Health Corporation, via its Aetna Dental network, is seeking a Senior Analyst to optimize PPO discounts across the US. The role drives provider fee schedule renegotiations, network rebalancing, and strategic contracting while leveraging claims and market data to improve outcomes without sacrificing network adequacy.

The position is predominantly remote with telephonic engagement and occasional travel, requiring strong analytical, negotiation, and stakeholder-management skills to influence

Formación

• Minimum 3 years of experience in provider network management, sales, provider relations, customer service, healthcare reimbursement, dental practice operations, or a payer environment.
• Strong analytical and problem-solving skills with the ability to interpret complex data and translate findings into actionable strategies.
• Proven negotiation, influencing, and relationship-building capabilities.
• Excellent verbal, written, and presentation communication skills.
• Proficiency in data analysis and experience working with claims or reimbursement data.

Responsabilidades

• 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.

Conocimientos

Analytical skills

Negotiation

Relationship management

Communication

Data analysis

Educación

Associate's degree or equivalent

Herramientas

Data visualization tools

Descripción del empleo

CVS Health Corporation, via its Aetna Dental network, is seeking a Senior Analyst to optimize PPO discounts across the US. The role drives provider fee schedule renegotiations, network rebalancing, and strategic contracting while leveraging claims and market data to improve outcomes without sacrificing network adequacy.

The position is predominantly remote with telephonic engagement and occasional travel, requiring strong analytical, negotiation, and stakeholder-management skills to influence