Remote Dental PPO Network Optimization Analyst

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

Benefits offered by this job

Bonus eligibility

Comprehensive benefits

Wellness programs

Job summary

CVS Health Corporation is seeking a Senior Analyst, PPO Network Discount Optimization to enhance Aetna Dental's provider networks by driving PPO discount performance nationwide. The role analyzes reimbursement arrangements, negotiates fee schedules, and develops network-rebalancing strategies to improve value while preserving access.

The ideal candidate has strong analytical capabilities, market insight, and stakeholder management skills to influence provider participation and achieve financial

Qualifications

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

Responsibilities

• Analyze provider reimbursement arrangements, claims data, and network performance metrics to identify PPO discount improvement opportunities.
• Lead provider fee schedule negotiations and network optimization initiatives supporting financial goals.
• Assess market conditions and provider factors to develop contracting strategies.
• Evaluate the impact of proposed reimbursement changes on finances and operations.
• Collaborate with network management, contracting, analytics, provider relations, and product teams.

Skills

Analytical skills

Negotiation

Relationship management

Communication skills

Data analysis

Education

Associate's degree or equivalent

Job description

CVS Health Corporation is seeking a Senior Analyst, PPO Network Discount Optimization to enhance Aetna Dental's provider networks by driving PPO discount performance nationwide. The role analyzes reimbursement arrangements, negotiates fee schedules, and develops network-rebalancing strategies to improve value while preserving access.

The ideal candidate has strong analytical capabilities, market insight, and stakeholder management skills to influence provider participation and achieve financial