Remote Dental PPO Network Optimization Analyst

CVS Health; Portland (ME); Remote; USD 47,000 - 122,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Paid time off

Retirement savings options

Job summary

CVS Health is seeking a Senior Analyst to optimize PPO discounts across the U.S. dental networks. You will analyze provider reimbursement, lead fee schedule negotiations, and craft strategies that balance cost with network adequacy.

The role emphasizes data-driven decision making, stakeholder collaboration, and strong negotiation skills, with a remote-first setup and occasional travel to client sites or meetings.

Qualifications

• Minimum 3 years 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.

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

Data analysis

Education

Associate degree

Tools

Data visualization tools

Job description

CVS Health is seeking a Senior Analyst to optimize PPO discounts across the U.S. dental networks. You will analyze provider reimbursement, lead fee schedule negotiations, and craft strategies that balance cost with network adequacy.

The role emphasizes data-driven decision making, stakeholder collaboration, and strong negotiation skills, with a remote-first setup and occasional travel to client sites or meetings.