Remote Dental PPO Network Optimization Analyst

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

Benefits offered by this job

Comprehensive benefits

Bonus eligibility

Job summary

CVS Health Corporation is seeking a Senior Analyst to optimize PPO network discounts for Aetna Dental's nationwide provider network. The role focuses on analyzing provider reimbursement arrangements and driving fee schedule renegotiations to improve discount performance while maintaining network adequacy and member access.

The Senior Analyst will leverage claims, reimbursement, and market data to quantify impact, develop recommendations, and influence negotiations.

Qualifications

• 3+ years experience in provider network management or related healthcare roles.
• Strong analytics to interpret data and drive actions.
• Proven negotiation and relationship‑building capabilities.
• Excellent verbal, written, and presentation skills.
• Experience with claims or reimbursement data.

Responsibilities

• Analyze provider reimbursement arrangements and network metrics to spot PPO discount opportunities.
• Lead provider fee schedule negotiations and network optimization.
• Evaluate market conditions and provider-specific factors for contracting strategies.
• Assess financial and operational impact of proposed changes.
• Collaborate with network management, contracting, analytics, provider relations, and product teams.
• Build relationships with dental providers to facilitate negotiations.
• Present data-driven recommendations to leadership.

Skills

Analytical skills

Negotiation

Data analysis

Communication skills

Provider relations

Relationship management

Education

Associate's degree

Job description

CVS Health Corporation is seeking a Senior Analyst to optimize PPO network discounts for Aetna Dental's nationwide provider network. The role focuses on analyzing provider reimbursement arrangements and driving fee schedule renegotiations to improve discount performance while maintaining network adequacy and member access.

The Senior Analyst will leverage claims, reimbursement, and market data to quantify impact, develop recommendations, and influence negotiations.