Remote Dental PPO Network Optimization Lead

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

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings

Wellness programs

Bonus eligibility

Job summary

CVS Health Corporation is seeking a Senior Analyst to optimize PPO network discounts for Aetna Dental across the United States. You will analyze provider reimbursement, guide fee schedule renegotiations, and drive network rebalancing while maintaining access and network adequacy.

The role is primarily remote with occasional travel. The ideal candidate combines dental insurance knowledge with advanced analytics, market insight, and strong stakeholder influence to achieve financial and operational

Qualifications

• Minimum of 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.

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 thinking

Negotiation

Relationship management

Communication

Education

Associate's degree

Tools

Data visualization tools

Claims data analysis tools

Job description

CVS Health Corporation is seeking a Senior Analyst to optimize PPO network discounts for Aetna Dental across the United States. You will analyze provider reimbursement, guide fee schedule renegotiations, and drive network rebalancing while maintaining access and network adequacy.

The role is primarily remote with occasional travel. The ideal candidate combines dental insurance knowledge with advanced analytics, market insight, and strong stakeholder influence to achieve financial and operational