Remote Dental PPO Network Optimization Senior Analyst

CVS Health; Kansas City (MO); Remote; USD 47,000 - 122,000; Full time

Benefits offered by this job

Bonus eligibility

Comprehensive benefits

Job summary

CVS Health is seeking a Senior Analyst, PPO Network Discount Optimization to enhance the value of Aetna Dental's provider networks nationwide. The role analyzes reimbursement arrangements, negotiates fee schedules, and guides network rebalancing strategies to improve discount outcomes while preserving network adequacy and member access.

The position is primarily remote with occasional travel, requiring strong analytics, strategic thinking, and stakeholder management to influence provider

Qualifications

• Minimum of 3 years of experience in provider network management or related roles.
• Strong analytical and problem-solving skills with the ability to translate data into actionable strategies.
• Proven negotiation and relationship-building capabilities.

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

Data analysis

Contract negotiation

Financial acumen

Process improvement

Tools

Data visualization tools

Job description

CVS Health is seeking a Senior Analyst, PPO Network Discount Optimization to enhance the value of Aetna Dental's provider networks nationwide. The role analyzes reimbursement arrangements, negotiates fee schedules, and guides network rebalancing strategies to improve discount outcomes while preserving network adequacy and member access.

The position is primarily remote with occasional travel, requiring strong analytics, strategic thinking, and stakeholder management to influence provider