Remote: Dental PPO Network Optimization Senior Analyst

CVS Health Corporation; Providence (RI); Hybrid; USD 47,000 - 122,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health Corporation is seeking a Senior Analyst, PPO Network Discount Optimization to strengthen Aetna Dental's provider networks across the United States. You will analyze reimbursement arrangements, drive PPO discount improvements, and negotiate fee schedules.

The role emphasizes analytical thinking, market awareness, and relationship management to influence provider participation while maintaining member access. Remote work with occasional travel may be required.

Qualifications

• Minimum 3 years in provider network management or payer environment.
• Strong analytical and problem-solving abilities to translate data into strategy.
• Proven negotiation, influencing, and relationship-building capabilities.
• Excellent verbal, written, and presentation skills.
• Proficiency in data analysis and 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

Relationship-building

Data analysis

Presentation skills

Communication

Education

Associate's degree

Job description

CVS Health Corporation is seeking a Senior Analyst, PPO Network Discount Optimization to strengthen Aetna Dental's provider networks across the United States. You will analyze reimbursement arrangements, drive PPO discount improvements, and negotiate fee schedules.

The role emphasizes analytical thinking, market awareness, and relationship management to influence provider participation while maintaining member access. Remote work with occasional travel may be required.