Remote Dental PPO Network Senior Analyst

CVS Health Corporation; Austin (TX); Remote; USD 47,000 - 122,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Retirement savings options

Wellness programs

Job summary

CVS Health Corporation is seeking a Senior Analyst to optimize PPO network discounts for Aetna Dental nationwide. You will analyze reimbursement structures, drive fee schedule renegotiations, and shape network rebalancing strategies to improve discount outcomes while maintaining access.

The role is primarily remote with some travel. Ideal candidates have strong data analysis, negotiation, and stakeholder management skills, plus experience with claims data and dental network products, to

Qualifications

• 3+ years in provider network management, sales, provider relations, or payer environments.
• Strong analytical and problem-solving skills with data interpretation.
• Proven negotiation, influencing, and relationship-building capabilities.
• Excellent verbal, written, and presentation communication skills.
• Experience with claims or reimbursement data.

Responsibilities

• Analyze provider reimbursement arrangements, claims data, and network performance to identify PPO discount improvements.
• Lead provider fee schedule negotiations and network optimization initiatives.
• Evaluate market conditions and provider factors to develop contracting strategies.
• Assess financial and operational impact of reimbursement changes and network adjustments.
• Collaborate with network management, contracting, analytics, provider relations, and product teams.
• Build relationships with dental providers to facilitate negotiations.
• Present data-driven recommendations and business cases to leadership.

Skills

Analytical skills

Negotiation

Relationship building

Data analysis

Communication

Education

Associate's degree

Tools

Claims data analysis tools

Job description

CVS Health Corporation is seeking a Senior Analyst to optimize PPO network discounts for Aetna Dental nationwide. You will analyze reimbursement structures, drive fee schedule renegotiations, and shape network rebalancing strategies to improve discount outcomes while maintaining access.

The role is primarily remote with some travel. Ideal candidates have strong data analysis, negotiation, and stakeholder management skills, plus experience with claims data and dental network products, to