Remote Dental PPO Network Strategy Senior Analyst

CVS Health; Lake Michigan Beach (MI); Remote; 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 is seeking a Senior Analyst, PPO Network Discount Optimization to strengthen our national dental network strategy. You will analyze provider reimbursement data, lead fee schedule negotiations, and drive network rebalancing to improve discount outcomes while preserving access for members.

This role operates mostly remote with occasional travel, collaborating with network management, contracting, analytics, and provider relations teams to deliver data-driven recommendations and

Qualifications

• Minimum 3 years in provider network roles or payer environment.
• Strong analytical and problem-solving abilities to translate data into actions.
• Proven negotiation, influencing, and relationship-building capabilities.
• Experience with claims or reimbursement data and data analysis.

Responsibilities

• Analyze provider reimbursement arrangements and network performance.
• Lead provider fee schedule negotiations and network optimization.
• Evaluate market conditions to develop contracting strategies.
• Assess financial impact of reimbursement changes and network adjustments.
• Collaborate with network management, contracting, analytics, and provider relations.
• Build relationships with dental providers to support negotiations.
• Present data-driven recommendations to leadership.

Skills

Provider network management

Negotiation

Data analysis

Relationship building

Dental industry knowledge

Provider contracting

Fee schedule development

Financial analysis

Data visualization

Job description

CVS Health is seeking a Senior Analyst, PPO Network Discount Optimization to strengthen our national dental network strategy. You will analyze provider reimbursement data, lead fee schedule negotiations, and drive network rebalancing to improve discount outcomes while preserving access for members.

This role operates mostly remote with occasional travel, collaborating with network management, contracting, analytics, and provider relations teams to deliver data-driven recommendations and