Remote PPO Dental Network Strategy Analyst

CVS Health Corporation

Tennessee

Ibrido

USD 47.000 - 122.000

Tempo pieno

5 giorni fa

Candidati tra i primi

Generatore di candidature

Aumenta le possibilità di ricevere una risposta da questo datore di lavoro — un curriculum e una lettera di presentazione personalizzati, che corrispondono esattamente a ciò che sta cercando.

Supera i filtri ATS

Vantaggi offerti da questo lavoro

Medical insurance

Dental insurance

Vision insurance

Retirement plan

Paid time off

Wellness programs

Descrizione del lavoro

CVS Health Corporation • Aetna Dental is seeking a Senior Analyst to optimize PPO discounts across the national provider network. You will analyze reimbursement arrangements, drive negotiations, and coordinate network rebalancing strategies to enhance value while maintaining coverage.

The role emphasizes analytics, market dynamics, and stakeholder collaboration, with primarily remote work and occasional travel.

Competenze

Strong analytical and problem-solving skills with ability to interpret 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 with claims or reimbursement data.

Mansioni

Analyze provider reimbursement arrangements, claims data, and network performance to identify PPO discount opportunities.
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 proposed changes and network adjustments.
Collaborate with internal stakeholders across network management, contracting, analytics, provider relations, and product teams.
Build and maintain relationships with dental providers to facilitate negotiations.
Present data-driven recommendations and business cases to leadership.