Remote PPO Network Strategy Analyst

CVS Health Corporation; Oregon; Hybrid; USD 47,000 - 122,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings

Wellness programs

Job summary

CVS Health Corporation is seeking a Senior Analyst, PPO Network Discount Optimization to enhance discount performance across the United States and drive provider fee schedule renegotiations within Aetna Dental networks.

The role requires strong analytical capabilities, knowledge of dental insurance products, market dynamics, and proven negotiation and relationship-management skills to optimize network value.

Qualifications

• Minimum 3 years in provider network management or payer environment.
• Strong analytical and problem-solving skills with the ability to interpret complex 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 working with claims or 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

Communication skills

Education

Associate's degree

Tools

Data visualization tools

Reporting tools

Job description

CVS Health Corporation is seeking a Senior Analyst, PPO Network Discount Optimization to enhance discount performance across the United States and drive provider fee schedule renegotiations within Aetna Dental networks.

The role requires strong analytical capabilities, knowledge of dental insurance products, market dynamics, and proven negotiation and relationship-management skills to optimize network value.