Remote Senior Analyst, Dental Network Discount Optimization

CVS Health Corporation

Idaho

Hybrid

USD 47,000 - 122,000

Full time

6 days ago
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Benefits offered by this job

Medical insurance
Dental coverage
Vision coverage
Paid time off
Retirement savings

Job summary

CVS Health is seeking a Senior Analyst to optimize PPO network discounts for Aetna Dental nationwide. You will analyze provider reimbursement, negotiate fee schedules, and lead network rebalancing efforts to improve discount performance while maintaining access for members.

The role requires strong analytical skills, strategic thinking, and the ability to influence providers and internal stakeholders. Remote work with travel as needed, 40 hours weekly, with a comprehensive benefits package.

Qualifications

  • Bachelor-level reasoning to interpret large datasets and derive actionable strategies.
  • Proven negotiation, influencing, and relationship-building capabilities.
  • Excellent verbal, written, and presentation communication skills.
  • Experience with claims or reimbursement data and data analysis tools.

Responsibilities

  • Analyze provider reimbursement, network performance, and opportunities for PPO discount improvement.
  • Lead provider fee schedule negotiations and network optimization initiatives.
  • Evaluate market conditions and provider-specific factors for 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 support negotiations.
  • Present data-driven recommendations and business cases to leadership.

Skills

Analytical thinking
Negotiation
Relationship building
Data analysis

Education

Associate's degree or equivalent

Job description

CVS Health is seeking a Senior Analyst to optimize PPO network discounts for Aetna Dental nationwide. You will analyze provider reimbursement, negotiate fee schedules, and lead network rebalancing efforts to improve discount performance while maintaining access for members.

The role requires strong analytical skills, strategic thinking, and the ability to influence providers and internal stakeholders. Remote work with travel as needed, 40 hours weekly, with a comprehensive benefits package.

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