Remote Senior Analyst, Dental Network Discount Optimization

Sky Pediatric Dentistry

United States

Remote

USD 47,000 - 122,000

Full time

5 days ago
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Job summary

CVS Health is seeking a Senior Analyst, PPO Network Discount Optimization to strengthen Aetna Dental's provider networks across the United States. You will analyze reimbursement arrangements, identify optimization opportunities, and renegotiate fee schedules to improve discount outcomes while preserving network adequacy.

Remote role with occasional travel, requiring strong analytics, negotiation, and cross-functional collaboration with network management, contracting, analytics, and provider

Qualifications

  • Minimum of 3 years in provider network management or related roles.
  • Strong analytical and problem-solving skills with data interpretation.
  • Proven negotiation and relationship-building capabilities.
  • Excellent verbal, written, and presentation skills.
  • Experience with claims or reimbursement data.

Responsibilities

  • Analyze provider reimbursement arrangements and network performance.
  • Lead provider fee schedule negotiations and network optimization initiatives.
  • Evaluate market conditions and contracting strategies.
  • Assess financial and operational impact of changes.
  • Collaborate with network management, contracting, analytics, provider relations, and product teams.
  • Present data-driven recommendations to leadership.

Skills

Analytical thinking
Negotiation
Data analysis
Communication
Provider network management

Education

Associate's degree

Job description

CVS Health is seeking a Senior Analyst, PPO Network Discount Optimization to strengthen Aetna Dental's provider networks across the United States. You will analyze reimbursement arrangements, identify optimization opportunities, and renegotiate fee schedules to improve discount outcomes while preserving network adequacy.

Remote role with occasional travel, requiring strong analytics, negotiation, and cross-functional collaboration with network management, contracting, analytics, and provider

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