Remote Senior Analyst – Dental Network Optimization

CVS Health; Seattle (WA); Remote; USD 47,000 - 122,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement plan

Job summary

CVS Health is seeking a Senior Analyst to optimize PPO discounts nationwide for Aetna Dental. The role focuses on analyzing provider reimbursement arrangements, leading fee schedule negotiations, and developing data-driven contracting strategies to balance cost, access, and network adequacy.

The position is primarily remote, with occasional travel, and requires deep experience in dental networks, PPO/DMO knowledge, and financial analysis to drive improved discount outcomes.

Qualifications

• 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.
• Proficiency in data analysis and experience working with claims or reimbursement data.
• 5+ years of experience within the dental industry, including familiarity with PPO, DMO, Medicare, and other dental network products.

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

Data analysis

Contract negotiation

Financial analysis

Relationship management

PPO knowledge

Dental industry

Education

Bachelor's degree in related field

Job description

CVS Health is seeking a Senior Analyst to optimize PPO discounts nationwide for Aetna Dental. The role focuses on analyzing provider reimbursement arrangements, leading fee schedule negotiations, and developing data-driven contracting strategies to balance cost, access, and network adequacy.

The position is primarily remote, with occasional travel, and requires deep experience in dental networks, PPO/DMO knowledge, and financial analysis to drive improved discount outcomes.