Remote Senior Analyst: Dental PPO Network Discounts

CVS Health; Minneota (MN); Remote; USD 47,000 - 122,000; Full time

Job summary

CVS Health is seeking a Senior Analyst to optimize Aetna Dental's PPO discounts nationwide. You will analyze provider reimbursement, lead fee schedule negotiations, and rebalance networks to improve discount outcomes while preserving member access.

This primarily remote role requires 3+ years in provider networks or healthcare reimbursement, strong analytical and negotiation skills, and collaboration across contracting, analytics, and provider relations teams.

Qualifications

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

Responsibilities

• Analyze provider reimbursement arrangements and network performance to improve PPO discounts.
• Lead provider fee schedule negotiations and network optimization.
• Evaluate market conditions to develop contracting strategies.
• Assess financial impact of reimbursement changes and network adjustments.
• Collaborate with network management, contracting, analytics, and provider relations teams.
• Build relationships with dental providers to facilitate negotiations.
• Present data-driven recommendations to leadership.

Skills

Analytical thinking

Negotiation

Relationship building

Data analysis

Communication skills

Education

Associate degree

Tools

Data visualization tools

Reporting tools

Job description

CVS Health is seeking a Senior Analyst to optimize Aetna Dental's PPO discounts nationwide. You will analyze provider reimbursement, lead fee schedule negotiations, and rebalance networks to improve discount outcomes while preserving member access.

This primarily remote role requires 3+ years in provider networks or healthcare reimbursement, strong analytical and negotiation skills, and collaboration across contracting, analytics, and provider relations teams.