Remote Senior Dental Network Discount Optimization Analyst

CVS Health; Crystal Bay (NV); Remote; USD 47,000 - 122,000; Full time

Job summary

CVS Health is seeking a Senior Analyst, PPO Network Discount Optimization, to strengthen Aetna Dental's provider networks nationwide. You will analyze reimbursement arrangements, negotiate fee schedules, and lead network-optimization initiatives.

The role requires advanced analytics, strategic thinking, and strong relationship management to influence provider participation and drive financial and operational outcomes. It is primarily remote with occasional travel.

Qualifications

• Minimum of 3 years in provider network management or related healthcare fields.
• 5+ years in the dental industry, with PPO/Medicare familiarity.
• Strong analytical and problem-solving skills for data interpretation.
• Proven negotiation and relationship-building capabilities.
• Experience with data visualization and claims/reimbursement data.
• Ability to translate data into actionable strategies.
• Knowledge of fee schedules and provider contracting.

Responsibilities

• Analyze provider reimbursement arrangements, claims data, and network performance.
• Lead provider fee schedule negotiations and network optimization initiatives.
• Evaluate market conditions, contracting strategies, and provider-specific factors.
• Assess financial and operational impact of proposed reimbursement changes and network adjustments.
• Collaborate with network management, contracting, analytics, provider relations, and product teams.
• Build and maintain relationships with dental providers to facilitate negotiations.
• Present data-driven recommendations and business cases to leadership and key stakeholders.

Skills

Data analysis

Negotiation

Relationship management

Data visualization

Financial analysis

PPO/Dental networks

Healthcare reimbursement

Contracting knowledge

Job description

CVS Health is seeking a Senior Analyst, PPO Network Discount Optimization, to strengthen Aetna Dental's provider networks nationwide. You will analyze reimbursement arrangements, negotiate fee schedules, and lead network-optimization initiatives.

The role requires advanced analytics, strategic thinking, and strong relationship management to influence provider participation and drive financial and operational outcomes. It is primarily remote with occasional travel.