Remote: Senior Dental Network Optimization Analyst

CVS Health; Clayton (NM); Remote; USD 47,000 - 122,000; Full time

Benefits offered by this job

Bonus eligibility

Comprehensive benefits package

Paid time off

Retirement savings options

Wellness programs

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 provider reimbursement arrangements, guide fee schedule negotiations, and shape discount strategies to improve value while maintaining access for members.

You will work remotely with occasional travel, collaborating with network management, contracting, analytics and provider relations teams to drive data-driven recommendations and

Qualifications

• Minimum 3 years of experience in provider network management, sales, provider relations, customer service, healthcare reimbursement, dental practice operations, or a payer environment.
• 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.
• Excellent verbal, written, and presentation communication skills.
• Proficiency in data analysis and experience working with claims or reimbursement data.

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

Analytical thinking

Negotiation

Relationship management

Communication & presentation

Data analysis

Education

Associate's degree or equivalent

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 provider reimbursement arrangements, guide fee schedule negotiations, and shape discount strategies to improve value while maintaining access for members.

You will work remotely with occasional travel, collaborating with network management, contracting, analytics and provider relations teams to drive data-driven recommendations and