Remote Senior Dental Network Optimization Analyst

CVS Health Corporation; Utah; Hybrid; USD 47,000 - 122,000; Full time

Benefits offered by this job

Comprehensive benefits

Bonus eligibility

Job summary

CVS Health Corporation, in partnership with Aetna Dental, is seeking a Senior Analyst to optimize PPO discounts across the United States. The role focuses on analyzing provider reimbursement arrangements, negotiating fee schedules, and guiding network rebalancing to improve value while maintaining access.

The ideal candidate has strong analytical abilities, negotiation skills, and experience with claims or reimbursement data.

Qualifications

• Minimum 3 years in provider network management or related healthcare reimbursement roles.
• Strong analytical and problem-solving skills to interpret data and translate findings into actionable strategies.
• Proven negotiation, influencing, and relationship-building abilities.
• 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 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 negotiations.
• Present data-driven recommendations and business cases to leadership and key stakeholders.

Skills

Analytical skills

Negotiation

Relationship building

Communication

Data analysis

Education

Associate's degree

Job description

CVS Health Corporation, in partnership with Aetna Dental, is seeking a Senior Analyst to optimize PPO discounts across the United States. The role focuses on analyzing provider reimbursement arrangements, negotiating fee schedules, and guiding network rebalancing to improve value while maintaining access.

The ideal candidate has strong analytical abilities, negotiation skills, and experience with claims or reimbursement data.