Remote Senior Dental Network Strategy Analyst

Sky Pediatric Dentistry; Alabama; Hybrid; USD 47,000 - 122,000; Full time

Job summary

CVS Health’s Aetna Dental division seeks a Senior Analyst to optimize PPO discounts and drive network performance across the United States. The role focuses on analyzing reimbursement arrangements, negotiating fee schedules, and balancing network adequacy with member access.

The ideal candidate will have strong data analytics, negotiation skills, and experience with dental networks, plus the ability to influence stakeholders across multiple teams. Remote work with some travel is expected.

Qualifications

• Minimum 3 years in provider network management, sales, provider relations, healthcare reimbursement, or 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 skills

Negotiation

Relationship mgmt

Data analysis

Presentation skills

Education

Associate's degree

Tools

Claims data tools

Job description

CVS Health’s Aetna Dental division seeks a Senior Analyst to optimize PPO discounts and drive network performance across the United States. The role focuses on analyzing reimbursement arrangements, negotiating fee schedules, and balancing network adequacy with member access.

The ideal candidate will have strong data analytics, negotiation skills, and experience with dental networks, plus the ability to influence stakeholders across multiple teams. Remote work with some travel is expected.