Remote Senior Dental Network Strategy Lead

CVS Health; Bristol (RI); Remote; USD 47.000 - 122.000; Vollzeit

Benefits dieser Stelle

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Zusammenfassung

CVS Health is seeking a Senior Analyst to optimize PPO discounts across the dental provider network. The role emphasizes data-driven negotiation strategies, network rebalancing, and cross-functional collaboration with contracting, analytics, and product teams.

The position is primarily remote, with travel as needed. You will analyze reimbursement structures and market dynamics to drive improvements while maintaining provider network adequacy and member access.

Qualifikationen

• Minimum of 3 years 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.

Aufgaben

• 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.

Kenntnisse

Analytical thinking

Negotiation

Relationship building

Data analysis

Ausbildung

Associate's degree

Jobbeschreibung

CVS Health is seeking a Senior Analyst to optimize PPO discounts across the dental provider network. The role emphasizes data-driven negotiation strategies, network rebalancing, and cross-functional collaboration with contracting, analytics, and product teams.

The position is primarily remote, with travel as needed. You will analyze reimbursement structures and market dynamics to drive improvements while maintaining provider network adequacy and member access.