Remote Senior Dental Network Strategy Lead

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

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health Corporation is seeking a Senior Analyst, PPO Network Discount Optimization to strengthen Aetna Dental's provider networks nationwide. You will analyze reimbursement arrangements, drive fee schedule renegotiations, and lead network rebalancing initiatives.

The role emphasizes advanced analytics, strategic thinking, and relationship management, with a primarily remote setup and occasional travel to engage providers and internal stakeholders.

Qualifications

• Minimum of 3 years of experience in provider network management or related healthcare roles.
• Strong analytical and problem-solving skills with data interpretation ability.
• Proven negotiation, influencing, and relationship-building capabilities.
• Excellent verbal, written, and presentation communication skills.
• Experience with data analysis and claims or reimbursement data.

Responsibilities

• Analyze provider reimbursement arrangements and network performance to identify PPO discount improvements.
• Lead provider fee schedule negotiations and network optimization initiatives.
• Evaluate market conditions and provider factors to shape contracting strategies.
• Assess financial and operational impact of reimbursement changes and network adjustments.
• Collaborate with network management, contracting, analytics, provider relations, and product teams.
• Build relationships with dental providers to support negotiations.
• Present data-driven recommendations and business cases to leadership.

Skills

Provider network management

Negotiation

Data analysis

Communication skills

Relationship management

Strategic thinking

Education

Associate's degree

Tools

Data visualization tools

Claims data analysis

Job description

CVS Health Corporation is seeking a Senior Analyst, PPO Network Discount Optimization to strengthen Aetna Dental's provider networks nationwide. You will analyze reimbursement arrangements, drive fee schedule renegotiations, and lead network rebalancing initiatives.

The role emphasizes advanced analytics, strategic thinking, and relationship management, with a primarily remote setup and occasional travel to engage providers and internal stakeholders.