Senior Analyst Dental Network Optimization & Negotiations

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

Benefits offered by this job

Medical benefits

Dental coverage

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 enhance Aetna Dental's provider networks nationwide by driving PPO discount improvements and renegotiations. The role relies on claims and market data to quantify impacts and deliver recommendations that maintain network adequacy and member access.

Primarily remote with potential travel, the position requires strong analytical capabilities, strategic thinking, and stakeholder collaboration across

Qualifications

• Minimum of 3 years of experience in provider network management or related fields.
• Ability to interpret complex data and translate findings into actionable strategies.
• Strong negotiation, influencing, and relationship-building capabilities.
• Excellent verbal, written, and presentation communication skills.
• Experience with claims or reimbursement data preferred.

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

Communication skills

Data analysis

Provider network experience

Education

Associate's degree

Job description

CVS Health Corporation is seeking a Senior Analyst, PPO Network Discount Optimization to enhance Aetna Dental's provider networks nationwide by driving PPO discount improvements and renegotiations. The role relies on claims and market data to quantify impacts and deliver recommendations that maintain network adequacy and member access.

Primarily remote with potential travel, the position requires strong analytical capabilities, strategic thinking, and stakeholder collaboration across