Senior Analyst, Dental Network Strategy & Discounts

CVS Health Corporation; Illinois; Ibrido; USD 47.000 - 122.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical coverage

Dental coverage

Vision coverage

Bonus eligibility

Descrizione del lavoro

CVS Health Corporation seeks a Senior Analyst, PPO Network Discount Optimization to strengthen Aetna Dental's provider network nationwide by analyzing reimbursement structures and guiding discount strategies. The role will lead fee schedule negotiations and network rebalancing while ensuring member access remains solid.

The position emphasizes advanced analytics, market awareness, and cross-functional collaboration with network management, analytics, and product teams, with primarily remote work

Competenze

• Minimum of 3 years in provider network management, sales, provider relations, or payer environments.
• Strong analytical and problem-solving abilities with data interpretation.
• Proven negotiation and relationship-building capabilities.
• Excellent verbal, written, and presentation communication skills.
• Experience with claims or reimbursement data.

Mansioni

• Analyze provider reimbursement arrangements and network performance to identify PPO discount improvement opportunities.
• Lead provider fee schedule negotiations and network optimization initiatives.
• Evaluate market conditions and provider factors to develop 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 facilitate negotiations.
• Present data-driven recommendations and business cases to leadership.

Conoscenze

Provider network management

Analytical reasoning

Negotiation

Relationship building

Data interpretation

Formazione

Associate's degree

Strumenti

Data analysis tools

Claims data analysis

Descrizione del lavoro

CVS Health Corporation seeks a Senior Analyst, PPO Network Discount Optimization to strengthen Aetna Dental's provider network nationwide by analyzing reimbursement structures and guiding discount strategies. The role will lead fee schedule negotiations and network rebalancing while ensuring member access remains solid.

The position emphasizes advanced analytics, market awareness, and cross-functional collaboration with network management, analytics, and product teams, with primarily remote work