Senior Analyst - Dental PPO Network Discount Optimization

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

Descrizione del lavoro

CVS Health Corporation is seeking a Senior Analyst, PPO Network Discount Optimization to strengthen Aetna Dental's provider networks across the United States by driving PPO discount improvements.

This role analyzes provider reimbursement arrangements, negotiates fee schedules, and collaborates with network management, contracting, analytics, and product teams to support financial and operational objectives. The position is primarily remote with travel as needed.

Competenze

• 3+ years in provider network management or payer environment.
• Ability to interpret data and translate findings into actionable strategies.
• Proven negotiation and relationship-building capabilities.
• Excellent verbal, written, and presentation communication skills.
• Experience with claims or reimbursement data.

Mansioni

• 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 negotiations.
• Present data-driven recommendations and business cases to leadership and stakeholders.

Conoscenze

Analytical Skills

Negotiation

Data Analysis

Communication

Relationship Building

Formazione

Associate's degree

Descrizione del lavoro

CVS Health Corporation is seeking a Senior Analyst, PPO Network Discount Optimization to strengthen Aetna Dental's provider networks across the United States by driving PPO discount improvements.

This role analyzes provider reimbursement arrangements, negotiates fee schedules, and collaborates with network management, contracting, analytics, and product teams to support financial and operational objectives. The position is primarily remote with travel as needed.