Senior Analyst, Dental PPO Network Optimization (Remote)

CVS Health; California City (CA); Remote; 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 is hiring a Senior Analyst, PPO Network Discount Optimization, to enhance Aetna Dental's provider network value nationwide. The role analyzes reimbursements and market data to improve discounts while maintaining network adequacy and member access.

It is primarily remote with some travel. Responsibilities include leading fee schedule negotiations, evaluating market dynamics, and presenting data-driven cases to senior leadership.

Qualifications

• 3+ years in provider network management, sales, provider relations, or healthcare reimbursement.
• Strong analytical and problem-solving skills with data interpretation.
• Proven negotiation, influencing, and relationship-building capabilities.
• Excellent written and verbal presentation skills.

Responsibilities

• Analyze provider reimbursement, data, and network metrics for PPO discount improvements.
• Lead provider fee schedule negotiations and network optimization initiatives.
• Evaluate market conditions to craft targeted contracting strategies.
• Present data-driven recommendations to leadership and stakeholders.

Skills

Analytical thinking

Negotiation

Relationship management

Communication

Data analysis

Education

Associate's degree or equivalent

Job description

CVS Health is hiring a Senior Analyst, PPO Network Discount Optimization, to enhance Aetna Dental's provider network value nationwide. The role analyzes reimbursements and market data to improve discounts while maintaining network adequacy and member access.

It is primarily remote with some travel. Responsibilities include leading fee schedule negotiations, evaluating market dynamics, and presenting data-driven cases to senior leadership.