Senior Analyst, PPO Network Discounts (Dental)

CVS Health; Yuma (AZ); Remote; USD 47,000 - 122,000; Full time

Job summary

CVS Health, on behalf of Aetna Dental, is seeking a Senior Analyst to optimize PPO network discounts nationwide. The role analyzes provider reimbursement, negotiates fee schedules, and guides network rebalancing to improve value while preserving access.

The ideal candidate has strong analytical, negotiation, and communication skills, with experience in provider networks, reimbursement data, and market dynamics. Remote work with occasional travel is required.

Qualifications

• Minimum of 3 years of experience in provider network management, sales, provider relations, customer service, healthcare reimbursement, dental practice operations, or a payer environment.
• Strong analytical and problem-solving skills with the ability to interpret complex data and translate findings into actionable strategies.
• Proven negotiation, influencing, and relationship-building capabilities.
• Excellent verbal, written, and presentation communication skills.
• Proficiency in data analysis and experience working with claims or reimbursement data.

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

Provider network mgmt

Analytical skills

Negotiation

Communication skills

Data analysis

Education

Associate's degree

Job description

CVS Health, on behalf of Aetna Dental, is seeking a Senior Analyst to optimize PPO network discounts nationwide. The role analyzes provider reimbursement, negotiates fee schedules, and guides network rebalancing to improve value while preserving access.

The ideal candidate has strong analytical, negotiation, and communication skills, with experience in provider networks, reimbursement data, and market dynamics. Remote work with occasional travel is required.