Senior Dental Network Discounts Strategist

CVS Health Corporation; North Dakota; Hybrid; USD 47,000 - 122,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Job summary

CVS Health Corporation is seeking a Senior Analyst, PPO Network Discount Optimization to enhance Aetna Dental’s national network value by evaluating reimbursement arrangements and driving discount improvements. The role focuses on renegotiations and strategic network balancing to ensure provider network adequacy and member access.

The ideal candidate will have deep knowledge of dental insurance products (PPO/Medicare), strong analytical skills, and a proven ability to influence provider

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

Analytical thinking

Negotiation

Relationship management

Verbal and written communication

Data interpretation

Education

Associate's degree

Job description

CVS Health Corporation is seeking a Senior Analyst, PPO Network Discount Optimization to enhance Aetna Dental’s national network value by evaluating reimbursement arrangements and driving discount improvements. The role focuses on renegotiations and strategic network balancing to ensure provider network adequacy and member access.

The ideal candidate will have deep knowledge of dental insurance products (PPO/Medicare), strong analytical skills, and a proven ability to influence provider