Senior Dental Network Optimization Analyst

CVS Health; Sioux Center (IA); Remote; USD 47,000 - 122,000; Full time

Benefits offered by this job

Medical benefits

Dental coverage

Vision coverage

Paid time off

Retirement plan

Job summary

CVS Health is seeking a Senior Analyst to optimize PPO discounts across the U.S. for Aetna Dental networks. The role focuses on analyzing provider reimbursement, leading fee schedule negotiations, and developing contracting strategies to improve discount outcomes while preserving access.

The position is primarily remote with occasional travel and requires strong analytical and negotiation skills. The ideal candidate has 3+ years in provider network management or related fields, excels in data

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 skills

Negotiation

Communication

Data analysis

Education

Associate's degree

Job description

CVS Health is seeking a Senior Analyst to optimize PPO discounts across the U.S. for Aetna Dental networks. The role focuses on analyzing provider reimbursement, leading fee schedule negotiations, and developing contracting strategies to improve discount outcomes while preserving access.

The position is primarily remote with occasional travel and requires strong analytical and negotiation skills. The ideal candidate has 3+ years in provider network management or related fields, excels in data