Senior Dental Network Optimization Analyst

CVS Health Corporation; Wyoming (OH); Hybrid; USD 47,000 - 122,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Job summary

CVS Health Corporation, based in the United States, is seeking a Senior Analyst for PPO Network Discount Optimization to enhance discount performance across Aetna Dental's national provider network and drive strategic fee schedule negotiations. You will analyze provider reimbursement data, model market dynamics, and collaborate with contracting, analytics, and provider relations teams to balance provider participation with member access.

Travel may be required, with most work conducted remotely.

Qualifications

• Minimum of 3 years of experience in provider network management or related fields.
• Strong analytical skills and ability to translate data into actionable strategies.
• Proven negotiation and relationship-building capabilities.
• Excellent verbal, written, and presentation communication skills.
• Proficiency in data analysis 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 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.
• Present data-driven recommendations and business cases to leadership and key stakeholders.

Skills

Provider network management

Negotiation

Relationship building

Data analysis

Presentation skills

Education

Associate's degree

Job description

CVS Health Corporation, based in the United States, is seeking a Senior Analyst for PPO Network Discount Optimization to enhance discount performance across Aetna Dental's national provider network and drive strategic fee schedule negotiations. You will analyze provider reimbursement data, model market dynamics, and collaborate with contracting, analytics, and provider relations teams to balance provider participation with member access.

Travel may be required, with most work conducted remotely.