Senior Dental Network Optimization Analyst (Remote)

CVS Health; Athens (GA); Remote; USD 47,000 - 122,000; Full time

Job summary

CVS Health, via its Aetna Dental network, is seeking a Senior Analyst to optimize PPO discounts nationwide. You will analyze provider reimbursements, lead fee-schedule negotiations, and develop contracting strategies to improve network value while maintaining member access.

The role emphasizes advanced data analysis, strategic thinking, and cross-functional collaboration with network management, contracting, analytics, and product teams. Remote work with occasional travel is possible.

Qualifications

• Minimum of 3 years of experience in provider network management or related roles.
• 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

Relationship management

Communication skills

Data analysis

Presentation skills

Education

Associate's degree or equivalent

Tools

Data visualization tools

Job description

CVS Health, via its Aetna Dental network, is seeking a Senior Analyst to optimize PPO discounts nationwide. You will analyze provider reimbursements, lead fee-schedule negotiations, and develop contracting strategies to improve network value while maintaining member access.

The role emphasizes advanced data analysis, strategic thinking, and cross-functional collaboration with network management, contracting, analytics, and product teams. Remote work with occasional travel is possible.