Senior Dental Network Optimization Analyst — Remote

CVS Health; Salem (NH); Remote; USD 47,000 - 122,000; Full time

Job summary

CVS Health is seeking a Senior Analyst to optimize PPO network discounts for Aetna Dental across the United States. You will analyze provider reimbursement arrangements, identify optimization opportunities, and drive fee-schedule renegotiations while preserving network adequacy and member access.

This role relies on advanced analytics, market dynamics insight, and strong relationships with providers and internal teams.

Qualifications

• Minimum 3 years of experience in provider network management or related healthcare roles.
• Strong analytical and problem-solving skills; able to interpret data.
• Proven negotiation and relationship-building capabilities.
• Excellent verbal, written, and presentation communication skills.
• Proficiency with claims or reimbursement data.

Responsibilities

• Analyze provider reimbursement arrangements and network performance data to identify PPO discount opportunities.
• Lead provider fee schedule negotiations and network optimization initiatives.
• Evaluate market conditions and contracting factors to craft targeted strategies.
• Assess financial and operational impact of changes to reimbursement and network adjustments.
• Collaborate with network management, contracting, analytics, provider relations, and product teams.
• Build relationships with dental providers to support negotiations.
• Present data-driven recommendations to leadership.

Skills

Analytical skills

Negotiation

Relationship management

Data analysis

Communication

Presentation skills

Education

Associate's degree

Job description

CVS Health is seeking a Senior Analyst to optimize PPO network discounts for Aetna Dental across the United States. You will analyze provider reimbursement arrangements, identify optimization opportunities, and drive fee-schedule renegotiations while preserving network adequacy and member access.

This role relies on advanced analytics, market dynamics insight, and strong relationships with providers and internal teams.