Senior Dental Network & PPO Discount Strategist

CVS Health; Muncie (IN); A distancia; USD 47.000 - 122.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Comprehensive benefits package

Bonus eligibility

Descripción de la vacante

CVS Health is seeking a Senior Analyst to optimize PPO discounts across the U.S. for Aetna Dental, driving fee schedule renegotiations and network rebalancing.

The role focuses on provider economics, market dynamics, and strategic contracting to improve discounts while preserving network adequacy and member access. The ideal candidate will use claims, reimbursement, and market data to shape recommendations, influence provider participation, and collaborate with internal teams.

Formación

• 3+ years in provider network management or related fields.
• Strong analytical and problem-solving abilities with data interpretation.
• Proven negotiation and relationship-building capabilities.
• Experience with claims or reimbursement data.

Responsabilidades

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

Conocimientos

Analytical skills

Negotiation

Communication

Data analysis

Educación

Associate's degree

Herramientas

Data visualization tools

Claims data analysis

Descripción del empleo

CVS Health is seeking a Senior Analyst to optimize PPO discounts across the U.S. for Aetna Dental, driving fee schedule renegotiations and network rebalancing.

The role focuses on provider economics, market dynamics, and strategic contracting to improve discounts while preserving network adequacy and member access. The ideal candidate will use claims, reimbursement, and market data to shape recommendations, influence provider participation, and collaborate with internal teams.