Senior Dental PPO Network Analyst

CVS Health Corporation; New Mexico; Ibrido; USD 47.000 - 122.000; Tempo pieno

Descrizione del lavoro

CVS Health Corporation in the United States seeks a Senior Analyst, PPO Network Discount Optimization to enhance Aetna Dental's provider networks by driving PPO discount performance and renegotiations. You will analyze reimbursement arrangements, assess market dynamics, and collaborate across network management, contracting, analytics, and provider relations, with mostly remote work and occasional travel.

The role requires strong analytical, negotiation, and communication skills and offers a

Competenze

• Minimum of 3 years of experience in provider network management, sales, provider relations, or payer environment.
• Strong analytical and problem-solving abilities to translate data into actions.
• Proven negotiation and relationship-building capabilities.
• Excellent communication, presentation, and writing skills.

Mansioni

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

Conoscenze

Analytical skills

Negotiation

Relationship management

Data analysis

Presentation skills

Communication

Problem solving

Formazione

Associate's degree

Strumenti

Data visualization tools

Reporting tools

Descrizione del lavoro

CVS Health Corporation in the United States seeks a Senior Analyst, PPO Network Discount Optimization to enhance Aetna Dental's provider networks by driving PPO discount performance and renegotiations. You will analyze reimbursement arrangements, assess market dynamics, and collaborate across network management, contracting, analytics, and provider relations, with mostly remote work and occasional travel.

The role requires strong analytical, negotiation, and communication skills and offers a