Senior Dental PPO Network Optimization Analyst

CVS Health Corporation; Alabama; Hybrid; USD 47,000 - 122,000; Full time

Benefits offered by this job

Comprehensive benefits package

Remote-friendly role

Bonus eligibility

Job summary

CVS Health Corporation seeks a Senior Analyst, PPO Network Discount Optimization to enhance Aetna Dental's provider network by improving PPO discount performance nationwide. The role hinges on advanced analytics, market insights, and strategic contracting to balance provider access with cost competitiveness.

The position is primarily remote with occasional travel; it requires strong negotiation, stakeholder collaboration, and data-driven decision making to drive financial and operational

Qualifications

• 3+ years in provider network management or payer environment.
• 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

Communication

Data analysis

Education

Associate's degree or equivalent

Tools

Data visualization tools

Job description

CVS Health Corporation seeks a Senior Analyst, PPO Network Discount Optimization to enhance Aetna Dental's provider network by improving PPO discount performance nationwide. The role hinges on advanced analytics, market insights, and strategic contracting to balance provider access with cost competitiveness.

The position is primarily remote with occasional travel; it requires strong negotiation, stakeholder collaboration, and data-driven decision making to drive financial and operational