Senior Dental PPO Network Optimization Analyst

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

Benefits offered by this job

Medical, dental, vision benefits

Paid time off

Job summary

CVS Health Corporation in the United States seeks a Senior Analyst to optimize PPO network discounts for Aetna Dental. You will analyze provider reimbursement, lead fee schedule negotiations, and shape network strategies to improve discount outcomes while preserving access.

Remote work with possible travel and cross-functional collaboration are involved. The role requires advanced analytics, negotiation skills, and strong stakeholder management to drive financial and operational objectives

Qualifications

• Minimum of 3 years in provider network management or related fields.
• Strong analytical and problem-solving skills with the ability to translate data 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

Provider network mgmt

Negotiation

Data analysis

Healthcare reimbursement

Relationship mgmt

Communication skills

Education

Associate's degree or equivalent

Job description

CVS Health Corporation in the United States seeks a Senior Analyst to optimize PPO network discounts for Aetna Dental. You will analyze provider reimbursement, lead fee schedule negotiations, and shape network strategies to improve discount outcomes while preserving access.

Remote work with possible travel and cross-functional collaboration are involved. The role requires advanced analytics, negotiation skills, and strong stakeholder management to drive financial and operational objectives