Senior Dental PPO Network Optimization Analyst

CVS Health; Iowa City (IA); Remote; USD 47,000 - 122,000; Full time

Benefits offered by this job

Bonus eligibility or incentive

Job summary

CVS Health is seeking a Senior Analyst for PPO Network Discount Optimization to strengthen Aetna Dental's national provider network. You will analyze reimbursement structures, negotiate fee schedules, and drive network rebalancing to improve discounts while preserving access.

The role emphasizes advanced analytics, strategic contracting, and cross‑functional collaboration. This remote role may require travel and offers bonus opportunities based on performance.

Qualifications

• Minimum of 3 years of experience in provider network management, sales, provider relations, customer service, healthcare reimbursement, dental practice operations, or a payer environment.
• Strong analytical and problem‑solving skills with the 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 thinking

Negotiation

Relationship management

Communication

Data analysis

Education

Associate's degree or equivalent

Job description

CVS Health is seeking a Senior Analyst for PPO Network Discount Optimization to strengthen Aetna Dental's national provider network. You will analyze reimbursement structures, negotiate fee schedules, and drive network rebalancing to improve discounts while preserving access.

The role emphasizes advanced analytics, strategic contracting, and cross‑functional collaboration. This remote role may require travel and offers bonus opportunities based on performance.