Senior Manager, Dental Business Consultant (Aetna Dental)

Hispanic Alliance for Career Enhancement; Harrisburg (Dauphin County); On-site; USD 67,000 - 183,000; Full time

Job summary

An established industry player seeks a Senior Manager, Dental Business Consultant to lead provider contracting and network expansion initiatives. This role involves collaborating cross-functionally to manage provider compensation, conducting statistical analyses, and guiding the team with expertise in the managed care industry. The ideal candidate will possess a growth mindset and strong problem-solving skills, ensuring effective execution of projects. Join a forward-thinking organization that values its employees and offers competitive benefits, fostering a workplace where every colleague feels valued and connected.

Benefits

Affordable Medical Plan Options

401(k) Plan with Matching Contributions

Employee Stock Purchase Plan

No-Cost Wellness Programs

Flexible Work Schedules

Tuition Assistance

Paid Time Off

Qualifications

• 7+ years of provider contracting experience required.
• In-depth knowledge of managed care industry and practices.

Responsibilities

• Support health plan with expansion initiatives and vendor network.
• Manage provider compensation and pricing development activities.

Skills

Provider Contracting Experience

Knowledge of Medicare and Medicaid

Problem Solving Skills

Collaboration and Teamwork

Business Intelligence

Education

Bachelor's Degree or Equivalent Work Experience

Job description

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

The Senior Manager, Dental Business Consultant is an individual contributor role with the following responsibilities:

• Supports health plan or Market with expansion initiatives ensuring Vendor Network recruits providers to ensure network expansion goals, achieve regulatory and/or internal adequacy targets or other contracting activities as needed.
• Collaborates cross-functionally to manage provider compensation and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities.
• Subject Matter Expert support for questions related to network initiatives, contracting, provider issues/resolutions, related systems and information contained.
• Provides guidance and shares expertise to others on the team.
• Manages high level projects and recruitment initiatives with interdepartmental resources and/or cross functional stakeholders.
• Holds JOC meetings.
• Supports or assists with operational activities that may include, but are not limited to, database management and contract coordination.
• Performing statistical analysis of data.
• Preparing statistical analysis and dashboard reports to present to leadership.•

Required Qualifications

For this role you will need Minimum Requirements

• 7+ years of provider contracting experience

• Knowledge of Medicare and Medicaid programs.

• Ability to travel nationally as needed (up to 25% travel)
• In-depth knowledge of the managed care industry and practices, as well as a strong understanding of strategies, practices, and financial/contracting arrangements.
• Adept at problem solving and decision making skills

• Adept at collaboration and teamwork

• Adept at growth mindset (developing yourself and others) skills

• Adept at execution and delivery (planning, delivering, and supporting) skills

• Adept at business intelligence

Preferred Qualifications
Dental Vendor Experience

Education
Bachelor's degree desired and/or equivalent work experience

Pay Range

The typical pay range for this role is:

$67,900.00 - $182,549.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 05/30/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.