Senior PPO Dental Network Strategy and Negotiations Lead

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

Job summary

CVS Health Corporation is seeking a Senior Analyst to optimize PPO discounts across the national dental network. The role focuses on analyzing provider reimbursement and network performance, leading fee schedule renegotiations, and driving strategic contracting initiatives.

Ideal candidates bring 3+ years in provider network roles, strong analytical and negotiation skills, and the ability to influence cross-functional teams.

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

Provider network management

Analytical skills

Negotiation

Relationship management

Data analysis

Education

Associate's degree

Job description

CVS Health Corporation is seeking a Senior Analyst to optimize PPO discounts across the national dental network. The role focuses on analyzing provider reimbursement and network performance, leading fee schedule renegotiations, and driving strategic contracting initiatives.

Ideal candidates bring 3+ years in provider network roles, strong analytical and negotiation skills, and the ability to influence cross-functional teams.