Senior PPO Discount Strategist - Remote Dental Network

Colorado Psychiatric; Northern (KY); Hybrid; USD 47,000 - 122,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Retirement savings options

Paid time off

Wellness programs

Job summary

CVS Health is seeking a Senior Analyst, PPO Network Discount Optimization to strengthen Aetna Dental's provider networks nationwide. You will analyze reimbursement arrangements, drive PPO discount improvements, and lead fee schedule negotiations with dental providers.

The role emphasizes data-driven decision making, market analysis, and strategic contracting, with remote work primarily and occasional travel. Strong communication and relationship-building skills are essential.

Qualifications

• 3+ years in provider network management or related healthcare roles.
• Strong analytical and problem-solving skills.
• Proven negotiation and relationship-building abilities.
• Excellent verbal and written communication.

Responsibilities

• Analyze provider reimbursement arrangements and network performance to identify PPO discount improvements.
• Lead fee schedule negotiations and network optimization initiatives.
• Evaluate market conditions and contracting strategies.
• Assess financial impact of proposed reimbursement changes.
• Collaborate with network management, contracting, analytics, provider relations, and product teams.
• Build relationships with dental providers to facilitate negotiations.
• Present data-driven recommendations to leadership.

Skills

Analytical thinking

Negotiation

Communication skills

Data analysis

Education

Associate's degree

Tools

Data visualization tools

Job description

CVS Health is seeking a Senior Analyst, PPO Network Discount Optimization to strengthen Aetna Dental's provider networks nationwide. You will analyze reimbursement arrangements, drive PPO discount improvements, and lead fee schedule negotiations with dental providers.

The role emphasizes data-driven decision making, market analysis, and strategic contracting, with remote work primarily and occasional travel. Strong communication and relationship-building skills are essential.