Senior Remote Dental Network Discount Strategist

CVS Health; Bastrop (LA); Remote; USD 47,000 - 122,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Job summary

CVS Health is seeking a Senior Analyst for PPO Network Discount Optimization, focusing on Aetna Dental's provider networks across the United States. You will analyze reimbursement structures, drive fee schedule negotiations, and steer network rebalancing to improve discounts while preserving access.

The role is primarily remote, with occasional travel. You will leverage claims, reimbursement, and market data to quantify impacts, craft recommendations, and influence internal teams to enhance

Qualifications

• Minimum of 3 years of experience in provider network management or related healthcare roles.
• Strong analytical and problem-solving abilities with data interpretation.
• Proven negotiation, influencing, and relationship-building skills.
• Excellent verbal, written, and presentation communication.
• Experience 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 skills

Negotiation

Communication

Data analysis

Education

Associate's degree or equivalent

Job description

CVS Health is seeking a Senior Analyst for PPO Network Discount Optimization, focusing on Aetna Dental's provider networks across the United States. You will analyze reimbursement structures, drive fee schedule negotiations, and steer network rebalancing to improve discounts while preserving access.

The role is primarily remote, with occasional travel. You will leverage claims, reimbursement, and market data to quantify impacts, craft recommendations, and influence internal teams to enhance