Senior Remote Dental PPO Network Discount Analyst

CVS Health Corporation; North Carolina; Híbrido; USD 47 000 - 122 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical insurance

Dental & vision coverage

Paid time off

Retirement savings options

Wellness programs

Resumo da oferta

The Senior Analyst, PPO Network Discount Optimization at CVS Health Corporation (Aetna Dental) plays a key role in strengthening the value of the provider network by driving PPO discount performance across the United States. You will analyze reimbursement arrangements, identify optimization opportunities, and lead network rebalancing initiatives.

This role requires strong knowledge of dental products, market dynamics, and provider economics.

Qualificações

• Minimum of 3 years in provider network management or related fields.
• Strong analytical and problem-solving abilities.
• Proven negotiation and relationship-building capabilities.
• Excellent verbal, written and presentation skills.
• Experience with data analysis of claims or reimbursement data.

Responsabilidades

• Analyze provider reimbursement arrangements and metrics to identify PPO discount opportunities.
• Lead provider fee schedule negotiations and network optimization initiatives.
• Evaluate market conditions and provider-specific factors for contracting strategies.
• Assess financial and operational 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 and business cases to leadership.

Conhecimentos

Analytical skills

Negotiation

Communication skills

Data analysis

Relationship management

Formação académica

Associate's degree or equivalent

Descrição da oferta de emprego

The Senior Analyst, PPO Network Discount Optimization at CVS Health Corporation (Aetna Dental) plays a key role in strengthening the value of the provider network by driving PPO discount performance across the United States. You will analyze reimbursement arrangements, identify optimization opportunities, and lead network rebalancing initiatives.

This role requires strong knowledge of dental products, market dynamics, and provider economics.