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Senior Analyst, Dental Network Relations
CVS Health. Analyze provider reimbursement arrangements, claims data, and network performance metrics to identify opportunities for PPO discount improvement .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in provider network management and reimbursement strategies, with a strong focus on data analysis and negotiation skills. Capable of building relationships with dental providers and presenting data-driven recommendations to stakeholders.
Highest-signal resume keywords
Provider Network ManagementData AnalysisNegotiation SkillsHealthcare ReimbursementRelationship Building
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims Data AnalysisPPO Discount ImprovementContracting StrategiesFee Schedule DevelopmentHealthcare EconomicsFinancial AnalysisData VisualizationReimbursement MethodologiesMarket Condition EvaluationNetwork Performance Metrics
Soft Skills
Analytical SkillsProblem-Solving SkillsVerbal CommunicationWritten CommunicationPresentation Skills
Certifications & Qualifications
Associate's Degree
Industry Keywords
Dental IndustryProvider RelationsPayer EnvironmentDMOMedicareNetwork OptimizationProvider EngagementFinancial GoalsStakeholder InfluenceDental Practice Operations
About the role
Key responsibilities & impact- 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 supporting financial goals
- Evaluate market conditions, competitive dynamics, and provider-specific factors to develop contracting strategies
- Assess the financial and operational impact of reimbursement changes and network adjustments
- Collaborate with network management, contracting, analytics, provider relations, and product teams
- Build and maintain relationships with dental providers and provider groups
- Present data-driven recommendations and business cases to leadership and stakeholders
- Influence network performance, provider engagement, and Aetna Dental's national provider network competitiveness
Requirements
What you’ll need- 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
- Proven negotiation, influencing, and relationship-building capabilities
- Excellent verbal, written, and presentation communication skills
- Proficiency in data analysis
- Experience working with claims or reimbursement data
- Preferred: 5+ years of experience within the dental industry
- Familiarity with PPO, DMO, Medicare, and other dental network products
- Knowledge of provider contracting, fee schedule development, and healthcare reimbursement methodologies
- One to three years of financial analysis, healthcare economics, or related analytical experience
- Experience utilizing data visualization and reporting tools
- Associate's degree or equivalent combination of education and experience
Benefits
Comp & perks- CVS Health bonus, commission or short-term incentive program in addition to base pay
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being