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CVS Health
CVS Health
Asigurare de sănătateAsistență medicalăComerț cu amănuntul
CVS Health este o companie americană din domeniul sănătății, care activează în servicii medicale, asigurări de sănătate, gestionarea beneficiilor farmaceutice și farmacii cu vânzare cu amănuntul. Prin companii precum Aetna și CVS Caremark, aceasta sprijină acoperirea medicală, accesul la medicamente eliberate pe bază de rețetă, gestionarea afecțiunilor, medicamentele specializate și serviciile de farmacie prin comenzi prin poștă. Farmaciile sale de proximitate și serviciile extinse de îngrijire sunt concepute pentru a-i ajuta pe oameni să acceseze mai ușor și mai accesibil servicii medicale esențiale. CVS Health reunește asigurările, farmacia și serviciile de sănătate pentru a sprijini persoanele și comunitățile pe tot parcursul experienței lor de îngrijire.
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Senior Dental Network Relations Analyst - CVS Health (Remote)

Senior analyst role focused on improving Aetna Dental’s nationwide PPO provider network through reimbursement analysis, fee schedule negotiations, and network optimization. The position uses data and provider relationships to strengthen financial performance and network competitiveness.

USStatele Unite ale AmericiiALAlabamaAZArizonaCACaliforniaCOColoradoCTConnecticutFLFloridaIDIdahoILIllinoisIAIowaKSKansasKYKentuckyLALouisianaMEMaineMDMarylandMAMassachusettsMIMichiganMNMinnesotaMSMississippiMOMissouriMTMontanaNENebraskaNVNevadaNHNew HampshireNJNew JerseyNMNew MexicoNYNew YorkNCCarolina de NordNDDakota de NordOHOhioOKOklahomaOROregonPAPennsylvaniaRIRhode IslandSCCarolina de SudSDDakota de SudTNTennesseeTXTexasUTUtahVTVermontVAVirginiaWAWashingtonWVVirginia de VestWIWisconsinWYWyoming
46.988 $ – 122.400 $ / an
RemoteNormă întreagăSeniorLimbă Obligatorie: englezăAnalist

Descriere

  • Review provider reimbursement arrangements, claims data, and network metrics to identify opportunities to improve PPO discounts
  • Lead fee schedule negotiations and network optimization efforts aligned with financial objectives
  • Assess market conditions, competitive factors, and provider-specific considerations to shape contracting strategies
  • Evaluate the financial and operational effects of reimbursement changes and network adjustments
  • Partner with network management, contracting, analytics, provider relations, and product teams
  • Develop and sustain relationships with dental providers and provider organizations
  • Present data-supported recommendations and business cases to leaders and key stakeholders
  • Help improve network performance, provider engagement, and the competitiveness of Aetna Dental’s national provider network

Cerințe

  • At least three years of experience in provider network management, sales, provider relations, customer service, healthcare reimbursement, dental practice operations, or a payer setting
  • Strong analytical and problem-solving abilities
  • Demonstrated negotiation, influence, and relationship-management skills
  • Excellent verbal, written, and presentation communication skills
  • Proficiency in analyzing data
  • Experience working with claims or reimbursement data
  • Preferred: five or more years of dental industry experience
  • Familiarity with PPO, DMO, Medicare, and other dental network products
  • Knowledge of provider contracting, fee schedule creation, and healthcare reimbursement methods
  • One to three years of experience in financial analysis, healthcare economics, or a related analytical field
  • Experience using data visualization and reporting tools
  • Associate degree or an equivalent combination of education and experience

Beneficii

  • Eligibility for a 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
  • Additional resources supporting physical, emotional, and financial well-being