CVS Health
CVS Health
CVS Health sog‘liqni saqlash xizmatlari, tibbiy sug‘urta, dorixona imtiyozlarini boshqarish va chakana dorixona faoliyati yo‘nalishlarida ishlaydigan Amerika kompaniyasidir. Aetna va CVS Caremark kabi bizneslari orqali tibbiy sug‘urta qamrovi, retsept bo‘yicha dori vositalaridan foydalanish, kasalliklarni boshqarish, maxsus dori-darmonlar va pochta orqali dorixona xizmatlarini taqdim etadi. Uning mahalliy dorixonalari va keng qamrovli tibbiy xizmatlari odamlarga zarur tibbiy yordamdan qulayroq va hamyonboproq foydalanishga yordam berish uchun mo‘ljallangan. CVS Health sug‘urta, dorixona va sog‘liqni saqlash xizmatlarini birlashtirib, insonlar va jamoalarni davolanish jarayonining barcha bosqichlarida qo‘llab-quvvatlaydi.

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.

Tavsif

  • 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

Talablar

  • 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

Imtiyozlar

  • 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