Dental Network Relations Senior Analyst (Fully Remote) at CVS Health in Boise, Idaho, United States Bring your heart to CVS Health.
Every one of us at CVS Health shares a single, clear purpose:
Bringing our heart to every moment of your health.
This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world.
Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors support this purpose.
We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
Position Summary:
The Dental Network Relations Senior Analyst, is the liaison between Aetna and an assigned group of DSOs.
This role acts as a resource for all dental products (DHMO, PPO, Medicare) to DSO leadership and staff, providers, sales, and marketing to aid in the achievement of Aetna Key Performance Measures.
This person serves as a subject matter expert, demonstrating a strong understanding of Aetna's Dental Products and market position.
The Senior Analyst negotiates provider contract language and compensation.
This role is also responsible to work cross functionally to resolve provider concerns, document resolution, and effectively communicate to all parties.
• Responsible for account management of DSOs and large dental groups to support network strategic initiatives.
• Negotiates contracts at all organizational levels.
Strong emphasis on analysis to develop cost-of-care strategy.
• Solid focus on data analytics to identify cost savings opportunities + Collaborates cross-functionally to resolve provider issues with the utmost urgency.
• Recruits providers as needed to attain network expansion and meet access needs.
• Communicates early warning signs of potential issues/risks to management.
Required Qualifications:
+ 2 years dental or medical industry and/or insurance knowledge Preferred Qualifications:
+ 5+ years dental provider relations experience + DSO experience a plus + DHMO product experience Education:
+ Bachelors Degree or equivalent combination of education and experience Pay Range The typical pay range for this role is:
$46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.
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