Dental Network Relations Senior Analyst

CVS Health•Hartford, CT

4d•Onsite

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. 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.

Requirements

2+ years of experience in provider relations, network management, healthcare contracting, dental insurance, or a related healthcare environment.
Proficient in the use of Microsoft applications including manipulation and analysis of data via Excel.
Strong written and oral communication skills.
Strong negotiation expertise.
Agility and flexibility towards changing priorities.

Nice To Haves

5+ years dental provider relations experience.
DSO experience a plus.
DHMO product experience.

Responsibilities

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.
Serves as a subject matter expert, demonstrating a strong understanding of Aetna’s Dental Products and market position.
Negotiates provider contract language and compensation.
Works 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.
Develops cost-of-care strategy through analysis.
Identifies cost savings opportunities through data analytics.
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.