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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.
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- 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.
- 2 years dental or medical industry and/or insurance knowledge
- 5+ years dental provider relations experience
- DSO experience a plus
- DHMO product experience
- Bachelors Degree or equivalent combination of education and experience
The typical pay range for this role is:
$46,988.00 - $112,200.00
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. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit Benefits | CVS Health
We anticipate the application window for this opening will close on: 01/01/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.