Dental Network Relations, Senior Analyst

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
Act as a primary resource for all dental products ( PPO, Medicare) for providers, sales and marketing, and Dental Service Centers to aid in the achievement of Aetna Key Performance Measures.  Act as the liaison with the Primary Care Dentists and Specialists nationally retaining providers within the PPO network. This includes managing termination and sale of practice requests and ensure compliance with termination obligations, and cost of care improvements. Maintain and strengthen provider relationships to ensure network stability. Negotiation of contract language and provider compensation.  Timely response to correspondence from Provider offices, included, but not limited to termination requests, tax id changes, hold requests, claim reimbursement, system, directory accuracy and various contractual issues. Documented resolution and follow through communicated to all parties.  Presentation of PPO plan design, compensation process, claim submission, and referral policies during new office orientations and reorientations via the telephone. Knowledge of the competitive market and Aetna's relevant competitive position. Presentation of Aetna's electronic capabilities for dental providers to achieve Company goals and targets, promote all EDI initiatives.

Required Qualifications

• 5 years of Experience such as Sales, Service, Dental Office and/or payor setting.
• Strong verbal and written communication skills.

Preferred Qualifications

• Experience in the dental field and knowledge of PPO and Medicare networks.

Education Bachelor's degree or relevant experience

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

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. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

Additional details about available benefits are provided during the application process and on Benefits Moments.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.