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Senior Analyst, Network Relations Retention

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States

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Category:
Health and Beauty

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Contract Type:
Not provided

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Salary:

46988.00 - 102000.00 USD / Year

Job Description:

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Job Responsibility:

  • Act as a primary resource for all dental products (DHMO, 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 in a specific geographic territory responsible for overall maintenance and territory management of the provider network
  • Negotiation of contract language and provider compensation
  • Review quality and service reports with provider and appropriate staff
  • Timely response to correspondence from Provider offices
  • Presentation of DHMO and PPO plan design, compensation process, claim / encounter 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

Requirements:

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

Nice to have:

Experience in the dental field and knowledge of PPO, DMO, and Medicare networks

What we offer:
  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

Additional Information:

Job Posted:
April 25, 2025

Expiration:
May 07, 2025

Employment Type:
Fulltime
Work Type:
Remote work
Job Link Share:
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