Industry: Private
Employment Type:- Full Time
Work Hours:- 8 Hours
Locations:- USA
Full Job Description:-
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.
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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.
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
Dental Network Relations Senior Analyst (Fully Remote)
Entry Level Jobs (Work from home) Dental Network Relations Senior Analyst (Fully Remote) Job ID- 2212
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