Senior Analyst, Dental Network Relations

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🔥 0 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $47k - $112.2k / year

⏰ Full Time

🟠 Senior

🧐 Analyst

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Act as a primary resource for all dental products 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. • Maintain and strengthen provider relationships to ensure network stability. • Negotiate 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.

🎯 Requirements

• 5 years of Experience such as Sales, Service, Dental Office and/or payor setting • Strong verbal and written communication skills. • Bachelor's degree or relevant experience

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • other resources • bonus eligibility