Senior Analyst - Network Relations Retention

4 days ago

⛰️ Colorado – Remote

Although this job is listed in Colorado, this company may be open to hiring remote in other states.

🏈 Ohio – Remote

Although this job is listed in Ohio, this company may be open to hiring remote in other states.

+2 more states

⛰️ Colorado – Remote 🏈 Ohio – Remote 🔔 Pennsylvania – Remote 🤠 Texas – Remote

💵 $47k - $102k / year

⏰ Full Time

🟠 Senior

🧐 Analyst

Apply Now

Receive Emails with Similar Jobs

CVS Health

WebsiteLinkedInAll Job Openings

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.

Retail • Pharmacy Benefits Management • Health Insurance • Health Care • Pharmacy

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

📋 Description

• Sr. Analyst will act as a primary resource for all dental products (DHMO, PPO, Medicare) for providers, sales and marketing, and Dental Service Centers • 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 • Negotiate contract language and provider compensation • Review quality and service reports with provider and appropriate staff • Timely response to correspondence from Provider offices including 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 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 to include member appointment access • 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 • Experience in the dental field and knowledge of PPO, DMO, and Medicare networks

🏖️ Benefits

• Affordable medical plan options • A 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 • Many other benefits depending on eligibility