Remotery

Senior Analyst, Dental Network Relations

atCVS HealthUS flagFloridaFull-timeUncategorizedSenior$47k – $112.2k/year

Posted 10 hours ago

This is a fully remote position, open to applicants in Florida.

πŸ“‹ Description

β€’ Serve as the primary contact for all dental products for providers, sales and marketing, and Dental Service Centers to support the achievement of Aetna Key Performance Measures.

β€’ Function as the intermediary with Primary Care Dentists and Specialists nationwide, ensuring provider retention within the PPO network.

β€’ Cultivate and enhance provider relationships to promote network stability.

β€’ Negotiate contractual terms and provider compensation packages.

β€’ Provide timely responses to inquiries from Provider offices, including but not limited to termination requests, tax ID changes, hold requests, claim reimbursements, system issues, directory accuracy, and various contractual matters.

β€’ Ensure documented resolutions and follow-ups are communicated to all involved parties.

β€’ Present PPO plan designs, compensation processes, claim submission procedures, and referral policies during new office orientations and reorientations via telephone.


⛳️ Requirements

β€’ 5 years of experience in roles such as Sales, Service, Dental Office, and/or payer settings.

β€’ Excellent verbal and written communication skills.

β€’ Bachelor's degree or equivalent relevant experience.


🏝️ Benefits

β€’ Medical, dental, and vision coverage.

β€’ Paid time off.

β€’ Retirement savings options.

β€’ Wellness programs.

β€’ Additional resources.

β€’ Bonus eligibility.

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