Senior Analyst, Network Relations
CVS Health, Austin, TX, United States
Position Summary
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. Demonstrate a strong understanding of Aetna’s Dental Products and market position. Negotiate contract language and provider compensation. Review quality and service reports with provider and appropriate staff, contacting Dental providers regarding quality reviews where results were unacceptable. Respond 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. Present DHMO and PPO plan design, compensation process, claim/encounter submission, and referral policies during new office orientations and reorientations via telephone. Present Aetna’s electronic capabilities for dental providers to achieve company goals and targets, and promote all EDI initiatives.
Required Qualifications
5 years of experience in sales, service, dental office and/or payor settings.
Strong verbal and written communication skills.
Preferred Qualifications
Experience in the dental field and knowledge of PPO, DMO, and Medicare networks.
Education Bachelor’s degree or relevant experience.
Anticipated Weekly Hours 40 hours.
Time Type Full time.
Pay Range $46,988.00 – $112,200.00. This is the base hourly rate or base annual full‑time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on experience, education, geography and other relevant factors. The position is eligible for a CVS Health bonus, commission or short‑term incentive program in addition to the base pay range.
Benefits This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. Benefits include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources based on eligibility.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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Required Qualifications
5 years of experience in sales, service, dental office and/or payor settings.
Strong verbal and written communication skills.
Preferred Qualifications
Experience in the dental field and knowledge of PPO, DMO, and Medicare networks.
Education Bachelor’s degree or relevant experience.
Anticipated Weekly Hours 40 hours.
Time Type Full time.
Pay Range $46,988.00 – $112,200.00. This is the base hourly rate or base annual full‑time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on experience, education, geography and other relevant factors. The position is eligible for a CVS Health bonus, commission or short‑term incentive program in addition to the base pay range.
Benefits This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. Benefits include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources based on eligibility.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
#J-18808-Ljbffr