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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Analyst, PPO Network Discount Optimization - **Company:** CareerCircle - **Location:** Saint Paul, MN, United States (Remote available) - **Experience:** Expert - **Salary:** $46,988.0 - $122,400.0 - **Contract:** Permanent contract - **Skills:** Microsoft Excel, Data Analysis, BigQuery, VoIP, Microsoft Outlook, Cisco Routers, CompTIA Network+, Data Visualization, R (Programming Language), Supervisory Control and Data Acquisition (SCADA), Python (Programming Language), Microsoft Office, Multicasting, Network Planning and Design, Routing, Network Administration, Pivot Tables, Microsoft PowerPoint, SQL Databases, Tableau (Software), Network Switches, Network Routing, Firewalls (Computer Science), Data Management, Tools for Reporting, Cisco, Network Optimization, Programming Languages - **Published:** October 8, 2026 - **Apply:** https://www.careercircle.com/jobs/all/all/usa/all/all/00311cf5-51aa-4a35-ae7a-06635e8d7e1e ## About the Role Writing Medicare Geography Economics Dentistry Operations Leadership Compassion Negotiation Communication Data Analysis Presentations Prioritization Problem Solving Reporting Tools Market Dynamics Customer Service Business Results Financial Analysis Influencing Skills Advanced Analytics Strategic Thinking Data Visualization Network Management Time Off Management Relationship Building Relationship Management Provider Network Management Network Performance Management, The ideal candidate possesses a strong understanding of dental insurance products, including PPO and Medicare plans, along with knowledge of market dynamics, provider economics, and competitive network strategies. This role requires advanced analytical capabilities, strategic thinking, and strong relationship management skills to influence provider participation and achieve financial and operational objectives., * Minimum of 3 years of experience in provider network management, sales, provider relations, customer service, healthcare reimbursement, dental practice operations, or a payer environment. * Strong analytical and problem-solving skills with the ability to interpret complex data and translate findings into actionable strategies. * Proven negotiation, influencing, and relationship-building capabilities. * Excellent verbal, written, and presentation communication skills. * Proficiency in data analysis and experience working with claims or reimbursement data., * 5+ years of experience within the dental industry, including familiarity with PPO, DMO, Medicare, and other dental network products. * Knowledge of provider contracting, fee schedule development, and healthcare reimbursement methodologies. * One to three years of financial analysis, healthcare economics, or related analytical experience. * Experience utilizing data visualization and reporting tools to support business decision-making. Education * Associate's degree or equivalent combination of education and experience. Key Competencies * Strategic Thinking * Data Analysis & Interpretation * Contract Negotiation * Financial Acumen * Relationship Management * Influencing & Persuasion * Communication & Presentation Skills * Process Improvement * Business Impact Assessment, Full Stack Development Business Transformation Building Management System Network Planning And Design Multicast Routing Protocols Troubleshooting (Problem Solving) Cisco Certified Network Associate Supervisory Control And Data Acquisition (SCADA) +0 Network Strategy Analyst CVS Health Remote Finance Vlookups BigQuery Dashboard Analytics Operations Leadership Automation Innovation Compassion Underwriting Data Analysis Pharmaceuticals Detail Oriented Microsoft Excel Decision Making Data Management Microsoft Office Microsoft Outlook Financial Modeling Data Visualization Time Off Management Microsoft PowerPoint Programming Languages Pivot Tables And Charts R (Programming Language) Ability To Meet Deadlines SQL (Programming Language) Python (Programming Language) Tableau (Business Intelligence Software) ## Description The Senior Analyst, PPO Network Discount Optimization plays a critical role in enhancing the value and competitiveness of Aetna Dental's provider networks by driving improvements in PPO discount performance across the United States. This position is responsible for analyzing provider reimbursement arrangements, identifying optimization opportunities, and executing provider fee schedule renegotiations and network rebalancing strategies., The Senior Analyst leverages claims, reimbursement, and market data to assess network performance, quantify business impacts, and develop recommendations that improve discount outcomes while maintaining provider network adequacy and member access. While the role is primarily remote and conducted through virtual and telephonic engagement, occasional travel may be required., * Analyze provider reimbursement arrangements, claims data, and network performance metrics to identify opportunities for PPO discount improvement. * Lead provider fee schedule negotiations and network optimization initiatives that support organizational financial goals. * Evaluate market conditions, competitive dynamics, and provider-specific factors to develop targeted contracting strategies. * Assess the financial and operational impact of proposed reimbursement changes and network adjustments. * Collaborate with internal stakeholders across network management, contracting, analytics, provider relations, and product teams. * Build and maintain productive relationships with dental providers and provider groups to facilitate successful negotiations. * Present data-driven recommendations and business cases to leadership and key stakeholders., Firewall Operations Multicasting Cisco Routers Voice Over IP Network Routing Network Switches CompTIA Network+