Dental Network Relations Senior Analyst
Core
Liaison between Aetna and assigned groups of Dental Support Organizations (DSOs), serving as a subject matter expert for dental products (DHMO, PPO, Medicare) to aid in achieving Key Performance Measures.
Role type
Senior IC network relations analyst (healthcare contracting)
Builds
Provider contracts and cost-of-care strategies for Aetna's dental network
Domain
Healthcare insurance / Dental network management
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Provider relations, network management, healthcare contracting, dental insurance, contract negotiation, data analytics, account management, cross-functional collaboration
Preferred skills
DSO experience, DHMO product experience
Technologies
Microsoft Excel
Responsibilities
Negotiate provider contract language and compensation; manage accounts for DSOs and large dental groups; analyze data to identify cost savings opportunities; recruit providers to expand the network; resolve provider issues cross-functionally; communicate early warning signs of risks to management
Seniority
Senior, hands-on IC