Provider Data & Attribution Lead for Medicaid Operations

CVS Health; Richmond (VA); On-site; USD 68,000 - 199,000; Full time

Benefits offered by this job

Bonus potential

Comprehensive benefits

Job summary

CVS Health is seeking a Senior Manager to lead provider data integrity, attribution governance, and related controls within Medicaid operations. You will serve as a key liaison among provider relations, data management, IT, analytics, claims and other teams to ensure accurate, consistent provider and attribution information downstream.

The role requires 7–10 years of healthcare data experience, strong SQL/BI skills, and proven cross-functional leadership to drive improvements and regulatory

Qualifications

• 7-10 years of experience in healthcare data and analytics.
• Experience with Medicaid, managed care operations, provider data.
• Strong analytical skills using SQL and BI tools.
• Excellent cross-functional collaboration and communication.

Responsibilities

• Lead attribution, membership, and provider data governance processes.
• Oversee resolution of provider data and attribution issues.
• Partner with health plan leaders, network teams, and IT to deliver projects.
• Support provider directory accuracy, audits, and regulatory validation.

Skills

Medicaid operations

Provider data governance

SQL

Excel

Power BI

Tableau

Data reconciliation

Cross-functional coordination

Education

Bachelor's degree or equivalent professional experience

Tools

QNXT

MDW (Medicaid Data Warehouse)

Job description

CVS Health is seeking a Senior Manager to lead provider data integrity, attribution governance, and related controls within Medicaid operations. You will serve as a key liaison among provider relations, data management, IT, analytics, claims and other teams to ensure accurate, consistent provider and attribution information downstream.

The role requires 7–10 years of healthcare data experience, strong SQL/BI skills, and proven cross-functional leadership to drive improvements and regulatory