Senior Data Governance & Attribution Lead

CVS Health; Denver (CO); On-site; USD 68,000 - 199,000; Full time

Job summary

CVS Health in Denver seeks a leader to oversee provider data integrity, attribution governance, and related controls that support Medicaid operations and regulatory compliance. You will ensure outputs are accurate, explainable, and audit-ready for reporting and financial settlements.

In this role you will partner with health plan leaders, network and provider data teams, claims, compliance, marketing, and technology partners to drive process improvements, maintain governance routines, and

Qualifications

• Data governance, data quality, data management, reporting, or analytics
• 5+ years of experience in Medicaid, managed care operations, provider data, healthcare analytics.
• SQL, advanced Excel, Power BI, Tableau, or similar tools
• Healthcare analytics, provider data, Medicaid, managed care, or healthcare operations
• Investigating data quality and reporting issues, identifying root causes, and communicating findings to stakeholders
• Experience managing provider data, directory accuracy, or related operational issues across multiple teams.
• Strong communication skills, including the ability to translate complex operational issues into clear business risk, action plans, and ownership.

Responsibilities

• Lead attribution, membership, and provider data governance processes to ensure accurate and reliable operational outputs.
• Oversee resolution of provider data and attribution issues that affect member assignment, reporting accuracy, and downstream operations.
• Partners with health plan leaders, network teams, provider data teams, claims, compliance, marketing, operations, and technology partners to deliver projects that support business performance, regulatory requirements, and customer experience.
• Support provider directory accuracy, audit readiness, and regulatory validation activities through monitoring, documentation, and issue remediation
• Identify recurring defects, root causes, and control gaps, then drive process improvements that reduce rework and improve operational reliability.
• Maintain governance routines, process documentation, and cross-functional coordination for attribution and provider data operations.

Skills

Data governance

Data quality

Data management

Reporting

Analytics

Medicaid/healthcare analytics

SQL

Excel

Power BI

Tableau

Strong communication

Education

Bachelor’s degree or equivalent professional experience

Tools

Power BI

Tableau

QNXT

MDW

Job description

CVS Health in Denver seeks a leader to oversee provider data integrity, attribution governance, and related controls that support Medicaid operations and regulatory compliance. You will ensure outputs are accurate, explainable, and audit-ready for reporting and financial settlements.

In this role you will partner with health plan leaders, network and provider data teams, claims, compliance, marketing, and technology partners to drive process improvements, maintain governance routines, and