Senior Manager, Data Governance & Attribution (Medicaid)

CVS Health; United States; Teletrabalho; USD 68 000 - 199 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings options

Wellness programs

Eligibility-based resources

Resumo da oferta

CVS Health in the United States is seeking a Senior Manager to lead provider data governance, attribution governance, and related controls supporting Medicaid operations. You will serve as a key liaison across provider relations, data management, IT, analytics, claims, and other teams to ensure accuracy and downstream consistency.

This role requires 7–10 years of Medicaid/managed care experience, strong SQL/Excel/BI skills, and a proven track record of cross-functional collaboration to drive

Qualificações

• 7-10 years of experience.
• 5+ years of experience in Medicaid, managed care operations, provider data, healthcare analytics.
• Experience with SQL, advanced Excel, Power BI, Tableau, or comparable analytical tools.
• Demonstrated ability to independently investigate, analyze, and reconcile complex health care data, identify root causes, and recommend corrective actions.
• Demonstrated experience investigating and resolving provider data issues, including discrepancies involving provider identifiers, affiliations, contractual relationships, etc.
• Experience coordinating cross-functional issue resolution and operational improvements.
• Strong communication skills, including the ability to translate complex operational issues into clear business risk, action plans, and ownership.

Responsabilidades

• 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.

Conhecimentos

SQL

Advanced Excel

Power BI

Tableau

Formação académica

Bachelor's degree

Ferramentas

QNXT

Medicaid Data Warehouse (MDW)

Descrição da oferta de emprego

CVS Health in the United States is seeking a Senior Manager to lead provider data governance, attribution governance, and related controls supporting Medicaid operations. You will serve as a key liaison across provider relations, data management, IT, analytics, claims, and other teams to ensure accuracy and downstream consistency.

This role requires 7–10 years of Medicaid/managed care experience, strong SQL/Excel/BI skills, and a proven track record of cross-functional collaboration to drive