Senior Manager, Medicaid Data & Attribution

CVS Health; New Jersey; On-site; USD 100,000 - 140,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Other resources

Job summary

CVS Health is seeking a Senior Manager to lead attribution governance, provider data integrity, and related operational controls supporting Medicaid operations. You will coordinate with provider relations, data management, IT, analytics, claims, and other departments to ensure accurate provider and attribution information across downstream systems.

Applicants should bring 5+ years in Medicaid/managed care data, strong SQL and analytics skills, and proven ability to translate complex data issues

Qualifications

• Experience in Medicaid, managed care operations, provider data, or healthcare analytics.
• Strong ability to investigate, analyze, and reconcile complex health care data and identify root causes.

Responsibilities

• Lead attribution, membership, and provider data governance processes.
• Oversee resolution of provider data and attribution issues affecting member assignment and reporting.

Skills

SQL

Excel

Power BI

Tableau

Data governance

Communication

Education

Bachelor's degree or equivalent professional experience

Tools

QNXT

MDW

Job description

CVS Health is seeking a Senior Manager to lead attribution governance, provider data integrity, and related operational controls supporting Medicaid operations. You will coordinate with provider relations, data management, IT, analytics, claims, and other departments to ensure accurate provider and attribution information across downstream systems.

Applicants should bring 5+ years in Medicaid/managed care data, strong SQL and analytics skills, and proven ability to translate complex data issues