Senior Manager, Medicaid Provider Data & Attribution

CVS Health; Olympia (WA); On-site; USD 68,000 - 199,000; Full time

Benefits offered by this job

Bonus eligibility

Equity award program

Comprehensive benefits package

Retirement savings options

Paid time off

Job summary

CVS Health leads provider data governance and attribution operations to ensure accurate, validated data across downstream systems. The senior manager collaborates with provider relations, IT, analytics, and other teams to govern data quality and drive improvements.

The role emphasizes governance, audit readiness, and cross-department coordination, with a focus on Medicaid operations and regulatory compliance. A bachelor’s degree or equivalent experience is required.

Qualifications

• 7–10 years of experience in Medicaid, managed care operations, provider data, or healthcare analytics.
• Experience with provider data governance, attribution, and regulatory requirements.
• Proficiency in SQL, Excel, Power BI, Tableau, or equivalent analytics tools.

Responsibilities

• Lead attribution, membership, and provider data governance processes.
• Oversee resolution of provider data and attribution issues affecting member assignment and reporting.
• Partner with health plan leaders, provider data teams, claims, compliance, marketing, operations, and technology partners to deliver projects.
• Support provider directory accuracy, audit readiness, and regulatory validation activities.
• 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

Analytical thinking

Communication skills

Cross-functional work

Problem solving

Education

Bachelor's degree or equivalent professional experience

Tools

SQL

Excel (Advanced)

Power BI

Tableau

Job description

CVS Health leads provider data governance and attribution operations to ensure accurate, validated data across downstream systems. The senior manager collaborates with provider relations, IT, analytics, and other teams to govern data quality and drive improvements.

The role emphasizes governance, audit readiness, and cross-department coordination, with a focus on Medicaid operations and regulatory compliance. A bachelor’s degree or equivalent experience is required.