Senior Manager, Medicaid Provider Data & Attribution

CVS Health; Williamstown (NJ); Sur place; USD 120 000 - 180 000; Plein temps

Résumé du poste

CVS Health is seeking a Senior Manager to lead provider data governance and attribution controls within Medicaid operations. You will align provider data across relations, IT, analytics, and claims to ensure accurate downstream outputs and regulatory readiness.

The role drives process improvements, manages governance routines, and partners with plan leaders and cross-functional teams to deliver reliable business performance and enhanced customer experience.

Qualifications

• 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 investigate, analyze, and reconcile complex healthcare data, identify root causes, and recommend corrective actions.

Responsabilités

• Lead attribution, membership, and provider data governance processes to ensure accurate outputs.
• Oversee resolution of provider data and attribution issues affecting member assignment and reporting.
• Partner with health plan leaders, provider data teams, and IT to deliver projects supporting performance, regulatory requirements, and customer experience.

Connaissances

SQL

Advanced Excel

Power BI

Tableau

Formation

Bachelor's degree or equivalent

Outils

QNXT

MDW

Description du poste

CVS Health is seeking a Senior Manager to lead provider data governance and attribution controls within Medicaid operations. You will align provider data across relations, IT, analytics, and claims to ensure accurate downstream outputs and regulatory readiness.

The role drives process improvements, manages governance routines, and partners with plan leaders and cross-functional teams to deliver reliable business performance and enhanced customer experience.