Senior Manager, Provider Data & Attribution Governance

CVS Health; Athens (GA); On-site; USD 110,000 - 160,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings

Wellness program

Job summary

CVS Health seeks a senior leader in provider data governance to ensure accurate, reliable attribution and data integrity across Medicaid operations. You will lead governance, issue remediation, and cross-functional collaboration with health plans, networks, and IT to deliver compliant, high-quality outputs.

Responsibilities include overseeing provider data issues, driving process improvements, and leveraging data warehouses to inform decisions.

Qualifications

• 5+ years of experience in Medicaid, managed care operations, provider data, healthcare analytics.

Responsibilities

• Lead attribution, membership, and provider data governance processes.
• Oversee resolution of provider data and attribution issues affecting member assignment and downstream operations.
• Partner with health plan leaders, network teams, provider data teams, claims, compliance, marketing, operations, and technology partners.

Skills

SQL

Advanced Excel

Power BI

Tableau

Strong communication

Education

Bachelor's degree or equivalent

Tools

QNXT

MDW

Job description

CVS Health seeks a senior leader in provider data governance to ensure accurate, reliable attribution and data integrity across Medicaid operations. You will lead governance, issue remediation, and cross-functional collaboration with health plans, networks, and IT to deliver compliant, high-quality outputs.

Responsibilities include overseeing provider data issues, driving process improvements, and leveraging data warehouses to inform decisions.