Senior Manager, Provider Data & Attribution Governance

Colorado Psychiatric; Denver (CO); On-site; USD 68,000 - 199,000; Full time

Benefits offered by this job

Bonus eligibility

Equity awards

Comprehensive benefits

Job summary

CVS Health is hiring a senior manager to lead provider data integrity, attribution governance, and related controls across Medicaid operations. This role liaises with provider relations, IT, analytics, claims, and other functions to ensure accurate attribution information in downstream systems.

The position requires 7–10 years of experience in Medicaid or related fields and proficiency with SQL, Excel, Power BI, and Tableau. Strong communication and problem-solving skills are essential.

Qualifications

• 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.
• Experience coordinating cross-functional issue resolution and operational improvements.

Responsibilities

• 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.

Skills

Data analysis

Root cause analysis

Cross-functional collaboration

Communication

Education

Bachelor's degree or equivalent

Tools

SQL

Excel

Power BI

Tableau

Job description

CVS Health is hiring a senior manager to lead provider data integrity, attribution governance, and related controls across Medicaid operations. This role liaises with provider relations, IT, analytics, claims, and other functions to ensure accurate attribution information in downstream systems.

The position requires 7–10 years of experience in Medicaid or related fields and proficiency with SQL, Excel, Power BI, and Tableau. Strong communication and problem-solving skills are essential.