Senior Manager, Provider Data & Attribution Governance

CVS Health; Providence (RI); On-site; USD 68,000 - 199,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Comprehensive benefits package

Job summary

CVS Health is seeking a senior manager to lead provider data integrity, attribution governance, and related controls across Medicaid operations. You will serve as a key liaison among provider relations, data management, IT, analytics, claims, and other departments to ensure data accuracy and downstream consistency.

You will drive governance routines, oversee issue resolution, and partner with multiple teams to meet regulatory requirements and improve customer experience.

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 governance

Analytical skills

Communication

Problem solving

Education

Bachelor's degree

Tools

SQL

Excel

Power BI

Tableau

Job description

CVS Health is seeking a senior manager to lead provider data integrity, attribution governance, and related controls across Medicaid operations. You will serve as a key liaison among provider relations, data management, IT, analytics, claims, and other departments to ensure data accuracy and downstream consistency.

You will drive governance routines, oversee issue resolution, and partner with multiple teams to meet regulatory requirements and improve customer experience.