Senior Provider Data & Attribution Governance Lead

CVS Health; Atlanta (GA); On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health seeks a Senior Manager to lead attribution and provider data governance within Medicaid operations. You will coordinate with provider data teams, IT, analytics, and claims to ensure accurate attribution, robust data controls, and reliable downstream outputs.

The role emphasizes governance, data quality, and cross-functional collaboration to meet regulatory requirements and enhance 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 similar tools.
• Ability to investigate, analyze, reconcile complex health care data and identify root causes.
• Experience resolving provider data issues across multiple systems and data sources.
• Strong communication skills to translate operational issues into business risk and action plans.
• Experience managing provider attribution methodologies, governance, reporting, and execution.
• Experience leveraging QNXT and MDW data for decision-making and issue resolution.
• Experience managing provider rosters across systems and ensuring data accuracy.

Responsibilities

• Lead attribution and provider data governance for Medicaid operations.
• Oversee resolution of provider data and attribution issues affecting member assignment and downstream reporting.
• Partner with health plan leaders, network teams, claims, compliance, and IT to deliver impactful projects.
• Support provider directory accuracy, audit readiness, and regulatory validation activities.
• Identify defects, root causes, and gaps; drive process improvements to reduce rework.
• Maintain governance routines and cross-functional coordination for attribution and provider data operations.

Skills

Medicaid experience

Healthcare analytics

Strong communication

Team collaboration

Data reconciliation

Education

Bachelor's degree or equivalent

Tools

SQL

Advanced Excel

Power BI

Tableau

Job description

CVS Health seeks a Senior Manager to lead attribution and provider data governance within Medicaid operations. You will coordinate with provider data teams, IT, analytics, and claims to ensure accurate attribution, robust data controls, and reliable downstream outputs.

The role emphasizes governance, data quality, and cross-functional collaboration to meet regulatory requirements and enhance customer experience.