Senior Provider Data & Attribution Governance Lead

CVS Health; New York (NY); On-site; USD 140,000 - 170,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Equity award program

Job summary

CVS Health leads provider data governance and attribution governance to ensure accurate, reliable outputs across Medicaid operations. The senior manager acts as the liaison among provider relations, data teams, IT, analytics, claims and other departments to maintain data accuracy and drive improvements.

Responsibilities include governing attribution methodologies, using QNXT/MDW data for decision support, and ensuring directory accuracy and regulatory readiness with cross-functional

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.
• Ability to independently investigate, analyze, and reconcile complex health care data, identify root causes, and recommend corrective actions.
• Experience managing provider data issues across multiple systems and coordinating with cross-functional teams.
• Strong communication skills to translate complex operational issues into clear business risk, action plans, and ownership.

Responsibilities

• Lead attribution, membership, and provider data governance processes to ensure accurate outputs.
• 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 to deliver projects.
• Maintain governance routines, process documentation, and cross-functional coordination for attribution and provider data operations.

Skills

Medicaid operations

Healthcare analytics

Cross-functional collaboration

Data governance

Problem solving

Education

Bachelor's degree or equivalent professional experience

Tools

SQL

Excel

Power BI

Tableau

Job description

CVS Health leads provider data governance and attribution governance to ensure accurate, reliable outputs across Medicaid operations. The senior manager acts as the liaison among provider relations, data teams, IT, analytics, claims and other departments to maintain data accuracy and drive improvements.

Responsibilities include governing attribution methodologies, using QNXT/MDW data for decision support, and ensuring directory accuracy and regulatory readiness with cross-functional