Sr. Manager, Data Governance & Attribution

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

Benefits offered by this job

Medical, dental, vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a leader to manage provider data governance and attribution for Medicaid operations. You will ensure accurate, auditable outputs, collaborate across health plan, network, and technology partners, and drive improvements in data quality and regulatory compliance.

The role emphasizes governance, data integrity, and operational excellence, with a comprehensive benefits package and growth opportunities within CVS Health.

Qualifications

• Experience in data governance, data quality, and analytics within healthcare.
• 5+ years in Medicaid, managed care, or provider data operations.
• Proficiency with SQL, Excel, Power BI, Tableau, or similar tools.
• Ability to investigate data quality issues and communicate findings.

Responsibilities

• Lead attribution, membership, and provider data governance processes.
• Oversee resolution of provider data and attribution issues affecting outputs.
• Partner with health plan, network, provider data, and technology teams on projects.
• Support provider directory accuracy, audit readiness, and regulatory validation.
• Identify defects and drive process improvements to reduce rework.

Skills

Data governance

Data quality

Data management

Reporting

Analytics

SQL

Power BI

Tableau

Education

Bachelor’s degree or equivalent

Tools

QNXT

MDW

Excel

SQL

Job description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger — helping to simplify health care one person, one family and one community at a time.

Summary

Leads provider data integrity, attribution governance, and related operational controls supporting Medicaid operations. Ensures provider data, member attribution, and panel assignment outputs are accurate, explainable, and audit-ready to support reporting, provider accountability, financial settlement, and regulatory compliance.

Essential Functions

• 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.

Required Qualifications

• Data governance, data quality, data management, reporting, or analytics
• 5+ years of experience in Medicaid, managed care operations, provider data, healthcare analytics.
• SQL, advanced Excel, Power BI, Tableau, or similar tools
• Healthcare analytics, provider data, Medicaid, managed care, or healthcare operations
• Investigating data quality and reporting issues, identifying root causes, and communicating findings to stakeholders
• Experience managing provider data, directory accuracy, or related operational issues across multiple teams.
• Strong communication skills, including the ability to translate complex operational issues into clear business risk, action plans, and ownership.

Preferred Qualifications

• Experience managing provider attribution methodologies, governance, reporting, and operational execution.
• Experience leveraging QNXT and Medicaid Data Warehouse (MDW) data to support operational decision-making, reporting, and issue resolution.

Education Bachelor’s degree or equivalent professional experience

Pay Range

The typical pay range for this role is:

$67,900.00 – $199,144.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments (https://learn.bswift.com/cvshealth-mainland) .

We anticipate the application window for this opening will close on: 07/31/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran — committed to diversity in the workplace.