Sr. Manager, Data Governance & Attribution

CVS Health • Work At Home-Virginia, VT

1d • $67,900 - $199,144 • Onsite

About The Position

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.

Requirements

• 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.

Nice To Haves

• 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.

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.

Benefits

• medical
• dental
• vision coverage
• paid time off
• retirement savings options
• wellness programs

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Associate degree