Senior Manager, Data Governance, Attribution

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🔥 0 minutes ago

❄️ Minnesota, Texas, +1 more states – Remote

❄️ Minnesota – Remote 🤠 Texas – Remote 🍁 Vermont – Remote

💵 $67.9k - $199.1k / year

⏰ Full Time

🟠 Senior

📊 Data Scientist

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• 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.

🎯 Requirements

• 5+ years of experience in Medicaid, managed care operations, provider data, healthcare analytics. • SQL, advanced Excel, Power BI, Tableau, or similar tools • 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.

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • other resources, based on eligibility