Sr. Manager, Data Governance & Attribution

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., * 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.

• 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

$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.