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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Sr. Manager, Provider Data and Network Operations - **Company:** CVS Health - **Location:** United States (Remote available) - **Experience:** Expert - **Salary:** $82,940.0 - $182,549.0 - **Contract:** Permanent contract - **Skills:** Computer Networks, Data Validation, Data Governance, Data Infrastructure, Data Integrity, IBM Systems Network Architecture, Network Information Services, Standard Sql, Computer Network Operations, Snowflake, Information Technology, Data Management, Dataiku, Crosswalk, Alteryx - **Published:** August 23, 2026 - **Apply:** https://dejobs.org/x/x/B3B4C2A9140A43E48EE229988F640174/job/ ## About the Role * Direct, hands-on experience with provider or facility directory data at scale - you have personally owned a process for validating, correcting, or maintaining provider/facility records, not just consumed a clean dataset someone else built * Strong SQL and demonstrated ability to build and maintain data pipelines or workflows independently (tools like Snowflake, Alteryx, Dataiku, or equivalent) * Experience managing external vendor relationships and cross-functional internal partnerships - this role sits at the intersection of several teams that do not report to it * Comfort operating with incomplete or actively-changing source-of-truth systems, and judgment for when to escalate versus when to build a workaround Preferred * Exposure to claims-based provider performance or quality scoring methodologies (episode-based cost and quality scoring, risk-adjusted comparisons) * Experience with Epic, particularly Epic-based referral or provider-directory workflows * People-management experience, particularly developing early-career analysts * Experience in a value-based care or Medicare Advantage network-management context specifically What does being "Oaky" look like? * Radiating positive energy * Assuming good intentions * Driving clinical excellence * Taking ownership and delivering results * Being relentlessly determined ## Description As a Sr. Manager, you will play a critical role in supporting our Oak Street Health patients, providers and business by addressing these challenges through end-to-end ownership of Preferred Network operations and data governance. The role will define and maintain network eligibility criteria, oversee provider data accuracy, and ensure network information remains reliable within the tools and workflows used by care teams. While the role contributes to network strategy, its primary focus is execution. The successful candidate will directly lead complex data-quality initiatives and operational improvements while partnering closely with the Sr. Manager will be responsible for referral optimization and network utilization. Together, they will ensure referrals are directed to an accurate, well-maintained, and high-performing Preferred Network. Preferred Network Definition & Refresh (Primary) * Own the eligibility methodology, in partnership with our claims-data vendor, that determines which specialists and facilities qualify for the Preferred Network * Run the recurring refresh process that keeps the network current as vendor scoring data updates * Own the insurance-plan crosswalk that tells our internal verification team which plans to verify, and drives insurance-record edits Coverage & Network Adequacy (Primary) * Own the analysis that verifies our Preferred Network actually reaches patients, geographically and by insurance network * Rebuild the technical pipeline behind that analysis as our data infrastructure evolves post-Epic migration Provider & Facility Data Integrity (Primary) * Own the processes that get specialist and facility data into Epic accurately and keep it current * Partner with internal Provider Data Management, engineering, and informatics teams on data-source design and defect resolution * Serve as the fix destination for provider and facility data issues surfaced through field-reported complaints Vendor & Verification Partnerships (Primary) * Own vendor relationships for claims-based network scoring and provider-directory data - contract performance, data quality issues, and roadmap input * Own the verification partnership with our internal provider-data verification team - what gets verified, how often, and how findings get corrected in our source systems, * 5+ years in healthcare data or network operations, provider data management, or a closely adjacent analytics function - value-based care, Medicare Advantage, or a health plan/health system network operations background strongly preferred ## Related Videos - [Blueprints for Success: Steering a Global Data & AI Architecture](https://www.wearedevelopers.com/videos/1577-blueprints-for-success-steering-a-global-data-ai-architecture) - [How Cisco embraced a DevOps culture within its network engineering team](https://www.wearedevelopers.com/videos/99-how-cisco-embraced-a-devops-culture-within-its-network-engineering-team) - [From Messy Queries to Scalable Systems - How Data Engineering actually works](https://www.wearedevelopers.com/videos/100203-from-messy-queries-to-scalable-systems-how-data-engineering-actually-works) - [DevOps at Netflix](https://www.wearedevelopers.com/videos/270-devops-at-netflix) - [Hacking AI at the Edge of the Indian Ocean](https://www.wearedevelopers.com/videos/100177-hacking-ai-at-the-edge-of-the-indian-ocean) - [Beyond SQL Generation: How to Teach Agents What Your Database Actually Means](https://www.wearedevelopers.com/videos/100127-beyond-sql-generation-how-to-teach-agents-what-your-database-actually-means) ## Related Articles - [How We Built a Worry-Free System That Runs for 10+ Years – And What We’d Do Again](https://www.wearedevelopers.com/magazine/751-how-we-built-a-worry-free-system-that-runs-for-10-years-and-what-we-d-do-again) - [Highest Paying Tech Companies for Developers](https://www.wearedevelopers.com/magazine/220-highest-paying-tech-companies-for-developers) - [Résumé-Driven Development: How IT trends affect the job market for software developers](https://www.wearedevelopers.com/magazine/59-resume-driven-development-how-it-trends-affect-the-job-market-for-software-developers) - [Coffee with Developers - Maria Apazoglou - Making AI understandable for all in production](https://www.wearedevelopers.com/magazine/475-coffee-with-developers-maria-apazoglou-making-ai-understandable-for-all-in-production) - [How to Write a CV and Interview if You Don't Fully Qualify For The Job](https://www.wearedevelopers.com/magazine/183-how-to-write-a-cv-and-interview-if-you-don-t-fully-qualify-for-the-job) - [The Best X (Twitter) Accounts for Developers](https://www.wearedevelopers.com/magazine/294-the-best-x-twitter-accounts-for-developers)