CVS Health
Sr. Manager, Provider Data Operations & Attribution Integrity
$68K–$199K
VA - Work from home +28 · Remote/Hybrid · Manager · Full-time · Posted Oct 21, 2026
- Location
- VA - Work from home
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Work At Home-Delaware - Experience
- 7-10 years of experience; 5+ years in Medicaid, managed care operations, provider data, or healthcare analytics.
- Education
- Bachelor's degree or equivalent professional experience
About the job
Leads provider data integrity, attribution governance, and operational controls supporting Medicaid operations and downstream business processes.
What you'll do
- Oversee attribution, membership, and provider data governance and resolve issues affecting member assignment, reporting, and operations.
- Coordinate cross-functional projects and issue resolution with health plan, network, data, claims, compliance, operations, and technology teams.
- Support directory accuracy, audit readiness, regulatory validation, and process improvements through monitoring, documentation, and remediation.
What they ask for
- 5+ years of experience in Medicaid, managed care operations, provider data, or healthcare analytics.
- Experience with SQL, advanced Excel, Power BI, Tableau, or comparable analytical tools.
- Ability to investigate and reconcile complex healthcare data, identify root causes, and recommend corrective actions.
- Experience resolving provider data discrepancies and coordinating cross-functional issue resolution and operational improvements.
Nice to have
- Experience managing provider attribution methodologies, governance, reporting, and operational execution.
- Experience using QNXT and Medicaid Data Warehouse (MDW) data.
Pay
$67,900.00 - $199,144.00 USD base salary (base hourly rate or base annual full-time salary)
Tools
SQL, advanced Excel, Power BI, Tableau, QNXT, Medicaid Data Warehouse (MDW)
Model-written summary · the original posting is authoritative