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Posted: 10/21/2026Senior Manager, Provider Data Operations – Attribution Integrity
CVS HealthCore Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in provider data governance, operational execution, and cross-functional collaboration within the healthcare sector. Proficient in utilizing analytical tools to enhance data accuracy and drive process improvements.
Highest-signal resume keywords
Provider Data GovernanceHealthcare AnalyticsSQLPower BICross-Functional Coordination
Tech Stack
Tools & technologiesAbout the role
Key responsibilities & impact- Lead attribution, membership, and provider data governance processes
- Oversee resolution of provider data and attribution issues affecting member assignment, reporting accuracy, and downstream operations
- Partner with health plan leaders, network teams, provider data teams, claims, compliance, marketing, operations, and technology partners
- Deliver projects supporting business performance, regulatory requirements, and customer experience
- Support provider directory accuracy, audit readiness, and regulatory validation through monitoring, documentation, and issue remediation
- Identify recurring defects, root causes, and control gaps
- Drive process improvements that reduce rework and improve operational reliability
- Maintain governance routines, process documentation, and cross-functional coordination
Requirements
What you’ll need- 7–10 years of experience
- 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 independently investigate, analyze, and reconcile complex health care data
- Ability to identify root causes and recommend corrective actions
- Experience investigating and resolving provider data issues, including provider identifiers, affiliations, and contractual relationships
- Experience coordinating cross-functional issue resolution and operational improvements
- Strong communication skills and ability to translate complex operational issues into business risk, action plans, and ownership
- Experience managing provider attribution methodologies, governance, reporting, and operational execution
- Experience leveraging QNXT and Medicaid Data Warehouse (MDW) data
- Experience investigating member attribution or provider assignment discrepancies
- Experience managing, validating, or reconciling provider rosters
- Experience managing provider data, directory accuracy, or related operational issues across multiple teams
- Bachelor's degree or equivalent professional experience
Benefits
Comp & perks- Medical, dental, and vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being
- CVS Health bonus, commission or short-term incentive program
- Equity award program
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data AnalysisRoot Cause IdentificationProvider Attribution MethodologiesOperational ExecutionData Reconciliation
Soft Skills
Strong Communication SkillsProblem-Solving
Tools & Technologies
Advanced ExcelTableauQNXTMedicaid Data Warehouse
Industry Keywords
MedicaidManaged Care OperationsProvider DataRegulatory RequirementsAudit Readiness