Senior Manager, Data Governance, Attribution

This is a fully remote position, open to applicants in Minnesota, +2 more states.

📋 Description

• Lead the processes for attribution, membership, and provider data governance to guarantee accurate and dependable operational results.

• Manage the resolution of provider data and attribution challenges that impact member assignment, reporting accuracy, and downstream operations.

• Collaborate with health plan leaders, network teams, provider data teams, claims, compliance, marketing, operations, and technology partners to execute projects that enhance business performance, meet regulatory requirements, and improve customer experience.

• Ensure the accuracy of the provider directory, maintain audit readiness, and carry out regulatory validation activities through monitoring, documentation, and issue resolution.

• Detect recurring defects, identify root causes, and find control gaps, then implement process enhancements that decrease rework and bolster operational reliability.

• Sustain governance routines, document processes, and coordinate cross-functionally for attribution and provider data operations.

⛳️ Requirements

• Over 5 years of experience in Medicaid, managed care operations, provider data, and healthcare analytics.

• Proficiency in SQL, advanced Excel, Power BI, Tableau, or similar analytical tools.

• Experience in investigating data quality and reporting issues, identifying root causes, and effectively communicating findings to stakeholders.

• Background in managing provider data, ensuring directory accuracy, or addressing related operational issues across various teams.

• Excellent communication skills, with the ability to translate complex operational challenges into clear business risks, actionable plans, and defined ownership.

🏝️ Benefits

• Medical, dental, and vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Other resources, subject to eligibility.