Senior Manager, Healthcare Vendor Data Quality Lead

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

• Position Summary

At Aetna®, part of CVS Health, we proudly serve more than 26 million medical members through our broad range of health plan offerings. We're committed to delivering a simpler, more meaningful, and personal health care experience to each of them.

As a Senior Manager, Healthcare Vendor Data Quality Lead, you will play a critical role in supporting our Aetna members and our business by creating and managing advanced analytics tools/reports and working with other partners to create insightful interactive dashboards. You will oversee vendor partners relative to contractual service level agreements, performance guarantees, and reporting timelines.  You will establish clear Key Performance Indicators (KPIs) for vendor performance and data management, regularly review vendor performance against SLAs, and utilize technology to centralize vendor information and automate data capture.

This is a high impact role. Work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Subject matter expertise in technical solutions for the healthcare industry is critical while bringing your analytical skillset. You will have the opportunity to own projects and workstreams while also collaborating with a broad range of stakeholders throughout the organization.

• →Accountability for vendor data and vendor processes to collect vendor data specific to Members' benefits. Market scan for vendor solutions for new and innovative benefits.
• →Set up/onboard new vendors on the vendor database to provide required monthly reporting.
• → Set up procedures, technologies, and benchmarks to track data quality and identify potential issues, including data accuracy, completeness, and timeliness.
• →Build and maintain positive relationships with vendors. Develop vendor scorecards focusing on financial, customer satisfaction, and learning & growth perspectives, using key performance indicators (KPIs) to track progress and identify areas for improvement in real time.
• →Monitor open commitments and follow up with vendors for audits, reporting, invoicing, and reconciliation.
• →Provide insight into complex vendor problems and track to resolution.
• →Exercise considerable latitude and subject matter expertise in determining objectives and approaches to assignments

• 5+ years of prior healthcare vendor relations, project management or reporting experience.
• 3+ years of experience in Medicare or Medicaid.
• 3+ years’ experience using data visualization tools such as Tableau or Power BI
• Experience analyzing and synthesizing financial data by identifying trends, seasonality patterns, and unique outliers, while clearly articulating the insights and rationale behind emerging business outcomes
• Experience translating complex analyses and business concepts into clear, actionable insights and recommendations, effectively communicating findings to leadership and key stakeholders.
• Prior experience in Medicare or Medicaid data analysis and vendor management, finance, procurement, or contracting
• Proficiency with Microsoft Office applications including Word, Excel, PowerPoint.
• Experience in data management, product management, or vendor management.
• Strong analytical skills and proficiency with relevant software and databases
• Strong technical, verbal, and written communication skills

• 5+ years of experience with databases and database management

• Bachelor’s degree, or equivalent work experience

The typical pay range for this role is: