Senior Manager - Aetna Interoperability Data Governance

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

Serves as a senior governance operator responsible for day-to-day execution of the enterprise Data Governance, Risk, and Privacy program, translating strategy into disciplined, repeatable operational practices.

This role partners closely with governance leadership to operationalize frameworks, manage program activities, enforce controls, and drive execution against governance priorities, ensuring compliant, secure, and responsible data use across business domains.

The Sr. Manager applies strong program management, financial, and operational planning capabilities to maintain governance program health, drive KPIs, and deliver audit-defensible outcomes, while continuously improving processes and enabling scalable governance practices aligned to regulatory expectations (e.g., HIPAA, CMS) and enterprise standards.

Required Qualifications

7+ years of experience in healthcare, data governance, privacy, risk management, or a related field
Deep knowledge of healthcare regulations, including HIPAA, CMS requirements, and state privacy laws

Experience with data governance frameworks, data lineage, metadata management, and stewardship practices
Strong understanding of payer operations, including claims, utilization management, risk adjustment, and STARS
Expertise in risk identification, assessment, mitigation planning, control design, and reporting
Ability to translate legal and regulatory requirements into operational and technical processes
Strong stakeholder management, executive communication, and cross-functional collaboration skills
Ability to influence leaders and drive alignment across functions and throughout the enterprise
Experience defining and operationalizing risk mitigation strategies and governance solutions

Preferred Qualifications

Degree in legal studies, privacy engineering, information technology, or a related discipline.

Experience with AI governance, bias oversight, or emerging technology risk management
Understanding of clinical data, EMRs, HIEs, and health information exchange practices
Privacy certifications such as CIPM or CIPP
Risk management certifications such as CRISC, PMI-RMP, or COSO ERM familiarity
Familiarity with enterprise or solution architecture concepts
Lean Six Sigma or other process improvement experience
Experience supporting governance committees, decision forums, or enterprise control processes
Familiarity with data governance tools, data catalogs, metadata platforms, or control documentation repositories
Experience preparing documentation, evidence, or responses for audits, compliance reviews, or regulatory inquiries
Experience assessing third-party data sharing arrangements, contractual controls, and downstream data use considerations

Experience with issue management, remediation planning, and control monitoring in a regulated environment

Education

Bachelor's degree required, with a strong preference for degrees in Business Administration, Health Administration, or a equiv. work experience.

Pay Range

The typical pay range for this role is:

$82,940.00 - $

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

This position also includes an award target in the company's equity award program.

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