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.
Role SummaryLeads and operationalizes the enterprise Data Governance, Risk, and Privacy program across Commercial, Medicare, and Medicaid lines of business. Establishes governance frameworks, decision rights, standards, and controls that promote data quality, transparency, accountability, and appropriate use of sensitive health information. Partners with Legal, Compliance, Security, Informatics, and business leaders to translate regulatory requirements into practical governance processes and risk-based controls, ensuring compliant, secure, and responsible data use aligned with HIPAA, CMS mandates, and state privacy requirements.
Core Responsibilities
Governance Framework & Program Execution
• Define and operationalize governance frameworks, policies, standards, and stewardship models
• Translate enterprise strategy into program plans, roadmaps, and execution trackers
• Establish data ownership, lineage, quality controls, and metadata management across critical data domains
• Enable audit-defensible data use aligned with TPO (Treatment, Payment, and Operations)
Day-to-Day Governance Operations
• Execute governance workflows for data sharing, access approvals, and risk evaluation
• Enforce data use policies, including TPO-aligned use, secondary use, and access controls
• Define controls for de-identified, limited, and identified datasets
• Monitor downstream data handling and ensure alignment of contractual terms, consent, and actual data use
Risk, Privacy & Compliance
• Identify, assess, and mitigate data-related risks across sharing, access, and downstream use
• Ensure compliance with HIPAA, state privacy laws, and CMS interoperability requirements
• Evaluate data use cases for permissible use (TPO, non-TPO, secondary use)
• Assess vendor and third-party data sharing risks and control requirements
• Support audits, compliance reviews, and regulatory inquiries with governance documentation
KPI Management & Reporting
• Define and track governance KPIs and operational metrics
• Develop executive-ready dashboards and visualizations for governance performance and risk trends
Cross-Functional Leadership
• Serve as subject matter expert for data use, governance, and regulatory alignment
• Lead governance forums and working groups to drive decision-making and accountability
• Enable knowledge sharing, training, and capability uplift across governance practitioners
• Enable scalable, reusable governance processes across programs and business functions
Key Deliverables
• Documented governance frameworks, policies, standards, and stewardship models
• Governance program plans, roadmaps, and execution trackers
• Enterprise data lineage, metadata, and approved data use inventories
• Risk assessments, risk logs, and mitigation plans
• TPO-aligned data use decisions with supporting rationale and approvals
• KPI dashboards and governance performance reporting
• Audit-ready governance documentation and evidence
Required Skills & Experience
• 7+ years in healthcare, data governance, privacy, risk management, or a related field
• Deep knowledge of HIPAA, CMS requirements, and state privacy laws
• Experience with data governance frameworks, data lineage, metadata management, and stewardship practices
• Strong understanding of payer operations (claims, utilization management, risk adjustment, 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 the enterprise
• Strong program management, financial, and operational planning capabilities
Preferred Skills
• 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 (CIPM, CIPP) or risk management certifications (CRISC, PMI-RMP, COSO ERM)
• Familiarity with enterprise or solution architecture concepts
• Lean Six Sigma or other process improvement experience
• Experience with data governance tools, data catalogs, or metadata platforms
• Experience assessing third-party data sharing arrangements and downstream data use
• Experience with issue management, remediation planning, and control monitoring in a regulated environment
Pay Range
The typical pay range for this role is:
$82,940.00 - $182,549.00
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.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Skills Required
- 7+ years of experience in healthcare, data governance, privacy, risk management, or a related field
- Deep knowledge of 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 enterprise alignment
- Experience defining and operationalizing risk mitigation strategies and governance solutions
- Bachelor's degree or equivalent work experience
- Degree in legal studies, privacy engineering, information technology, business administration, or health administration
- Experience with AI governance, bias oversight, or emerging technology risk management
- Understanding of clinical data, EMRs, HIEs, and health information exchange practices
- Privacy certification such as CIPM or CIPP
- Risk management certification such as CRISC or 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 audit, compliance review, or regulatory inquiry documentation and evidence
- Experience assessing third-party data sharing arrangements, contractual controls, and downstream data use
- Experience with issue management, remediation planning, and control monitoring in a regulated environment
CVS Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about CVS Health and has not been reviewed or approved by CVS Health.
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Healthcare Strength — Health coverage includes medical, dental, and vision with HSA-eligible options, free preventive care, virtual care, and access to MinuteClinic services. Mental-health resources such as counseling support are emphasized, and coverage is often considered solid for full-time colleagues.
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Retirement Support — A dollar-for-dollar 401(k) match up to 5% after one year and an Employee Stock Purchase Plan are consistently highlighted in Total Rewards materials. Feedback suggests retirement programs are a meaningful strength within the overall package.
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Wellbeing & Lifestyle Benefits — Wellbeing offerings include up to 20 no-cost counseling sessions per issue, backup care, tuition assistance, and substantial in-store discounts, alongside broader wellness tools. These everyday perks expand value beyond base pay and can be especially meaningful for full-time schedules.
CVS Health Insights
What We Do
CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.
