[Hiring] Vendor Manager @CVS Health

Role Description

In this role, you will lead and oversee external coding vendor operations to ensure contractual obligations, Service Level Agreements (SLAs), quality performance, and accurate ICD-10/HCC coding deliverables are consistently met. You will serve as the primary operational liaison between external vendor leadership and internal cross-functional teams—including Coding Leadership, Engineering, and Compliance—to drive volume planning, system administration, and regulatory compliance.

Responsibilities

• Operational & SLA Management
  • Lead routine operational meetings with vendor leadership to review performance gaps, process improvements, and strategic goals.
  • Track daily, weekly, and monthly service levels, audit tiers, and overall performance metrics.
  • Align staffing models with volume projections in collaboration with resource planning and vendor leadership.
  • Maintain accurate rosters of active and inactive coding contractors, managing audit record queues to ensure representative sampling.
• User Access & Technical Administration
  • Manage user accounts in Workday, including adding new hires and terminating departing users.
  • Administer roles, environment permissions, and feature access within the coding application.
  • Issue and track activation and deactivation tickets for all coding contractors.
  • Partner directly with members of the engineering team to troubleshoot and resolve technical access or permission issues.
• Compliance, Audits & Quality Control
  • Ensure vendor adherence to contractual obligations, corporate policies, and PHI/HIPAA security standards.
  • Monitor CVS compliance and training audit communications, proactively following up with and chasing down vendors to ensure timely responses.
  • Conduct targeted quality reviews of health risk evaluations to verify clinical accuracy and ICD-10/HCC alignment.
  • Identify operational risks and implement governance frameworks to correct compliance or delivery gaps.

Qualifications

• Minimum of 5 years of hands-on ICD-10 coding experience paired with 5–7 years in vendor management or operational supervisory roles.
• Required Certifications: Certified Professional Vendor Manager (CPVM) or Project Management Professional (PMP).

Preferred Qualifications

• Active coding credential (CPC, COC, CCS, CCS-P, or CCA) and Certified Risk Coder (CRC).
• In-depth knowledge of Risk Adjustment (HCC) protocols across Medicare, Medicaid, and ACA Exchange lines of business.
• Demonstrated experience managing user permissions in Workday and enterprise application administration platforms.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is: $60,300.00 - $132,600.00. 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.

Benefits

• Comprehensive and competitive mix of pay and benefits.
• Medical, dental, and vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs and other resources, based on eligibility.

Application Information

We anticipate the application window for this opening will close on: 10/31/2026. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.