Vendor Manager

Job not on LinkedIn

🔥 13 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $60.3k - $132.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 0%

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CVS Health Careers

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛒 Retail

📦 Logistics

Healthcare • Retail • Logistics

CVS Health Careers is the recruitment and employer branding arm of CVS Health, showcasing job opportunities across the company's broad operations—pharmacy retail stores, pharmacy services, health care clinics, distribution warehouses, corporate functions and transportation. The careers site emphasizes purpose-driven work focused on improving access, affordability and quality of health care, and highlights a large workforce (300,000+ employees), inclusive culture, benefits, and hiring resources for applicants.

📋 Description

• Lead and oversee external coding vendor operations • Ensure contractual obligations, Service Level Agreements (SLAs), quality performance, and accurate ICD-10/HCC coding deliverables are met • Serve as the primary operational liaison between vendor leadership and internal Coding Leadership, Engineering, and Compliance teams • Lead routine operational meetings with vendor leadership • Track daily, weekly, and monthly service levels, audit tiers, and performance metrics • Align staffing models with volume projections • Maintain rosters of active and inactive coding contractors • Manage audit record queues for representative sampling • Manage Workday user accounts, 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 coding contractors • Partner with Engineering to troubleshoot technical access and permission issues • Ensure vendor adherence to contractual obligations, corporate policies, and PHI/HIPAA security standards • Monitor compliance and training audit communications and follow up with vendors • Conduct targeted quality reviews of health risk evaluations for clinical accuracy and ICD-10/HCC alignment • Identify operational risks and implement governance frameworks to correct compliance or delivery gaps

🎯 Requirements

• Minimum of 5 years of hands-on ICD-10 coding experience • 5–7 years in vendor management or operational supervisory roles • Certified Professional Vendor Manager (CPVM) or Project Management Professional (PMP) certification required • Active coding credential (CPC, COC, CCS, CCS-P, or CCA) preferred • Certified Risk Coder (CRC) preferred • In-depth knowledge of Risk Adjustment (HCC) protocols across Medicare, Medicaid, and ACA Exchange lines of business preferred • Experience managing user permissions in Workday and enterprise application administration platforms preferred

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program eligibility

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