Vendor Manager, Coding

CVS Health

. Lead and oversee external coding vendor operations .

Posted 9/29/2026full-timeRemote • Texas • United StatesMid-LevelSenior💰 $60,300 - $132,600 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in ICD-10 coding and vendor management, ensuring compliance with contractual obligations and quality performance metrics. Proficient in managing user permissions and operational processes within enterprise applications like Workday.

Highest-signal resume keywords

ICD-10 Coding ExperienceVendor ManagementCertified Professional Vendor Manager (CPVM)Project Management Professional (PMP)Risk Adjustment (HCC) Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

ICD-10 CodingVendor ManagementOperational SupervisionQuality Performance ReviewAudit ManagementPerformance Metrics TrackingGovernance Framework ImplementationUser Permissions ManagementTechnical TroubleshootingCompliance Monitoring

Soft Skills

LeadershipCommunicationStrategic PlanningProblem-SolvingCollaboration

Tools & Technologies

WorkdayCoding ApplicationAudit Record QueuesPerformance Metrics ToolsTraining Audit Communications

Certifications & Qualifications

Certified Professional Vendor Manager (CPVM)Project Management Professional (PMP)Certified Risk Coder (CRC)CPCCOCCCSCCS-PCCA

Industry Keywords

Service Level AgreementsPHI/HIPAA ComplianceMedicareMedicaidACA ExchangeHealth Risk EvaluationsOperational RisksContractual ObligationsQuality PerformanceResource Planning

Tech Stack

Tools & technologies

PMP

About the role

Key responsibilities & impact

Lead and oversee external coding vendor operations
Ensure contractual obligations, Service Level Agreements, quality performance, and accurate ICD-10/HCC coding deliverables are met
Lead routine operational meetings with vendor leadership
Review performance gaps, process improvements, and strategic goals
Track daily, weekly, and monthly service levels, audit tiers, and performance metrics
Align staffing models with volume projections alongside resource planning and vendor leadership
Maintain rosters of active and inactive coding contractors
Manage audit record queues for representative sampling
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 coding contractors
Partner with Engineering to troubleshoot and resolve technical access or permission issues
Ensure vendor adherence to contractual obligations, corporate policies, and PHI/HIPAA security standards
Monitor CVS 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

What you’ll need

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) certification preferred
In-depth knowledge of Risk Adjustment (HCC) protocols across Medicare, Medicaid, and ACA Exchange lines of business
Experience managing user permissions in Workday and enterprise application administration platforms
40 anticipated weekly hours

Benefits

Comp & perks

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