Vendor Manager, Coding

CVS Health•Work At Home-Texas, TX

2d•$60,300 - $132,600

About The Position

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.

Requirements

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

Nice To Haves

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.

Responsibilities

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.
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.
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.