Vendor Manager, Coding

This is a fully remote position, open to applicants in Texas.

📋 Description

• Lead and manage external coding vendor operations.

• Ensure compliance with contractual obligations, Service Level Agreements, quality performance, and precise ICD-10/HCC coding deliverables.

• Facilitate regular operational meetings with vendor leadership.

• Analyze performance discrepancies, process enhancements, and strategic objectives.

• Monitor daily, weekly, and monthly service levels, audit tiers, and performance indicators.

• Align staffing models with projected volumes in collaboration with resource planning and vendor leadership.

• Maintain lists of active and inactive coding contractors.

• Oversee audit record queues for representative sampling.

• Manage user accounts in Workday, including onboarding new hires and offboarding departing users.

• Administer roles, environmental permissions, and feature access within the coding application.

• Issue and track activation and deactivation requests for coding contractors.

• Collaborate with Engineering to troubleshoot and resolve technical access or permission challenges.

• Ensure vendor compliance with contractual commitments, corporate policies, and PHI/HIPAA security standards.

• Monitor CVS compliance and training audit communications, following up with vendors as necessary.

• Conduct targeted quality assessments of health risk evaluations for clinical precision and ICD-10/HCC alignment.

• Identify operational risks and implement governance frameworks to address compliance or delivery deficiencies.

⛳️ Requirements

• A minimum of 5 years of direct ICD-10 coding experience.

• 5–7 years of experience in vendor management or operational supervisory positions.

• Certification as a Professional Vendor Manager (CPVM) or Project Management Professional (PMP) is required.

• An active coding credential (CPC, COC, CCS, CCS-P, or CCA) is preferred.

• Certification as a Certified Risk Coder (CRC) is preferred.

• Comprehensive knowledge of Risk Adjustment (HCC) protocols across Medicare, Medicaid, and ACA Exchange business lines.

• Experience in managing user permissions in Workday and enterprise application administration platforms.

• Anticipated commitment of 40 hours per week.

🏝️ Benefits

• CVS Health bonus, commission, or short-term incentive program in addition to base salary.

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources supporting physical, emotional, and financial well-being, based on eligibility.