Senior Manager, Risk Adjustment Vendor Management

CVS Health

Senior Manager managing risk-adjustment vendors for CVS Health’s healthcare business. Leading procurement, quality oversight, performance reporting, and diagnosis-capture initiatives.

Posted 8/11/2026full-timeRemote • Idaho, Ohio, Pennsylvania, Texas • 🇺🇸 United StatesSenior💰 $67,900 - $182,549 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing risk adjustment vendors and leading complex procurement processes while fostering relationships across organizational levels. Proven ability to analyze intervention opportunities and ensure revenue integrity excellence.

Highest-signal resume keywords

Risk Adjustment ExperienceManagement ConsultingProject ManagementRelationship ManagementPeople Leadership

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Project ConsultingChange ManagementBusiness Process ConsultingStrategic Business PlanningPerformance Reporting

Soft Skills

Relationship BuildingCollaborationCommunication

Certifications & Qualifications

Bachelor's Degree

Industry Keywords

Revenue IntegrityVendor ManagementCross-Functional InitiativesQuality Oversight

About the role

Key responsibilities & impact

Manage risk adjustment vendors
Lead procurement processes, quality oversight, and performance reporting
Work with subject matter experts across all lines of business to establish and champion local market culture committed to revenue integrity excellence
Interact directly with internal colleagues and, as appropriate, external provider and vendor partners
Analyze member- and provider-specific intervention opportunities and effectiveness around complete and accurate diagnosis capture and reporting
Report to the Revenue Integrity Lead Director of Provider Support and Enablement

Requirements

What you’ll need

7+ years of experience combining management consulting, project consulting, change management, business process consulting, project management, and/or strategic business planning
3+ years of Risk Adjustment experience or experience working with Risk Adjustment Vendors
Demonstrated senior-level relationship management skills
Ability to quickly build and maintain credible relationships at varying organizational levels simultaneously
Experience with enterprise-wide and/or cross-functional large-scale initiatives with a high degree of complexity
Bachelor's degree or equivalent work experience
People leadership experience preferred

Benefits

Comp & perks

CVS Health bonus, commission or short-term incentive program
Award target in the company’s equity award program
Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being