Senior Manager, Risk Adjustment Vendor Management
$67.9k - $182.55kCVS Health
We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Position Summary Reporting to Revenue Integrity Lead Director of Provider Support and Enablement, the Sr. Manager of Program Management will be responsible for Vendor Management. Responsibilities will include but not limited to Procurement processes, Quality Oversite, Performance Reporting, and will work closely with subject matter experts across all lines of business to establish and champion local market culture committed to revenue integrity excellence. This position will interact directly with internal colleagues and as appropriate external provider & vendor partners. Analysis will focus on member and provider specific intervention opportunity and effectiveness around complete and accurate diagnosis capture and reporting. Required Qualifications 7+ years experience with a combination of the following methodologies: management consulting, project consulting, change management, business process consulting, project management and/or strategic business planning 3+ years of Risk Adjustment experience or working with Risk Adjustment Vendors Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously Experience with enterprise-wide and/or cross-functional large-scale initiatives with high degree of complexity Preferred Qualifications People leadership experience Education Bachelor's degree or equivalent work experience Pay Range The typical pay range for this role is: $67,900.00 - $182,549.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We anticipate the application window for this opening will close on: 09/30/2026 #J-18808-Ljbffr CVS Health
- CVS Health is seeking a Sr. Manager of Program Management to lead vendor management, procurement processes, and quality oversight. You will work with internal... ...reporting across the organization. The role requires senior-level relationship management, extensive program...Senior
$155.6k - $306.8k
...: The mission of Quality and Risk Management (QRM) is to manage the risk in... ...: Guidance and Support to Senior Business Leaders within the Firm... ...in flight project risks, adjusts contract requirements to accommodate... ...in negotiating and managing vendor contracts (buy-side) for...SeniorContract workFor subcontractorWork at officeLocal area$113.1k - $208.3k
...organization within Deloitte, is seeking a Senior Manager to lead the Vendor Management Office (VMO). This role... ..., performance management, and risk alignment across a complex portfolio... ...disclosed range estimate has not been adjusted for the applicable geographic differential...SeniorContract workWork at officeRemote workWork from home$70 - $80 per hour
Senior Project Manager | Capital Markets & Credit Risk -26-01835 1 Yr Duration Hybrid/Onsite in Charolette, NC or Warren, NJ Temp W2 ONLY / No C2C Job Description... ...Transformation Agile / Scrum Budget Management Vendor Management Data & Reporting Governance About NTT Data...SeniorHourly payTemporary workRemote workFlexible hours$172.5k - $222.5k
...Circle Global Risk Management RoleCircle (NYSE: CRCL) is one of the world's leading internet financial platform companies, building the foundation... ..., ensuring risks are identified, mitigated, and reported to senior management and regulators where required.Define and monitor...SeniorLocal areaFlexible hours$173.08k - $276.47k
...scheduling, estimating, cost control, risk management, document control and project management... ...project controls staff.RISK FOCUS The Senior Risk Manager provides risk management leadership... ...in price negotiations, contacting vendors to obtain quotes for materials and...SeniorFull timeContract workFor contractors- Jobtailor is seeking a senior Information Security leader to drive security architecture, risk remediation, and control design across enterprise and product environments... ...partner with Information Security, IT, Global Managed Services, DevOps, and other teams to define...Senior
- A leading construction firm in Raleigh is seeking a Senior Purchasing Manager to oversee the purchasing lifecycle and vendor strategy. You will work collaboratively with various departments to ensure timely project completion while managing key vendor relationships. Candidates...SeniorFull time
- Argonaut Management Services, Inc is seeking a Senior Workers' Compensation Claims Adjuster for a temporary position ending October 9, 2026. This role is responsible for adjudicating complex indemnity claims for clients in SC and VA, eligible for in-office or remote work...SeniorRemote jobTemporary workWork at office
$70 - $85 per hour
A leading IT services company is seeking a Sr. Risk And Control Manager to support risk and compliance initiatives in a fully remote role. The ideal candidate will manage partnerships, conduct detailed analyses, and drive issue resolution. Strong knowledge of the banking...SeniorRemote work$85.77k - $153.09k
About the Role:Grade Level (for internal use):11The Role: Manager, Insurance Risk Management The Team: The Risk Management team operates as a... ...insurance and seamless integration of acquired entities.Review vendor and client contracts to recommend appropriate insurance...Full timeContract workSecond jobLive inWork at officeWorldwideFlexible hours- CRC Group is seeking a Senior Claims Professional in the United States to manage complex claims processes, including investigation... ...emphasizes timely adjudication, risk reduction, and strong client/... ...legal counsel, underwriters, and vendors; preparation of detailed claim...Senior
$93k - $171.3k
.../2026. Work you'll do As a Specialist Manager, Risk Compliance on the Personal Consultation... ...family membersWorking with ICN PPMDs and Senior Managers to analyze and conclude on the... ...The disclosed range estimate has not been adjusted for the applicable geographic...Work at officeVisa sponsorship$118.3k - $219.8k
Manager, Security - Security Compliance & Risk Management Core Responsibilities Risk Management Own and operate the... ...and dashboard-level reporting for senior leadership, including risk dashboards... ...that requires accommodation or adjustment, please let us know by completing...Full timeLocal area- ...This role will be located in Raleigh or Charlotte, NC, or Phoenix, AZ. As a first line of defense risk professional, the Senior Business Risk & Control Program Manager - Risk Management Training & Communications position is responsible for supporting various risk programs...SeniorWork at office
$171.6k - $338.3k
...outsourcing. We are seeking a highly driven Senior Manager to lead the growth and expansion of our... ..., content development, reporting, vendor management, and service performance managementIntegrate... ...disclosed range estimate has not been adjusted for the applicable geographic...SeniorLocal areaVisa sponsorship$105.4k - $207.8k
...Through powerful solutions and managed services that simplify... ...2/31/2026.Work you'll doAs a Senior Engineering Management Specialist... ...developers, testers, and alliance/vendor teams to drive delivery... ...range estimate has not been adjusted for the applicable geographic...SeniorLocal areaVisa sponsorship$171.6k - $338.2k
...defined benefit pension administration. This Senior Manager role is accountable for client delivery... ...delivery teams and third-party vendors to meet service level agreements, quality... ...disclosed range estimate has not been adjusted for the applicable geographic differential...SeniorContract workLocal areaVisa sponsorship- ...We are seeking an experienced Senior Program Manager to plan, develop, implement, and... ...milestones, business outcomes, budgets, risks, resources, and vendor commitments. Key... ...program performance and make strategic adjustments to improve outcomes and ensure achievement...SeniorFor contractorsH1bVisa sponsorshipFlexible hours
$105.4k - $207.8k
...to become strategic business partners, manage risk, and unlock new levels of financial and... ...for this role ends on 09/30/2026. As a Senior Consultant and ServiceNow Platform Lead... ...The disclosed range estimate has not been adjusted for the applicable geographic differential...SeniorLocal areaVisa sponsorship$105.4k - $207.8k
...powerful solutions and managed services that simplify... ...delivery on track and surface risks early.Stay current on... ...teams, and third-party vendors to resolve defects,... ...estimate has not been adjusted for the applicable geographic... ...-level employees to senior leaders, we believe...SeniorLocal areaVisa sponsorship$111.2k - $190.3k
...assurance engagements across the U.S. and the global network. The Manager of Risk & Compliance supports Assurance Digital by executing... ...inspection ready documentation, and escalating complex matters to senior leaders as needed.ESSENTIAL DUTIES:Certification Execution...Full timeWork experience placementInternshipLocal area$101k - $203k
...that’s why there’s nowhere like RSM.Position OverviewAs a Manager in RSM’s expanding Process Risk and Controls Practice, you will play a key role in... ...within life sciences engagements, while partnering with senior leaders on strategic initiatives that help organizations...Full timeWork experience placementInternshipLocal areaRemote workFlexible hours$171.6k - $338.3k
...pipeline. We are seeking a highly driven Senior Manager to lead the growth and delivery of... ...will help technology companies—software vendors, cloud providers, platform businesses,... ...disclosed range estimate has not been adjusted for the applicable geographic differential...SeniorLocal areaVisa sponsorship- ...1 requiring advanced policy interpretation or exception handling • Manage complex issues across areas such as multi-step payroll corrections and retroactive adjustments, benefits escalations and vendor coordination, complex leave and absence cases • Own cases end-to-end...Senior
$110.7k - $218.3k
...Treasury Transformation Senior Consultant on the... ...across cash and liquidity management, trade management, hedge... ...accounting, and financial risk management.Support... ...process enhancements, vendor selection, and treasury... ...estimate has not been adjusted for the applicable geographic...SeniorLocal areaWorldwideVisa sponsorship- ...Job DescriptionThe HR Risk Operations Compliance Manager serves as a key member of the National Employee Relations... ...management monitoring programs and adjust risk controls to align with risk... ...including OFCCP audit response and vendor managementServe as HR Program...Contract workTemporary workFor contractors
$151k - $215k
...be part of our inspiring journey. The Senior Principal Biostatistician (Epidemiology)... ...teams and coordinate/communicate with management and other team members regarding project... ...epidemiology Proven experience managing vendors, budgets, and building productive...SeniorFull timeRemote work$90k - $105k
...Danaher Business System which makes everything possible. The Senior Project Manager - Operations is responsible for the success of large... ...maintain project plans, including scope, schedule, dependencies, risks, and resource needs. Ensuring projects follow defined delivery...SeniorRemote workWork from homeFlexible hours- ...Support ongoing Treasury Management System (TMS) implementation of FIS Integrity, including... ...banking experience At least 2 years in a senior or lead role CTP certification preferred... ...treasury controls, SOX compliance, operational risk management, and audit support processes...SeniorTemporary work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Manager, Risk Adjustment Vendor Management. Be the first to apply!
- director of risk management Raleigh, NC
- risk management specialist Raleigh, NC
- director credit risk Raleigh, NC
- enterprise risk manager Raleigh, NC
- senior risk manager Raleigh, NC
- risk management associate Raleigh, NC
- head of risk management Raleigh, NC
- operational risk manager Raleigh, NC
- risk management manager Raleigh, NC
- senior lead project manager Raleigh, NC


