Senior Manager, Member Services

4062 Aetna Resources, LLC; United States; Remote; USD 68,000 - 199,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

PTO

Retirement plan

Wellness programs

Job summary

CVS Health is seeking a Senior Manager of Operations to lead day-to-day operations for Behavioral Health Member Services, RFL Member Services, Digital Operations, and a Center of Excellence. You will shape the vision for Member Services, build ROI-backed business cases, and drive data‑driven decisions with cross-functional partners.

You will oversee KPI development, governance, and performance improvements while balancing strategic thinking with hands-on execution in a fast-paced environment.

Qualifications

• 7+ years in healthcare operations, strategy, analytics, technology, or related field.
• Demonstrated success leading complex, cross-functional teams.
• Strong analytical and quantitative skills with Excel; SQL/Tableau/Power BI/Looker a plus.
• Experience developing business cases, ROI analyses, financial models, and exec-level recommendations.
• Ability to distill complex data into clear insights, decisions and action plans.

Responsibilities

• Define KPIs and performance frameworks to measure service and staff.
• Analyze business, workforce, and member data to identify trends and improvements.
• Establish reporting and governance to monitor performance and optimize outcomes.
• Manage contact center expectations, inventory, quality and project delivery.
• Identify opportunities to improve operations, member experience and scalability via process, tech, automation, and AI.
• Partner with Ops, Product, Tech, Finance, Strategy, Clinical, Analytics to implement change.
• Develop executive-ready business cases with ROI analyses.

Skills

Advanced Excel

SQL

Tableau

Power BI

Looker

Executive communication

Leadership

Education

Bachelor's Degree

Master's Degree preferred

Tools

SQL

Tableau

Power BI

Looker

Job description

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 ourselvesaccountable 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

Aetna Mental Well-being is seeking a strategic, results-oriented leader to drive successful results within Service Operations. The Senior Manager, Operations will lead the day-to-day operations of a non-clinical department that consists of Behavioral Health Member Services (call center), RFL Member Services (call center), Mental Wellbeing Digital Operations (Chat/Email), and a centralized Center of Excellence (coaching, projects, support, onboarding).

This highly visible and critical role is responsible for shaping the vision for the Member Services department, creating business cases to improve experience and outcomes, leading cross-functional execution, delivering excellent service, building meaningful culture. The ideal candidate combines strong analytical and strategic thinking with hands‑on execution that can build success with limited resources.

Key Responsibilities

Operations & Strategy

• Define KPIs and performance frameworks to measure service and employees.
• Analyze business, workforce, operational, and member data to identify trends, opportunities, and improvement actions.
• Establish reporting and governance processes to monitor and optimize performance.
• Manage contact center expectations, inventory management expectations, quality expectations, and project management expectations
• Identify opportunities to improve operational performance, member experience, scalability, and efficiency through process change, technology, automation, and AI.
• Serve as a strategic partner to Mental Well‑being Operations leadership by providing structured problem‑solving, data‑driven insights, and clear, decision‑oriented recommendations.
• Develop executive‑ready business cases with ROI analyses
• Partner across Operations, Product, Technology, Finance, Strategy, Clinical, and Analytics teams to implement change.

Required Qualifications

• 7+ years of combined experience in healthcare operations, strategy, analytics, technology, innovation, or a related field.
• Demonstrated success leading complex, cross‑functional teams
• Strong analytical and quantitative skills, including advanced Excel proficiency; experience with SQL, Tableau, Power BI, Looker, or similar tools is a plus.
• Experience developing business cases, ROI analyses, financial models, and executive‑level recommendations.
• Ability to synthesize complex data into clear insights, decisions, and action plans.
• Exceptional communication, executive presentation, and stakeholder management skills.
• Proven ability to balance strategic thinking with operational execution.
• Strong project and program management capabilities, including risk management, prioritization, and delivery oversight.
• Ability to navigate ambiguity, influence without authority, and drive results in fast‑paced environments.
• Strong ownership, accountability, attention to detail, and bias for action.

Preferred Qualifications

• Knowledge of health plan operations and healthcare technology environments.
• Experience with Behavioral Health, Employee Assistance Programs (EAP), or related healthcare services.
• Implement AI solutions for call center

Education

Bachelor’s Degree in related field or equivalent work experience. Master’s degree preferred.

Pay Range

The typical pay range for this role is:

$67,900.00 - $199,144.00

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.

We anticipate the application window for this opening will close on: 09/30/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.