waypointjobs

CVS Health

Senior Manager, Member Services

charleston, WV

Check who can apply and the requirements below before continuing.

This job is closed

Applications are no longer available for this announcement. Explore current related opportunities below.

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 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

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.

CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran - committed to diversity in the workplace.

Worksite address

charleston, WV, 25329, US

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.

Explore related searches

Current related jobs

CenterWell Home Health

WhatJobs

Home Health Speech Language Pathologist-Per Diem

greenville, NC

$85,400 - $117,500 per year

Become a part of our caring community As a therapist at CenterWell Home Health, reporting to the Clinical Manager, you‘ll play a vital role in h…

Last received from source 2026-10-14View job

All Star Healthcare Solutions

WhatJobs

Urology Locums in IN

fort wayne, IN

Salary not specified

All Star Healthcare Solutions is seeking a Urologist for locums coverage in Indiana. Job details include: 24-hour call / 7a-7a Consults, patient…

Last received from source 2026-10-14View job

All Star Healthcare Solutions

WhatJobs

Primary Care/Internal Med Locums in MI

sault ste. marie, MI

Salary not specified

Specialty: Family Medicine Additional Information Coverage: ASAP-ongoing Clinic 8a-5p EMR: EPIC/Dragon BC/BE Active MI license required About …

Last received from source 2026-10-14View job