Senior Operations Manager, Plan Document Services (Self-Funded Plans)

CVS Health • Lansing, MI • 1d ago

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Oversees the day-to-day management and leadership of the plan document drafting team. Develops and coaches the team to effectively manage client expectations and business needs related to plan drafting and issue resolution. Designs and implements processes to ensure efficient, accurate drafting, with a strong focus on delivering a consistently high-quality client experience within the department while maintaining regulatory compliance. This role directly manages 10-12 colleagues and provides leadership to the entire plan document team, consisting of 50 colleagues.

What you will do

Analyze team performance to identify opportunities for improvement and efficiency gains.

Interview, hire, and develop talent; provide guidance and coaching; and foster a high-performance culture.

Oversee ongoing training to ensure all team members are fully versed in and compliant with their respective roles.

Establish and maintain strong relationships with internal and external stakeholders, understanding their needs, addressing inquiries, and providing exceptional customer service.

Collaborate to understand plan sponsors' benefit requirements and facilitate the design and implementation of customized healthcare benefit plans.

Provide expert advice and guidance on benefit plan design and regulatory compliance impacting plan sponsors.

Collaborate with internal departments-including claims, customer service, and client management-to ensure effective issue resolution and maintain strong working relationships.

Stay informed about industry trends, regulatory changes, and best practices related to self-funded plans.

Required Qualifications

A minimum of 7 years of relevant experience in a TPA (Third Party Administrator) environment or fully insured carrier.

A minimum of 5 years of leadership experience.

Experience managing large teams (20+ colleagues).

Strong execution and delivery skills, including planning, delivering, and supporting initiatives

Knowledge of ERISA, HIPAA, ACA, and other relevant regulatory frameworks

Demonstrated ability to collaborate and work effectively within teams

Mastery of problem-solving and decision-making skills

Mastery of a growth mindset, demonstrating agility and a commitment to developing yourself and others

Forward-thinking and innovative mindset to drive continuous improvement in processes, team performance, and client outcomes

Preferred Qualifications

Advanced proficiency with data analytics or reporting tools (e.g., Tableau, Power BI)

Prior experience implementing process automation or digital transformation initiatives

Certification in project management (e.g., PMP, Lean Six Sigma)

Demonstrated success leading change management initiatives

Excellent written and verbal communication skills, especially for executive-level presentations

Education

Bachelor's degree preferred or a combination of professional work experience and education.

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 our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan .

No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 08/30/2025

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

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

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