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

ence 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 peopleWe 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/benefitsWe anticipate the application window for this opening will close on: 08/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.