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    AE

    Aetna

    Healthcare

    Senior Manager, Member Services

    Work At Home-Pennsylvania, United StatesFull-time$67.9k – $199.1kPosted 1w ago
    All Aetna jobs

    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.

    Job details are sourced from the employer's original posting.

    Open job posting
    AE

    About the company

    Aetna

    Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come. Excellent benefits package, including 401k, tuition, licensure and certification reimbursement. We promote healthy & wellness lifestyles and offer specialty programs here at Aetna. We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence. Together we will empower people to live healthier lives. Benefit eligibility may vary by position. Click here to review the benefits associated with this position. Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities. We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

    View all Aetna jobs
    Industry
    Healthcare
    Open roles
    319

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