Senior Manager, Plan Build (Meritain) Remote

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

The Senior Manager, Plan Build serves as a strategic leader who fosters collaboration and communication across interdisciplinary teams to ensure all plan configurations align with business objectives. This role also acts as a key escalation point, addressing complex challenges and facilitating rapid resolution to maintain service excellence.

The Senior Manager, Plan Build leads the team (approximately 10-15 employees) responsible for accurate, timely configuration of benefit plans that feed downstream claims, eligibility, billing, and customer experience functions. This leader ensures Plan Build operations meet quality, compliance, and TAT expectations, while driving continuous improvement, automation, and cross‑functional alignment with Document Writers, Dual Entry, Quality, Onboarding, and Implementation teams.

Key Responsibilities:

• Oversee end‑to‑end Plan Build processes, ensuring accuracy, consistency, and timely build of new group and renewal plans.
• Manage workload distribution, resource planning, and prioritization of work across Plan Build teams.
• Monitor SLA adherence, quality metrics, error trends, and overall operational health.
• Lead automation initiatives and process redesign to streamline workflows and eliminate waste.
• Deploy Lean methodologies to simplify steps, reduce variation, and improve build quality.
• Partner with technology teams to enhance Plan Build tools, templates, and CRM/operational systems.
• Oversee reporting strategies, dashboards, and analysis of plan build accuracy, quality, and turnaround times.
• Utilize data to identify patterns, performance gaps, and opportunities for process improvement.
• Communicate operational performance to leadership and stakeholders.
• Serve as primary operational liaison to Document Writers, Quality, Dual Entry, Onboarding/Renewal Operations, Client Services, and Implementation.
• Ensure plan documents, configurations, and client requirements are aligned and integrated.
• Support escalations requiring cross‑team coordination and interpretation of plan requirements.
• Coach, mentor, and develop supervisors, analysts, and specialists within Plan Build.
• Set performance expectations, conduct talent reviews, and build internal career pathways.
• Foster a culture of operational excellence, accountability, and continuous improvement.

Required Qualifications

• Minimum 7\+ years of experience in benefit configuration, operations, or related areas.
• Prior leadership experience such as mentorship, team lead, and/or managing project teams supporting operational/technical workflows.
• Strong problem‑solving, analytical, and decision‑making skills.
• Excellent communication skills and ability to partner effectively across technical and non‑technical teams.

Preferred Qualifications

• Experience with the DG claims/benefit platform specific to Meritain, configuration tools, Lean methodologies, and process automation.
• Experience with the Salesforce platform.

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 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: 06/01/2026

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