Senior Manager, Plan Build (Meritain) Remote

CVS Health

1d•Remote

About The Position

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.

Requirements

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.

Nice To Haves

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

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.