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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.
Job Responsibility
Lead expansion of workforce management capabilities beyond traditional contact center environments into back‑office, transaction‑based operations across Aetna Service Operations
Design and execute the strategy, operating model, and analytics required to forecast, plan, allocate, and optimize work across functions such as Claims Operations, Payment Integrity, Plan Sponsor Services, Provider Operations, Configuration, Testing, among other service areas
Lead the definition and execution of workforce management strategy for back‑office service operations, adapting WFM principles (forecasting, capacity planning, work allocation, productivity management) to non‑queue‑based environments
Identify priority functions for WFM deployment and build roadmaps for progressive capability adoption
Translate enterprise workforce strategy into function‑specific models that reflect differences in work type, variability, regulatory constraints, and skill mix
Establish demand forecasting and capacity planning methodologies for back‑office workflows (inventory‑based, case‑based, and project‑driven work)
Implement work‑in‑process, aging, and SLA‑driven management disciplines to improve throughput, predictability, and service outcomes
Partner with operations leaders to define productivity standards, staffing assumptions, and performance thresholds appropriate to each function
Design a scalable governance framework for back‑office workforce management, including planning cadences, escalation paths, performance reviews, and executive reporting
Balance enterprise standardization with functional flexibility
Serve as a key influencer in adoption, helping operations leaders embed WFM disciplines into daily management routines
Partner with technology and analytics teams to extend or adapt WFM and workflow tools for back‑office use cases
Leverage data to generate actionable insights on volume drivers, productivity, staffing efficiency, backlog risk, and service performance
Champion use of analytics, automation, and workflow orchestration to improve visibility and reduce manual effort over time
Build, lead, and develop a team of workforce management leaders and analysts dedicated to back‑office operations
Act as a trusted advisor to senior operations leaders, supporting staffing decisions, vendor strategies, and transformation initiatives
Collaborate closely with Finance, HR, and Vendor Management to align workforce plans with budgets, labor strategies, and sourcing models
Requirements
10+ years of progressive leadership experience in workforce management, operations strategy, analytics, or service operations, with demonstrated exposure to back‑office or claims‑based environments in the healthcare industry preferred
Proven experience designing or scaling capacity planning, productivity, or service‑level frameworks beyond traditional call center models
Experience with WFM tools (Aspect, NICE, UKG, etc)
Experience operating in large, matrixed organizations with multiple lines of business and varying operational maturity
Strong strategic and analytical skills with the ability to translate complex operational data into clear leadership recommendations
Demonstrated success leading change through influence, particularly in environments without direct authority
Executive‑ready communication skills and comfort presenting to VP and SVP‑level stakeholders