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
CVS Health's Pharmacy Services Finance Team is seeking an Executive Director to lead the Rebate Financial Strategy & Drug Profitability function. This role serves as the strategic finance leader for CVS Health's $70B+ annual rebate portfolio, providing financial stewardship, analytical rigor, and executive-level insight that directly influences pricing strategy, margin optimization, and long-term profitability across the PBM business. The Executive Director is accountable for setting the strategic direction, governance model, and executive decision framework for rebate financial performance and drug-level profitability across the enterprise. This leader will partner closely with VP and CFO leadership, Trade Strategy, Underwriting, and cross-functional stakeholders to shape rebate strategy, govern enterprise-wide drug-level financial assumptions, and translate complex pricing, utilization, contract, and regulatory dynamics into actionable narratives for executive decision-making. This is a high-visibility role that demands equal command of PBM economics, financial modeling, strategic storytelling, transformation leadership, and cross-functional influence.
Major Resonsibilities
- Lead financial strategy, planning, and performance management for the $70B+ rebate portfolio.
- Partner with senior Finance and business leaders to drive margin optimization and long-term profitability.
- Deliver executive insights on financial performance, emerging risks, market dynamics, and regulatory impacts.
- Evaluate key drug and market trends to inform strategic planning and forecast accuracy.
- Establish and govern enterprise-wide financial assumptions and forecasting methodologies.
- Maintain a centralized assumptions framework that drives consistency, transparency, and decision-making.
- Align cross-functional stakeholders on critical drivers impacting pricing, profitability, and growth.
- Strengthen governance and controls to improve forecast accuracy and financial performance.
- Lead enterprise drug profitability analytics and reporting strategy.
- Develop actionable insights into key profitability drivers, market dynamics, and financial performance.
- Deliver scenario modeling and executive decision support for strategic initiatives and investments.
- Lead development of the Trade Capacity Model, a key driver of long-term profitability and COGS improvement.
- Direct financial modeling and planning inputs supporting enterprise budget and multi-year forecasting processes.
- Lead finance transformation initiatives that enhance forecasting, reporting, and operational effectiveness.
- Advance analytics, automation, AI, and technology solutions to improve decision-making and productivity.
- Oversee investment governance and portfolio prioritization to maximize business value and financial returns.
- Drive organizational change management and adoption of new operating models and technologies.
- Build, lead, and develop a high-performing team focused on strategic finance, analytics, and business performance.
- Foster a culture of accountability, innovation, and continuous improvement.
- Partner across Finance, Trade, Underwriting, and Operations to align strategy and business objectives.
- Serve as a trusted advisor to senior leadership on profitability, growth, and enterprise financial strategy.
Required Qualifications
- 12+ years of progressive finance leadership experience, preferably in healthcare, PBM, managed care, or similarly complex industries
- Demonstrated experience managing P&L and presenting to SVP and C-suite leadership, with proven ability to influence executive decisions through financial insights and strategic recommendations
- Deep fluency in PBM economics including rebate structures, network and channel pricing, pharma contracting, dispensing economics, and drug-level profitability drivers
- Expertise in budgeting, forecasting, and multi-year financial modeling within a large, matrixed organization, with strong command of scenario analysis and sensitivity modeling
- Proven ability to translate complex financial, regulatory, and competitive data into clear, compelling executive communications and decision-ready narratives
- Track record of building and leading high-performing finance teams in a dynamic, fast-paced environment, with demonstrated success in talent development and organizational scaling
- Advanced financial modeling, analytical, problem-solving, and executive presentation skills, with strong proficiency in Excel and enterprise reporting tools
- Experience establishing governance frameworks and standardizing processes across cross-functional stakeholders in a matrixed organization
- Demonstrated executive presence with the ability to influence senior leaders, challenge assumptions, and drive alignment across complex business issues
Preferred Qualifications
- Familiarity with the state and federal PBM regulatory environment, including FTC, CMS, and state-level pharmacy benefit legislation
- Experience with enterprise planning platforms such as SAP, Anaplan, or equivalent tools, with demonstrated success in forecasting transformation
- Demonstrated experience leveraging AI and machine learning tools to enhance finance productivity and insight generation
- Proficiency with Tableau, SQL, SAP, and BI tools to support finance analytics, reporting, and transformation initiatives
- Background in competitive intelligence and external benchmarking within the PBM or healthcare payer space
- Experience with GLP-1 drugs, biosimilars, generic launches, and other high-impact drug categories
- Knowledge of Trade Capacity modeling, MYR processes, and COGS improvement initiatives
- Experience with assumptions governance, SSOT development, and cross-functional alignment on financial methodologies
Education
Bachelor's degree required in Finance, Accounting, Economics, Business Administration, or related field.
MBA or advanced degree preferred, with concentration in Finance, Strategy, or Healthcare Administration.
Pay Range
The typical pay range for this role is:
$131,500.00 - $303,195.00
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.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Skills Required
- 12+ years of progressive finance leadership experience, preferably in healthcare, PBM, managed care, or similarly complex industries
- Experience managing P&L and presenting to SVP and C-suite leadership
- Deep knowledge of PBM economics, rebate structures, network and channel pricing, pharmaceutical contracting, dispensing economics, and drug-level profitability
- Expertise in budgeting, forecasting, multi-year financial modeling, scenario analysis, and sensitivity modeling
- Ability to translate complex financial, regulatory, and competitive data into executive communications and decision-ready narratives
- Experience building and leading high-performing finance teams, including talent development and organizational scaling
- Advanced financial modeling, analytical, problem-solving, and executive presentation skills
- Strong proficiency in Excel and enterprise reporting tools
- Experience establishing governance frameworks and standardizing processes across cross-functional stakeholders in a matrixed organization
- Demonstrated executive presence and ability to influence senior leaders and drive alignment
- Bachelor's degree in Finance, Accounting, Economics, Business Administration, or a related field
- Familiarity with state and federal PBM regulations, including FTC, CMS, and state pharmacy benefit legislation
- Experience with SAP, Anaplan, or equivalent enterprise planning platforms
- Experience using AI and machine learning tools to improve finance productivity and insight generation
- Proficiency with Tableau, SQL, SAP, and business intelligence tools
- Competitive intelligence and external benchmarking experience in PBM or healthcare payer industries
- Experience with GLP-1 drugs, biosimilars, generic launches, or other high-impact drug categories
- Knowledge of Trade Capacity modeling, MYR processes, and COGS improvement initiatives
- Experience with assumptions governance, single source of truth development, and cross-functional financial methodology alignment
- MBA or advanced degree in Finance, Strategy, Healthcare Administration, or a related field
CVS Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about CVS Health and has not been reviewed or approved by CVS Health.
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Healthcare Strength — Health coverage includes medical, dental, and vision with HSA-eligible options, free preventive care, virtual care, and access to MinuteClinic services. Mental-health resources such as counseling support are emphasized, and coverage is often considered solid for full-time colleagues.
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Retirement Support — A dollar-for-dollar 401(k) match up to 5% after one year and an Employee Stock Purchase Plan are consistently highlighted in Total Rewards materials. Feedback suggests retirement programs are a meaningful strength within the overall package.
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Wellbeing & Lifestyle Benefits — Wellbeing offerings include up to 20 no-cost counseling sessions per issue, backup care, tuition assistance, and substantial in-store discounts, alongside broader wellness tools. These everyday perks expand value beyond base pay and can be especially meaningful for full-time schedules.
CVS Health Insights
What We Do
CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.
