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From the employer's careers site First seen 7 Nov 2026

Executive Director, Rebate Financial Strategy & Drug Profitability

CVS Health executive full-time

Salary

$131,500 - $303,195 per year

Apply on CVS Health

Description

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.

Major Responsibilities

1. Rebate Strategy & Financial Planning

  • 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.

2. Enterprise Assumptions Governance & Standardization

  • 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.

3. Drug Profitability Analytics & Reporting

  • 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.

4. Multi-Year Refresh (MYR) & Trade Capacity Model

  • 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.

5. Process Improvement, Innovation & Technology

  • 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.

6. Leadership, Talent Development & Stakeholder Management

  • 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

  • $131,500.00 - $303,195.00

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Skills

Required

Nice to have

  • AI
  • machine learning
  • Tableau
  • SQL
  • SAP
  • BI tools
  • competitive intelligence
  • external benchmarking
  • GLP-1 drugs
  • biosimilars
  • generic launches
  • Trade Capacity modeling
  • MYR processes
  • COGS improvement initiatives
  • assumptions governance
  • SSOT development
Apply on CVS Health