"Alerted.org

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

The Executive Director, Strategic Finance will lead a newly established Strategic Finance function within Medicare, working alongside MAPD Finance, Part D & Med Supp Finance, and SG&A Management. This role is designed for a leader who can combine actuarial rigor, operational excellence, and strategic vision to drive measurable margin improvement. The position balances hands-on analysis with team leadership, with a focus on forecast accuracy, key value realization across Stars, Risk Adjustment, provider/value-based care (VBC) economics, and investment evaluation.

Leveraging a strong background in actuarial science and broader healthcare strategy and operations, the Executive Director will partner closely with Market Finance, Network/Clinical, Actuarial, and Analytics to translate strategy into financial impact.

Key Responsibilities

Strategic Finance Leadership

+ Establish and scale the Medicare Strategic Finance function, setting vision, priorities, and operating cadence.

+ Lead and develop a high-performing team (e.g., Director, Managers/Analysts), balancing “player-coach” responsibilities with talent development.

+ Embed finance support within adjacent teams (MAPD, Part D + Med Supp) to accelerate decision-making and ensure accuracy of analyses.

Portfolio Evaluation & Capital Planning

+ Partner with the CFO and Corporate Finance in enterprise capital planning efforts; support preparation / delivery of analytics, scenario evaluations (IRR, payback, strategic fit), and concise recommendation memos.

+ Maintain an integrated view of Medicare initiatives and advise on prioritization/sequencing of investments.

Business Performance & Communications

+ Align KPIs across Medicare; provide early-warning signals and recommend corrective actions.

+ Lead periodic reviews with senior leadership, presenting portfolio insights, forecast quality, and ROI realization

+ Produce executive-ready narratives, dashboards, and decision materials for the Medicare ELT and CFO.

Partnerships Across the Enterprise

+ Collaborate with Actuarial, Pricing, Network, and PBM teams to co-create margin bridges that capture pricing, plan design, provider agreements, formulary/UM changes, and quality levers.

+ Standardize decision templates and frameworks to enable faster, more consistent financial decisions.

Value Realization (Stars, RAF, Provider/VBC, Interoperability)

+ Own ROI methods and post-investment tracking across Stars, RAF, provider/VBC, and interoperability initiatives.

+ Run recurring reviews with attribution analysis and accountability discipline.

+ Translate complex clinical and operational initiatives into financial outcomes, quantifying value and guiding corrective action.

Forecast Quality & Performance Management

+ Stand up a Forecast Quality Assessment Process: set accuracy targets, decompose error (mix, unit cost, Stars/RAF, timing), and drive closure of identified exceptions.

+ Build scenario libraries for bid season, AEP/OEP, and macro sensitivities; align assumptions and timelines with BU Finance and Actuarial.

Requirements

+ 12+ years of progressive Healthcare experience, including strategy/finance/actuarial with demonstrated focus on Medicare Advantage

+ Executive-ready communication skills; able to produce crisp narratives and decision materials.

+ Demonstrated ability to lead teams, balancing strategic and executional, hands-on approach.

+ Advanced fluency in modeling, KPI design, and forecasting and ability to work with data science and analytics teams to support in insight-generation

Preferred Qualifications

+ ASA/FSA or CPA; MBA or related advanced degree.

+ Hands-on experience with value-based care economics, Stars improvement programs, RAF program design, and interoperability (EHR/FHIR) business cases.

+ Track record of improving forecast accuracy and driving finance transformation (automation, report rationalization, “exceptions-only” flash).

Education

+ Bachelor’s degree in Finance, Accounting, Actuarial Science, Economics, Data Analytics, or related field; advanced degree and/or professional credential strongly preferred.

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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .

+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 11/21/2025

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

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.