CVS Health
Lead Director, Pharmacy Performance & Profitability Management
CVS Health, Atlanta, Georgia, United States, 30383
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
This is a high-impact opportunity to shape and advance pharmacy strategy across the CVS Health enterprise as part of Aetna’s Pharmacy team. We are seeking an experienced and strategic Director to lead Pharmacy Performance & Profitability Management for Aetna. This role is central to evaluating enterprise initiatives, driving profitable growth, delivering actionable insights, and guiding decisions that improve pharmacy and Medical Rx outcomes.
You’ll collaborate closely with leaders across Actuarial, Finance, Operations, and Caremark, aligning efforts to ensure Aetna maintains best-in-class pharmacy capabilities. This position also supports coordination of drug spend activities across Aetna’s lines of business and integration with the Caremark Integrated Business Unit (IBU).
Key Responsibilities:
Support enterprise-wide initiatives by assessing their impact on Aetna and providing data-driven insights to assist in valuation and strategic alignment
Assist in tracking and communicating pharmacy and Medical Rx financial performance to senior stakeholders
Identify and implement process improvement opportunities across pharmacy operations
Help prioritize team resources and support CapEx review processes
Participate in business case development and prioritization for pharmacy initiatives across lines of business
Serve as a dedicated resource for ad hoc projects received by the Performance & Profitability team
Provide subject matter expertise and project management support as needed
Collaborate with cross-functional teams including Actuarial, Finance, and Product to deliver insights and reporting
Required Qualifications Bachelor's degree along with 10+ years of experience in healthcare strategy, finance, actuarial analysis, or related fields
ASA credential or equivalent experience in actuarial or financial modeling
Excellent communication and collaboration skills, with the ability to engage stakeholders across departments
Strong Excel and PowerPoint skills
Proven ability to develop business cases and contribute to executive-level presentations
Experience supporting cross-functional initiatives with financial, operational, or strategic components
Strong analytical skills with the ability to interpret complex data and translate it into actionable insights
Familiarity with pharmacy benefit management (PBM), health plan economics, or medical Rx strategy
Preferred Qualifications Prior experience in pharmacy operations, rebate strategy, or benefit design
Exposure to project management or process improvement initiatives
Experience supporting earnings calls or other executive reporting cycles
Ability to manage competing priorities and support ad hoc strategic projects
People management or team coordination experience in a matrixed environment
Education Bachelor’s degree required Pay Range The typical pay range for this role is: $144,200.00 - $288,400.00 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: 11/28/2025 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.
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Assist in tracking and communicating pharmacy and Medical Rx financial performance to senior stakeholders
Identify and implement process improvement opportunities across pharmacy operations
Help prioritize team resources and support CapEx review processes
Participate in business case development and prioritization for pharmacy initiatives across lines of business
Serve as a dedicated resource for ad hoc projects received by the Performance & Profitability team
Provide subject matter expertise and project management support as needed
Collaborate with cross-functional teams including Actuarial, Finance, and Product to deliver insights and reporting
Required Qualifications Bachelor's degree along with 10+ years of experience in healthcare strategy, finance, actuarial analysis, or related fields
ASA credential or equivalent experience in actuarial or financial modeling
Excellent communication and collaboration skills, with the ability to engage stakeholders across departments
Strong Excel and PowerPoint skills
Proven ability to develop business cases and contribute to executive-level presentations
Experience supporting cross-functional initiatives with financial, operational, or strategic components
Strong analytical skills with the ability to interpret complex data and translate it into actionable insights
Familiarity with pharmacy benefit management (PBM), health plan economics, or medical Rx strategy
Preferred Qualifications Prior experience in pharmacy operations, rebate strategy, or benefit design
Exposure to project management or process improvement initiatives
Experience supporting earnings calls or other executive reporting cycles
Ability to manage competing priorities and support ad hoc strategic projects
People management or team coordination experience in a matrixed environment
Education Bachelor’s degree required Pay Range The typical pay range for this role is: $144,200.00 - $288,400.00 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: 11/28/2025 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.
#J-18808-Ljbffr