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Lead Director, Pharmacy Performance & Profitability Management

Lead Director, Pharmacy Performance & Profitability Management

CVS HealthBlue Bell, PA, US
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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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Pharmacy Pharmacy • Blue Bell, PA, US

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