Senior Level Strategic Finance Lead Jobs
Senior level strategic finance lead jobs place experienced professionals at the center of capital allocation decisions, long-range planning, and the cross-functional teams that translate financial strategy into business outcomes. Openings concentrate across Technology & Software, Banking & Financial Services, and Insurance, with a mix of on-site, hybrid, and remote positions, and employers like Plaid, Stripe, and OpenAI hiring at this level now.
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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
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
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.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 10/16/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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
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
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.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 10/16/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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Senior Level Strategic Finance Lead Jobs: Frequently Asked Questions
How do I get a senior level strategic finance lead job?
Employers at this level look for candidates who have owned strategic planning cycles end-to-end, not just supported them. Strong candidates demonstrate experience building financial models that drove real capital or operational decisions, fluency with executive-level communication, and a history of mentoring analysts or associates. Highlighting the business outcomes your work influenced, rather than the tools you used, makes the strongest case.
Which companies hire senior level strategic finance leads?
Companies hiring senior level strategic finance leads right now include Plaid, Stripe, and OpenAI, based on current listings on Migrate Mate as of September 2026. Hiring at this level covers large corporations running complex FP&A functions, high-growth technology companies scaling their finance organizations, and private equity-backed businesses that need senior operators to own financial strategy through growth or transition.
Are there remote senior level strategic finance lead jobs?
Yes, though availability varies by company and sector. About 51% of senior level strategic finance lead openings are remote or hybrid as of September 2026, reflecting a broader shift toward flexible work in finance. Fully remote roles at this level are more common at technology companies and distributed organizations, while traditional industries tend to prefer on-site or hybrid arrangements for senior strategic roles.
What makes a strategic finance lead role senior level?
Senior level strategic finance lead roles are distinguished by the scope of ownership rather than task complexity alone. At this stage, you are expected to set the analytical direction for major business decisions, own relationships with executive and cross-functional stakeholders, and develop the frameworks junior team members work within. You are accountable for outcomes, not just deliverables, and you are expected to mentor others and elevate the team's overall capability.
Which industries hire the most senior level strategic finance leads?
Senior Level strategic finance lead roles concentrate in Technology & Software, Banking & Financial Services, and Insurance, based on current listings on Migrate Mate as of September 2026. These sectors drive hiring at this level because they operate with significant capital complexity, fast-moving business models, or high investor scrutiny, all of which create demand for experienced professionals who can connect financial analysis directly to strategic decisions.