Description

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 Divisional CFO for Medicare Part D and Medicare Supplement is responsible for the financial stewardship, regulatory compliance, and strategic direction of these two major business lines. This leader partners with senior executives to ensure sustainable profitability, regulatory alignment, and market competitiveness, while also overseeing reporting, forecasting, and capital allocation across both product lines.

Key Responsibilities

Strategic Finance & Leadership

• Serve as the chief financial partner to the Medicare Part D and Medicare Supplement business leadership teams.
• Translate enterprise strategy into annual financial plans, linking market positioning, membership growth, and margin performance to actionable financial goals.
• Lead teams performing financial planning, forecasting, and reporting processes across Part D and Med Supp.
• Develop scenario analyses and risk management frameworks specific to Medicare regulatory and market environments.

Financial Operations & Reporting

• Direct monthly close, revenue recognition (including CMS bid/pricing reconciliation and subsidy payments), and reserves (e.g., Part D IBNR, rebate reserves, Med Supp claim liabilities).
• Ensure proper accounting treatment for reinsurance, risk corridor settlements, and Medicare bid-related accruals.
• Work with controller to monitor Medicare Advantage Part D (MAPD) and standalone PDP settlement processes.
• Establish systemic dashboards and KPIs to track membership, claims, rebates, PBM fees, CMS subsidy revenue, risk corridor payments and other key financial performance metrics.

Regulatory & Compliance

• Partner with actuarial, compliance, and legal functions to mitigate regulatory and litigation risk.

Actuarial & Pricing Oversight

• Assess and challenge actuarial assumptions, ensuring alignment with strategic goals and enterprise risk appetite.
• Support negotiation strategies with PBMs, manufacturers, and reinsurers through robust financial analysis.

Business Performance & Partnerships

• Partner with Pharmacy, Actuarial, Clinical, Network, and Trade teams to evaluate rebate contracts, formulary design, and cost-management programs.
• Lead analysis of Med Supp distribution economics, underwriting outcomes, and aging-in strategies.
• Serve as executive sponsor for cross-functional initiatives affecting Part D and Med Supp financial outcomes.

Minimum Requirements

• 12+ years of progressively responsible finance/actuarial/operational leadership experience in health insurance or healthcare consulting, with at least 2+ years in Medicare (Part D and/or Med Supp).
• Demonstrated understanding of CMS bid/attestation processes, Part D financial reconciliation, and Med Supp rate filing and profitability management.
• Adept at leading through influence, collaboration, and cross-functional partnerships.
• Proven experience developing and leading a finance team.
• Mastery of strategic problem solving, decision-making, and communication skills for financial and non-financial stakeholders.

Preferred Qualifications

• FSA, ASA, or CPA designation; MBA or related advanced degree.
• Experience with Medicare Part D financials, Medicare Supplement LDTI accounting rules, CMS audits, PBM contracting, and IRA drug pricing provisions.
• Track record of driving strong team performance and leading transformation within a large organization.

Education

• Bachelor's degree in Finance, Accounting, Actuarial Science, Economics, or related field required.
• Advanced degree or professional credential 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: 11/19/2025

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