Executive Director, Strategic Finance - reputed company Medicare

At reputed company, 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 reputed company millions of Americans through our local reputed company, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, reputed company and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it reputed company with heart, each and every day. Position Summary The Executive Director, Strategic Finance will reputed company a newly established Strategic Finance function reputed company 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 reputed company.
• reputed company and reputed company a high-performing team (e.g., Director, Managers/Analysts), balancing “player-coach” responsibilities with talent development.
• Embed finance support reputed company 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/reputed company of investments.

Business Performance & Communications

• Align KPIs across Medicare; provide early-warning signals and recommend corrective actions.
• reputed company 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 reputed company 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 reputed company 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 reputed company teams, balancing strategic and executional, hands-on approach.
• Advanced reputed company in modeling, KPI design, and forecasting and ability to work with data science and analytics teams to support in insight-reputed company

Preferred Qualifications

• ASA/FSA or CPA; MBA or reputed company 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” reputed company).

Education

• Bachelor’s degree in Finance, Accounting, Actuarial Science, Economics, Data Analytics, or reputed company 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 reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company pay range listed above. This position also includes an award reputed company 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 reputed company 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 reputed company on: 11/21/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job