Lead Director - AI FinOps

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 is seeking a Lead Director, AI FinOps to build and scale the enterprise AI FinOps function at one of the nation’s largest and most innovative healthcare organizations. This is a high‑impact, senior individual contributor role and a true greenfield opportunity for a seasoned leader to shape how AI investments are governed, measured, and optimized across the enterprise.

In this role, you will define the strategy, operating model, governance framework, and tooling required to deliver financial transparency, accountability, and continuous optimization across CVS Health’s rapidly expanding AI ecosystem. This portfolio spans foundation models, fine‑tuning, inference workloads, and AI platform services deployed across multiple cloud and on‑prem environments.

The Lead Director, AI FinOps will serve as a strategic partner to Engineering, Finance, Product, and Executive Leadership, translating complex AI cost dynamics into clear, decision‑ready insights. You will help ensure AI investments are financially disciplined, outcome‑driven, and aligned to business priorities, enabling leaders to confidently scale AI innovation while maintaining strong financial stewardship.

This role is ideal for a leader who thrives at the intersection of AI, cloud economics, and enterprise finance, and who is motivated by building new capabilities that directly influence business strategy, innovation velocity, and long‑term value creation.

What we expect of you

• Design and build the enterprise AI FinOps program from the ground up, including establishing operating models, governance frameworks, and adoption roadmaps across Engineering, Finance, and Product organizations.

• Develop and operationalize AI cost governance processes, including tagging and allocation policies, anomaly detection, budget controls, and automated reporting pipelines for model training, fine-tuning, and inference workloads.

• Design and implement chargeback and showback models that accurately allocate AI spend to business units, products, and teams, ensuring cost accountability at every level of the organization.

• Lead the evaluation, selection, and implementation of AI FinOps tooling across major cloud platforms (AWS, Azure, GCP) and third-party AI providers (e.g., OpenAI, Anthropic, Cohere), ensuring comprehensive visibility into all AI spend.

• Deliver executive-level financial reporting and insights, translating complex AI cost data and unit economics (cost-per-inference, cost-per-token, GPU/TPU utilization) into clear, decision-ready narratives for C-suite and board audiences.

• Partner cross-functionally with Engineering, Procurement, and Finance leadership to drive continuous AI spend optimization, identifying and executing on savings opportunities without compromising model performance or business outcomes.

• Establish and lead an AI FinOps Center of Excellence (CoE), defining roles, processes, and scalable governance policies; serve as the internal subject matter expert and evangelist for AI financial accountability across the enterprise.

REQUIRED QUALIFICATIONS

• 10+ years of experience in FinOps, cloud financial management, technology finance, or related discipline within a large-scale enterprise environment.

• 5+ years in building a FinOps program from inception, including defining operating models, governance frameworks, and enterprise adoption.

• 2+ years in AI cost governance, including cost attribution, forecasting, financial controls, and optimization for model training, tuning, and inference workloads.

• 5+ years in designing and operationalizing end‑to‑end FinOps tooling and processes, including tagging and allocation standards, anomaly detection, automated reporting, and continuous optimization.

• 2+ years of experience in implementing chargeback and showback models that fairly and audibly allocate AI spend to business units, products, or teams.

• 2+ years of experience in delivering executive-level financial insights, translating complex AI cost drivers into decision‑ready narratives for senior leaders.

• 2+ years of experience in AI services (e.g., AWS Bedrock, Azure AI, Vertex AI), including native cost management capabilities.

• 2+ years of experience in AI workload unit economics, including cost-per-inference, cost-per-token, and GPU/TPU utilization optimization.

PREFERRED QUALIFICATIONS

• Experience managing LLM and API‑based AI spend (e.g., OpenAI, Anthropic, Cohere), as well as self‑hosted model infrastructure.

• Experience establishing a FinOps and/or AI Center of Excellence (CoE), including scalable operating models, roles, processes, and governance.

• Experience in regulated industries (e.g., healthcare, financial services), with exposure to audit, compliance, and cost allocation requirements; HIPAA familiarity is a plus.

• Experience developing executive‑level financial dashboards using BI tools such as Tableau, Power BI, or Looker.

• Strong analytical and automation skills using SQL, Python, or similar tools for financial analysis.

• Excellent stakeholder management and communication skills, with the ability to influence without authority across Engineering, Finance, and Product teams.

EDUCATION

Bachelor’s degree from accredited university or equivalent work experience (HS diploma + 4 years relevant experience).

BUSINESS OVERVIEW

Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.  Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.  We strive to promote and sustain a culture of diversity, inclusion and belonging every day.  CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. 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.  We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

Pay Range

The typical pay range for this role is:

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.

Additional details about available benefits are provided during the application process and on Benefits Moments.

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