Principal Finance Manager, Pharmacy Strategy & Economics, Amazon Pharmacy

About the role

Amazon Health Services (AHS) is reimagining how customers access and experience healthcare — making it easier, more affordable, and more convenient. AHS spans Amazon Pharmacy, One Medical, and a growing portfolio of services that put customers first across primary care, pharmacy, and specialty needs. Within AHS, Amazon Pharmacy is building the most convenient, transparent, and lovable pharmacy experience in the world — and we're still early.

Amazon Pharmacy Finance is the strategic finance partner to this business, sitting at the intersection of strategy, operations, and execution, focused on driving sustainable growth, advising senior leadership on high judgment decisions, and building the financial foundation for Pharmacy's growth. We are building an AI-native finance team, using generative AI, agentic workflows, and automation to transform how we plan, forecast, analyze, drive controllership, and communicate.

Responsibilities

• Serve as a strategic advisor to the Amazon Pharmacy Finance Leadership Team, owning strategic analyses and executive-level communications that shape Pharmacy's long-range trajectory and business decisions, with AI fluency as a core lever to scale your impact.
• Bring deep pharmacy industry experience to high-judgment business decisions and emerging opportunities, and proactively identify financial, regulatory, and operational risks.
• Influence decisions at the VP and SVP level across Amazon Health Services.
• Drive strategic analyses for Pharmacy's growth, translating ambiguous opportunities into long-range financial plans with clear trade-offs and quantified alternatives for senior leaders.
• Translate complex financial stories into executive-ready insight that drives leadership alignment.
• Partner with senior leaders across Pharmacy, AHS, Operations, and broader Amazon to drive alignment on strategic priorities, and build the mechanisms that scale how the leadership team operates and decides.
• Promote a strong controllership environment, ensuring integrity of financial reporting and sound judgment on governance matters in a business scaling rapidly.
• Apply AI fluency to modernize how Pharmacy Finance operates, and raise the bar for the Pharmacy Finance organization through mentorship, knowledge sharing, and building frameworks that scale how others operate.

Requirements

• 10+ years of tax, finance or a related analytical field experience
• 7+ years of finance technology, forecast & budgeting, or other finance-focused competency experience
• 3+ years of healthcare experience, including Pharmacy industry, payers, Pharmacy Benefit Managers (PBMs), pharmacy operations, specialty pharmacy, or healthcare reimbursement models

Preferred Qualifications

• Experience in a leadership position managing finance, accounting and operational processes

Pay

The base salary range for this position is $139,100.00 - $188,200.00 USD annually, depending on location. Your Amazon package will include sign-on payments and restricted stock units (RSUs). Final compensation will be determined based on factors including experience, qualifications, and location.

Benefits

Amazon also offers comprehensive benefits including health insurance, 401(k) matching, paid time off, and parental leave. Learn more about our benefits at https://amazon.jobs/en/benefits.