Lilly

Associate Vice President - Chief Financial Officer (CFO), LillyDirect

US, San Francisco CA Full time

At Lilly, we unite caring with discovery to make life better for people around the world. We are a global healthcare leader headquartered in Indianapolis, Indiana. Our employees around the world work to discover and bring life-changing medicines to those who need them, improve the understanding and management of disease, and give back to our communities through philanthropy and volunteerism. We give our best effort to our work, and we put people first. We’re looking for people who are determined to make life better for people around the world.

Organization Overview 

At Lilly, we serve an extraordinary purpose. We make a difference for people around the globe by discovering, developing, and delivering medicines that help them live longer, healthier, more active lives. Lilly is making transformational investments in direct-to-consumer healthcare delivery through LillyDirect and other digital health initiatives. 

Role Overview 

The Associate Vice President/Vice President and CFO LillyDirect will support and report directly to the Group Vice President and CEO, LillyDirect. LillyDirect’s mission is to expand patient access to Lilly’s innovative medicines and digital health solutions through an end-to-end consumer health platform. This role will build, scale, and lead the finance organization needed to execute on that mission — providing the Finance capabilities required for a high-growth digital health platform operating within a Fortune 100 pharmaceutical company. This is a high-impact role, and the ideal candidate brings deep strategic finance experience and is comfortable operating in an ambiguous and fast-moving environment while maintaining financial controls. The goals of the role are to drive financial discipline and insight, enable smart capital allocation and partnership decisions, and ensure LillyDirect operates with a mission-focused, innovative, and high-performing culture. 

The CFO will serve as a strategic operating partner to the CEO, providing financial insight and analytical rigor to shape LillyDirect’sgrowth strategy, evaluate partnership opportunities across the healthcare ecosystem, and ensure the financial sustainability and accountability of the platform. This leader will also maintain a close collaborative relationship with LillyUSA Finance to ensure alignment on financial planning, reporting, and accounting standards across the enterprise. 

Key Responsibilities 

1. Strategic Business Partnership & Ecosystem Development 

  • Contribute to the execution of LillyDirect’s overall business strategy, including market expansion, patient acquisition and retention, and new service offerings. 
  • Serve as a trusted strategic advisor and operating partner to the CEO of LillyDirect, providing financial, analytical and strategicperspective on all major business decisions. 
  • Be a part of the LillyDirect leadership team and contribute to the strategic discussion and decision making for the LillyDirectbusiness. 
  • Play a leadership role in evaluating  partnerships across the healthcare ecosystem, including pharmacy partners, telehealth platforms, health systems, payers, and technology providers. 
  • Represent LillyDirect’s financial perspective in cross-functional leadership forums and with external stakeholders as needed. 
  • Monitor industry trends in digital health, direct-to-consumer healthcare, and health-tech business models to identify financial opportunities and risks. 

2. People Leadership – Build and Lead a World-Class Finance Team 

  • Recruit, develop, and retain a talented Finance team responsible for the full scope of LillyDirect’s financial operations, including financial planning and controllership, business analytics, and strategic planning. 
  • Foster an inclusive, high-performance culture that attracts top finance talent from both healthcare technology and pharmaceutical backgrounds. 
  • Provide leadership, technical guidance, developmental support, and career planning for direct reports and the broader financeorganization. 
  • Build a team capable of operating with the speed and agility of a health-tech company while maintaining the controls and governance standards of Eli Lilly and Company. 
  • Be an inspirational leader who develops future finance leaders for LillyDirect and across the broader Lilly enterprise. 

3. Financial Controls, Planning, Analytics, and Strategy 

  • Oversee all financial planning, budgeting, forecasting, and long-range strategic planning for LillyDirect, ensuring alignment with corporate financial cycles and enterprise-wide goals. 
  • Deliver timely, accurate, and insightful financial reporting and business analytics to the LillyDirect CEO, LillyUSA leadership, and corporate stakeholders, translating complex financial data into actionable business intelligence. 
  • Drive financial discipline across the business, including P&L management, cost optimization, capital allocation, and investment prioritization. 
  • Lead financial modeling and scenario analysis to support strategic decisions. 
  • Lead strategic analysis of competitors and the industry and drive the annual strategic planning process. 
  • Define, implement, and continuously strengthen the financial control environment for LillyDirect’s operations, including designing controls frameworks tailored to the unique risks of a direct-to-patient digital health platform (e.g., pharmacy fulfillment economics, partner settlement, patient payment processing) while meeting the standards of a publicly traded pharmaceutical company. 
  • Ensure compliance with Eli Lilly’s Global Finance Accounting Policies (GFAP) and all applicable regulatory requirements, including SOX controls. Own the end-to-end controls execution for LillyDirect, including regular testing, remediation of control gaps, and proactive adaptation of the controls framework as the platform scales and enters new operational areas. 

4. Close Partnership with LillyUSA Finance 

  • Serve as the primary finance liaison between LillyDirect and the CFO LillyUSA, ensuring transparency and alignment on financial performance, risks, and opportunities.  The role will have a dotted-line reporting relationship to the CFO of LillyUSA. 
  • Establish and maintain a close, collaborative partnership with the LillyUSA Finance organization to ensure seamless coordination on financial planning, consolidation, and accounting. 
  • Collaborate on enterprise-wide financial processes including the Strategic Plan, Business Plan, periodic forecasting, and management reporting and analysis. 
  • Coordinate with LillyUSA Finance on gross-to-net accounting and revenue recognition unique to LillyDirect’s operating model. 
  • Partner with LillyUSA Finance on shared services, systems, and technology platforms to drive efficiency while maintainingappropriate business-specific capabilities. 

Basic Requirements 

  • Bachelor’s degree in Finance, Accounting, Economics, or related field. 
  • Minimum of 10 years of progressive leadership experience in Finance, with demonstrated experience at the senior director or VP level. 
  • Proven supervisory experience leading and developing finance teams. 
  • Demonstrated ability to operate as a strategic business partner to C-suite executives. 
  • Excellent written and verbal communication skills with the ability to influence stakeholders at all levels of the organization. 
  • Proven strategic thinking skills and ability to operate in environments characterized by ambiguity, rapid change, and complexity. 
  • Willingness and ability to travel 25%, primarily domestically 

Additional Skills & Preferences 

Education: 

MBA or equivalent advanced degree strongly preferred. 

Industry Experience: 

Finance leadership experience within an ecommerce, healthcare technology company, digital health platform, or health-tech startup/scale-up. 

Prior experience in the pharmaceutical or life sciences industry, particularly in commercial finance, market access, or business unit finance. 

Candidates with experience spanning both health-tech and pharma environments are especially valued. 

Business Development & Partnerships: 

Direct experience leading or supporting commercial deal evaluation in a healthcare or technology context. 

Track record of financial due diligence and deal structuring for partnerships, licensing arrangements, or vendor agreements. 

Additional Preferred Qualifications: 

CPA designation or applied accounting and internal controls experience. 

Experience with direct-to-consumer or direct-to-patient business models, including e-commerce, subscription, or marketplace economics. 

Familiarity with healthcare regulatory and compliance frameworks (e.g., pharmacy regulations, HIPAA, payer contracting). 

Experience operating within a large, matrixed corporate environment while maintaining an entrepreneurial and agile operating style. 

Strong data analytics orientation with experience leveraging financial technology and business intelligence platforms. 

Key Leadership Competencies 

Strategic Thinking 

Ability to identify problems and opportunities, develop viablealternative strategies, and recommend a clear, implementable course of action in a rapidly evolving market. 

Business Partnership 

Viewed as a trusted financial advisor and operating partner; able to influence decisions and shape strategy through financial insight and analytical rigor. 

Communication 

Ability to make complex financial and operational ideas simple; confident and effective communicator with diverse groups from Board-level to individual contributors. 

Comfort with Ambiguity 

Ability to translate abstract, evolving business challenges into clear and actionable financial plans and frameworks. 

Innovation & Agility 

Demonstrates a growth mindset; builds systems and processes designed for scale while remaining flexible enough to adapt to a fast-moving health-tech environment. 

Professional Maturity 

Executive presence and ability to contract and communicate effectively with C-suite leaders, external partners, and cross-functional stakeholders. 

Note: When applying internally for a position, your current supervisor receives notification that you have applied to the position. We encourage employees to discuss the opportunity with their supervisor prior to applying. 

Qualified candidates must be legally authorized to be employed in the United States. Lilly does not anticipate providing sponsorship for employment visa status (e.g., H-1B or TN status) for employment positions on the B or S paths or at levels M1–M2 or P1–P4. 

#WeAreLilly 

Lilly is dedicated to helping individuals with disabilities to actively engage in the workforce, ensuring equal opportunities when vying for positions. If you require accommodation to submit a resume for a position at Lilly, please complete the accommodation request form (https://careers.lilly.com/us/en/workplace-accommodation) for further assistance. Please note this is for individuals to request an accommodation as part of the application process and any other correspondence will not receive a response.

Lilly is proud to be an EEO Employer and does not discriminate on the basis of age, race, color, religion, gender identity, sex, gender expression, sexual orientation, genetic information, ancestry, national origin, protected veteran status, disability, or any other legally protected status.


Our employee resource groups (ERGs) offer strong support networks for their members and are open to all employees. Our current groups include: Africa, Middle East, Central Asia Network, Black Employees at Lilly, Chinese Culture Network, Japanese International Leadership Network (JILN), Lilly India Network, Organization of Latinx at Lilly (OLA), PRIDE (LGBTQ+ Allies), Veterans Leadership Network (VLN), Women’s Initiative for Leading at Lilly (WILL), enAble (for people with disabilities). Learn more about all of our groups.

Actual compensation will depend on a candidate’s education, experience, skills, and geographic location.  The anticipated wage for this position is

$249,000 - $411,400

Full-time equivalent employees also will be eligible for a company bonus (depending, in part, on company and individual performance). In addition, Lilly offers a comprehensive benefit program to eligible employees, including eligibility to participate in a company-sponsored 401(k); pension; vacation benefits; eligibility for medical, dental, vision and prescription drug benefits; flexible benefits (e.g., healthcare and/or dependent day care flexible spending accounts); life insurance and death benefits; certain time off and leave of absence benefits; and well-being benefits (e.g., employee assistance program, fitness benefits, and employee clubs and activities).Lilly reserves the right to amend, modify, or terminate its compensation and benefit programs in its sole discretion and Lilly’s compensation practices and guidelines will apply regarding the details of any promotion or transfer of Lilly employees.

#WeAreLilly