Principal Finance Manager, Amazon Pharmacy, Amazon Pharmacy

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 were still early. We are growing rapidly serving millions of customers expanding partnerships across healthcare and reinventing what it means to get medications delivered to your door with speed simplicity and clinical quality.

Amazon Pharmacy Finance is the strategic finance partner to this business. We sit 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 Pharmacys growth. Our team partners across Pharmacy AHS Operations WW Stores and broader Amazon. 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.

We are looking for a Principal Finance Manager to serve as a strategic finance leader within Amazon Pharmacy Finance reporting directly to the Pharmacy Finance Director. This is a high-impact high-visibility leadership role for a senior finance professional who thrives in ambiguity brings strong judgment to complex decisions and is energized by the opportunity to help this role you will serve as a strategic advisor to the Amazon Pharmacy Finance Leadership Team owning strategic analyses and executive-level communications that shape Pharmacys long-range trajectory and business decisions with AI fluency as a core lever to scale your impact. This is a role for someone who wants to build something not just manage it influencing decisions that will define how Amazon Pharmacy grows where we show up for customers and how we deliver care for the next decade.

This role offers significant career growth opportunities within Amazon Pharmacy Finance and across the broader Amazon Health Services portfolio and Amazon Finance.


Key job responsibilities
Strategic Advisor Serve as a trusted strategic advisor to the Pharmacy Finance Leadership Team helping shape decisions that will define Amazon Pharmacys growth trajectory market presence and care delivery model. Bring deep pharmacy industry experience (e.g. payer PBM or other relevant pharmacy experience) to high-judgment business decisions and emerging opportunities. Proactively identify financial regulatory and operational risks. Influence decisions at the VP and SVP level across Amazon Health Services.
Long-Range Planning & Growth Drive strategic analyses for Pharmacys growth translating ambiguous opportunities into long-range financial plans with clear trade-offs and quantified alternatives for senior leaders.
Executive Communications Translate complex financial stories into executive-ready insight that drives leadership alignment.
Cross-Functional Influence & Org Mechanisms Partner with senior leaders across Pharmacy AHS Operations and broader Amazon to drive alignment on strategic priorities. Build the mechanisms that scale how the leadership team operates and decides.
Financial Controllership & Governance Promote a strong controllership environment ensuring integrity of financial reporting and sound judgment on governance matters in a business scaling rapidly.
AI Fluency & Innovation Apply AI fluency to modernize how Pharmacy Finance operates leveraging generative AI agentic workflows and automation to accelerate analysis sharpen insight and unlock capacity for the most strategic work.
Talent Development Raise the bar for the Pharmacy Finance organization through mentorship knowledge sharing and building frameworks that scale how others operate.

- 10 years of tax finance or a related analytical field experience
- 7 years of finance technology forecast & budgeting or other finance-focused competency experience
- 6 years of dissecting financial data and identifying patterns that support business strategy experience
- 6 years of spearheading strategic cross-functional initiatives that deliver measurable financial results and advance organizational objectives experience

- Pharmacy industry experience including payers Pharmacy Benefit Managers (PBMs) pharmacy operations specialty pharmacy or healthcare reimbursement models.

Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status disability or other legally protected status.

Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process including support for the interview or onboarding process please visit for more information. If the country/region youre applying in isnt listed please contact your Recruiting Partner.

The base salary range for this position is listed below. 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. Amazon also offers comprehensive benefits including health insurance (medical dental vision prescription Basic Life & AD&D insurance and option for Supplemental life plans EAP Mental Health Support Medical Advice Line Flexible Spending Accounts Adoption and Surrogacy Reimbursement coverage) 401(k) matching paid time off and parental leave. Learn more about our benefits at WA Seattle - 139100.00 - 188200.00 USD annually