Super hard to trust this board. Between the crazy comments and The Engineer most info is nonsense. But the few points about Director, Lead Director, Executive Director and AVP, when combined, make sense.
Within parts of CVS Health there are smaller business that have more than a few situations with people at those levels who have no direct reports. They are paid at the level of someone who leads a department. Though they are more customer facing and that level of person is needed to interact with customers where the customer is often a director, VP or above.
CVS Health is made up of several small business that have staff that are at those levels. Examples of these business include Coram and the parts that make up HealthSpire where both are closed or cut.