Senior Director, Revenue Cycle Management (RCM) Finance

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TheSenior Director, RCM Financeis a strategic enterprise leader responsible for orchestrating financial operations across the US Oncology Network's Revenue Cycle Management ecosystem. This role oversees three critical functions-RBO Controllership, AR/Revenue Accounting, and RCM FP&A-managing a $14B revenue and $3B AR portfolio. The position partners with executive stakeholders including the VP of RCM, COO, and VP of Finance Operations to drive financial governance, operational efficiency, and transformation initiatives.

The Senior Director translates complex financial and operational data into actionable insights, enabling enterprise-first decision-making and aligning financial strategy with broader organizational goals. This role also leads talent development across multiple teams, fostering a culture of innovation, continuous learning, and adherence to McKesson's I2CARE and ILEAD principles.

Key Responsibilities

Strategic Financial Leadership

• Define and execute the financial strategy for RCM across US Oncology, aligning with enterprise goals and operational priorities.

• Partner with senior leadership to set RCM technology and operational strategy, integrating financial insights into decision-making.

• Lead transformation initiatives that improve financial transparency, forecast accuracy, and cost-to-collect efficiency

• Translate complex RCM data across operations and accounting to deliver succinct explanations on key drivers to our business partners.

RBO Controllership Team

• Lead RBO controllership team with the financial planning, reporting, budgeting, and forecasting for regional business offices and headquarters revenue cycle expenses.

• Interface with practices to articulate RBO financial performance, including cost allocations, metrics, and risk/opportunity analysis.

• Support business case development and process improvement initiatives.

AR and Revenue Accounting Team

• Govern AR and revenue recognition processes, ensuring compliance with SOX and internal controls.

• Standardize reconciliation and journal entry processes across practices.

• Manage the iReserve process and deliver analytics on revenue and discount adjustments.

• Oversee onboarding/offboarding accounting activities for practices.

RCM FP&A

• Drive analytics across AR aging, collection rates, bad debt, and payer adjustments.

• Develop and enhance financial models and reports to identify trends and support strategic decisions.

• Champion automation and digital transformation initiatives.

Cross-Functional Collaboration

• Build strong partnerships with RCM, Finance, Operations, Managed Care, and IT teams.

• Synthesize complex financial and operational data into actionable insights for physicians and executives.

• Ensure alignment across functions to support enterprise-first decision-making.

Talent Development & Leadership

• Lead and mentor a high-performing team across three functional areas.

• Foster a culture of continuous learning, innovation, and transformation.

• Model McKesson's I2CARE and ILEAD principles to build bench strength and organizational capability

Minimum Requirement

Typically requires 13+ years of professional experience and 6+ years of diversified leadership, planning, communication, organization, and people motivation skills (or equivalent experience).

Education

Bachelor's degree required; advanced degree (MBA, MS, or similar) in finance, analytics, or related field preferred.

Critical Skills

• Experience: 13+ years of progressive experience in FP&A, financial modeling, or analytics, with a demonstrated track record of leading complex forecasting and budgeting initiatives in a large, matrixed organization and 6+ years of diversified leadership, planning, communication, organization, and people motivation skills (or equivalent experience)

• Technical Skills: Deep expertise in advanced analytics, statistical modeling, and AI/ML applications for forecasting. Mastery of Excel, Power BI/Tableau, and financial systems (e.g., SAP, Oracle, Hyperion).

• Leadership: Recognized as an in-house expert and lead contributor; experience mentoring others and leading large-scale projects.

Business Experience

• Direct experience leading change and business / process transformation in a large complex public company.

• Experience leading large, diverse teams in a Global Fortune 100 company setting.

• Effective communication skills including ability to present to Senior/ Executive Leadership.

• Demonstrated ability to develop strong partnerships with facets of the organization to develop and execute plans, leveraging various teams across the organization.

• Excellent team building skills, strategic critical thinking skills, strong project and resource management skills, analytical and conceptual thinking skills.

• Thorough knowledge and understanding of accounting principles and internal control environments.

Specialized Knowledge/Skills

• Strong knowledge of RCM operations and revenue accounting.

• Excellent communication and people skills, with the ability to engage and influence technical teams, business leaders, and external partners.

• Strategic thinker with a strong analytical mindset and problem-solving abilities.

• Proven record of overseeing a portfolio of multiple projects and experience leading large scale global transformation program at a company with global footprint.

• Comfortable with change, especially that which arises through transformation. Able to lead a team effectively through times of change.

• Positive and flexible attitude to enable adjusting to different needs in an ever-changing environment.

• Strong leadership, organizational and interpersonal skills; comfortable managing trade-offs.

• Ability to lead others without direct authority.

• Highly influential and ability to educate stakeholders on the role of data and its purpose in the business.

• Teams up and collaborates for speed, agility, delivery excellence and innovation.

• Strong negotiation and decision-making skills.

Salary: 154,700.00 - 206,300.00 - 257,900.00 USD Annual (25% MIP)

M5

We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, pleaseclick here.

Our Base Pay Range for this position

McKesson is an Equal Opportunity Employer

McKesson provides equal employment opportunities to applicants and employees and is committed to a diverse and inclusive environment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age or genetic information. For additional information on McKesson's full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.

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