Senior Director, Revenue Cycle Finance

McKesson Corporation; Irving (TX); Hybrid; USD 161,000 - 268,000; Full time

Job summary

McKesson Corporation is seeking the Senior Director, Revenue Cycle Management Finance to lead FP&A, Revenue Accounting, and a Balance Sheet Reconciliations function for The US Oncology Network. This executive will integrate planning, controllership, working capital, and analytics to improve financial outcomes and confidence in reported results.

The role partners with Operations, practices, Finance, and Technology to deliver strategic insights, governance, and performance improvements across

Qualifications

• 13+ years of progressive experience in finance, accounting, FP&A, controllership, revenue cycle, or related discipline.
• At least 6 years of people leadership experience, including demonstrated success leading leaders.
• Experience leading complex transformation, financial governance, and executive decision-support work.
• Healthcare services, physician practice management, revenue cycle, or shared-services experience is preferred.
• Experience building or scaling a finance, accounting, reconciliation, controllership, or governance function is preferred.

Responsibilities

• Lead planning, forecasting, long-range outlooks, performance reporting, and executive decision support for Revenue Cycle Management.
• Connect operational drivers to cash, expense, bad debt, and Adjusted Operating Profit outcomes and recommend actions to senior leaders.
• Build a standing, network-wide partnership model across Operations, practices, Finance, Accounting, and Controllership.
• Lead analysis of cash collections, accounts receivable aging, collectability, denials, bad debt, reserve exposure, and recovery performance.
• Guide cash forecasting and scenario modeling, including aging transitions, practice impacts, and recovery plans following disruption.
• Establish performance measures and escalation routines for working capital and revenue-cycle outcomes.
• Provide strategic oversight of Revenue Accounting, including iReserve, contractual discount methodologies, reserve analytics, revenue recognition support, monthly close, and reporting.
• Resolve complex revenue and reserve matters with Accounting and Controllership and strengthen assumption governance and transparency.
• Oversee Revenue Cycle SOX controls, documentation, remediation, and audit readiness.
• Stand up and manage a new Director-led Balance Sheet Reconciliations function to centralize and strengthen accounts receivable and cash-clearing reconciliations.
• Define service scope, staffing, standard work, documentation, quality criteria, governance, escalation protocols, and performance metrics.
• Drive resolution of reconciling items, aged balances, ownership gaps, and control deficiencies while expanding Controller support.
• Lead finance support for operating-model redesign, technology modernization, billing-system transitions, automation, and AI-enabled workflow initiatives.
• Develop business cases, value-driver models, implementation economics, and benefits tracking from concept through sustained performance.
• Translate financial targets into executable plans and transparent outcome reporting with Operations and Technology.
• Advance analytics, data governance, modeling, reporting, and decision-support capabilities across the Network.
• Standardize and automate recurring analyses, improve data quality and traceability, and create scalable self-service capabilities.
• Communicate decision-oriented insights, forward-looking risks, and required actions.
• Lead, coach, and develop three Director-level leaders and their teams with clear accountability and succession plans.
• Build an inclusive, high-performing organization across FP&A, accounting, controllership, analytics, and transformation.
• Lead scenario analysis and executive support during operational disruptions, system outages, and critical enterprise issues.
• Cultivate a diverse and inclusive culture that encourages thoughtful challenge and healthy debate.
• Build strong relationships across Operations, practices, Finance, Accounting, Controllership, Technology, Compliance, and Internal Audit.
• Develop high-performing teams while role-modeling ICARE and LEADRx behaviors.
• Drive operational maturity through standardization, automation, AI-enabled capabilities, and enterprise solutions.
• Deliver accurate, timely, well-controlled work in a high-pressure environment.

Skills

Finance leadership

FP&A

Revenue cycle

Strategic planning

Executive communication

Data analytics

Education

Bachelor's degree in Finance or related field

MBA/CPA/CFA preferred

Job description

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care.

What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow's health today, we want to hear from you.

USON Overview

The US Oncology Network is a leader in community-based oncology care, bringing together independent oncology providers to deliver connected care in local communities. The Network manages practice business operations, including billing, non-medical personnel, facilities management, technology, and payer contracting, enabling practices to remain independent while benefiting from shared expertise, coordinated resources, and the support of McKesson. By enhancing operational efficiency and providing tools that support practice growth and innovation, The Network enables providers to focus on what matters most: their patients.

Role Overview

The Senior Director, Revenue Cycle Management Finance is the senior finance leader for The US Oncology Network's Revenue Cycle Management organization and a member of the US Oncology Network FP&A leadership team. The role leads Revenue Cycle Management FP&A, Revenue Accounting, and a newly established Balance Sheet Reconciliations function through three Director-level leaders. This leader integrates planning, revenue accounting, controllership, working capital, transformation finance, analytics, and practice support to improve financial outcomes and confidence in reported results.

Key Responsibilities

Revenue Cycle Financial Strategy, Performance & Executive Partnership

• Lead planning, forecasting, long-range outlooks, performance reporting, and executive decision support for Revenue Cycle Management.
• Connect operational drivers to cash, expense, bad debt, and Adjusted Operating Profit outcomes and recommend actions to senior leaders.
• Build a standing, network-wide partnership model across Operations, practices, Finance, Accounting, and Controllership.

Working Capital, Cash Flow & Accounts Receivable Stewardship

• Lead analysis of cash collections, accounts receivable aging, collectability, denials, bad debt, reserve exposure, and recovery performance.
• Guide cash forecasting and scenario modeling, including aging transitions, practice impacts, and recovery plans following disruption.
• Establish performance measures and escalation routines for working capital and revenue-cycle outcomes.

Revenue Accounting, iReserve & Reporting Governance

• Provide strategic oversight of Revenue Accounting, including iReserve, contractual discount methodologies, reserve analytics, revenue recognition support, monthly close, and reporting.
• Resolve complex revenue and reserve matters with Accounting and Controllership and strengthen assumption governance and transparency.
• Oversee Revenue Cycle SOX controls, documentation, remediation, and audit readiness.

Balance Sheet Reconciliations Function Build & Management

• Stand up and manage a new Director-led Balance Sheet Reconciliations function to centralize and strengthen accounts receivable and cash-clearing reconciliations.
• Define service scope, staffing, standard work, documentation, quality criteria, governance, escalation protocols, and performance metrics.
• Drive resolution of reconciling items, aged balances, ownership gaps, and control deficiencies while expanding Controller support.

Transformation, Technology & Value Realization

• Lead finance support for operating-model redesign, technology modernization, billing-system transitions, automation, and AI-enabled workflow initiatives.
• Develop business cases, value-driver models, implementation economics, and benefits tracking from concept through sustained performance.
• Translate financial targets into executable plans and transparent outcome reporting with Operations and Technology.

Data, Analytics & Scalable Reporting

• Advance analytics, data governance, modeling, reporting, and decision-support capabilities across the Network.
• Standardize and automate recurring analyses, improve data quality and traceability, and create scalable self-service capabilities.
• Communicate decision-oriented insights, forward-looking risks, and required actions.

Organizational Leadership, Talent & Business Continuity

• Lead, coach, and develop three Director-level leaders and their teams with clear accountability and succession plans.
• Build an inclusive, high-performing organization across FP&A, accounting, controllership, analytics, and transformation.
• Lead scenario analysis and executive support during operational disruptions, system outages, and critical enterprise issues.

General Responsibilities

• Cultivate a diverse and inclusive culture that encourages thoughtful challenge and healthy debate.
• Build strong relationships across Operations, practices, Finance, Accounting, Controllership, Technology, Compliance, and Internal Audit.
• Develop high-performing teams while role-modeling ICARE and LEADRx behaviors.
• Drive operational maturity through standardization, automation, AI-enabled capabilities, and enterprise solutions.
• Deliver accurate, timely, well-controlled work in a high-pressure environment.

Minimum Requirement

Degree and 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 in Finance, Accounting, Economics, Business, or a related field, or equivalent experience. MBA, CPA, CFA, or similar credential is preferred.

Critical Skills

• 13+ years of progressive experience in finance, accounting, FP&A, controllership, revenue cycle, consulting, or a related discipline.
• At least 6 years of people leadership experience, including demonstrated success leading leaders.
• Experience leading complex transformation, financial governance, and executive decision-support work.
• Healthcare services, physician practice management, revenue cycle, or shared-services experience is preferred.
• Experience building or scaling a finance, accounting, reconciliation, controllership, or governance function is preferred.

Additional Skills

• Digital Transformation & Process Design
• Decision Intelligence & Executive Storytelling
• Revenue Cycle, Working Capital & Accounting Acumen
• Business Partnership & Cross-Functional Influence
• Organizational Leadership & Talent Development
• Financial Governance, Controls & Risk Management
• Change Leadership & Growth Mindset
• Human + AI Workforce Collaboration
• Entrepreneurial Ownership & Continuous Improvement

Salary: 161,000.00 - 214,700.00 - 268,400.00 USD Annual with 25% MIP

M5

Working Conditions

Environment

Traditional office environment with travel up to 10%.

Physical Requirements

A large percentage of time performing computer-based work is required.

This role is a hybrid position. The selected candidate is expected to work on-site at our Las Colinas office a minimum of two (2) days per week, with the remaining days worked remotely. Specific in-office days may be designated based on team needs and business priorities.

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

$161,000 - $268,400

McKesson is an Equal Opportunity Employer

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

McKesson is committed to being an Equal Employment Opportunity Employer and offers opportunities to all job seekers including job seekers with disabilities. If you need a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to (United States) [e-mail] or (Canada) [e-mail]. Resumes or CVs submitted to this email box will not be accepted.

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