Sr Director, Revenue Cycle Management

McKesson’s Corporate; Northern (KY); Hybrid; USD 180,000 - 270,000; Full time

Job summary

Sarah Cannon Research Institute (SCRI), a McKesson subsidiary, seeks a Senior Director of Revenue Cycle Management to lead enterprise-wide revenue cycle operations across SMO and CRO. This remote U.S.-based role reports to senior leadership and guides budgeting, contracts, study startup, billing, and collections while ensuring compliance and financial performance across the network.

The role requires strategic leadership, strong governance, and a track record in healthcare or clinical research

Qualifications

• Bachelor’s degree required; Master’s degree strongly preferred.
• Minimum 1 year of Director-level experience with direct people leadership responsibilities.
• Minimum 5 years of experience in revenue cycle, receivables, finance, or a related discipline, including at least 3 years within healthcare or clinical research.
• Seven or more years of progressive leadership experience preferred, including experience leading managers and/or directors.
• Clinical research industry experience strongly preferred, particularly within both SMO and CRO environments.
• Working knowledge of clinical trial budgets, site contracts, coverage analysis, Medicare Clinical Trial Policy, and research billing compliance requirements preferred.
• Strong understanding of accounting principles, financial systems, reporting, and revenue cycle operations.
• Knowledge of emerging trends in clinical research, healthcare finance, and revenue cycle management.

Responsibilities

• Define and execute SCRI’s revenue cycle strategy across SMO and CRO operations, aligning departmental goals with enterprise financial objectives.
• Lead, develop, and retain a multi-level organization, including direct oversight of the Director of Revenue Cycle and dotted-line leadership of the Director of Budgets & Contracts.
• Drive integration between budgets, contracts, study startup, billing, invoicing, collections, and revenue recognition to create a streamlined end-to-end revenue cycle.
• Prioritize resources, technology investments, and process improvement initiatives that improve compliance, cash flow, profitability, and operational efficiency.
• Establish and maintain scalable processes, controls, and documentation that optimize revenue cycle performance and billing compliance.
• Ensure compliance with clinical research billing requirements, coverage analyses, contract terms, accounting standards, and applicable regulatory requirements.
• Partner with Finance, Operations, Legal, and Executive Leadership to evaluate financial performance across studies, sponsors, projects, and business units, and drive resulting action plans.
• Lead monthly operating reviews and executive reporting on key metrics, including accounts receivable, days sales outstanding (DSO), unbilled revenue, aged balances, write-offs, and cycle times.
• Serve as a strategic advisor on revenue cycle best practices, operational improvements, and growth initiatives.
• Perform other duties as assigned.

Skills

Revenue cycle leadership

Healthcare finance

Executive communication

Budgeting

Project management

Education

Bachelor’s degree

Master’s degree

Job description

It’s More Than a Career, It’s a Mission. Our people are the foundation of our success. By joining our growing team at Sarah Cannon Research Institute (SCRI), a subsidiary of McKesson, you will have the opportunity to become part of one of the largest community-based cancer programs to advance oncology treatments and improve outcomes for cancer patients across the globe. We look for mission-driven candidates who have a desire to advance the fight against cancer and make a difference in the lives of patients diagnosed with cancer every day. Our Mission People who live with cancer – those who work to prevent it, fight it, and survive it – are at the heart of every decision we make. Bringing the most innovative medical minds together with the most passionate caregivers in their communities, we are transforming care and personalizing treatment. Through clinical excellence and cutting-edge research, SCRI is redefining cancer care around the world.

The Senior Director, Revenue Cycle Management provides enterprise-wide leadership for Sarah Cannon Research Institute's (SCRI) revenue cycle operations across both the Site Management Organization (SMO) and Contract Research Organization (CRO). This role oversees the full research revenue cycle, from budget and contract development through study startup, billing compliance, invoicing, collections, and revenue realization. Reporting to this role are the Director of Revenue Cycle and, through a dotted-line relationship, the Director of Budgets & Contracts (SMO), ensuring seamless alignment between upstream contracting activities and downstream revenue cycle execution. The Senior Director is responsible for driving operational excellence, compliance, standardization, process efficiency, and financial performance across the network. This is a remote U.S.-based position. Preference will be given to candidates in the greater Nashville, TN area. Relocation assistance and visa sponsorship are not available.

What You’ll Do

• Define and execute SCRI’s revenue cycle strategy across SMO and CRO operations, aligning departmental goals with enterprise financial objectives.
• Lead, develop, and retain a multi-level organization, including direct oversight of the Director of Revenue Cycle and dotted-line leadership of the Director of Budgets & Contracts.
• Drive integration between budgets, contracts, study startup, billing, invoicing, collections, and revenue recognition to create a streamlined end-to-end revenue cycle.
• Prioritize resources, technology investments, and process improvement initiatives that improve compliance, cash flow, profitability, and operational efficiency.
• Establish and maintain scalable processes, controls, and documentation that optimize revenue cycle performance and billing compliance.
• Ensure compliance with clinical research billing requirements, coverage analyses, contract terms, accounting standards, and applicable regulatory requirements.
• Partner with Finance, Operations, Legal, and Executive Leadership to evaluate financial performance across studies, sponsors, projects, and business units, and drive resulting action plans.
• Lead monthly operating reviews and executive reporting on key metrics, including accounts receivable, days sales outstanding (DSO), unbilled revenue, aged balances, write-offs, and cycle times.
• Serve as a strategic advisor on revenue cycle best practices, operational improvements, and growth initiatives.
• Perform other duties as assigned.

Qualifications for Success

Bachelor’s degree required; Master’s degree strongly preferred.

• Minimum 1 year of Director-level experience with direct people leadership responsibilities.
• Minimum 5 years of experience in revenue cycle, receivables, finance, or a related discipline, including at least 3 years within healthcare or clinical research.
• Seven or more years of progressive leadership experience preferred, including experience leading managers and/or directors.
• Clinical research industry experience strongly preferred, particularly within both SMO and CRO environments.
• Working knowledge of clinical trial budgets, site contracts, coverage analysis, Medicare Clinical Trial Policy, and research billing compliance requirements preferred.
• Strong understanding of accounting principles, financial systems, reporting, and revenue cycle operations.
• Knowledge of emerging trends in clinical research, healthcare finance, and revenue cycle management.

Preferred Qualifications

• CRCR, HFMA, CPA, or similar healthcare finance or research administration credential preferred.
• Proven ability to build, develop, and lead high-performing teams while driving accountability and results.
• Strong prioritization and execution skills in a complex, fast-paced environment.
• Excellent communication and executive presentation skills, with the ability to translate complex data into actionable insights.
• Demonstrated negotiation, influencing, and relationship-building capabilities with internal and external stakeholders.
• Advanced analytical skills, including experience developing data models, dashboards, and performance metrics to drive decision‑making.

Why You’ll Succeed

You are a strategic, data‑driven leader who excels at building high‑performing teams, optimizing complex processes, and delivering measurable financial results. You bring deep revenue cycle expertise, a passion for operational excellence, and the ability to align stakeholders around shared goals that drive compliance, cash performance, and organizational growth.

About Sarah Cannon Research Institute

Sarah Cannon Research Institute (SCRI) is one of the world’s leading oncology research organizations conducting community‑based clinical trials. Focused on advancing therapies for patients over the last three decades, SCRI is a leader in drug development. In 2022, SCRI formed a joint venture with former US Oncology Research to expand clinical trial access across the country. It has conducted more than 850 first‑in‑human clinical trials since its inception and contributed to pivotal research that has led to the majority of new cancer therapies approved by the FDA in the past decade. SCRI’s research network brings together more than 1,300 physicians who are enrolling patients into clinical trials at more than 200 locations in 20+ states across the U.S.

That’s why we have a Total Rewards package that includes comprehensive benefits to support physical, mental, and financial well‑being. Our Total Rewards offerings serve the different needs of our diverse colleague population and ensure they are the healthiest versions of themselves.

We are an Equal Opportunity Employer

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

McKesson

We deliver careers with purpose and potential. Our focus on better health starts with creating an inclusive environment with strong values where you can build a fulfilling career. We work to distribute medical supplies, bandages, syringes, vials of flu vaccine, and pharmaceutical drugs to help real patients like Jack, an eight‑year‑old boy battling cancer. We take that job seriously. Together, the work we do is shaping the future of healthcare.