Senior Director, Revenue Cycle Management (RCM) Finance

The Senior Director, RCM Finance is 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.

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

• Typically requires 13+ years of professional experience and 6+ years of diversified leadership, planning, communication, organization, and people motivation skills (or equivalent experience).
• Bachelor’s degree required; advanced degree (MBA, MS, or similar) in finance, analytics, or related field preferred.

• 401k matching
• Health insurance
• Flight privileges
• Long-term incentive opportunities
• Annual bonus
• MIP (Management Incentive Plan)

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.