Senior Director, Revenue Cycle Management

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The Senior Director is a strategic leader responsible for overseeing all revenue cycle business operations for an assigned region within The US Oncology Network (USON). This includes leadership of a Regional Business Office (RBO) that supports multiple practices across a multi-state, multi-site environment. The role drives operational excellence in billing, cash collections, accounts receivable management, bad-debt reduction, and cash application, while navigating a complex, multi-level leadership structure. Additionally, this leader provides consultative support to practices transitioning to the RBO model, ensuring alignment with Network standards and measurable outcomes.

Key Responsibilities

Performance Improvement & Operational Leadership

• Develop and execute regional initiatives to improve critical revenue cycle metrics, including timely and accurate billing, high-volume cash collections, AR reduction, bad-debt mitigation, and cash application.
• Ensure compliance with standardized policies, procedures, and work instructions aligned with legal, regulatory, and Network requirements.
• Monitor financial, operational, and quality indicators; identify and close performance gaps.
• Partner with practice operations, RBO teams, and physician leadership to resolve revenue cycle challenges.
• Provide leadership to RBO teams and serve as interim practice revenue cycle leader when needed.
• Participate in Joint Policy Board discussions and influence practice leadership to align with Network RCM strategy.
• Identify workflow gaps and support practice management system implementations; act as a change agent across practices and RBO teams.

Budget & Financial Accountability

• Set objectives and budgets for RBO leaders (directors, account managers, analytics/training teams).
• Own regional budget and P&L; manage Cost to Collect for practices.

People Leadership

• Mentor and develop first- and second-line managers; conduct performance reviews using multi-source feedback.
• Lead hiring, coaching, and team development to ensure optimal staffing and productivity.
• Drive employee engagement and maintain above-network average engagement scores.

Minimum Requirements

• Bachelor’s degree or equivalent experience.
• 13+ years of professional experience, including 6+ years in diversified leadership roles with strong planning, communication, and organizational skills.

Must-Have Qualifications

• 5+ years of revenue cycle operations experience in healthcare.
• 5–10 years of overall operations leadership experience.
• 2–5 years of direct P&L accountability.
• 2+ years managing leaders (managers/supervisors).
• Proficiency with practice management and clinical systems; ability to define data requirements and interpret dashboards.
• Exceptional communication skills across all levels, including physicians, Network leadership, and front-line teams.

Preferred Qualifications

• Master’s degree in Business, Healthcare Administration, or related field.
• Lean/Six Sigma certification (Green/Black Belt) with experience deploying process improvement tools.
• Experience leading multi-state, multi-site revenue cycle operations in oncology or specialty care.
• Strong writing and presentation skills for executive briefings and physician forums.

Working Conditions

• Travel up to 20% within assigned region (and occasionally across Network sites).

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 McK