Sr. Manager Revenue Cycle Management (RCM) FP&A

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.

The Senior Manager, RCM FP&A is a high-impact individual contributor role focused on financial planning and analysis for RCM operations across the US Oncology Network. Supporting over $14B in revenue and $3B in AR, this role delivers deep financial insights into AR aging, collection rates, bad debt, and payer adjustments. It partners with regional business offices and headquarters-level functions to drive performance improvements and mitigate financial risks.

The Senior Manager serves as a strategic advisor to leadership, synthesizing complex financial data into digestible formats for physicians and executives. This role leads budgeting and forecasting efforts, develops financial models, and champions automation and digital transformation initiatives to enhance transparency and forecast accuracy.

Key Responsibilities

Reporting and Analysis

• Identifies trends in key metrics including but not limited to AR aging, collection rates, contractual adjustments, bad debt write-offs, and denial writeoffs at a network and practice level.  

• Creates new reports and enhance existing reports across RCM operations, Finance, Accounting, and Managed Care to identify and communicate key drivers at a practice and system level.

• Manage financial reporting and ledger activities through PeopleSoft and Essbase, including cube-based analytics.

• Perform payer and contractual adjustment analytics.

• Champion automation and digital transformation initiatives across RCM finance.

Practice Engagement and Strategic Partnership

• Develop partnerships with RCM, Managed Care, Operations, and Finance teams to collaborate and develop practice specific Payer and RCM strategies to improve performance and mitigate risks.

• Proactively identify key metrics that are leading indicators of future financial risk.

• Influence RCM team to address potential issues before they escalate. 

Communication & Presentations

• Support RCM, Finance, and Operations leadership with RCM with Network and practice presentations pertaining to performance, risks, opportunities, and action plans. 

• Synthesize complex RCM detail across operations and accounting into a digestible format with succinct explanations for physicians.

Budgeting and Forecasting

• Lead budgeting and forecasting for bad debt rates, cash collections, and AR aging.  

• Lead initiatives to improve forecast accuracy and financial transparency.

• Develop and maintain financial models to support decision-making and performance optimization

• Support ad-hoc projects as needed.

Minimum Requirement

Degree and typically requires 10+ years of relevant experience. Less years required if has relevant Master’s or Doctorate qualifications.

Education

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

Critical Skills

• Experience: 10+ 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.

• 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 fa