Director, Revenue Cycle FP&A

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The Director, Revenue Cycle Management FP&A provides strategic and hands-on financial leadership for The US Oncology Network’s Revenue Cycle Management organization. Reporting to the Senior Director, Revenue Cycle Management Finance, this role defines the RCM FP&A agenda and directly develops and leads the analyses, models, forecasts, reporting, and executive materials required to advance priority work across transformation economics, cash and working capital, revenue and reserve performance, and practice-level financial outcomes.
The Director serves as the senior FP&A partner to Revenue Cycle Operations, Finance, Accounting, practice leadership, and senior executives while remaining actively engaged in execution. The role develops and reviews detailed financial models, performs and guides variance investigation, prepares decision-ready materials, and resolves ambiguous financial questions while setting governance, integrating priorities, and directing cross-functional workstreams. The Director manages the Senior Manager, Revenue Cycle Management FP&A and establishes priorities, review standards, coaching, and scalable ways of working for the function.
Key Responsibilities
Strategic FP&A Leadership and Business Partnership
Define and direct the RCM financial planning, forecasting, and performance-management strategy, with direct ownership and execution of high-priority or highly complex forecasts, models, analyses, and deliverables.
Advise RCM Operations and Finance executives on choices, risks, opportunities, tradeoffs, and recommended actions; influence decisions across organizational boundaries.
Build and maintain an integrated performance framework that connects financial, operational, and practice outcomes and creates transparent executive accountability.
Revenue Cycle Performance, Cash, and Working Capital
Analyze and lead the executive interpretation of revenue, collections, cash flow, accounts receivable aging, denials, bad debt, contractual discounts, reserves, and cost-to-collect drivers, personally working through complex or material topics.
Build, guide, and challenge practice-level and enterprise scenario analyses that connect operational performance to cash, revenue, expense, and Adjusted Operating Profit outcomes.
Set standards with Accounting, Controllership, RCM analytics, and practice finance for assumptions, definitions, controls, escalation thresholds, and management reporting.
Transformation, Investment, and Value Realization
Develop and lead complex business cases and scenario models for RCM transformation programs and direct the associated financial strategy, investment requirements, benefit sizing, portfolio prioritization, performance tracking, and value realization.
Provide senior financial leadership for billing-platform transitions, process redesign, automation, AI-enabled initiatives, and other strategic programs, resolving tradeoffs and escalating material risks.
Establish decision-oriented scorecards and governance routines that connect initiative execution to revenue cycle, working-capital, cost, and practice outcomes.
Planning, Reporting, and Executive Communication
Lead annual planning, periodic forecasting, long-range planning, and executive business reviews for the RCM function, personally developing key analyses and resource and investment allocation recommendations.
Create, review, and deliver concise executive presentations, financial models, and written commentary that explain performance, emerging risk, and recommended action.
Set the roadmap and standards for reporting, dashboarding, data governance, model documentation, automation, and self-service capabilities across RCM Finance.
Close, Controls, and Financial Governance
Provide senior FP&A oversight and work directly on material month-end close topics, including revenue-cycle trends, accruals, reserve positions, reconciliations, variances, risk escalation, and forward-looking implications.
Partner with Accounting and Controllership to improve reconciliation, documentation, controls, issue resolution, and visibility into practice-level impacts.
Promote disciplined assumptions, review standards, version control, and traceability in financial models and management reporting.
People Leadership and Organizational Effectiveness
Lead, coach, and develop the Senior Manager, Revenue Cycle Management FP&A, setting clear priorities and expectations while expanding business, technical, leadership, and executive-communication capabilities.
Balance substantial direct execution with effective delegation, stepping into urgent or highly complex work while allocating responsibilities, elevating risks early, and creating capacity through standardization, automation, and stakeholder alignment.
Foster a collaborative, inclusive, accountable culture that models McKesson leadership behaviors and supports thoughtful challenge and continuous learning.
General Responsibilities
Cultivate and maintain an inclusive culture that encourages healthy debate, diverse perspectives, and shared accountability.
Build strong relationships across RCM Operations, Finance, Accounting, Information Technology, data and analytics teams, practice leaders, and external partners as applicable.
Drive operational maturity through standard processes, automation, self-service reporting, clear governance, and enterprise-oriented solutions.
Operate effectively as a player-coach in a fast-paced environment, balancing strategic leadership with meaningful hands-on delivery across close, forecasting, modeling, reporting, and executive decision support.
Ensure work products are accurate, well controlled, concise, and delivered with appropriate context for the intended audience.
Minimum Requirement
Degree and typically requires 12+ years of professional experience and 4+ years of management experience.
Education
Bachelor’s degree in Finance, Accounting, Business, Economics, or a related field, or equivalent related experience.
MBA, CPA, CMA, or other relevant advanced credential preferred.
Critical Skills
Typically 12+ years of progressive finance, FP&A, accounting, or related analytical experience, including 4+ years of management responsibility.
Demonstrated experience leading planning, forecasting, performance reporting, financial modeling, and executive decision support in a complex organization.
Experience partnering with senior business and finance leaders across multiple functions and influencing outcomes without relying solely on formal authority.
Experience with healthcare services, revenue cycle management, provider economics, accounts receivable, revenue and reserve analytics, or practice finance strongly preferred.
Experience leading transformation business cases, investment analysis, financial governance, and performance tracking preferred.
Additional Skills
Strategic and analytical thinking combined with the ability and willingness to work directly in detailed data, financial models, reporting tools, and executive materials.
Advanced hands-on financial modeling, scenario analysis, forecasting, variance investigation, and performance-management capabilities, with the ability to build, review, and challenge complex work.
Strong understanding of income statement, balance sheet, cash flow, revenue, reserves, and working-capital drivers.
Executive communication and presence, including concise storytelling through presentations, written commentary, and data visualization.
People leadership, coaching, prioritization, delegation, and talent development.
Cross-functional partnership, change leadership, conflict resolution, and stakeholder alignment.
Digital fluency and a continuous-improvement mindset, including scalable reporting, dashboarding, automation, and responsible use of AI-enabled tools.
Strong judgment, attention to detail, ownership, adaptability, and comfort operating through ambiguity.
Systems and Tools
Advanced Microsoft Excel and PowerPoint skills required.
Experience with enterprise planning, ERP, business intelligence, and data platforms such as Essbase, SAP, Power BI, Tableau, or comparable tools preferred.
Director (M4) Leadership Expectations
Provide strategic leadership across related disciplines while remaining directly engaged in critical analyses and deliverables needed to achieve measurable outcomes.
Lead complex cross-functional portfolios, establish governance and decision rights, deploy resources, and resolve competing priorities, risks, and conflicts.