Sr. Director, Practice Management Accounting Operations

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Position Summary

The Sr. Director, Practice Management AccountingOperationsis responsible forproviding strategic leadership and operational oversight for core accounting activities supporting The US Oncology Network (USON). This role ensuresaccurate,timely, and compliant financial close, balance sheet integrity, and standardized accounting processes across a complex, distributed practice environment.

The Sr. Director partners closely with Finance Systems, Controllers, FP&A, Internal Audit, and business leadership to drive strong governance, scalable processes, and continuous improvement across Practice Management Accounting.

About the role (What You'll Do!)

Operational Accounting Oversight

• Provide leadership and oversight for core month-end close activities, including journal entry governance, balance sheet reconciliations, and account substantiation.

• Ensure consistent application of accounting policies and procedures across all supported practices.

• Establish and maintain standardized close calendars, checklists, and documentation standards to support timely close and audit readiness.

• Serve as an escalation point for complex accounting matters, balance sheet discrepancies, and unusual or nonroutine transactions.

People Leadership and Development

• Lead, mentor, and develop a team of accounting directors, managers, and senior accounting professionals.

• Establish clear performance expectations and provide ongoing coaching and feedback.

• Build organizational capability through training, knowledge sharing, and succession planning.

• Foster a culture of accountability, collaboration, and continuous improvement across geographically dispersed teams.

Systems, Process Standardization, and Enablement

• Act as a key business leader for accounting systems and process enablement initiatives, partnering closely with Finance Systems.

• Drive standardization of recurring manual journal entries, reconciliations, and balance sheet reporting across practices.

• Support data integrity, system tieouts, and resolution of systemrelated accounting issues.

• Champion process simplification, automation, and scalable solutions to support growth and operational efficiency.

Governance, Controls, and Compliance

• Design, implement, and maintain effective internal controls in alignment with SOX requirements and McKesson control standards.

• Partner with Internal Audit and External Audit to support walkthroughs, testing, issue remediation, and audit requests.

• Ensure accounting processes are welldocumented, consistently executed, and supported by appropriate evidentiary documentation.

• Proactively identify control gaps, operational risks, and opportunities to strengthen the control environment.

CrossFunctional Partnership and Communication

• Serve as a primary liaison between Practice Management Accounting, Controllers, FP&A, Revenue Cycle, Treasury, and Finance Systems.

• Communicate accounting risks, trends, and key insights to senior finance leadership.

• Support enterprise initiatives impacting accounting operations, governance, or financial reporting quality.

Risk Management and Issue Resolution

• Identify and resolve complex accounting and operational issues impacting balance sheet integrity and close performance.

• Provide leadership judgment on nonstandard transactions and emerging accounting issues, ensuring alignment with U.S. GAAP and McKesson policy.

Minimum Requirement

Degree or equivalent experience. Typically requires 13+ years of professional experience and 6+ years of diversified leadership, planning, communication, organization, and people motivation skills (or equivalent experience).

Education

Bachelor's degree in Accounting or Finance.

CPA or equivalent professional certification preferred

Critical Skills

• 13+ years of progressive accounting experience, including leadership of operational accounting teams.

• Strong knowledge of US GAAP, internal controls, and SOX compliance.

• Experience supporting complex, multi-entity environments.

• Experience in healthcare, shared services, or large enterprise environments.

• Hands-on experience with ERP systems (e.g., PeopleSoft) and account reconciliation tools (e.g.,BlackLine).

• Demonstrated success leading process standardization and operational improvement initiatives.

• Experience supporting internal and external audits in a SOX-regulated environment.

Additional Knowledge & Skills

• Operational excellence and attention to detail

• Strong judgment and risk awareness

• Ability to lead through complexity and change

• Executive-level communication and influence

• Commitment to compliance, accountability, and continuous improvement

Salary: 157,500.00 - 210,000.00 - 262,500.00 USD Annual with 25% MIP

M5

Working Conditions

• General office demands.

• Must have the ability to travel up to 15% of the time.

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 McKesson, pleaseclick here.

Our Base Pay Range for this position

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