The SAP Program Lead is accountable for the end-to-end leadership of a large-scale SAP transformation program, from pre-initiation through delivery and stabilization, within a healthcare provider environment, with specialization in Managed Services Organization (MSO) operating models.

This role owns the development of the business case, definition of scope and roadmap, program governance, financial stewardship, and partner selection, ensuring the program delivers measurable business outcomes aligned with enterprise strategy.

The Program Lead serves as the single point of accountability across business, technology, and external partners, driving disciplined execution, stakeholder alignment, and value realization in a highly regulated healthcare environment.

Key Responsibilities:

Strategy, Business Case & Pre-Initiation

• Lead development of a board-ready SAP business case, including:

  • Value drivers, KPIs, and benefit realization model

  • Total cost of ownership (TCO) and multi-year financial projections

  • Investment phasing and ROI (NPV, payback)

• Align executive stakeholders (Finance, Operations, Clinical, IT) on strategic objectives, scope, and success criteria

• Define target operating model for MSO / provider environment:

  • Integration with Practice Management (PM) and Revenue Cycle Management (RCM) systems

  • Provider-side accounting and specialty workflows

• Establish program vision, guiding principles, and transformation roadmap

Scope, Timeline & Program Planning

• Define end-to-end program scope, including:

  • Core SAP S/4 capabilities

  • Integration landscape (PM, RCM, third-party systems)

  • Data, analytics, and compliance requirements

• Develop and manage the integrated program plan, including:

  • Timeline, milestones, and critical path

  • Cross-workstream dependencies (functional, technical, data, testing)

• Ensure program structure supports Design → Build → Test → Deploy lifecycle execution

Partner & Vendor Selection (SI / Advisory)

• Lead system integrator (SI) selection process, including:

  • RFP/RFI development and execution

  • Evaluation criteria (industry expertise, delivery model, cost, innovation)

  • Executive presentations and final recommendation

• Define and negotiate SOW, commercial model, and governance framework

• Establish performance KPIs and accountability mechanisms for partners

Financial Management & Budget Ownership

• Own full program financial lifecycle, including:

  • Budget creation (labor, SI, technology, infrastructure, run costs)

  • Forecasting and variance management

  • Cost governance and financial reporting to executive leadership

• Ensure alignment between funding, scope, and value delivery outcomes

• Drive cost optimization across customization, integration, and operating model decisions

Program Governance & Execution Leadership

• Establish and operate program governance structure, including:

  • Steering Committee (SteerCo)

  • Design authority and decision forums

  • PMO frameworks and reporting cadence

• Lead day-to-day program execution, ensuring:

  • Delivery against scope, timeline, and quality

  • Proactive risk and issue management

  • Cross-functional alignment

• Serve as primary liaison between executive leadership, business stakeholders, and delivery teams

Healthcare Provider & MSO Domain Leadership

• Ensure SAP solution aligns with healthcare provider operational realities, including:

  • Practice management and physician group models

  • Revenue cycle complexity and payer interactions

  • Regulatory and compliance requirements

• Define system boundaries between SAP and:

  • Practice Management (PM)

  • Revenue Cycle Management (RCM)

  • Specialty / MSO platforms

• Incorporate lessons learned from scaled provider environments and MSO models

Change, Adoption & Value Realization

• Lead enterprise-wide organizational change and adoption strategy

• Define and track value realization metrics and outcomes

• Ensure successful cutover, go-live, and transition to steady-state operations

Minimum Qualifications:

• Bachelor's Degree or equivalent and typically requires 13+ years, with 8+ years of direct work-related experience. Less years required if has relevant Master's or Doctorate qualifications.

Critical Skills/Experience:

Leadership & Strategy

• Ability to define and communicate transformation vision and align stakeholders

• Strong executive presence with proven ability to influence C-suite

Program Management Excellence

• Expertise in governance, risk management, and delivery discipline

• Deep experience in:

  • Large-scale SAP / ERP transformations

  • Managing complex, multi-year programs

  • Integrated planning and dependency management

Financial & Business Acumen

• Strong capability in:

  • Business case development

  • Financial modeling and budgeting

  • Value realization tracking

Change & Stakeholder Management

• Ability to lead large-scale organizational change and drive adoption

• Strong communication and stakeholder alignment skills across business and IT

Additional/Preferred Experience:

Healthcare / MSO Domain Expertise

Experience in:

• Healthcare provider or MSO environments

• Practice management / revenue cycle integration

• Provider-side financial operations

Vendor & Partner Management

Proven ability to:

• Select and manage system integrators

• Negotiate contracts and drive accountability

Success Measures:

• Approved, executable business case with clear ROI

• Program delivered on time, within scope, and within budget

• Successful SI selection and partnership performance

• Achieved business value realization targets

• High stakeholder satisfaction and adoption

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, please

Our Base Pay Range for this position