McKesson

Sr Director, Revenue Cycle Management

McKesson$160K — $200K *
US-AnywhereRemote in Tennessee, US
Hospitals & Medical Centers
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree required; Master's preferred.
  • 1 year of Director-level experience with direct people leadership.
  • 5 years of revenue cycle, finance, or related discipline experience; 3 years in healthcare or clinical research.
  • 7 or more years of progressive leadership experience preferred.
  • Experience in clinical research industry, especially within SMO and CRO environments.
  • Working knowledge of trial budgets, contracts, coverage analysis, and billing compliance preferred.
  • Strong understanding of accounting principles and financial systems.

Responsibilities

  • Define and execute revenue cycle strategy across SMO and CRO operations.
  • Lead, develop, and retain multi-level teams including Directors.
  • Drive integration of budgets, contracts, startup, billing, and revenue recognition.
  • Prioritize resources and process improvements for compliance and efficiency.
  • Establish scalable processes and documentation for revenue cycle performance.
  • Ensure compliance with billing requirements and regulatory standards.
  • Partner with Finance, Operations, and Legal to evaluate financial performance.
  • Lead monthly operating reviews and report on key metrics.
  • Serve as a strategic advisor on revenue cycle best practices.

Benefits

  • This is a remote position based in the U.S.
  • Preference for candidates in the greater Nashville, TN area.
  • No relocation assistance or visa sponsorship available.
Full Job Description
The Senior Director, Revenue Cycle Management provides enterprise-wide leadership for Sarah Cannon Research Institute's (SCRI) revenue cycle operations across both the Site Management Organization (SMO) and Contract Research Organization (CRO). This role oversees the full research revenue cycle, from budget and contract development through study startup, billing compliance, invoicing, collections, and revenue realization.

Reporting to this role are the Director of Revenue Cycle and, through a dotted-line relationship, the Director of Budgets & Contracts (SMO), ensuring seamless alignment between upstream contracting activities and downstream revenue cycle execution. The Senior Director is responsible for driving operational excellence, compliance, standardization, process efficiency, and financial performance across the network.

This is a remote U.S.-based position. Preference will be given to candidates in the greater Nashville, TN area. Relocation assistance and visa sponsorship are not available.

What You'll Do
  • Define and execute SCRI's revenue cycle strategy across SMO and CRO operations, aligning departmental goals with enterprise financial objectives.
  • Lead, develop, and retain a multi-level organization, including direct oversight of the Director of Revenue Cycle and dotted-line leadership of the Director of Budgets & Contracts.
  • Drive integration between budgets, contracts, study startup, billing, invoicing, collections, and revenue recognition to create a streamlined end-to-end revenue cycle.
  • Prioritize resources, technology investments, and process improvement initiatives that improve compliance, cash flow, profitability, and operational efficiency.
  • Establish and maintain scalable processes, controls, and documentation that optimize revenue cycle performance and billing compliance.
  • Ensure compliance with clinical research billing requirements, coverage analyses, contract terms, accounting standards, and applicable regulatory requirements.
  • Partner with Finance, Operations, Legal, and Executive Leadership to evaluate financial performance across studies, sponsors, projects, and business units, and drive resulting action plans.
  • Lead monthly operating reviews and executive reporting on key metrics, including accounts receivable, days sales outstanding (DSO), unbilled revenue, aged balances, write-offs, and cycle times.
  • Serve as a strategic advisor on revenue cycle best practices, operational improvements, and growth initiatives.
  • Perform other duties as assigned.


Qualifications for Success
  • Bachelor's degree required; Master's degree strongly preferred.
  • Minimum 1 year of Director-level experience with direct people leadership responsibilities.
  • Minimum 5 years of experience in revenue cycle, receivables, finance, or a related discipline, including at least 3 years within healthcare or clinical research.
  • Seven or more years of progressive leadership experience preferred, including experience leading managers and/or directors.
  • Clinical research industry experience strongly preferred, particularly within both SMO and CRO environments.
  • Working knowledge of clinical trial budgets, site contracts, coverage analysis, Medicare Clinical Trial Policy, and research billing compliance requirements preferred.
  • Strong understanding of accounting principles, financial systems, reporting, and revenue cycle operations.
  • Knowledge of emerging trends in clinical research, healthcare finance, and revenue cycle management.


Preferred Qualifications
  • CRCR, HFMA, CPA, or similar healthcare finance or research administration credential preferred.
  • Proven ability to build, develop, and lead high-performing teams while driving accountability and results.
  • Strong prioritization and execution skills in a complex, fast-paced environment.
  • Excellent communication and executive presentation skills, with the ability to translate complex data into actionable insights.
  • Demonstrated negotiation, influencing, and relationship-building capabilities with internal and external stakeholders.
  • Advanced analytical skills, including experience developing data models, dashboards, and performance metrics to drive decision-making.


Why You'll Succeed

You are a strategic, data-driven leader who excels at building high-performing teams, optimizing complex processes, and delivering measurable financial results. You bring deep revenue cycle expertise, a passion for operational excellence, and the ability to align stakeholders around shared goals that drive compliance, cash performance, and organizational growth.

About McKesson

McKesson Corporation provides medicines, pharmaceutical supplies, information and care management products and services across the healthcare industry. The Company operates in two segments. The McKesson Distribution Solutions segment delivers ethical drugs, medical-surgical supplies and equipment and health and beauty care products throughout North America. This segment also provides specialty pharmaceutical solutions for biotech and pharmaceutical manufacturers, sells financial, operational and clinical solutions for pharmacies (retail, hospital, long-term care) and provides consulting, outsourcing and other services. The McKesson Technology Solutions segment delivers enterprise-wide clinical, patient care, financial, supply chain, strategic management and software solutions. In July 2011, the Company acquired Portico Systems from Safeguard Scientifics, Inc. On March 25, 2012, it acquired the independent banner and franchise businesses of Katz Group Canada Inc. McKesson Distribution Solutions delivers pharmaceuticals to retail pharmacies and institutional providers like hospitals and health systems. They operate pharmaceutical distribution centers across the country, serving customers in all 50 states. They also deliver a comprehensive offering of health care products, technology, equipment and related services to the alternate site market, including physician offices, surgery centers, long-term care facilities and home care businesses across the country. McKesson is currently the largest pharmaceutical distributor in North America. McKesson also operates McKesson Canada and has an equity holding in Nadro, a leading distributor in Mexico.

McKesson Careers

Join McKesson, a leading global healthcare company, and be part of a team that is redefining the future of healthcare. With a variety of job opportunities available, McKesson is the perfect place to advance your career, whether you're a seasoned professional or just starting out. Work You’ll Do At McKesson, we are committed to improving care in every setting—one product, one partner, one patient at a time. We’re seeking talented professionals to join our team and contribute to a culture of innovation, diversity, and leadership. Our employees are driven by a deep sense of purpose and a desire for continuous growth and improvement. Empower Your Future in Healthcare With positions ranging from internships to leadership roles, McKesson offers unparalleled employment opportunities to develop your skills and advance your career. Our commitment to diversity training ensures that all team members have the opportunity to thrive. Join a team where your skills will be honed, your professional growth will be supported, and where you can genuinely see the difference you make in the lives of patients around the world. Innovative Work Environment McKesson is at the forefront of healthcare innovation. Our team is constantly exploring new ways to improve patient outcomes and streamline care processes. This commitment to innovation is what sets us apart and what makes McKesson an exciting place to work. Career Development and Benefits McKesson believes in nurturing the potential of its employees through robust career development programs and comprehensive benefits designed to support your life and well-being. From leadership training to health and wellness benefits, we ensure our team members are equipped to meet their professional and personal goals. Explore Job Opportunities Whether you’re looking for an internship to kickstart your career, or a senior position to utilize your extensive experience, McKesson offers a range of opportunities. Explore our open positions and find where you can make a difference at McKesson. Stay Connected Join Our Team Search for open positions that match your skills and interests. We are looking for passionate, curious, and solution-driven team players who are ready to take the next step in their careers. Keep Up to Date Stay ahead with career tips, insider perspectives, and industry-leading insights you can put to use today—all from the people who work here. Networking and Professional Growth At McKesson, networking and professional growth are part of our everyday environment. We encourage our employees to connect, share, and learn from each other to foster personal and professional development. Job Alert Emails Personalize your subscription to receive job alerts, latest news, and insider tips tailored to your preferences. Discover the exciting and rewarding career opportunities that await you at McKesson. Join McKesson today and be part of a team that is dedicated to shaping the future of healthcare.
Learn more about McKesson
Size
58,000 employees
Market Cap
$53.7 billion
Industry
Net Income
-$4.1 billion
Founded
1833
5 Year Trend
+5.9%
Revenue
$237.6 billion
NASDAQ

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