SAP Program Lead – Healthcare Provider/MSO

McKesson•Irving, TX

23d•$163,800 - $273,000

About The Position

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.

Requirements

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.
Ability to define and communicate transformation vision and align stakeholders.
Strong executive presence with proven ability to influence C-suite.
Expertise in governance, risk management, and delivery discipline.
Deep experience in large-scale SAP / ERP transformations.
Deep experience in managing complex, multi-year programs.
Deep experience in integrated planning and dependency management.
Strong capability in business case development.
Strong capability in financial modeling and budgeting.
Strong capability in value realization tracking.
Ability to lead large-scale organizational change and drive adoption.
Strong communication and stakeholder alignment skills across business and IT.
Proven ability to select and manage system integrators.
Proven ability to negotiate contracts and drive accountability.

Nice To Haves

Healthcare provider or MSO environments.
Practice management / revenue cycle integration.
Provider-side financial operations.

Responsibilities

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, and 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, including integration with Practice Management (PM) and Revenue Cycle Management (RCM) systems, and provider-side accounting and specialty workflows.
Establish program vision, guiding principles, and transformation roadmap.
Define end-to-end program scope, including core SAP S/4 capabilities, integration landscape (PM, RCM, third-party systems), and data, analytics, and compliance requirements.
Develop and manage the integrated program plan, including timeline, milestones, and critical path, and cross-workstream dependencies (functional, technical, data, testing).
Ensure program structure supports Design → Build → Test → Deploy lifecycle execution.
Lead system integrator (SI) selection process, including RFP/RFI development and execution, evaluation criteria (industry expertise, delivery model, cost, innovation), and executive presentations and final recommendation.
Define and negotiate SOW, commercial model, and governance framework.
Establish performance KPIs and accountability mechanisms for partners.
Own full program financial lifecycle, including budget creation (labor, SI, technology, infrastructure, run costs), forecasting and variance management, and 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.
Establish and operate program governance structure, including Steering Committee (SteerCo), design authority and decision forums, and PMO frameworks and reporting cadence.
Lead day-to-day program execution, ensuring delivery against scope, timeline, and quality, proactive risk and issue management, and cross-functional alignment.
Serve as primary liaison between executive leadership, business stakeholders, and delivery teams.
Ensure SAP solution aligns with healthcare provider operational realities, including practice management and physician group models, revenue cycle complexity and payer interactions, and regulatory and compliance requirements.
Define system boundaries between SAP and Practice Management (PM), Revenue Cycle Management (RCM), and Specialty / MSO platforms.
Incorporate lessons learned from scaled provider environments and MSO models.
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.