Senior Engineering Manager

McKesson•Columbus, OH

13d•$133,500 - $222,500•Hybrid

About The Position

The Specialty Access & Affordability value stream is seeking a Senior Engineering Manager to lead the FastAuth team. FastAuth is central to how we move specialty prescriptions through prior authorization faster, reducing the time between a prescription being written and a patient starting therapy. This is a role for a leader who manages significant complexity and can carry multiple major workstreams at once. You will own delivery, team health, and technical direction for FastAuth, and you will operate as a peer to the other engineering leaders in the value stream on decisions that reach beyond your own team. You will lead a group of skilled engineers working across React front ends, .NET services, and event-driven integrations on Azure, on a team that ships continuously and owns what it builds.

Requirements

Degree or equivalent experience, plus typically 10+ years of relevant professional experience including 4+ years of engineering management experience.
4+ years leading software engineering teams, including hiring, performance management, and career development
Track record delivering multiple concurrent workstreams with real business impact
Technical foundation strong enough to be credible in design discussions on modern web stacks and cloud platforms, ideally TypeScript, React, .NET, and Azure
Working understanding of event-driven architecture and the tradeoffs it introduces
Experience operating in a scaled agile environment, SAFe or equivalent, including planning across teams
Data-driven approach to delivery health, including flow metrics such as throughput, cycle time, and predictability
Demonstrated ability to drive adoption of AI tooling in engineering workflows
Ability to resolve cross-team misalignment directly, without routing every disagreement through escalation
Clear written and verbal communication that works for both engineers and executives
Bachelor's degree in Computer Science, Engineering, or a related field, or equivalent experience.

Nice To Haves

Healthcare applications, particularly EHR integrations
Prior authorization, pharmacy, or payer domain experience
FHIR standard, SMART on FHIR integrations, and healthcare data exchange
Experience leading other people managers or building a leadership bench
Experience scaling a team through significant growth, transition, or restructuring
Contributions to engineering communities of practice, internal or external

Responsibilities

Plan and execute across multiple workstreams, setting goals at the right altitude and holding the team accountable to them
Prioritize investment across your portfolio of projects and refocus effort when results are not moving the business forward
Run efficient operating cadences within SAFe, including PI planning.
Unblock the team by addressing root causes rather than symptoms
Ensure delivery results do not come at the expense of long-term growth, retention, or psychological safety
Define a vision for FastAuth that aligns to value stream and company priorities, and bring engineers and cross-functional partners along with it
Partner with architects and staff engineers on design decisions across TypeScript, React, .NET, Azure, and event-driven architecture
Resolve misalignment with partner teams and stakeholders who hold different goals
Serve as a steady presence through change, and coach the team through complexity and ambiguity
Attract, hire, and retain a diverse and talented engineering team, with an eye on long-term org health rather than the immediate opening
Interview and assess senior candidates, and keep your team calibrated as interviewers
Hold the team to clear performance expectations, motivating high performers and turning around low performers
Grow careers deliberately by matching development opportunities to individual goals and offering next-level work to those ready for it
Structure the team so the right people are in the right roles, and plan headcount for sustained success
Break down silos across engineering, product, design, and quality, and influence toward the best outcome for the business rather than the local optimization
Build deep cross-functional relationships, facilitate the right conversations, and settle disagreements by managing competing viewpoints
Disagree and commit when that is what moves a critical priority forward
Remove barriers to inclusion, surface cultural issues proactively, and follow through when something is off
Write and speak with clarity, tailoring the message to the audience, and share information so the right people stay aligned