Sr. Director, Practice Management Accounting Operations

McKesson•The Woodlands, TX

3d•Onsite

About The Position

The Sr. Director, Practice Management Accounting Operations is responsible for providing strategic leadership and operational oversight for core accounting activities supporting The US Oncology Network (USON). This role ensures accurate, 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.

Requirements

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.
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

Nice To Haves

CPA or equivalent professional certification preferred

Responsibilities

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 non‑routine transactions.
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.
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 tie‑outs, and resolution of system‑related accounting issues.
Champion process simplification, automation, and scalable solutions to support growth and operational efficiency.
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 well‑documented, consistently executed, and supported by appropriate evidentiary documentation.
Proactively identify control gaps, operational risks, and opportunities to strengthen the control environment.
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.
Identify and resolve complex accounting and operational issues impacting balance sheet integrity and close performance.
Provide leadership judgment on non‑standard transactions and emerging accounting issues, ensuring alignment with U.S. GAAP and McKesson policy.