Sr. Finance Manager

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Role Summary

The Sr. Manager, Retail Pharmacy Drug Margin Analytics plays a critical role within US Oncology Network (USON) Finance, serving as the subject matter expert for the financial performance of practice-based Medically Integrated Dispensing (MID) oral oncolytic programs across the network. This position is accountable for analyzing Retail Pharmacy/MID activity at the product (NDC/drug) level, translating dispensing economics into clear, actionable financial insights, and supporting forecasting, budgeting, and planning for the various USON practices.

This role partners closely with practice leadership, FP&A, GPO, Managed Care, Pharmacy Operations, and Revenue Cycle teams to develop a consistent framework for measuring retail pharmacy drug margin performance—including definitions, methodology, and executive-ready reporting. It leads modeling and scenario analysis across key margin drivers (script volume, drug mix, acquisition cost, payer reimbursement, rebates, and dispensing program economics) and establishes repeatable reporting that supports decision-making and continuous performance improvement.

Operating at the intersection of finance, pharmacy operations, and strategy, the Sr. Manager drives continuous improvement in data quality, analytical tools, and governance for retail pharmacy margin analytics. By maintaining disciplined, transparent analytics and communicating results with executive presence, this role supports USON's mission to deliver high-quality, cost-effective cancer care through strong financial stewardship of the MID portfolio.

Key Responsibilities

Retail Pharmacy Drug Margin SME Leadership

• Serve as the finance subject matter expert for Retail Pharmacy/MID drug margin performance across USON, owning the end-to-end measurement approach (definitions, key metrics, methodology, and controls).

• Establish standardized, product-level performance views and interpretation guidelines to ensure consistent understanding across practices and stakeholders.

• Lead development and refinement of financial models that explain and forecast retail pharmacy margin performance with transparency, accuracy, and decision usefulness.

Practice & Stakeholder Partnership / Performance Determination

• Partner directly with USON practices and key stakeholders (FP&A, Finance Ops, Pharmacy Operations, GPO, Revenue Cycle, Managed Care) to determine and validate Retail Pharmacy/MID financial performance at the product level.

• Investigate margin drivers and variances (script volume, drug mix, payer reimbursement, acquisition cost, rebates), ensuring results are well-supported, reconciled, and communicated in business terms.

• Translate practice-specific dispensing data into consistent network-level reporting and comparable performance narratives.

Executive Reporting & Decision Support

• Deliver concise, executive-ready reporting packages, including performance commentary, variance explanations, and forward-looking outlooks.

• Present findings and recommendations with strong executive presence, tailoring content for senior leadership decision-making.

• Build “so what” insight: clarify risks, opportunities, and key actions based on the financial performance signals.

Modeling, Scenario Planning & Forecasting

• Develop scenario models (volume, timing, reimbursement sensitivity, program cost structures) to support budgeting/forecasting and strategic planning for Retail Pharmacy/MID

• Create driver-based views that allow leadership to understand what is changing, why, and what levers exist.

• Support annual planning cycles and in-year updates with disciplined assumptions and documented logic

Data, Reporting Automation & Visualization

• Build and enhance repeatable reporting and dashboards (Excel and/or Power BI) that provide timely, accurate Retail Pharmacy financial performance visibility.

• Improve efficiency through automation and standardized data pipelines, while maintaining strong data governance and controls.

• Ensure reporting is consistent, auditable, and easy for business partners to consume.

Strategic Initiatives, Governance & Continuous Improvement

• Lead or contribute to strategic initiatives related to Retail Pharmacy/MID financial performance measurement, process improvement, and analytics maturity.

• Establish governance routines (documentation, metric definitions, refresh cadence, stakeholder alignment) to support scaling and sustainability.

• Identify emerging needs and proactively recommend enhancements to tools, processes, and performance management.

Minimum Requirement

• Degree or equivalent and typically requires 10+ years of relevant experience. Less years required if has relevant Master’s or Doctorate qualifications.

Education

• Bachelor’s degree required; advanced degree (MBA, MS, or similar) in finance, analytics, or related field preferred.

Critical Skills

• Experience: 10+ years of progressive experience in FP&A, financial modeling, or analytics, with a demonstrated track record of leading complex forecasting and budgeting initiatives in a large, matrixed organization.

• Technical Skills: Deep expertise in advanced analytics, statistical modeling, and AI/ML applications for forecasting. Mastery of Excel, Power BI/Tableau, and financial systems (e.g., SAP, Oracle, Hyperion).

• Leadership: Recognized as an in-house expert and lead contributor; experience mentoring others and leading large-scale projects.

• Prior FP&A experience performing budget, forecast, plan, variance analyses

• Excellent financial modeling and problem-solving skills

• Intermediate skills in Excel (formulas, modeling, pivot tables) and PowerPoint

• Financial systems experience with ability to reconcile information from multiple sources

Additional Skills

• Strong internal and external customer service and relationship-building skills

• Executive presence and experience with presentations to various leadership levels

• Ability to provide strategic recommendations and influence stakeholders to make decisions

• Excellent project management skills

• Intellectual curiosity & highly independent

• Motivated self-starter that is well organized, dependable, efficient and results-oriented

• Strong time management and organization skills with flexibility to work in a fast-paced and changing work environment

• Experience collaborating with C-suite executives

• Ability to collaborate with teams across multiple functions to affect a solution

• Prior leadership experience a plus

This role is a hybrid position. The selected candidate is expected to work on-site at our Las Colinas office a minimum of two (2) days per week, with the remaining days worked remotely. Specific in-office days may be designated based on team needs and business priorities.

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 click here.

Our Base Pay Range for this position

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