Director FP&A-HQ & IT Operating Expense

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve – we care. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas.

Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow’s health today, we want to hear from you.

The Director, FP&A - HQ & IT Operating Expense provides strategic and hands-on financial leadership for Practice Management headquarters and US Oncology technology operating expense. The role owns planning, forecasting, close support, management reporting, long-range planning and executive decision support across the full HQ and IT operating- expense portfolio. The Director connects spending, headcount, allocations, technology investments and strategic initiatives to enterprise priorities and Adjusted Operating Profit outcomes.

The Director serves as the senior finance partner to Practice Management leaders, the McKesson technology organization and cross-functional Finance, Accounting, Strategy, Operations and shared-service partners. The role leads a team of three direct reports and one indirect report, establishes clear priorities and review standards and remains directly engaged in complex analyses, executive materials, governance decisions and issue resolution. Success requires strong executive communication, disciplined financial stewardship, comfort with ambiguity and the ability to improve processes through standardisation, automation and scalable reporting.

Own the financial agenda for all HQ and IT operating expense, aligning resources and investments with Practice Management, US Oncology, and enterprise priorities. Advise senior leaders on financial performance, choices, risks, opportunities, trade-offs, and recommended actions; translate complex cost and allocation topics into decision-ready insights. Lead cross-functional work across Finance, Accounting, Technology, Strategy, Operations, Ontada, McKesson Technology, and other business units to resolve issues and advance shared objectives.

Provide concise executive storytelling for leadership reviews, forecasts, budgets, long-range planning, strategic initiatives, and emerging business issues.

Lead annual budget planning, periodic forecasting, long-range planning, month-end close support and management reporting for HQ and IT operating expense. Establish a transparent performance framework spanning employee-related expense, discretionary and semi-variable spend, technology costs, corporate and cross-business allocations and strategic initiatives. Direct variance analysis, risk and opportunity assessment, headcount and open-role tracking, accrual and invoice review and forward-looking scenario analysis. Ensure financial plans and reporting are accurate, well-controlled, fully documented and connected to underlying assumptions, business drivers and Adjusted Operating Profit impact.

Lead governance for retained and allocated HQ expense, including allocation methodologies, documentation, legal and contractual considerations, leadership approvals and implementation readiness. Develop recommendations that clarify service scope, funding mechanisms, practice cost sharing, pricing or service-fee considerations and the financial impact of allocation changes. Challenge new and existing spend, identify savings and cost-avoidance opportunities and facilitate prioritisation and trade-off decisions within financial targets.

Build durable processes for gross-to-net expense visibility, headcount and cost-centre mapping, decision logs and ongoing tracking of allocation outcomes.

Lead planning, forecasting and reporting for US Oncology technology costs, including retained and practice-allocated expense, enterprise technology allocations, subscriptions, infrastructure and strategic programmes. Develop and challenge business cases for technology initiatives, including cost, benefit, timing, funding, capitalisation,…