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About the job

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 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.

What You'll Do

Delivery and execution

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, while minimizing work about work

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

Technical and strategic direction

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

Team and talent

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

Collaboration and culture

Break down silos across engineering, product, design, and quality, and influence toward the best outcome for the business rather than the local optimum

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

Priority will be given to candidates who reside in the Columbus, OH metropolitan area.

We are unable to provide sponsorship for this role presently or in the future.

Minimum Requirements

Degree or equivalent experience, plus typically 10+ years of relevant professional experience including 4+ years of engineering management experience.

Critical Skills

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

Additional Skills (Preferred)

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

Education

Bachelor's degree in Computer Science, Engineering, or a related field, or equivalent experience.

Work Environment

Hybrid, based out of the Columbus, Ohio office. Regular collaboration across time zones with distributed team members and partners.

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

$126,000 - $210,000

McKesson has become aware of online recruiting-related scams in which individuals who are not affiliated with or authorized by McKesson are using McKesson’s (or affiliated entities, like CoverMyMeds or RxCrossroads) name in fraudulent emails, job postings or social media messages. In light of these scams, please bear the following in mind:

McKesson Talent Advisors will never solicit money or credit card information in connection with a McKesson job application.

McKesson Talent Advisors do not communicate with candidates via online chatrooms or using email accounts such as Gmail or Hotmail. Note that McKesson does rely on a virtual assistant (Gia) for certain recruiting-related communications with candidates.

McKesson job postings are posted on our career site: careers.mckesson.com .

McKesson is an Equal Opportunity Employer

McKesson provides equal employment opportunities to applicants and employees, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, genetic information, or any other legally protected category. For additional information on McKesson’s full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.

McKesson is committed to being an Equal Employment Opportunity Employer and offers opportunities to all job seekers including job seekers with disabilities. If you need a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to (United States) Disability_Accommodation@McKesson.com or (Canada) Accessibility@mckesson.ca . Resumes or CVs submitted to this email box will not be accepted.

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