Senior Engineering Manager

About this role

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.  

• 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 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  

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

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

Minimum Requirement  

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. Thi

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