Senior Engineering Manager

About the role

McKesson's 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

• 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
• 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
• 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
• 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

Requirements

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

Qualifications

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

Preferred Skills

• 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

Pay

Our Base Pay Range for this position $133,500 - $222,500