E-3 Visa Revenue Accountant Jobs
Revenue Accountant roles in the U.S. qualify for E-3 visa sponsorship when the position requires a bachelor's degree in accounting, finance, or a related field. The E-3 has no lottery and no annual cap, making it a reliable path for Australian professionals with the right credentials and a U.S. employer willing to file an LCA.
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Get Access To All JobsMcKesson 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.
Role Overview
The Director, RCM Revenue and Reserve Accounting provides strategic and hands-on financial leadership for The US Oncology Network’s practice discount and accounts receivable reserve processes. Reporting to the Senior Director, Revenue Cycle Management Finance, this role serves as the senior Accounting subject matter expert for iReserve methodology, contractual allowances, bad debt, denials, AR aging, reserve governance, and the resulting balance sheet and income statement impacts for the practices. The Director leads review and interpretation of reserve performance across practices, resolves complex or nonstandard financial questions, and establishes consistent, supportable processes and controls.
The Director partners closely with Practice Finance, Accounting, Controllership, Revenue Cycle Operations, Finance Systems, and data and analytics teams to investigate material variances, translate reserve mechanics into clear business implications, and recommend appropriate financial action. The role combines meaningful direct execution with team leadership, including ownership of SOX controls, prioritization of recurring close and practice-support activities, development of scalable tools and documentation, and coaching of the RCM Revenue and Reserve Accounting team.
Key Responsibilities
Subject Matter Expertise for Practice Discount Reserve Processes
- Serve as the senior subject matter expert for practice discount and patient AR reserve processes, including iReserve methodology, contractual allowances, bad debt, denials, AR aging, and the resulting balance sheet and income statement impacts; provide guidance on complex or unusual reserve matters and translate reserve mechanics into clear financial implications for practice and Network leadership
- Lead review and interpretation of reserve results across practices, including balance sheet-to-iReserve comparisons, historical and current discount-rate trends, AR aging, manual accruals and other drivers of reserve variability; identify outliers and coordinate root-cause analysis and appropriate financial treatment
- Establish and continuously improve reserve methodologies, monitoring, and governance for revenue cycle processes
Business Partnership with Practice Finance Teams
- Serve as a strategic partner to Practice Controllers, Regional Finance Directors, practice leadership, and Revenue Cycle stakeholders, helping teams understand reserve and discount performance, investigate material variances, and determine appropriate actions when financial results diverge from expectations
- Lead practice-level financial discussions on AR and reserve matters, translating complex reserve methodology, collectability assessments, AR aging, and alternative financial treatments into clear implications for practice economics and decision-making
- Partner cross-functionally with Practice Finance, Accounting, Revenue Cycle, Controllership, and data and technology teams to investigate issues, align financial and operational information, and develop supportable recommendations that balance accounting requirements with the underlying operations
Sarbanes-Oxley Control Ownership
- Own and oversee RCM Finance SOX controls associated with patient AR reserves and financial discount processes, including control documentation, execution, evidence, issue identification, and remediation; ensure processes remain supportable as business requirements, systems, and reserve methodologies evolve
- Maintain disciplined documentation and review standards around system flows and reserve calculations
- Partner with Accounting, Controllership, Finance Systems, Internal Audit, and other stakeholders to identify control risks arising from changes in reserve logic, data flows, mappings or manual processes and drive sustainable processes
Team Management and Prioritization
- Lead and develop the RCM Revenue and Reserve Accounting team, establishing priorities, accountability, review standards, and a scalable operating model while building broader subject-matter expertise across iReserve, discount reserves, controls, and practice support
- Direct and prioritize team resources across recurring close responsibilities, practice support, troubleshooting, SOX requirements, and emerging financial issues, ensuring material matters receive timely analysis, escalation, and resolution
- Build team capability through coaching, knowledge sharing, standardization, and development of repeatable analytical and operating processes to scale consistent support across the Network
Other Ad Hoc Project Work
- Lead or support RCM projects requiring reserve, accounting, or financial subject-matter expertise, including practice-specific and network wide scenarios
- Develop improved tools, reporting, documentation, and processes that strengthen visibility into reserve performance and enable more proactive management of emerging risks across practices and the Network
Minimum Requirement
Degree and typically requires 12+ years of professional experience and 4+ years of management experience.
Education
Bachelor’s degree in Finance, Accounting, Business, Economics, or a related field, or equivalent related experience.
MBA, CPA, CMA, or other relevant advanced credential preferred.
Critical Skills
- Typically 12+ years of progressive Accounting, Finance, FP&A, or related analytical experience, including 4+ years of management responsibility.
- Demonstrated experience leading planning, forecasting, performance reporting, financial modeling, and executive decision support in a complex organization.
- Experience partnering with senior business and finance/accounting leaders across multiple functions and influencing outcomes without relying solely on formal authority
- Experience with healthcare services, revenue cycle management, provider economics, accounts receivable, revenue and reserve analytics, or practice finance strongly preferred.
Additional Skills
- Financial and accounting acumen related to income statement, balance sheet, and Accounts Receivable and related reserve processes
- Advanced analytical skill with the ability to investigate complex reserve and discount-rate variances, connect source-system activity to financial results, and develop supportable recommendations.
- Strong understanding of financial controls, process governance, documentation, and audit-ready support, including ownership of SOX control execution and remediation.
- Strategic and analytical thinking combined with the ability and willingness to work directly in detailed data, financial models, reporting tools and executive materials.
- Executive communication and presence, including the ability to explain complex financial topics to practice and Network leaders.
- People leadership, coaching, prioritization, delegation, and talent development.
- Cross-functional partnership, change leadership, conflict resolution, and stakeholder alignment.
- Digital fluency and a continuous-improvement mindset, including scalable reporting, dashboarding, automation, and responsible use of technology
- Strong judgment, attention to detail, ownership, adaptability, and comfort operating through ambiguity.
- Systems and Tools
- Advanced Microsoft Excel and PowerPoint skills required.
- Experience with enterprise planning, ERP, business intelligence, and data platforms such as Essbase, SAP, Power BI, Tableau, or comparable tools preferred.
Salary: 131,600.00 - 175,400.00 - 219,300.00 USD Annual with 20% MIP
Target comp approx.~ 165-175K
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,
Our Base Pay Range for this position
$131,600 - $219,300
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.
Join us at McKesson!
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.
Role Overview
The Director, RCM Revenue and Reserve Accounting provides strategic and hands-on financial leadership for The US Oncology Network’s practice discount and accounts receivable reserve processes. Reporting to the Senior Director, Revenue Cycle Management Finance, this role serves as the senior Accounting subject matter expert for iReserve methodology, contractual allowances, bad debt, denials, AR aging, reserve governance, and the resulting balance sheet and income statement impacts for the practices. The Director leads review and interpretation of reserve performance across practices, resolves complex or nonstandard financial questions, and establishes consistent, supportable processes and controls.
The Director partners closely with Practice Finance, Accounting, Controllership, Revenue Cycle Operations, Finance Systems, and data and analytics teams to investigate material variances, translate reserve mechanics into clear business implications, and recommend appropriate financial action. The role combines meaningful direct execution with team leadership, including ownership of SOX controls, prioritization of recurring close and practice-support activities, development of scalable tools and documentation, and coaching of the RCM Revenue and Reserve Accounting team.
Key Responsibilities
Subject Matter Expertise for Practice Discount Reserve Processes
- Serve as the senior subject matter expert for practice discount and patient AR reserve processes, including iReserve methodology, contractual allowances, bad debt, denials, AR aging, and the resulting balance sheet and income statement impacts; provide guidance on complex or unusual reserve matters and translate reserve mechanics into clear financial implications for practice and Network leadership
- Lead review and interpretation of reserve results across practices, including balance sheet-to-iReserve comparisons, historical and current discount-rate trends, AR aging, manual accruals and other drivers of reserve variability; identify outliers and coordinate root-cause analysis and appropriate financial treatment
- Establish and continuously improve reserve methodologies, monitoring, and governance for revenue cycle processes
Business Partnership with Practice Finance Teams
- Serve as a strategic partner to Practice Controllers, Regional Finance Directors, practice leadership, and Revenue Cycle stakeholders, helping teams understand reserve and discount performance, investigate material variances, and determine appropriate actions when financial results diverge from expectations
- Lead practice-level financial discussions on AR and reserve matters, translating complex reserve methodology, collectability assessments, AR aging, and alternative financial treatments into clear implications for practice economics and decision-making
- Partner cross-functionally with Practice Finance, Accounting, Revenue Cycle, Controllership, and data and technology teams to investigate issues, align financial and operational information, and develop supportable recommendations that balance accounting requirements with the underlying operations
Sarbanes-Oxley Control Ownership
- Own and oversee RCM Finance SOX controls associated with patient AR reserves and financial discount processes, including control documentation, execution, evidence, issue identification, and remediation; ensure processes remain supportable as business requirements, systems, and reserve methodologies evolve
- Maintain disciplined documentation and review standards around system flows and reserve calculations
- Partner with Accounting, Controllership, Finance Systems, Internal Audit, and other stakeholders to identify control risks arising from changes in reserve logic, data flows, mappings or manual processes and drive sustainable processes
Team Management and Prioritization
- Lead and develop the RCM Revenue and Reserve Accounting team, establishing priorities, accountability, review standards, and a scalable operating model while building broader subject-matter expertise across iReserve, discount reserves, controls, and practice support
- Direct and prioritize team resources across recurring close responsibilities, practice support, troubleshooting, SOX requirements, and emerging financial issues, ensuring material matters receive timely analysis, escalation, and resolution
- Build team capability through coaching, knowledge sharing, standardization, and development of repeatable analytical and operating processes to scale consistent support across the Network
Other Ad Hoc Project Work
- Lead or support RCM projects requiring reserve, accounting, or financial subject-matter expertise, including practice-specific and network wide scenarios
- Develop improved tools, reporting, documentation, and processes that strengthen visibility into reserve performance and enable more proactive management of emerging risks across practices and the Network
Minimum Requirement
Degree and typically requires 12+ years of professional experience and 4+ years of management experience.
Education
Bachelor’s degree in Finance, Accounting, Business, Economics, or a related field, or equivalent related experience.
MBA, CPA, CMA, or other relevant advanced credential preferred.
Critical Skills
- Typically 12+ years of progressive Accounting, Finance, FP&A, or related analytical experience, including 4+ years of management responsibility.
- Demonstrated experience leading planning, forecasting, performance reporting, financial modeling, and executive decision support in a complex organization.
- Experience partnering with senior business and finance/accounting leaders across multiple functions and influencing outcomes without relying solely on formal authority
- Experience with healthcare services, revenue cycle management, provider economics, accounts receivable, revenue and reserve analytics, or practice finance strongly preferred.
Additional Skills
- Financial and accounting acumen related to income statement, balance sheet, and Accounts Receivable and related reserve processes
- Advanced analytical skill with the ability to investigate complex reserve and discount-rate variances, connect source-system activity to financial results, and develop supportable recommendations.
- Strong understanding of financial controls, process governance, documentation, and audit-ready support, including ownership of SOX control execution and remediation.
- Strategic and analytical thinking combined with the ability and willingness to work directly in detailed data, financial models, reporting tools and executive materials.
- Executive communication and presence, including the ability to explain complex financial topics to practice and Network leaders.
- People leadership, coaching, prioritization, delegation, and talent development.
- Cross-functional partnership, change leadership, conflict resolution, and stakeholder alignment.
- Digital fluency and a continuous-improvement mindset, including scalable reporting, dashboarding, automation, and responsible use of technology
- Strong judgment, attention to detail, ownership, adaptability, and comfort operating through ambiguity.
- Systems and Tools
- Advanced Microsoft Excel and PowerPoint skills required.
- Experience with enterprise planning, ERP, business intelligence, and data platforms such as Essbase, SAP, Power BI, Tableau, or comparable tools preferred.
Salary: 131,600.00 - 175,400.00 - 219,300.00 USD Annual with 20% MIP
Target comp approx.~ 165-175K
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,
Our Base Pay Range for this position
$131,600 - $219,300
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.
Join us at McKesson!
See all E-3 Visa Revenue Accountant Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new E-3 Visa Revenue Accountant Jobs.
Get Access To All JobsTips for Finding E-3 Visa Sponsorship as a Revenue Accountant
Translate your CPA credentials for U.S. employers
Australian CPA or CA qualifications are recognized by U.S. employers but aren't identical to a U.S. CPA license. Frame your credentials clearly on your resume so hiring managers understand your standing without needing to research Australian accounting bodies themselves.
Target employers with dedicated accounting functions
Mid-size and enterprise companies with standalone finance teams file E-3 visa LCAs far more readily than startups where a single generalist handles all finance tasks. Roles titled Revenue Accountant, not Finance Generalist, signal the specialty occupation threshold is easier to meet.
Confirm your role meets specialty occupation requirements
Revenue Accountant positions must require a specific bachelor's degree to qualify for E-3 status. If a job posting says a degree is preferred rather than required, that distinction can complicate your LCA. Raise this with your employer before they file with DOL.
Get your LCA and visa paperwork handled end-to-end
The LCA must be DOL-certified before your consulate appointment can proceed. Use Migrate Mate's E-3 filing service to handle your LCA and visa paperwork so nothing stalls between your signed offer and your interview date.
Clarify E-3 status before your background check stage
Many employers only learn they need to file an LCA after extending an offer. Bring up your E-3 requirements early in the process, ideally after a verbal offer but before the formal written stage, so their HR or legal team has time to prepare without delaying your start date.
Use your Australian experience to address dual-intent concerns
E-3 is a nonimmigrant visa, so consular officers assess your ties to Australia. Documenting your professional history, superannuation account, and property or family connections in Australia strengthens your case that your U.S. role is a temporary career move.
E-3 Visa Revenue Accountant: Frequently Asked Questions
How do I find Revenue Accountant jobs that offer E-3 visa sponsorship?
Migrate Mate is built specifically for this search. It surfaces Revenue Accountant roles from employers with active E-3 and LCA filing history, so you're not applying to companies that have never sponsored an Australian professional. Filtering by role and visa type saves significant time compared to unfiltered job searches where sponsorship willingness is unclear.
How much does it cost to get an E-3 visa?
Migrate Mate's E-3 filing service covers the entire process for $499, including the Labor Condition Application, visa document preparation, and consulate appointment guidance. Traditional immigration lawyers charge $2,000–$5,000+ for the same work. The E-3 has less paperwork than most work visas, so paying thousands for legal help is usually unnecessary.
Does a Revenue Accountant role qualify as a specialty occupation for the E-3?
Yes, provided the position genuinely requires a bachelor's degree in accounting, finance, or a closely related field. The DOL evaluates the job description when certifying the LCA, not just the title. If the role's duties are broad enough that any business degree would satisfy the employer, an officer could question whether specialty occupation standards are met.
How does the E-3 compare to the H-1B for Revenue Accountant roles?
The E-3 is available only to Australian citizens, but within that group it has a significant structural advantage: there's no lottery and no annual cap, so approval depends entirely on your qualifications and your employer's LCA, not random selection. H-1B visa registrations for accounting roles face the same 25-30% selection odds as every other category, making the E-3 a far more predictable path for Australians.
Can I change employers while on an E-3 as a Revenue Accountant?
Yes, but your new employer must file a fresh LCA with the DOL and you'll need a new visa stamp if you travel internationally before starting the new role. The E-3 is employer-specific, so your authorization is tied to the petitioning company. Build in enough lead time before your intended start date for the LCA certification process, which DOL typically completes within seven business days.