Regional Healthcare Senior Finance Manager

Role Description

The US Oncology Network is looking for a Remote Regional Healthcare Senior Finance Manager - Surgery to join our team. This role offers the opportunity to influence enterprise strategy, partner closely with senior leadership, and drive meaningful business impact in a complex healthcare environment. This position is fully remote with up to 25% travel for key meetings. The schedule is M - F, 8:00am - 5:00pm; no on-call, weekends or major holidays.

The Regional Senior Finance Manager is a key finance partner supporting the Division Finance Director and practice leadership across a Texas Oncology region. This role combines hands-on operational finance with strong analytical capabilities, delivering accurate reporting, actionable insights, and disciplined execution to improve financial performance at the practice level.

• Supports and adheres to the US Oncology Compliance Program, including the Code of Ethics and Business Standards.

Responsibilities

• Prepare monthly financial reporting packages, variance analyses, and KPI dashboards for practice and regional leadership.
• Support annual budgeting and recurring forecast cycles; coordinate inputs, validate assumptions, and maintain driver-based financial models.
• Translate financial results into clear insights and recommendations; proactively identify and escalate risks and opportunities to the Division Finance Director.
• Partner with physician and practice leaders to review financial results, productivity trends, and cost drivers.
• Prepare and present financial materials for practice operations, physician meetings, and board discussions.
• Serve as the finance liaison and voice for the region, providing responsive, accurate, and customer-focused support for ad hoc requests.
• Maintain and enhance key performance indicators (KPIs), including volume, revenue yield, payor mix/discounts, expense run rates, and working capital metrics.
• Support the development and enhancement of decision-support tools in partnership with the Division Finance Director.
• Support capital expenditure (CapEx) intake and evaluation, including gathering business cases, preparing financial analyses (ROI/NPV), and tracking approved projects against budget and timelines.
• Conduct recurring analyses on revenue, discounts, expense trends, and accounts receivable aging; investigate variances and recommend corrective actions.
• Assist Controllers with month-end close activities, including reconciliations, accrual support, and spend reviews.
• Promote adherence to internal controls, financial policies, and governance standards.
• Provide analytical support for growth initiatives, including provider recruitment modeling, service line or product line analysis, and practice integrations or M&A diligence as assigned.
• Serve as a trusted “right hand” to the Division Finance Director by organizing workplans, tracking deliverables, and ensuring timely execution across stakeholders.
• Contribute to continuous improvement initiatives, including digital and AI-enabled solutions that streamline reporting, automate recurring processes, and improve insight quality.
• Perform other duties as assigned.

Qualifications

• Bachelor’s degree required (Finance, Accounting, Business, or related field).
• 7+ years of progressive finance experience.
• Experience in Financial Analysis, FP&A, Valuations, Controllership, or similar roles.
• Demonstrated ability to support senior leaders with timely, accurate financial analysis in a fast-paced, multi-site environment.
• Strong analytical and quantitative skills with the ability to translate data into actionable insights.
• Excellent communication, presentation, and interpersonal skills.
• Self-starter with strong organizational skills and ability to manage multiple priorities.
• Ability to collaborate effectively across functional teams and stakeholders.
• Problem-solving, persistent, and results-oriented mindset.
• Digital-first approach with interest in leveraging automation and AI to improve processes.
• Proficiency in Microsoft Excel, Word, and PowerPoint.

Preferred Qualifications

• Master’s degree (MBA or related) and/or CPA.
• Experience in healthcare services preferred.
• Prior experience in oncology, hospital administration, or similarly complex healthcare environments is advantageous.
• Experience in other multi-site healthcare settings (e.g., outpatient surgery, renal care, multi-specialty practices) is highly valued.
• Experience in providing financial oversight or support to surgical specialties, surgical practices, or procedural service lines is strongly preferred.

Benefits

• Medical, Dental, Vision, Life Insurance.
• Short-term and Long-term disability coverage.
• A generous PTO program.
• A 401k plan that comes with a company match.
• A Wellness program that rewards you for practicing a healthy lifestyle.
• Tuition Reimbursement.
• An Employee Assistance program.
• Discounts on some of your favorite retailers.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment and requires significant interaction with management, staff, and external auditors and clients.