Business Development Finance Manager - FT

Business Development Finance Manager

Outpatient Imaging Affiliates, an owner and operator of over 60+ outpatient imaging center locations in 19 states, is looking for an experienced Business Development Finance Manager to join our Corporate Finance Team.

The Business Development Finance Manager serves as a strategic finance partner supporting OIA's growth initiatives through rigorous financial analysis, valuation modeling, and operational due diligence. This role is responsible for evaluating acquisitions, joint ventures, de novo development opportunities, service line expansions, and capital investments through sophisticated financial modeling and investment analysis. The position partners cross-functionally with Operations, Accounting, Revenue Cycle, Payer Contracting, Legal, and Executive Leadership to assess risk, validate assumptions, identify value creation opportunities, and support data-driven investment decisions. The role also evaluates post-implementation and post-acquisition performance against underwriting assumptions to ensure accountability and continuous improvement in investment outcomes.

This position is:

• Full-time, Salaried, Exempt
• Benefits Eligible
• Strong Base Pay
• Hybrid - Remote + work-from-home

OIA offers a competitive compensation package that includes base pay plus benefits to support your health, well-being, and future:

• Paid Time Off and Holiday Pay
• Health Insurance including medical, dental, vision and prescription coverage with FSA & HSA Account Options
• 401(k) plan with Company Match and Company-paid Life Insurance
• Short-term and Long-term Disability and Employee Assistance Program

Responsibilities include:

Strategic Finance, Valuation & Investment Analysis

• Develop and maintain sophisticated financial models and investment analyses supporting acquisitions, joint ventures, de novo developments, and strategic growth initiatives.
• Perform valuation analyses utilizing discounted cash flow models, market comparable analyses, return on invested capital, internal rate of return (IRR), net present value (NPV), payback period, and other investment metrics.
• Evaluate capital expenditure requirements, working capital assumptions, reimbursement trends, volume growth assumptions, staffing models, and operational performance drivers.
• Perform sensitivity analyses and scenario modeling to assess financial risk and return profiles.
• Develop acquisition and de novo underwriting models that incorporate operational ramp assumptions, payer mix, reimbursement rates, referral trends, and market dynamics.
• Analyze strategic growth opportunities including service line expansion, equipment replacement, center optimization, and geographic market expansion.

M&A, Due Diligence & Transaction Support

• Execute financial due diligence processes and coordinate diligence workstreams across internal and external stakeholders.
• Partner with Operations, Revenue Cycle, Accounting, Contracting, Compliance, and Legal teams to validate operational, financial, reimbursement, and compliance assumptions.
• Review financial statements, productivity metrics, reimbursement trends, payer contracts, physician referral patterns, and operational KPIs to assess acquisition and partnership opportunities.
• Identify risks, quality of earnings considerations, operational improvement opportunities, and potential integration challenges.
• Support preparation of investment committee materials, executive presentations, board materials, and transaction recommendations.
• Manage timelines and coordinate information gathering to support successful and timely completion of transaction and bid processes.

Pro Forma Development & Market Analytics

• Own development of pro formas for all new development opportunities in partnership with Operations and Finance leadership.
• Develop market analyses for existing and prospective markets, including demographic trends, competitive intelligence, reimbursement environment, utilization trends, and market attractiveness.
• Support existing joint ventures in identifying value creation opportunities including acquisitions, de novo expansion, service line optimization, and operational improvements.
• Develop benchmarking databases and standardized assumptions for use in validating and pressure-testing future pro formas.
• Continuously improve financial modeling methodologies, diligence processes, and investment analytics capabilities.

Post-Acquisition & Post-Implementation Performance Evaluation

• Evaluate post-acquisition and post-implementation financial performance against underwriting assumptions and approved investment returns.
• Monitor and analyze actual versus projected performance for acquisitions, de novo centers, and strategic initiatives.
• Identify key drivers of performance variances and partner with Operations and Executive Leadership on corrective action plans and value creation initiatives.
• Develop reporting and dashboards to track investment performance, ramp performance, profitability trends, and return metrics.
• Support ongoing strategic reviews of center performance and portfolio optimization opportunities.

Market Intelligence & Strategic Planning

• Monitor industry, reimbursement, regulatory, and competitive trends relevant to radiology and healthcare services.
• Provide actionable insights regarding changes in reimbursement, payer behavior, market competition, and healthcare policy.
• Participate in strategic planning initiatives and long-term growth strategy development.
• Support corporate initiatives related to growth, operational improvement, and enterprise value creation.

Organizational Collaboration & Professional Expectations

• Build strong cross-functional partnerships and facilitate collaboration across departments to support strategic decision-making.
• Lead cross-functional teams and subject matter experts through diligence and analytical processes without direct supervisory responsibility.
• Exercise discretion and independent judgment when handling confidential and sensitive information.
• Actively support organizational goals through participation, measurement, tracking, and communication of results.
• Maintain regular and reliable attendance, including participation in meetings, trainings, and strategic planning activities.

Requirements

REQUIRED EDUCATION & EXPERIENCE:

· Minimum of 5–7 years of progressive finance experience, including business development, strategic finance, healthcare finance, mergers & acquisitions, or corporate development.

· Bachelor's degree in Finance, Accounting, Economics, Business, or related field required.

· Advanced financial modeling, valuation, and investment analysis experience required.

· Healthcare, radiology, imaging center, physician practice management, or multi-site healthcare experience strongly preferred.

· Experience evaluating acquisitions, de novo developments, joint ventures, or large capital investments preferred.

REQUIRED KNOWLEDGE, SKILLS & ABILITIES:

· Strong financial modeling and analytical capabilities, including discounted cash flow analysis, IRR, NPV, payback period, ROI, sensitivity analysis, and scenario modeling.

· Ability to build and evaluate complex pro formas for acquisitions, de novo centers, service line expansions, and capital projects.

· Strong understanding of healthcare reimbursement models, payer rates, reimbursement trends, and revenue cycle drivers.

· Ability to analyze operational, financial, and market data to identify risks, opportunities, and value creation strategies.

· Ability to synthesize large volumes of financial and operational data into concise executive-level recommendations.

· Strong business acumen with the ability to evaluate strategic, operational, and financial implications of investment opportunities.

· Ability to collaborate cross-functionally and influence stakeholders without direct reporting authority.

· Ability to coordinate diligence workstreams across Operations, Revenue Cycle, Contracting, Accounting, Compliance, Legal, and Executive teams to meet transaction timelines and bid deadlines.

· Strong project management skills with ability to manage multiple priorities in a fast-paced environment.

· Excellent communication and presentation skills.

· Strong attention to detail, accuracy, organization, and follow-through.

· Advanced proficiency in Microsoft Excel, financial modeling, and data analytics tools.

· Knowledge of medical and radiology terminology preferred.

OTHER REQUIREMENTS:

Periodic travel (Approximately 5-10%) for meetings, due-diligence, or center evaluations.

OIA Core Values: Respect – Integrity – Accountability – Commitment - Results

OIA is an Equal Opportunity Employer

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