[Remote] Remote Regional Healthcare Senior Finance Manager – TxO San Antonio Region

Note: The job is a remote job and is open to candidates in USA. The US Oncology Network supports Texas Oncology in delivering high-quality, evidence-based cancer care across Texas. The Regional Healthcare Senior Finance Manager partners with finance, operations, physician, and practice leaders to provide reporting, budgeting, forecasting, variance analysis, capital planning, and decision support that improve regional financial performance.

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

Skills
• Must currently reside in Texas, specifically the Texas Oncology San Antonio Region or be willing to relocate prior to start date
• Travel: This position is fully remote with up to 25% travel for key meetings
• 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
• 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

Benefits
• Fully remote position with up to 25% travel for key meetings.
• Family-first team culture.
• Opportunities for career development.
• Medical coverage.
• Dental coverage.
• Vision coverage.
• Life insurance.
• Short-term disability coverage.
• Long-term disability coverage.
• Generous PTO program.
• 401(k) plan with a company match.
• Wellness program that rewards practicing a healthy lifestyle.
• Tuition reimbursement.
• Employee Assistance Program.
• Discounts at select retailers.
• Select roles may be eligible to participate in the Long-Term Incentive Plan (LTIP), subject to position, performance, potential for future career growth, continued employment through the award payment date, and the written terms and conditions of the LTIP document.

Company Overview
• Every day, The US Oncology Network helps approximately 3,300 providers deliver value-based, integrated care for patients—close to home. It was founded in 1992, and is headquartered in The Woodlands, Texas, USA, with a workforce of 10001+ employees. Its website is http://www.usoncology.com/.

Location: , ,

Benefits:

  • Paid Time Off
  • Health Insurance

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