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About the Role

The US Oncology Network is seeking a Remote Regional Healthcare Senior Finance Manager to join Texas Oncology. This role is crucial for influencing enterprise strategy, partnering with senior leadership, and driving business impact within a complex healthcare setting. The position requires the candidate to reside in or relocate to the Texas Oncology Central & South Texas Regions.

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.

Requirements

• Must currently reside in Texas, specifically Texas Oncology Central & South Texas Regions or be willing to relocate prior to start date.
• 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.
• Proficiency in Microsoft Excel, Word, and PowerPoint.
• Master’s degree (MBA or related) and/or CPA preferred.
• 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.

Skills

• 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.

Location

• Remote
• Texas

Work Type

• Remote
• Full-time

Experience Level

• 7+ years of progressive finance experience

Education Level

• Bachelor's degree required (Finance, Accounting, Business, or related field)
• Master's degree (MBA or related) and/or CPA preferred

Benefits

• Medical, Dental, Vision, Life Insurance, Short-term and Long-term disability coverage
• Generous PTO program
• 401k plan with company match
• Wellness program
• Tuition Reimbursement
• Employee Assistance program
• Discounts on retailers
• Long-Term Incentive Plan (LTIP)

About the Company

• The US Oncology Network is one of the nation’s largest networks of community-based oncology physicians dedicated to advancing cancer care in America.
• The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care.
• Texas Oncology delivers high-quality, evidence-based care to patients close to home.
• Texas Oncology is the largest community oncology provider in the country and has approximately 600+ providers in 300+ sites across Texas.
• Our mission is to use leading-edge technology and research to deliver high-quality, evidence-based cancer care to help our patients achieve “More breakthroughs. More victories.” ® in their fight against cancer.
• Texas Oncology treats half of all Texans diagnosed with cancer on an annual basis.