Business Development Finance Manager - FT

Outpatient Imaging Affiliates - OIA - Franklin, TN • Franklin, TN

9h • Hybrid

About The Position

Outpatient Imaging Affiliates (OIA), a leading owner and operator of over 60 outpatient imaging centers across 19 states, is seeking an experienced Business Development Finance Manager to join its Corporate Finance Team. This role is crucial for supporting OIA's growth initiatives by providing strategic financial partnership through rigorous analysis, valuation modeling, and operational due diligence. The manager will evaluate various growth opportunities including acquisitions, joint ventures, de novo developments, service line expansions, and capital investments. Key responsibilities involve sophisticated financial modeling, investment analysis, and cross-functional collaboration with departments such as Operations, Accounting, Revenue Cycle, Payer Contracting, Legal, and Executive Leadership to assess risks, validate assumptions, identify value creation, and support data-driven decisions. The role also includes evaluating post-implementation and post-acquisition performance against initial projections to ensure accountability and improve investment outcomes.

Requirements

• 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.
• 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.

Nice To Haves

• 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.
• Knowledge of medical and radiology terminology preferred.

Responsibilities

• 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.
• 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.
• 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.
• 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.
• 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.
• 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.

Benefits

• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level