Remote Regional Healthcare Senior Finance Manager - TxO San Antonio Region

The US Oncology Network•San Antonio, TX

32d•Remote

About The Position

The US Oncology Network is looking for a Remote Regional Healthcare Senior Finance Manager - Texas Oncology San Antonio Region to join their 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. The position requires the candidate to currently reside in Texas, specifically the Texas Oncology San Antonio Region, or be willing to relocate prior to the start date. The role is fully remote with up to 25% travel for key meetings. Texas Oncology is a community-based oncology provider dedicated to delivering high-quality, evidence-based care. The US Oncology Network is supported by McKesson Corporation and focuses on advancing cancer care in America. The team offers an outstanding family-first culture with low turnover and opportunities for career development.

Requirements

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.

Nice To Haves

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.

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.