Sr Finance Manager, FP&A – TxO Operating & Capital Expenses

The US Oncology Network•Dallas, TX

12d•Hybrid

About The Position

The US Oncology Network is looking for a Sr Finance Manager, FP&A - Texas Oncology Operating & Capital Expenses to join our 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. Must currently reside in Texas. Preferred locations include Austin, Dallas, Houston, and San Antonio. As a part of The US Oncology Network, 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 founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today—at Texas Oncology, we 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. Today, Texas Oncology treats half of all Texans diagnosed with cancer on an annual basis. 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. The Senior Finance Manager, FP&A for TxO Operating Expenses (Opex) and Capital Expenses (Capex) serves as a strategic finance partner responsible for building and leading the expense management framework across Texas Oncology’s TxO practice. This newly created role will oversee the capital expenditure process, establish standardized approval workflows, guide operating expense discipline, and support long-range planning. The Sr Finance Manager will provide financial insights, develop scalable processes, and influence key decisions to ensure responsible and strategic resource deployment. The role collaborates closely with Operations, Region Finance Leaders, FP&A leadership, and cross-functional stakeholders to ensure a consistent, data-driven view of spending, investment needs, and financial performance.

Requirements

Bachelor’s degree required (Finance, Accounting, Business, or related field).
7+ years of progressive finance experience in FP&A, capital planning, or operational finance
Proven ability to build new processes or operating models in a dynamic environment
Strong analytical skills and ability to synthesize complex financial information.
Ability to influence cross-functional leaders and guide disciplined spending decisions.
Digital-first mindset with interest in automation and AI-enabled forecasting
Strong communication and presentation skills.

Nice To Haves

Master’s degree (MBA, MHA, MSF or related) and/or CPA.
Experience in healthcare services is preferred.
Familiarity with capital planning, investment modeling, or cost optimization.
Experience working with Power BI or visualization of data.

Responsibilities

Lead Capex planning, budgeting, and forecasting for TxO
Manage and standardize the end-to-end Capex process, including intake, evaluation, approval, and post-investment review.
Develop and maintain tools and templates to assess ROI, prioritization, and financial impact of capital projects.
Ensure alignment with strategic priorities and long-range plans.
Provide consolidated reporting on active and planned capital investments.
Lead Opex planning, budgeting, and forecasting for TxO functions.
Partner with Regional Finance and Operations to understand and provide insights through KPI monitoring and variance analysis.
Identify cost-saving opportunities, efficiency levers, and spend optimization initiatives.
Provide clear narratives and variance explanations to inform leadership decisions.
Support annual budget cycles, including development of planning assumptions and consolidated TxO Opex and Capex views.
Build scalable models, reporting frameworks, and long-range planning inputs.
Develop dashboards, KPIs, and analytics to improve visibility into spending trends and investment outcomes.
Provide scenario modeling, risk/opportunity analysis, and actionable recommendations.
Translate financial and operational data into concise leadership-ready insights.
Partner with TxO and enterprise leaders to align investment needs with long-range strategy.
Conduct ad hoc analyses on spend trends, capacity needs, business cases, and strategic priorities.
Act as a trusted finance partner to key internal stakeholders, ensuring one consistent view of operating and capital performance.
Work cross-functionally with FP&A, Operations, Accounting/Controllers, People, and Project Management teams.
Standardize processes, definitions, and decision criteria to drive consistency across regions and functions.
Prepare and present materials for executives and other audiences throughout the organization
Be the voice of finance for Opex and Capex
Advance a digital/AI‑enabled FP&A toolkit to streamline reporting, automate recurring analyses, and improve cycle time and accuracy.
Champion simplification and standardization to improve cycle time and scalability