Remote Regional Healthcare Senior Finance Manager - TxO DFW West Region

Must currently reside in Texas Oncology DFW West Region or be willing to relocate prior to start date. Sites include: Arlington, Azle, Bedford, Corsicana, Cleburne, Granbury, Mansfield, Fort Worth Cancer Center, Irving, Las Colinas, Methodist, Mid-Cities, Rosewood Market, Keller, Grapevine, Midlothian, Weatherford.

Travel: This position is fully remote with up to 25% travel for key meetings.

About the Organization

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, with approximately 600+ providers in 300+ sites across Texas. Our founders pioneered community-based cancer care to make 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 remains the same today—using 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 annually.

The US Oncology Network is one of the nation’s largest networks of community-based oncology physicians dedicated to advancing cancer care in America, supported by McKesson Corporation to empower a vibrant and sustainable community patient care delivery system.

Why Join Us

Join a team responsible for leading Texas Oncology in treating more patients diagnosed with cancer than any other provider in Texas. Our Information Technology team offers an outstanding family-first team culture with extremely low turnover and long-tenured team members. Opportunities for career development, excellent benefits, perks, and self-directed daily work are available.

Benefits

• Medical, Dental, Vision, Life Insurance
• Short-term and Long-term disability coverage
• Generous PTO program
• 401k plan with company match
• Wellness program that rewards healthy lifestyle practices
• Tuition Reimbursement
• Employee Assistance program
• Discounts on favorite retailers

Select roles may be eligible to participate in our Long-Term Incentive Plan (LTIP): an incentive program designed to attract, retain, and reward top talent, vesting over a three-year period tied to both individual performance and operational success. Awards are discretionary and based on position, performance, and potential for future career growth.

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

Education: Bachelor’s degree required (Finance, Accounting, Business, or related field).

Experience:

• 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.

Skills & Competencies

• 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.

Preferred Qualifications

• Master’s degree (MBA or related) and/or CPA.
• Experience in healthcare services, particularly in oncology, hospital administration, or similarly complex healthcare environments.
• Experience in other multi-site healthcare settings (e.g., outpatient surgery, renal care, multi-specialty practices).
• Experience in providing financial oversight or support to surgical specialties, surgical practices, or procedural service lines.

Physical Demands

The physical demands described are representative of those that must be met to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions.

• Full range of body motion including manual and finger dexterity and eye-hand coordination.
• Sitting/standing for extensive periods of time with use of hands to finger, handle, or feel, and arms to reach or carry.
• Occasionally lifts and carries items weighing up to 40 lbs.
• Requires corrected vision, color perception, and hearing to normal range.
• Requires legible handwriting.

Work Environment

The work environment characteristics described are representative of those encountered while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions.

• Work is performed in an office environment.
• Requires significant interaction with management, staff, and external auditors and clients.