Remote Regional Healthcare Senior Finance Manager - TxO San Antonio Region

Must currently reside in the Texas Oncology San Antonio Region or be willing to relocate prior to start date. Sites include: San Antonio Downtown, San Antonio Northeast, San Antonio Southeast, Stone Oak, Medical Center, Kerrville, Jourdanton, Fredericksburg, New Braunfels, and Westover Hills.

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

About the role

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. 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, 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.

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

• 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.

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.
• Proficiency in Microsoft Excel, Word, and PowerPoint.

Preferred Qualifications

• 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.

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.
• Eligibility to participate in the Long-Term Incentive Plan (LTIP), an incentive program that vests over a three-year period tied to individual performance and operational success.

Physical Demands

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

• Full range of body motion including manual and finger dexterity and eye-hand coordination in operation and manipulation of complex equipment.
• 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 here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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