Remote Regional Healthcare Senior Finance Manager - Surgical Practices - TBS and TSS

Overview

This position is for a Remote Regional Healthcare Senior Finance Manager supporting Texas Breast Specialist and Texas Surgical Specialists. The role requires that you currently reside in Texas. Preferred locations include Austin, Dallas, Houston, and San Antonio.

Sites included: Texas Breast Specialist and Texas Surgical Specialists (statewide)

Travel: Fully remote with up to 25% travel for key meetings.

Responsibilities

Financial Planning & Analysis

• Prepare monthly financial reporting packages, variance analyses, and KPI dashboards for practice and regional leadership.
• Support annual budgeting and recurring forecast cycles by coordinating inputs, validating assumptions, and maintaining driver-based financial models.
• Translate financial results into clear insights and recommendations; proactively identify and escalate risks and opportunities to the Division Finance Director.

Physician & Practice Engagement

• 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.

Performance Metrics & Decision Support

• Maintain and enhance key performance indicators (KPIs) including volume, revenue yield, payor mix/discounts, expense run rates, and working capital metrics.
• Support development and enhancement of decision-support tools in partnership with the Division Finance Director.

Capital Planning & Expenditures

• Support capital expenditure (CapEx) intake and evaluation, including gathering business cases, preparing financial analyses (ROI/NPV), and tracking approved projects against budget and timelines.

Financial Management & Oversight

• 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.

Business Development & Growth Support

• 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.

Collaboration & Continuous Improvement

• 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 (Required)

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

Experience (Required)

• 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 (Required)

• 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.
• Experience in providing financial oversight or support to surgical specialties, surgical practices, or procedural service lines is strongly preferred.

Compensation & Benefits

• Eligible for a Long-Term Incentive Plan (LTIP) for select roles.
• Comprehensive benefits package including Medical, Dental, Vision, Life Insurance, Short-term and Long-term disability coverage, generous PTO, and a 401k plan with company match.
• Wellness program that rewards you for practicing a healthy lifestyle.
• Tuition reimbursement, Employee Assistance program, and discounts on select retailers.

Additional Information

• Individual contributor role with no direct reports.
• Supports and adheres to the US Oncology Compliance Program, including the Code of Ethics and Business Standards.

Physical Demands

• Full range of body motion including manual and finger dexterity and eye-hand coordination in operation and manipulation of complex laboratory equipment.
• Requires 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

• Office environment with significant interaction with management, staff, and external auditors and clients.