Remote R1 Rcm Medical Coding Jobs in San Antonio, TX

Overview
The US Oncology Network is looking for a Remote Regional Healthcare Senior Finance Manager - Texas Oncology San Antonio Region 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, specifically the Texas Oncology San Antonio Region.
Sites Include: San Antonio Downtown, San Antonio Northeast, San Antonio Southeast, Stone Oak, Medical Center, Kerrville, Jourdanton, Fredericksburg, New Braunfels, and Westover HIlls
Travel: This position is fully remote with up to 25% travel for key meetings.
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.
Why work for us?
Come join our team that is responsible for helping lead Texas Oncology in treating more patient diagnosed with cancer than any other provider in Texas. Our Information Technology team offers an outstanding family-first team culture. Extremely low turn-over with long-tenured team members. There are opportunities for career development, excellent benefits and perks as well as self-directed daily work. We offer our employees a competitive benefits package that includes Medical, Dental, Vision, Life Insurance, Short-term and Long-term disability coverage, a generous PTO program, a 401k plan that comes with a company match, a Wellness program that rewards you practicing a healthy lifestyle, and lots of other great perks such as Tuition Reimbursement, an Employee Assistance program and discounts on some of your favorite retailers.
Join a Team That Invests in Your Future
At Texas Oncology, we recognize the long-term impact of our people and are committed to rewarding performance and potential. That's why 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.
What is the Long-Term Incentive Plan (LTIP)?
Long-Term Incentive Plan (LTIP): is an incentive program that typically vests over a three-year period and is tied to both individual performance and the operational success of Texas Oncology. Awards are discretionary and based on your position, performance, and potential for future career growth at Texas Oncology. Awards are reviewed and approved during the annual compensation review. LTIP awards are subject to your continued employment through the award payment date, and are governed by the written terms and conditions of the LTIP document.
What does the Regional Senior Finance Manager do?
The Regional Senior Finance Manager is a key finance partner supporting the Division Finance Director and practice leadership across a Texas Oncology region. This role combines hands-on operational finance with strong analytical capabilities, delivering accurate reporting, actionable insights, and disciplined execution to improve financial performance at the practice level. The Senior Finance Manager collaborates closely with Operations, Controllers, and physician/practice leaders to support budgeting and forecasting, provide meaningful variance analysis, and ensure consistent application of financial processes and controls. This role plays a critical part in advancing growth, efficiency, and performance goals aligned with the long-range plan. This is an individual contributor role with no direct reports. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.
Responsibilities
The essential duties and responsibilities (including but not limited to):
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; 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.

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 the 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.

Qualifications
The ideal candidate will have the following background and experience:
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.

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. Physical demands of this job typically require 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 the use 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 and requires significant interaction with management, staff and external auditors and clients.
#USONTX