Sr. Manager, Financial Operations

Astera Cancer Care; Nashville (TN); On-site; USD 110,000 - 170,000; Full time

Job summary

OneOncology is seeking a Sr. Manager, Financial Operations (Oncology Division) to partner with leadership, transform financial data into insights, and scale a fast-growing healthcare platform. You will lead budgeting, forecasting, monthly reviews, and investor reporting while developing KPIs and dynamic models.

You will collaborate across Strategy, Operations, Clinical, and Accounting teams to support executive decision-making and drive performance for a nationwide network of practices.

Qualifications

• Bachelor’s or Master’s degree (Finance/Business/Economics/Accounting).
• 5–7+ years of financial leadership or financial operations experience, including direct responsibility for executive materials and presentations.
• Experience in healthcare, physician practices, or PE-backed portfolios preferred.
• Workday Adaptive Planning experience is a plus.

Responsibilities

• Provide leadership with forward-looking financial analysis to aid decision-making.
• Develop, validate, and explain key financial trends and performance metrics.
• Collaborate with stakeholders to improve processes and drive productivity initiatives.
• Support annual budgeting and monthly tracking of budget initiatives.
• Coordinate monthly close with accounting and prepare detailed performance reviews for practices.
• Prepare monthly forecasts and variance analyses for executives and boards.

Skills

Analytical thinking

Stakeholder collaboration

Excel proficiency

PowerPoint proficiency

Financial leadership

Education

Bachelor’s or Master’s degree in Finance/Business/Economics/Accounting

Tools

Workday Adaptive Planning

Job description

OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision.

Why join us?

This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.

Job Description:

The Sr. Manager, Financial Operations (Oncology Division) will report to the Director of Financial Operations and play a highly visible role supporting OneOncology's leadership team. This position is ideal for a finance leader who enjoys partnering across the organization, influencing strategic decisions, and helping scale a fast-growing healthcare platform. Working closely with Strategic Finance, Operations, Clinical, and Accounting leaders, you will transform complex financial and operational data into actionable insights that drive business performance. You'll lead key financial planning processes—including the annual budgeting cycle, forecasting, monthly business reviews, and investor reporting—while developing meaningful KPIs, identifying emerging trends, and building dynamic financial models that support executive decision-making. This role offers significant exposure to senior leadership within OneOncology and the practices OneOncology serves, along with the opportunity to influence initiatives across one of the nation's leading oncology platforms. As OneOncology continues its rapid growth, this position provides a clear path for increased responsibility and career advancement within the finance organization for individuals who demonstrate strong performance, leadership, and strategic thinking.

Responsibilities:

• Provide OneOncology and practice leadership with forward-looking information to assist with their decision-making responsibilities
• Develop, validate, challenge, and explain key financial trends, indicators and performance
• Work with key stakeholders to improve processes and drive productivity initiatives
• Support the annual practice budget process as well as monthly tracking of budget initiatives and attainment
• Integrate with the practice accounting team to support efficient monthly financials preparation and close, along with development of detailed monthly performance review package for each practice
• Development and preparation of organizational and practice-specific monthly forecasts, variance analysis, internal and external financial presentations
• Creation and distribution of weekly, monthly, and quarterly information to the Executive Leadership Team, the Board of Directors, and operational leadership
• Assess need for (and implementation of) financial system reporting tools
• Manage a team of 1-2 Financial Operations analysts
• Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer.

Required or Preferred Qualifications:

• Bachelor’s or Master’s degree (preferably Finance, Business, Economics, or Accounting)
• 5-7+ years of broad financial leadership or financial operations experience – including direct responsibility for preparation of executive materials and executive presentations required
• Experience working within the healthcare industry, with physician practices, or within a private equity-backed portfolio company strongly preferred
• Workday Adaptive Planning experience a plus

Essential Competencies:

• Strong analytical, communication and influencing skills
• Strong collaboration and teamwork skills to achieve win-win scenarios
• Highly proficient in Excel, PowerPoint, and other planning applications
• Ability to condense disparate information into a concise message for senior leaders
• Energetic, highly motivated and able to work independently
• Must be able to work in a fast growing, rapidly evolving business, often with multiple projects simultaneously
• Strong prioritization and project management skills required
• Passion for accuracy in reporting data to the business
• Attendance is an essential job function.

OneOncology was founded by community physicians, for community physicians, with the mission of improving the lives of everyone living with cancer and other diseases. Our goal is to enable community medical practices to remain independent and to improve patient access to care in their communities, all at a lower cost than in the hospital setting. OneOncology supports our platform of community medical practices through group purchasing, operational optimization, practice growth, and clinical innovation. Our partner practices comprise approximately 2,300+ providers who care for approximately 1.5 million patients across 20 states.