Business Development Finance Manager - FT

Outpatient Imaging Affiliates (OIA) in Franklin, Tennessee is seeking a full-time Business Development Finance Manager to help steer growth from a financial perspective. This hybrid role partners with senior leaders to build complex investment models, evaluate acquisitions and new center development, and support capital decisions across service line expansions and center optimization.

Responsibilities

• Develop and maintain sophisticated financial models and investment analyses to support acquisitions, joint ventures, de novo centers, and strategic growth initiatives.
• Perform valuation work using discounted cash flow models, market comparables, return on invested capital, IRR, NPV, payback, and related metrics.
• Evaluate capital expenditures, working capital needs, reimbursement trends, volume growth assumptions, staffing models, and operational drivers.
• Run sensitivity analyses and scenario modeling to gauge financial risk and return profiles.
• Create underwriting models for acquisitions and de novo ventures that capture ramp assumptions, payer mix, reimbursement rates, referral trends, and market dynamics.
• Analyze opportunities for strategic growth including service line expansion, equipment replacement, center optimization, and geographic market expansion.
• Lead financial due diligence and coordinate diligence workstreams across internal and external stakeholders.
• Collaborate with Operations, Revenue Cycle, Accounting, Contracting, Compliance, and Legal to validate operational, financial, reimbursement, and compliance assumptions.
• Review financial statements, productivity metrics, reimbursement trends, payer contracts, referral patterns, and operational KPIs to assess opportunities for acquisitions and partnerships.
• Identify risks, earnings quality considerations, improvement opportunities, and potential integration challenges.
• Assist in preparing investment committee materials, executive summaries, board materials, and transaction recommendations.
• Manage timelines and coordinate information gathering to ensure timely completion of transactions and bid processes.
• Develop pro forma models for all new development opportunities in partnership with Operations and Finance leadership.
• Develop market analyses for existing and prospective markets, including demographics, competitive intelligence, reimbursement environment, utilization trends, and market attractiveness.
• Support existing joint ventures in identifying value creation opportunities including acquisitions, de novo expansion, service line optimization, and operational improvements.
• Build benchmarking databases and standardized assumptions for validating and stress-testing future pro formas.
• Continuously improve financial modeling methodologies, diligence processes, and investment analytics capabilities.
• Evaluate post-acquisition and post-implementation financial performance against underwriting assumptions and approved investment returns.
• Monitor and analyze actual versus projected performance for acquisitions, de novo centers, and strategic initiatives.
• Identify key drivers of performance variances and partner with Operations and Executive Leadership on corrective action plans and value creation initiatives.
• Develop reporting and dashboards to track investment performance, ramp performance, profitability trends, and return metrics.
• Support ongoing strategic reviews of center performance and portfolio optimization opportunities.
• Monitor industry, reimbursement, regulatory, and competitive trends relevant to radiology and healthcare services, providing actionable insights.
• Participate in strategic planning initiatives and long-term growth strategy development.
• Support corporate initiatives related to growth, operational improvement, and enterprise value creation.
• Build strong cross-functional partnerships and facilitate collaboration across departments to support strategic decision-making.
• Lead cross-functional teams and subject matter experts through diligence and analytical processes without direct supervisory responsibility.
• Exercise discretion and independent judgment when handling confidential and sensitive information.
• Actively support organizational goals through participation, measurement, tracking, and communication of results.
• Maintain regular and reliable attendance, including participation in meetings, trainings, and strategic planning activities.

Requirements

• Minimum of five to seven years of progressive finance experience, including business development, strategic finance, healthcare finance, mergers and acquisitions, or corporate development.
• Bachelor’s degree in Finance, Accounting, Economics, Business, or related field required.
• Advanced financial modeling, valuation, and investment analysis experience required.
• Healthcare, radiology, imaging center, physician practice management, or multi-site healthcare experience strongly preferred.
• Experience evaluating acquisitions, de novo developments, joint ventures, or large capital investments preferred.
• Strong financial modeling and analytical capabilities, including DCF, IRR, NPV, payback period, ROI, sensitivity analysis, and scenario modeling.
• Ability to build and evaluate complex pro formas for acquisitions, de novo centers, service line expansions, and capital projects.
• Strong understanding of healthcare reimbursement models, payer rates, reimbursement trends, and revenue cycle drivers.
• Ability to analyze operational, financial, and market data to identify risks, opportunities, and value creation strategies.
• Ability to synthesize large volumes of financial and operational data into concise executive-level recommendations.
• Strong business acumen with the ability to evaluate strategic, operational, and financial implications of investment opportunities and collaborate cross-functionally.
• Ability to coordinate diligence workstreams across Operations, Revenue Cycle, Contracting, Accounting, Compliance, Legal, and Executive teams to meet timelines and bid deadlines.
• Strong project management skills with the ability to manage multiple priorities in a fast-paced environment.
• Excellent communication and presentation skills.
• Strong attention to detail, accuracy, organization, and follow-through.
• Advanced proficiency in Microsoft Excel, financial modeling, and data analytics tools.
• Knowledge of medical and radiology terminology preferred.

Technologies

• Microsoft Excel

Benefits

• Paid Time Off and Holiday Pay
• Health Insurance including medical, dental, vision and prescription coverage with FSA and HSA options
• 401(k) plan with Company Match and Company-paid Life Insurance
• Short-term and Long-term Disability and Employee Assistance Program

Other Requirements

• Periodic travel approximately 5-10% for meetings, due diligence, or center evaluations.