Director of Finance at Oneoncology

Welcome to Piedmont Cancer Institute — where patient care is more than a mission; it's a partnership and our values lead the way.

For more than 38 years, Piedmont Cancer Institute (PCI) has proudly served the Metro Atlanta community, delivering exceptional cancer care built on a foundation of Compassion, Innovation, Communication, and Integrity. Today, our team includes 17 dedicated physicians, 20 skilled Advanced Practice Providers, across 6 locations (and growing) —all united in our commitment to excellence.

At PCI, we blend cutting-edge treatments with deep clinical expertise and genuine compassion to offer truly comprehensive care. Our dedication goes beyond medicine—it’s reflected in how we care for our patients, support their families, and collaborate with one another. No matter your position, a career at PCI offers more than a paycheck. It’s a place where purpose meets passion, where connection fuels collaboration, and where your work makes a lasting impact.

Why Join PCI?
We're looking for talented individuals who share our passion for making a difference. If you value Compassion, embrace Innovation, prioritize open Communication, and act with Integrity, you'll thrive at Piedmont Cancer Institute—where every role plays a part in advancing hope and healing in our community. Here, you'll find purpose in your work.

Job Description:

The Director of Finance serves as the senior financial leader responsible for the integrity of all financial operations, accounting controls, physician compensation, and contract management within a complex, multi-site oncology enterprise. This position combines hands-on technical accounting expertise with strategic financial planning and governance responsibilities, ensuring accuracy, transparency, and compliance across all organizational entities.
The role partners closely with the CEO, COO, CCO, Board of Directors, and OneOncology to manage the enterprise’s financial health, strengthen provider alignment, and advance data-driven decision-making across clinical, pharmacy, and administrative functions.

Core Responsibilities

1. Accounting Operations & Financial Control

• Monitors the full accounting cycle, including general ledger, AP/AR, cash management, and revenue recognition.
• Maintains accurate and compliant financial statements and manages the month-end and year-end close processes.
• Designs and oversees internal controls to protect assets and ensure compliance with audit standards.
• Serves as the primary liaison with banking institutions and actively manages relationships, transactions, and controls to ensure security and transparency with all activity.
• Supervises the preparation of financial statements and supports analysis for the CEO, COO, and Board.
• Coordinates annual tax and compliance filings with external partners.
• Monitors the accuracy and completeness of employee payroll.
• Reconciles clinical and pharmacy systems to confirm accurate recording of infusion charges, drug inventory, and payer settlements.
• Ensures the accuracy and completeness of OneOncology’s fixed asset records, including depreciation.

2. Physician Practice Management & Compensation Administration

• Manages and administers physician compensation models —including base salary, RVU-based productivity, incentives, and ancillary or partnership components —in collaboration with external partners.
• Maintains and reconciles monthly data feeds from EMR/billing systems, ensuring alignment with charge and revenue capture.
• Prepares monthly provider compensation statements with transparent reconciliation of productivity and collections.
• Provides Board-ready documentation of variance explanations and performance trends.
• Designs dashboards that integrate physician productivity, drug margin contribution, payer mix, and infusion-chair utilization.

3. Budgeting, Forecasting & Strategic Finance

• Collaborates with PCI leadership and OneOncology's Strategic Finance and Accounting departments to formulate long-term and short-term strategies that enhance financial and operational performance, maximizing profitability and improving patient care.
• Leads development of annual operating and capital budgets, integrating site-level and physician-level performance targets.
• Builds forecasts and long-range financial models for practice expansion, new ventures, and clinic development projects to evaluate ROI for capital investments.
• Develops, monitors, and analyzes key performance indicators (KPIs), such as operating cost efficiency, profitability, and growth initiative outcome metrics.
• Develops and maintains labor standards to justify new and replacement positions.
• Conducts variance analyses to highlight operational and financial drivers, presenting clear recommendations to leadership.
• Works with clinical and operational teams to analyze clinic operations, patient care pathways, drug costs, inventory costs, and labor management for financial improvements without compromising care quality and service.
• Prepares Board and executive dashboards summarizing budget performance and key financial ratios.

4. Contract Management & Compliance Oversight

• Oversees all financial aspects of contract management for the enterprise, including:
  • Vendor contracts: purchasing, IT systems, medical supplies, facilities, and service vendors.
  • Physician and provider agreements: compensation schedules, incentive components, and special reimbursements.
  • Lease and capital contracts: clinic site leases, equipment purchases, and construction financing.
• Maintains a centralized contract management system with alerts for renewal, termination, and compliance milestones.
• Reviews proposed contracts for financial and operational implications; coordinates legal review with counsel as needed.
• Ensures alignment between contract terms and financial systems, including payment schedules and accounting treatment.
• Monitors adherence to regulatory and compliance frameworks.

5. Revenue Cycle & Financial Performance Integration

• Partners with RCM leadership to align charge capture, payment posting, and reconciliation workflows.
• Collaborates with RCM leadership to analyze payer reimbursement trends to identify underpayments, contract gaps, or systemic denials.
• Actively engages in performance improvement activities that boost collection rates and overall departmental effectiveness.
• Routinely monitors and reconciles the Research department's revenue.
• Tracks infusion center utilization and financial contribution by site, physician, and payer category.

6. Leadership, Governance & Team Development

• Leads and mentors accounting staff; promotes accuracy, accountability, and continuous improvement.
• Serves as the primary staff liaison to the Finance Committee and provides monthly, quarterly, and annual reporting packages.
• Collaborates with HR, Clinical Operations, and Compliance on organization-wide policy, training, and performance systems.

Qualifications

• Education: Bachelor’s degree in Accounting, Finance, or related field required; MBA or Master’s preferred.
• Certification: CPA preferred.
• Experience:
  • 5-7 years of progressive financial management experience, including at least 2 years in a multi-site physician practice or healthcare organization.
  • Proven experience managing physician compensation and healthcare financial analytics.
  • Background in GAAP, internal controls, and audit preparation.
• Technical Proficiency:
  • Advanced Excel and modeling (pivot tables, lookup logic, scenario modeling).
  • Experience with healthcare ERP/EMR and accounting platforms (e.g., Workday, QuickBooks, or equivalent).
  • Familiarity with dashboard visualization tools.
• Competencies:
  • Strategic thinking with operational execution discipline.
  • Detail-oriented with exceptional analytical and organizational skills.
  • Integrity, transparency, and discretion in handling sensitive information.
  • Strong communicator with the ability to partner across clinical and administrative teams.

Performance Metrics

• Timely, accurate financial closes and reporting cycles.
• Budget and forecast accuracy within established thresholds.
• Contract renewal compliance and zero lapses in critical agreements.
• Physician compensation statements are delivered within scheduled deadlines.
• Audit results and internal control effectiveness.
• Staff engagement and retention within the finance function.
• Demonstrated cost savings or efficiency gains through contract or margin optimization.