Business Development Finance Manager

Description

Outpatient Imaging Affiliates, an owner and operator of over 60+ outpatient imaging center locations in 19 states, is looking for an experienced Business Development Finance Manager to join our Corporate Finance Team.

The Business Development Finance Manager serves as a strategic finance partner supporting OIA's growth initiatives through rigorous financial analysis, valuation modeling, and operational due diligence. This role is responsible for evaluating acquisitions, joint ventures, de novo development opportunities, service line expansions, and capital investments through sophisticated financial modeling and investment analysis. The position partners cross-functionally with Operations, Accounting, Revenue Cycle, Payer Contracting, Legal, and Executive Leadership to assess risk, validate assumptions, identify value creation opportunities, and support data‑driven investment decisions.

The role also evaluates post-implementation and post-acquisition performance against underwriting assumptions to ensure accountability and continuous improvement in investment outcomes.

This position is:

• Full-time, Salaried, Exempt
• Benefits Eligible
• Strong Base Pay
• Hybrid — Remote + work‑from‑home

OIA offers a competitive compensation package that includes base pay plus benefits to support your health, well‑being, and future:

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

• Develop and maintain sophisticated financial models and investment analyses supporting acquisitions, joint ventures, de novo developments, and strategic growth initiatives.
• Perform valuation analyses utilizing discounted cash flow models, market comparable analyses, return on invested capital, internal rate of return (IRR), net present value (NPV), payback period, and other investment metrics.
• Evaluate capital expenditure requirements, working capital assumptions, reimbursement trends, volume growth assumptions, staffing models, and operational performance drivers.
• Perform sensitivity analyses and scenario modeling to assess financial risk and return profiles.
• Develop acquisition and de novo underwriting models that incorporate operational ramp assumptions, payer mix, reimbursement rates, referral trends, and market dynamics.
• Analyze strategic growth opportunities including service line expansion, equipment replacement, center optimization, and geographic market expansion.

• Execute financial due diligence processes and coordinate diligence work streams across internal and external stakeholders.
• Partner with Operations, Revenue Cycle, Accounting, Contracting, Compliance, and Legal teams to validate operational, financial, reimbursement, and compliance assumptions.
• Review financial statements, productivity metrics, reimbursement trends, payer contracts, physician referral patterns, and operational KPIs to assess acquisition and partnership opportunities.
• Identify risks, quality of earnings considerations, operational improvement opportunities, and potential integration challenges.
• Support preparation of investment committee materials, executive presentations, board materials, and transaction recommendations.
• Manage timelines and coordinate information gathering to support successful and timely completion of transaction and bid processes.

• Own development of pro formas for all new development opportunities in partnership with Operations and finance leadership.
• Develop market analyses for existing and prospective markets, including demographic trends, 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.
• Develop benchmarking databases and…