Senior Financial Analyst

Tennessee Oncology, one of the nation’s largest, community-based cancer care specialists, is home to one of the leading clinical trial networks in the country. Established 1976 in Nashville, Tennessee Oncology’s mission remains unchanged: To provide access to high-quality cancer care and the expertise of clinical research for all patients, at convenient locations within their community and close to their home. Our growing network of physicians and locations is based on this mission. Tennessee Oncology is committed to advancing both the science of detection and targeted treatments, and to making these advances available to every patient. We believe caring for cancer patients is a privilege.

Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.

Job Description:

The Senior Financial Analyst plays a critical role in ensuring our incentives programs are accurate, timely, tax-aware, and aligned with business goals. You'll support all aspects of plan design, data validation, payout calculation, tax treatment considerations, and analytics while driving continuous process improvements and providing actionable insights to leadership. The role is idea for someone who enjoys working with complex data sets, understands compensation-related tax implications, and seeks to make a measurable impact across the organization.

ESSENTIAL FUNCTIONS:

Plan Administration:

• Support day-to-day administration of compensation plans, including data validation, payout calculations, and reconciliation of exceptions (Territory changes, leaves of absence, manual adjustments), and verification of appropriate payroll and tax treatment.
• Ensure incentive payouts are properly classified (e.g., supplemental wages, bonuses, non-qualified compensation) in coordination with Payroll and Accounting.
• Review compensation components for compliance with federal and state tax withholding requirements and internal compensation policies and employment agreements.

Tax Compliance & Regulatory Alignment:

• Partner with Payroll and Accounting to ensure accurate federal, state, and local tax withholding for physician incentive compensation, including supplemental wage withholding methodology.
• Support year-end reporting processes, including reconciliation of taxable compensation for Form W-2, K-1, and 1099 reporting, where applicable.
• Assist in evaluating tax implications of compensation plan changes, including sign-on bonuses, retention payments, relocation assistance, fringe benefits, and nonqualified deferred compensation arrangements.
• Maintain awareness of IRS regulations, reasonable compensation standards, and healthcare regulatory considerations (e.g., Stark Law and Anti-Kickback Statute as they relate to fair market value and compensation structure).
• Support audit readiness for internal, external, and tax-related audits by maintaining documentation and clear compensation calculation trails.               

Analysis & Insights:

• Develop ad hoc reports and dashboards to monitor productivity performance (e.g., wRVUs), payout accuracy, and incentive plan effectiveness.
• Partner with Accounting, HR, and Leadership to identify trends, highlight risks, and provide recommendations. 

Compensation Planning:

• Assist with plan modeling, target setting, and financial impact analysis during financial planning cycles, including gross-to-net cost projections that account for employer payroll tax burden (FICA, FUTA, state unemployment).
• Model tax impact scenarios for alternative compensation structures (e.g., bonus frequency, guaranteed draws, productivity thresholds).

• Build and maintain compensation calculators and scenario models to test plan changes, forecast payout outcomes, and estimate tax withholding for both employer and physician. 

Process Improvement:

• Identify inefficiencies or manual gaps in the compensation lifecycle, including payroll interface and tax reporting workflows.
• Propose and implement automation, standardization, and documentation improvements to streamline workflows, audit defensibility, and enhance data accuracy. 
• Develop standardized procedures for tax-sensitive compensation elements such as clawbacks, recoupments, and retroactive adjustments.