Senior Financial Analyst

Lumexa Imaging is one of the country's largest providers of outpatient medical imaging. With over 5,000 team members and more than 185 outpatient imaging centers across 13 states, our team conducts more than 4 million outpatient studies annually. We are the partner of choice for health systems and radiologists, delivering best-in-class clinical excellence, operations, and state-of-the-art technology across our platform.

The Senior Financial Analyst (SFA) serves as a key partner to the Finance team, responsible for delivering timely, accurate financial insights and analytics. This role combines traditional FP&A responsibilities with deep expertise in the physician compensation model, supporting both strategic decision-making and operational execution.

The position will perform financial reporting, budgeting, forecasting, and ad-hoc analysis while acting as the backup subject matter expert for physician compensation, including modeling, physician payroll, earnings calculations, and related accounting activities for approximately 150 physicians.

Location: Candidates must be able to work a minimum of 2 days per week in the Buffalo Admin Office.

Key Responsibilities

Financial Reporting & Analysis

• Review monthly financial results and key operational metrics
• Perform variance and trend analysis; clearly explain drivers of changes
• Develop and maintain financial models linking operational and financial performance
• Partner with stakeholders (Operations, Revenue Cycle, Accounting, HR) to:
• Enhance benchmarking
• Build dashboards and reporting tools
• Translate financial data into actionable insights for leadership

Budgeting & Forecasting

• Support the annual budgeting & forecast processes, including revenue, labor expense, physician compensation and FTE projections
• Participate in annual budget development, aligning financial planning with strategic priorities
• Identify, quantify, and communicate:
• Risks
• Opportunities not reflected in forecasts/budgets
• Consolidate and present results to leadership

Ad-Hoc Analysis & Strategic Support

• Support Denovo activity, including:
• Financial modeling
• Financial statement review
• Prepare reporting and presentations:
• Assist with monthly business reviews
• Conduct ad-hoc analysis and special projects as needed

Physician Compensation

• Serve as the backup subject matter expert for physician compensation
• Calculate and validate monthly physician earnings for payroll processing
• Develop and maintain monthly and quarterly compensation models
• Interpret and apply physician employment contracts
• Maintain:
• FTE schedules
• Compensation structures
• Expense allowances
• Prepare compensation and fringe-related journal entries
• Review and reclass compensation-related expenses booked by other teams
• Provide documentation and support for external audits (quarterly physician comp audits)
• Respond to physician inquiries regarding compensation

Qualifications

Education

• Bachelor’s degree in Finance, Accounting, or related field

Experience

• 5–8+ years in FP&A, financial analysis, or corporate finance
• Demonstrated experience with:
• Compensation modeling
• Financial planning & analysis
• Accounting and journal entries
• Experience working with large datasets, financial systems, and reporting tools

Skills & Competencies

• Advanced/expert Excel skills (modeling, large data sets, automation preferred)
• Strong financial modeling and analytical capabilities
• Exceptional attention to detail and accuracy
• Ability to interpret complex contracts and translate into financial outputs
• Strong communication skills:
• Ability to simplify complex financial information
• Comfortable presenting to senior leadership
• Experience with enterprise systems and data warehouses
• Highly organized with strong follow-through on deliverables
• Ability to manage multiple priorities in a dynamic environment
• Proven ability to handle highly confidential information with discretion
• Collaborative mindset with cross-functional partnership experience

Role Mix

• ~70–80% Traditional FP&A functions
• ~20–30% Physician Compensation

Lumexa Imaging provides a competitive compensation program to attract, retain, and motivate a high-performance workforce.

Lumexa Imaging is an equal opportunity employer.