VP, Practice Technology

OneOncology; Nashville (TN); On-site; USD 150,000 - 210,000; Full time

Job summary

OneOncology is seeking a Vice President, Practice Technology based in Nashville, TN. This full-time position involves leading the technology strategy and operations of clinic systems, ensuring high availability and security across all platforms.

The ideal candidate will have over 15 years of IT leadership experience in a healthcare environment and a strong track record with oncology EMR systems. Responsibilities include managing technology investments and driving revenue cycle improvements.

Qualifications

• 15+ years of IT leadership experience in health systems or oncology networks.
• Demonstrated track record owning an oncology EMR ecosystem end to end.
• Proven experience in cloud-hosted migration of clinical workloads.

Responsibilities

• Lead IT strategy and operations for the practice technology portfolio.
• Define and execute a multi-year roadmap for clinic systems modernization.
• Manage revenue cycle technology to drive cash flow and clean claim rates.

Skills

IT leadership

Healthcare interoperability

Revenue cycle technology

EMR ecosystem

AI and analytics tooling

Education

Bachelor's degree in Computer Science or related field

Advanced degree preferred

Tools

Varian ARIA/Eclipse

Elekta MOSAIQ/Monaco

PACS/VNA

Job description

OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision.

Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.

Job Description

Role Summary

We are seeking an accomplished Vice President, Practice Technology to lead the technology strategy, architecture, and day-to-day operations of every system that runs a OneOncology clinic. This executive owns the full clinic technology stack: the medical oncology EMR; the service line platforms for radiation oncology, diagnostic imaging, and laboratory; and the end-to-end revenue cycle technology supporting clinic billing operations. The VP will modernize and consolidate this footprint into a secure, highly available, cloud-forward platform, accelerate AI and analytics adoption at the point of care, and ensure tightly integrated systems across every site — with patient safety, uptime, financial integrity, and consistent care delivery as the non-negotiable measures of success. This role reports to the Chief Technology Officer and partners directly with clinical, operations, and finance leaders across the network.

This is a full-time position based in our Nashville, TN headquarters.

Responsibilities

• Own the end-to-end IT strategy, architecture, and operations for the full practice technology portfolio — including the medical oncology EMR, practice management, radiation oncology systems (Varian, Elekta), diagnostic imaging (PACS/VNA and the modality fleet spanning PET/CT, CT, MRI, ultrasound, and cystoscopy), laboratory systems, pharmacy systems, and the revenue cycle management stack supporting clinic billing.
• Define and execute the multi-year roadmap to modernize and consolidate clinic systems — migrating off on-premise practice infrastructure to centralized cloud-hosted, vendor-hosted, and SaaS platforms while reducing technical debt, operating cost, and variability across sites.
• Ensure every clinic platform operates as a highly available, resilient system — with uptime, performance, disaster recovery, and incident response standards that protect uninterrupted treatment delivery, timely diagnostics, accurate billing, and a seamless patient experience.
• Lead the revenue cycle technology agenda for clinic operations — including charge capture, coding, claims, denials, payment posting, patient financial experience, and the integrations between EMR, practice management, and downstream RCM platforms — partnering with finance and RCM operations leaders to drive cash flow, clean claim rates, and net collections.
• Serve as the senior IT relationship owner with strategic clinic-system vendors — EMR, practice management, treatment systems (Varian, Elekta), PACS/VNA, lab, pharmacy, RCM, and AI/analytics partners — managing roadmaps, integrations, service levels, escalations, and contracts.
• Partner closely with medical & radiation oncologists, radiologists, physicists, dosimetrists, therapists, imaging and lab technologists, pharmacists, practice administrators, and revenue cycle leaders to translate clinical and operational workflows into well-integrated technology solutions.
• Lead the evaluation, integration, and lifecycle management of AI and analytics capabilities across the clinic — including ambient clinical documentation, auto-contouring and treatment planning assistance, image-based diagnostic AI, predictive analytics, and revenue cycle automation — ensuring they are validated, governed, secure, and clinically and financially additive.
• Establish and uphold the security, privacy, and regulatory posture across all clinic systems — including HIPAA, HITRUST-aligned controls, identity and access management, audit logging, vendor risk management, and FDA / medical-device considerations for treatment and imaging platforms.
• Oversee interoperability across the clinic stack — using DICOM, HL7 v2, FHIR, and modern API patterns to deliver a unified patient record and a clean flow of structured data into the enterprise data platform for analytics, quality reporting, and real-world evidence.
• Build and operate a 24x7 support and incident management capability for clinic systems — including monitoring, on-call rotations, runbooks, change management, and post-incident reviews — with a tiered support model that scales from fully managed practices to those running mature internal IT.
• Build, mentor, and lead a high-performing, distributed clinic systems organization spanning EMR and clinical applications, service line systems, revenue cycle technology, integration engineering, and clinical support — and manage the MSP and vendor partners that extend the team.
• Lead the clinic systems workstream for new practice partnerships, mergers, and acquisitions — assessing existing systems, defining integration plans, sequencing cutovers, and onboarding practices onto the OneOncology platform on time, on budget, and with business continuity preserved.
• Govern technology investment and standards across the portfolio — chairing or participating in architecture review, AI governance, and clinical technology committees to ensure strategic alignment, security, and compliance for every platform decision.
• Lead vendor management across the OneOncology network — consolidating fragmented practice-level contracts into enterprise agreements, driving every platform toward a defined set of product standards, and ensuring vendors deliver the scalability, roadmap alignment, service levels, and total cost of ownership needed to support network growth and new practice onboarding.
• Manage the clinic systems P&L — operating budget, capital plan, and vendor spend — and report progress, risk, and outcomes to the CTO, executive leadership, and the Board.
• Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer.

Required or Preferred Qualifications

• Bachelor's degree in Computer Science, Information Systems, Health Informatics, or related field required; advanced degree preferred
• 15+ years of progressive IT leadership experience, including 7+ years leading multi-platform clinical and revenue cycle technology in a health system, oncology network, multi-site physician practice, or comparable distributed care environment.
• Demonstrated track record owning an oncology or multi-specialty EMR ecosystem end to end — including practice management, clinical documentation, orders, results, and the integrations that connect them to service line and financial systems.
• Hands‑on experience supporting radiation oncology systems (Varian ARIA/Eclipse and/or Elekta MOSAIQ/Monaco), PACS/VNA and a multi‑modality imaging environment, and laboratory platforms such as Orchard or comparable LIS — alongside a working command of pharmacy systems used in oncology clinics.
• Proven leadership of revenue cycle technology supporting tens of millions or more in annual transactions — including charge capture, claims, denials, patient financial experience, and the EMR-to-RCM integration patterns that drive clean claims and net collections.
• Proven experience leading large‑scale migrations of clinical, imaging, and revenue cycle workloads from on‑premises practice infrastructure to cloud‑hosted (Azure, AWS, or GCP), vendor‑hosted, and SaaS platforms — including target‑state architecture, image archive strategy, and practice cutover sequencing across many sites.
• Strong working knowledge of healthcare interoperability standards and patterns — DICOM, HL7 v2, FHIR, and modern API integrations — with experience standing up enterprise integration platforms and connecting clinical systems to billing, analytics, and external partners.
• Demonstrated experience deploying and governing AI and analytics tooling across clinical and revenue cycle workflows — including ambient documentation, auto‑contouring, image‑based diagnostic AI, predictive analytics, and RCM automation — and the validation, change‑control, and equity practices required to deploy them safely.
• Demonstrated success leading the technology workstream for M&A and practice integration — onboarding clinical sites, consolidating applications, and maintaining business continuity through cutover.
• Deep understanding of HIPAA, HITRUST, and the security and compliance considerations specific to clinical and medical-device‑adjacent environments, including identity, access, audit, vendor risk, and incident response.

Essential Competencies

• Comfort engaging directly with clinicians and operators , earning trust and translating workflow needs into pragmatic technology decisions.
• Proven executive presence with C‑suite and Board‑level communication, financial acumen managing a multi‑line operating and capital budget, and experience leading distributed teams and managed service partners.
• Attendance is an essential job function.

This job description does not contain a full listing of activities, duties or responsibilities required of this role. Duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice.