VP, Practice Technology

About this role

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   Chie f 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   & r adiation 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 in

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