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.
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